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Q. I get bouncing or rocking sensation while walking. Why? | Hello doctor, For the past three weeks, I have been feeling a strange sensation which seems to be a form of vertigo. When walking, it feels as if the ground is bouncing or rocking (as if on a boat). I seem to not have this sensation right away after waking. However, after an hour or so, it comes back. I have also experienced what may be migraine aura symptoms (seeing black spots occasionally) which is sometimes also accompanied by a headache or head pressure or fullness. This bouncing or rocking sensation is really starting to worry me. I am not sure if it is due to an inner ear issue or neurological. I have started taking Meclizine and Ibuprofen which do not seem to help entirely. If possible, please advise on some potential causes, I would greatly appreciate it. | Hello. I have gone carefully through your question and would explain that your symptoms could be related to an inner ear disorder. Anyway as your symptoms are not improved by Meclizine, I would recommend consulting with a neurologist and performing a brain MRI study. It is also important checking thyroid hormone levels for thyroid dysfunction. |
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Hello doctor, For the past three weeks, I have been feeling a strange sensation which seems to be a form of vertigo. When walking, it feels as if the ground is bouncing or rocking (as if on a boat). I seem to not have this sensation right away after waking. However, after an hour or so, it comes back. I have also experienced what may be migraine aura symptoms (seeing black spots occasionally) which is sometimes also accompanied by a headache or head pressure or fullness. This bouncing or rocking sensation is really starting to worry me. I am not sure if it is due to an inner ear issue or neurological. I have started taking Meclizine and Ibuprofen which do not seem to help entirely. If possible, please advise on some potential causes, I would greatly appreciate it. [/INST] Hello. I have gone carefully through your question and would explain that your symptoms could be related to an inner ear disorder. Anyway as your symptoms are not improved by Meclizine, I would recommend consulting with a neurologist and performing a brain MRI study. It is also important checking thyroid hormone levels for thyroid dysfunction. |
Q. Can cocaine get attached to sperm and affect the baby? | Hello doctor, I had a question regarding Cocaine use. I have never used it before and did a few lines on a bachelor party. I clearly was not thinking and impregnated my wife within 24 to 48 hours of use. How concerning is this? I also had multiple drinks of alcohol. | Hi. The sperms ejaculated are formed 3 to 5 days before the actual sex process. If you have never used them before and used it only a few hours before sex then there should be no problem of malformations in the baby. Neither is alcohol. I must emphasize though that as you might already know, cocaine use is significantly detrimental for your own health and must be avoided. |
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Hello doctor, I had a question regarding Cocaine use. I have never used it before and did a few lines on a bachelor party. I clearly was not thinking and impregnated my wife within 24 to 48 hours of use. How concerning is this? I also had multiple drinks of alcohol. [/INST] Hi. The sperms ejaculated are formed 3 to 5 days before the actual sex process. If you have never used them before and used it only a few hours before sex then there should be no problem of malformations in the baby. Neither is alcohol. I must emphasize though that as you might already know, cocaine use is significantly detrimental for your own health and must be avoided. |
Q. Is the spot on my lip indicating cancer? | Hello doctor, I am suffering from an awkward spot on my lower lip. It is like a basic symptom of lip cancer. Please give your valuable suggestion. | Hi. I have gone through your case. There are many causes and clinical presentation of lip cancer. You should provide a complete history of the lesion for how long it has been there and also send picture as well. Or please see dermatologist personally. |
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Hello doctor, I am suffering from an awkward spot on my lower lip. It is like a basic symptom of lip cancer. Please give your valuable suggestion. [/INST] Hi. I have gone through your case. There are many causes and clinical presentation of lip cancer. You should provide a complete history of the lesion for how long it has been there and also send picture as well. Or please see dermatologist personally. |
Q. I have irregular period with severe bleeding and stomach pain. Please help. | Hello doctor, I have irregular periods and continuous bleeding in the genital area. So I am using sanitary pad always. And also have some kind of pain in the stomach. | Hi. I understand your concern. Please tell me, when did you attain menarche? Have your periods been irregular always? If yes, tell me your cycle length. Are you married? Any children? Are you taking any other medications? When were your last periods? When was this ultrasound done? According to scan reports your endometrium is thick (attachment removed to protect patient identity). You need to understand diagnostic as well as therapeutic curratage. Until then take tablet Pause MF (Tranexamic acid) three times daily for five days, and tablet Meprate 10 mg (Medroxyprogesterone) thrice daily for seven days followed by twice daily for the next week and followed by once daily for the next one week and stop. If your cycles are always irregular following the above treatment start Diane 35 for three months. Also, take Iron, Folic acid supplements to prevent anemia due to excessive blood loss. Please answer the above mentioned questions to suggest if anything extra is needed other than the mentioned treatment. |
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Hello doctor, I have irregular periods and continuous bleeding in the genital area. So I am using sanitary pad always. And also have some kind of pain in the stomach. [/INST] Hi. I understand your concern. Please tell me, when did you attain menarche? Have your periods been irregular always? If yes, tell me your cycle length. Are you married? Any children? Are you taking any other medications? When were your last periods? When was this ultrasound done? According to scan reports your endometrium is thick (attachment removed to protect patient identity). You need to understand diagnostic as well as therapeutic curratage. Until then take tablet Pause MF (Tranexamic acid) three times daily for five days, and tablet Meprate 10 mg (Medroxyprogesterone) thrice daily for seven days followed by twice daily for the next week and followed by once daily for the next one week and stop. If your cycles are always irregular following the above treatment start Diane 35 for three months. Also, take Iron, Folic acid supplements to prevent anemia due to excessive blood loss. Please answer the above mentioned questions to suggest if anything extra is needed other than the mentioned treatment. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My right eye is red, swollen and blurry. Do I have pink eye? | Hi doctor, My right eye is stinging with blurry vision. It is red and a bit swollen. I am experiencing the above every day. Do I have pink eye? | Hi. I have gone through the attachment (attachment removed to protect patient identity). It appears as conjunctivitis, and it is of two types. They are bacterial and viral. A slit lamp examination is required to differentiate them. As these symptoms are present for a few hours, then it can be bacterial conjunctivitis. I advise you take eye drops such as Gatflox (Gatifloxacin) one drop four times a day and eye drops HPMC (Hydroxyl propyl methyl cellulose) one drop four times a day. |
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Hi doctor, My right eye is stinging with blurry vision. It is red and a bit swollen. I am experiencing the above every day. Do I have pink eye? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). It appears as conjunctivitis, and it is of two types. They are bacterial and viral. A slit lamp examination is required to differentiate them. As these symptoms are present for a few hours, then it can be bacterial conjunctivitis. I advise you take eye drops such as Gatflox (Gatifloxacin) one drop four times a day and eye drops HPMC (Hydroxyl propyl methyl cellulose) one drop four times a day. |
Q. How to reduce my sex appetite? | Hi doctor, I know my partner for ten years. I am living with my partner for a year. We have not done sex. But now, we may have sex once a month. He does not have a feel like me. It makes me feel depressed. I tried to talk to him about this, and I wanted to make him understand. But it feels like he is not ready to get fixed. I do not know what to do at this point. Please suggest. | Hi. Planning to have sex on a regular basis with your partner is perfectly a regular thing, and there is nothing to feel ashamed. But sexual appetite between two peoples may vary. You may feel which is less can be a sufficient one for your partner. So the key is communication. Hammering him about sex every day will not help you. Make an effort to spend time with him by doing activities, and gradually you can approach about this. You can take a short trip and explore. Be sensitive if he is facing issues at work or with his family and if he is preoccupied with it. If nothing works, please see a counselor. |
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Hi doctor, I know my partner for ten years. I am living with my partner for a year. We have not done sex. But now, we may have sex once a month. He does not have a feel like me. It makes me feel depressed. I tried to talk to him about this, and I wanted to make him understand. But it feels like he is not ready to get fixed. I do not know what to do at this point. Please suggest. [/INST] Hi. Planning to have sex on a regular basis with your partner is perfectly a regular thing, and there is nothing to feel ashamed. But sexual appetite between two peoples may vary. You may feel which is less can be a sufficient one for your partner. So the key is communication. Hammering him about sex every day will not help you. Make an effort to spend time with him by doing activities, and gradually you can approach about this. You can take a short trip and explore. Be sensitive if he is facing issues at work or with his family and if he is preoccupied with it. If nothing works, please see a counselor. |
Q. My mouth is always filled with saliva. What can I do now? | Hi doctor, My mouth is always filled with saliva within two minutes. I have this problem for three years. What can I do now? Please suggest. | Hi. Excessive saliva production or hypersalivation can occur due to two reasons. It occurs due to an increased saliva production and due to reduced swallowing of saliva. Saliva overproduction can occur due to many causes like oral and throat infections, oral ulcers, acid reflux, excess starch consumption, due to a side effect of medication like Clonazepam, Pilocarpine, Ketamine, a toxin exposure, and serotonin syndrome. Decreased swallowing can occur due to throat pain caused by the infection, tonsillitis, and nerve damage. You should consult an oral physician and get evaluated. A thorough checkup will help in confirming the cause and treatment of the cause will solve the problem. As of now, you can use mouthwash frequently and brushing the teeth has a drying effect in the mouth. |
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Hi doctor, My mouth is always filled with saliva within two minutes. I have this problem for three years. What can I do now? Please suggest. [/INST] Hi. Excessive saliva production or hypersalivation can occur due to two reasons. It occurs due to an increased saliva production and due to reduced swallowing of saliva. Saliva overproduction can occur due to many causes like oral and throat infections, oral ulcers, acid reflux, excess starch consumption, due to a side effect of medication like Clonazepam, Pilocarpine, Ketamine, a toxin exposure, and serotonin syndrome. Decreased swallowing can occur due to throat pain caused by the infection, tonsillitis, and nerve damage. You should consult an oral physician and get evaluated. A thorough checkup will help in confirming the cause and treatment of the cause will solve the problem. As of now, you can use mouthwash frequently and brushing the teeth has a drying effect in the mouth. |
Q. Kindly explain the factors used to calculate the risk of trisomy 21. | Hi doctor, My NT scan showed me a range of 1.4 mm and my double marker showed me a risk of 1:20300. But my age risk showed a result of 1:176. Which one has to be considered and what it signifies regarding the risk for trisomy 21? | Hi. I have gone through the query (attachment removed to protect patient identity). Many factors count for calculating risk. They are age, serum markers, family history, and nuchal translucency. An age-related risk is more after 35 years of age. As you are 38 years old, so the risk is calculated as 1:176. But, individually it cannot define the whole risk as it involves other factors also. Nuchal translucency less than 2.9 mm is considered normal, and you have a range of 1.4 mm, so the factor does not show a risk for an anomaly. Serum markers show a least negligible risk like 1 in 20300. So this factor is also not under threat. You have not mentioned about your family history as it will also play a role in calculating the all over risk. So the combined risk is decidedly less. Have a usual anomaly scan at 20 weeks to check for any anomaly. Around 22 weeks, try to have a cardiac outflow tract. |
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Hi doctor, My NT scan showed me a range of 1.4 mm and my double marker showed me a risk of 1:20300. But my age risk showed a result of 1:176. Which one has to be considered and what it signifies regarding the risk for trisomy 21? [/INST] Hi. I have gone through the query (attachment removed to protect patient identity). Many factors count for calculating risk. They are age, serum markers, family history, and nuchal translucency. An age-related risk is more after 35 years of age. As you are 38 years old, so the risk is calculated as 1:176. But, individually it cannot define the whole risk as it involves other factors also. Nuchal translucency less than 2.9 mm is considered normal, and you have a range of 1.4 mm, so the factor does not show a risk for an anomaly. Serum markers show a least negligible risk like 1 in 20300. So this factor is also not under threat. You have not mentioned about your family history as it will also play a role in calculating the all over risk. So the combined risk is decidedly less. Have a usual anomaly scan at 20 weeks to check for any anomaly. Around 22 weeks, try to have a cardiac outflow tract. |
Q. There is a painless swelling inside the lips. Could it be a cancer? | Hi doctor, My mother has a swelling inside her lips. It is not painful, and it is not getting healed. She consulted a doctor. The doctor told that the swelling had occurred due to an allergic reaction. Is it cancer? Please suggest. | Hi. Every swelling is not cancer. It can be a fibroma. It occurs due to trauma or biting lips. The second one is a mucocele. It is a swelling of sebaceous glands. It also occurs due to injury or biting. Both are non-cancerous. Please send a picture of it. So that, I can guide you further. Please say whether your mother has a habit of nail-biting. The management depends on the size and nature of the swelling. It may need some drugs or excision. You can consult a dentist and an oral medicine specialist soon for treating it. Please mention about her habits, drug history, and the presence of any sharp tooth in her mouth. |
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Hi doctor, My mother has a swelling inside her lips. It is not painful, and it is not getting healed. She consulted a doctor. The doctor told that the swelling had occurred due to an allergic reaction. Is it cancer? Please suggest. [/INST] Hi. Every swelling is not cancer. It can be a fibroma. It occurs due to trauma or biting lips. The second one is a mucocele. It is a swelling of sebaceous glands. It also occurs due to injury or biting. Both are non-cancerous. Please send a picture of it. So that, I can guide you further. Please say whether your mother has a habit of nail-biting. The management depends on the size and nature of the swelling. It may need some drugs or excision. You can consult a dentist and an oral medicine specialist soon for treating it. Please mention about her habits, drug history, and the presence of any sharp tooth in her mouth. |
Q. I am hearing wind like rhythm in my ears with fullness. What is that? | Hello doctor, I have been hearing a wind like rhythmic noise in my right ear. It also makes my ears feel full. When breathing forcefully it might go away for some time but it comes back again. | Hello. A ringing sound or wind-like sound in the ear lasting for more than five minutes is called tinnitus. If less than five minutes, it is not significant. This particular sound you are describing can be caused due to dysfunctional eustachian tube, i.e. the tube connecting the ear and the nose. Usually, it is more in quiet environments and more noticeable when you are attempting to fall asleep. Crowded and noisy places serve as a distraction and do not let you notice the sound. Medicines do work, but it takes at least a month for them to act, that too the sound does not vanish until two to three months have gone by. I understand the trouble it is causing you. So what is to be done? 1. Keep a table fan for white noise when you are trying to fall asleep. 2. Try and distract yourself when you hear the sound. 3. Get a hearing test done. You can use an audiometry app and send me the result. 4. Follow the prescription. Saline nasal drops and steam inhalation three times a day for seven days. Fluticasone nasal spray two times a day for seven days. |
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Hello doctor, I have been hearing a wind like rhythmic noise in my right ear. It also makes my ears feel full. When breathing forcefully it might go away for some time but it comes back again. [/INST] Hello. A ringing sound or wind-like sound in the ear lasting for more than five minutes is called tinnitus. If less than five minutes, it is not significant. This particular sound you are describing can be caused due to dysfunctional eustachian tube, i.e. the tube connecting the ear and the nose. Usually, it is more in quiet environments and more noticeable when you are attempting to fall asleep. Crowded and noisy places serve as a distraction and do not let you notice the sound. Medicines do work, but it takes at least a month for them to act, that too the sound does not vanish until two to three months have gone by. I understand the trouble it is causing you. So what is to be done? 1. Keep a table fan for white noise when you are trying to fall asleep. 2. Try and distract yourself when you hear the sound. 3. Get a hearing test done. You can use an audiometry app and send me the result. 4. Follow the prescription. Saline nasal drops and steam inhalation three times a day for seven days. Fluticasone nasal spray two times a day for seven days. |
Q. I have severe low back pain while stretching, standing and sitting. Please help. | Hello doctor, My lower back pains extremely bad when I stretch backward or forward. It is painful to sit as well as while standing. When I press my back I feel no pain, but the pain starts as soon as my back stretches. Also, my legs shiver due to pain. What is the reason? | Hi. I would like to know, what do you do and how much physical activity you have in your daily routine? |
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Hello doctor, My lower back pains extremely bad when I stretch backward or forward. It is painful to sit as well as while standing. When I press my back I feel no pain, but the pain starts as soon as my back stretches. Also, my legs shiver due to pain. What is the reason? [/INST] Hi. I would like to know, what do you do and how much physical activity you have in your daily routine? |
Q. Kindly tell the treatment for recurrent tinea infection. | Hi doctor, I appear to have a tinea infection on my hands. I previously hand one two years ago and symptoms are the same, peeling between fingers, sore and itchy skin, some scaly patches. A doctor here advised Clotrimazole cream and 150 mg of Flucanozole every week for four weeks. That initially worked well and it was clearing up. Then I have had a sudden relapse. I have been using the cream three times a day for three weeks and the tablets for two weeks. Any ideas? I am also prone to eczema by the way. | Hi. Is there any burning? Any other area affected? Looking forward to your response in order to help you. |
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Hi doctor, I appear to have a tinea infection on my hands. I previously hand one two years ago and symptoms are the same, peeling between fingers, sore and itchy skin, some scaly patches. A doctor here advised Clotrimazole cream and 150 mg of Flucanozole every week for four weeks. That initially worked well and it was clearing up. Then I have had a sudden relapse. I have been using the cream three times a day for three weeks and the tablets for two weeks. Any ideas? I am also prone to eczema by the way. [/INST] Hi. Is there any burning? Any other area affected? Looking forward to your response in order to help you. |
Q. What diet can be followed to reduce pitta dosha? | Hello doctor, I take Thyronorm 50 daily. TSH is at 4 but free T3 is low, at 4.0, causing lethargy. I was recommended TFN-34 but last two months they have not helped. Any alternative to TFN-34 and how to increase energy levels? Also, my prakruti is Kapha-Pitta and in the afternoon I get a severe headache but to increase in pitta dosha, my lunch is generally veggies, pulses with minimal raw salad. I do not consume ghee. So, please help me with diet part to reduce pitta dosha. I have no acidity symptoms. | Hi. You continue both these drugs. I think the Thyronorm dose could be increased slightly after discussing with your clinician, which will reduce your lethargy. You also consume more cumin, turmeric, coriander, small onion, cardamom, in food. They can balance pitha. You buy Eclipta alba, dry it and store it. Daily you should add bringaraj 5 gm, jeera 5 gm in 150 ml of milk or water, boil for 20 minutes, then filter and drink. This needs to be done morning and night regularly. Prepare freshly every time. This will help in regulating the thyroid hormonal feedback system, give adequate energy and also balances three doshas (vaatha, pitha and kabha). Also apply bringaraj hair oil daily on hair, half an hour before bath. This also helps in balancing piththam and kapha. |
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Hello doctor, I take Thyronorm 50 daily. TSH is at 4 but free T3 is low, at 4.0, causing lethargy. I was recommended TFN-34 but last two months they have not helped. Any alternative to TFN-34 and how to increase energy levels? Also, my prakruti is Kapha-Pitta and in the afternoon I get a severe headache but to increase in pitta dosha, my lunch is generally veggies, pulses with minimal raw salad. I do not consume ghee. So, please help me with diet part to reduce pitta dosha. I have no acidity symptoms. [/INST] Hi. You continue both these drugs. I think the Thyronorm dose could be increased slightly after discussing with your clinician, which will reduce your lethargy. You also consume more cumin, turmeric, coriander, small onion, cardamom, in food. They can balance pitha. You buy Eclipta alba, dry it and store it. Daily you should add bringaraj 5 gm, jeera 5 gm in 150 ml of milk or water, boil for 20 minutes, then filter and drink. This needs to be done morning and night regularly. Prepare freshly every time. This will help in regulating the thyroid hormonal feedback system, give adequate energy and also balances three doshas (vaatha, pitha and kabha). Also apply bringaraj hair oil daily on hair, half an hour before bath. This also helps in balancing piththam and kapha. |
Q. What does the chest X-ray of a UTI patient show? | Hello doctor, My mother was admitted to hospital nine months back with a catheter-related UTI. She was also hypothermic. Tests revealed that the UTI had become urinary sepsis. She was given IV antibiotics for this. Her legs were swollen with edema, as was her lower abdomen, but her chest was clear. She had three chest X-rays taken while she was in the hospital. I have attached these radiographs for your analysis. She developed sudden hypoxemia (SpO2 dropped to 70) and was given supplemental oxygen to saturate her blood. A stethoscope detected bilateral crepitations in her lungs. She had no cough, no tachycardia and no fever (she remained hypothermic throughout her stay in the hospital). Her leg edema remained during her time in hospital. The comments that accompanied her radiographs consisted of just a few ambiguous words. They included question marks and failed to make definitive diagnoses. This is why I am sending the radiographs to you. I need to know specifically what was happening in her lungs. | Hi. The chest X-ray done shows mildly increased bilateral lung markings and a mildly enlarged cardiac shadow (attachment removed to protect patient identity). There are no serious concerns about this X-ray. In the chest X-ray done a few days later, there is a generalised haziness in the left lung in addition to the prominent lung markings and the mildly enlarged cardiac shadow. Depending on the clinical signs, the possibilities can be a unilateral pneumonia or pulmonary edema. However, in literature, pulmonary edema is usually unilateral on the right side and without cardiac enlargement. In the chest X-ray done four days later, there are randomly distributed peri hilar opacities in the bilateral lungs and on seeing carefully there are air bronchograms and this is likely a picture of disseminated pneumonia. The other possibility being a diffuse pulmonary edema. |
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Hello doctor, My mother was admitted to hospital nine months back with a catheter-related UTI. She was also hypothermic. Tests revealed that the UTI had become urinary sepsis. She was given IV antibiotics for this. Her legs were swollen with edema, as was her lower abdomen, but her chest was clear. She had three chest X-rays taken while she was in the hospital. I have attached these radiographs for your analysis. She developed sudden hypoxemia (SpO2 dropped to 70) and was given supplemental oxygen to saturate her blood. A stethoscope detected bilateral crepitations in her lungs. She had no cough, no tachycardia and no fever (she remained hypothermic throughout her stay in the hospital). Her leg edema remained during her time in hospital. The comments that accompanied her radiographs consisted of just a few ambiguous words. They included question marks and failed to make definitive diagnoses. This is why I am sending the radiographs to you. I need to know specifically what was happening in her lungs. [/INST] Hi. The chest X-ray done shows mildly increased bilateral lung markings and a mildly enlarged cardiac shadow (attachment removed to protect patient identity). There are no serious concerns about this X-ray. In the chest X-ray done a few days later, there is a generalised haziness in the left lung in addition to the prominent lung markings and the mildly enlarged cardiac shadow. Depending on the clinical signs, the possibilities can be a unilateral pneumonia or pulmonary edema. However, in literature, pulmonary edema is usually unilateral on the right side and without cardiac enlargement. In the chest X-ray done four days later, there are randomly distributed peri hilar opacities in the bilateral lungs and on seeing carefully there are air bronchograms and this is likely a picture of disseminated pneumonia. The other possibility being a diffuse pulmonary edema. |
Q. Is it advisable to do surgery in an elderly for recurrent parastomal hernia? | Hello doctor, My father is 68 years old and has undergone ileal conduit surgery ten years back. Then parastomal hernia repair seven years back and again four years back. Now he has again developed a parastomal hernia. Now the surgeon is not ready to operate further. Please advice. | Hi. Sorry to hear about your father's condition. There are two options now. Due to elderly age and recurrent problem and anesthesia risk, we can manage it conservatively trying to avoid complications. It will be a safe position. If you wish to take the risk, we can approach laparoscopically. It will be high risk and technically demanding. We need to shift to higher facility and pose a high risk because of previous surgeries. So, the choice is yours. |
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Hello doctor, My father is 68 years old and has undergone ileal conduit surgery ten years back. Then parastomal hernia repair seven years back and again four years back. Now he has again developed a parastomal hernia. Now the surgeon is not ready to operate further. Please advice. [/INST] Hi. Sorry to hear about your father's condition. There are two options now. Due to elderly age and recurrent problem and anesthesia risk, we can manage it conservatively trying to avoid complications. It will be a safe position. If you wish to take the risk, we can approach laparoscopically. It will be high risk and technically demanding. We need to shift to higher facility and pose a high risk because of previous surgeries. So, the choice is yours. |
Q. Kindly tell me the risks of pregnancy in women over 40. | Hi doctor, I had a c-section with my first pregnancy 19 years ago. I have fallen in love with a wonderful man who does not have kids. I and my fiance have been discussing and are planning to have a baby. I am concerned if I am able to have a VBAC delivery with my second pregnancy since my first pregnancy resulted in an emergency C-section. Also, I am 48. What are the risks of pregnancy in women over 40? | Hello. Pregnancy at the age of 48 years definitely come with certain risks like an increased risk of chromosomal abnormalities due to the defective ovum being released. Also there may be a difficulty in the conception itself. VBAC (vaginal birth after cesarean) delivery has to take into a lot of factors into consideration like the cause for previous LSCS (lower segment cesarean section), the gestational age at which you had cesarean, the present baby weight, and if there is a spontaneous onset of labor or not and many other factors. I would suggest you go for an opinion from your gynaecologist before planning for a conception and take a pre-conceptional counselling so as to avoid any complications possible during pregnancy. |
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Hi doctor, I had a c-section with my first pregnancy 19 years ago. I have fallen in love with a wonderful man who does not have kids. I and my fiance have been discussing and are planning to have a baby. I am concerned if I am able to have a VBAC delivery with my second pregnancy since my first pregnancy resulted in an emergency C-section. Also, I am 48. What are the risks of pregnancy in women over 40? [/INST] Hello. Pregnancy at the age of 48 years definitely come with certain risks like an increased risk of chromosomal abnormalities due to the defective ovum being released. Also there may be a difficulty in the conception itself. VBAC (vaginal birth after cesarean) delivery has to take into a lot of factors into consideration like the cause for previous LSCS (lower segment cesarean section), the gestational age at which you had cesarean, the present baby weight, and if there is a spontaneous onset of labor or not and many other factors. I would suggest you go for an opinion from your gynaecologist before planning for a conception and take a pre-conceptional counselling so as to avoid any complications possible during pregnancy. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Please suggest medication for my high cholesterol levels. | Hello doctor, I did my blood test yesterday and the cholesterol levels were high. The results are as below. Complete lipid profile test. S. cholesterol - 244 mg. Triglycerides - 252 mg. LDL direct - 174 (direct). HDL cholesterol - 34 mg/dL. In the cholesterol tests conducted earlier, the triglyceride value only was high. No medicines were taken, started exercises after that. Again a test was done about a month ago, the result was 233 for cholesterol. No medicines were taken. Kindly suggest me if I have to start medication as the value is only going high. | Hello, Welcome to icliniq.com. It is definitely deranged. I assume that the test was done after fasting of 8 hours, if not then worthwhile to repeat. Now since you are young, it is important to determine whether you will need long term medications or not. So, you may give a try of healthy lifestyle for 6-8 weeks. If you think, you already having a good lifestyle and there is no scope for further improvement or due to unavoidable factors you would not be able to modify lifestyle more, then better to be on medications. So you should have tablet Rosuvastatin 10 mg once daily bedtime for 8 weeks and repeat the lipid profile after that. Let me know the values after 8 weeks. If you want to try a healthy lifestyle which is also an option then you may try for eight weeks. Have low oily fatty and fried foods. Have less of fast food, low-calorie foods, low butter/ghee, and low-fat milk. Avoid meat and egg yellow. Avoid sweets as much as possible. Try to achieve some weight loss. Have regular exercises like brisk walking or running according to the capacity. Repeat the lipid profile after eight weeks of healthy lifestyle to see the response, and if there is no response then you need to be on medications. If there is a good response then medications are not necessary. I hope this helps. |
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Hello doctor, I did my blood test yesterday and the cholesterol levels were high. The results are as below. Complete lipid profile test. S. cholesterol - 244 mg. Triglycerides - 252 mg. LDL direct - 174 (direct). HDL cholesterol - 34 mg/dL. In the cholesterol tests conducted earlier, the triglyceride value only was high. No medicines were taken, started exercises after that. Again a test was done about a month ago, the result was 233 for cholesterol. No medicines were taken. Kindly suggest me if I have to start medication as the value is only going high. [/INST] Hello, Welcome to icliniq.com. It is definitely deranged. I assume that the test was done after fasting of 8 hours, if not then worthwhile to repeat. Now since you are young, it is important to determine whether you will need long term medications or not. So, you may give a try of healthy lifestyle for 6-8 weeks. If you think, you already having a good lifestyle and there is no scope for further improvement or due to unavoidable factors you would not be able to modify lifestyle more, then better to be on medications. So you should have tablet Rosuvastatin 10 mg once daily bedtime for 8 weeks and repeat the lipid profile after that. Let me know the values after 8 weeks. If you want to try a healthy lifestyle which is also an option then you may try for eight weeks. Have low oily fatty and fried foods. Have less of fast food, low-calorie foods, low butter/ghee, and low-fat milk. Avoid meat and egg yellow. Avoid sweets as much as possible. Try to achieve some weight loss. Have regular exercises like brisk walking or running according to the capacity. Repeat the lipid profile after eight weeks of healthy lifestyle to see the response, and if there is no response then you need to be on medications. If there is a good response then medications are not necessary. I hope this helps. |
Q. Can the new lesion in liver be due to recurrence of ovarian cancer? | Hi doctor,I was treated for ovarian cyst which was initially diagnosed as CA ovary, but post-operation one was like CA and other was identified as a lesion. Now, in my CT PET scan, I have a lesion in the sixth segment of liver and metabolic activity in the para-aortic lymph node. Doctors are saying it is a recurrence of cancer but I want to check what kind of issue it is. Will it be really cancer recurrence? | Hi. According to your history and complaints, I can tell that the CT and PET scan you underwent detects exactly where the cancer cells are spreading and macro and micro-localization of the spread. Sometimes after removal of the cancerous growth, some cells which are cancerous might stay or circulate in spots undetectable at that time. Thereby, mutating the others and multiplying afterward which gets detected afterward. I recommend you to promptly start the treatment according to your doctor's advice without wasting much time as here time is precious while treating. All the best. Do not worry, you will be fine. Take care. |
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Hi doctor,I was treated for ovarian cyst which was initially diagnosed as CA ovary, but post-operation one was like CA and other was identified as a lesion. Now, in my CT PET scan, I have a lesion in the sixth segment of liver and metabolic activity in the para-aortic lymph node. Doctors are saying it is a recurrence of cancer but I want to check what kind of issue it is. Will it be really cancer recurrence? [/INST] Hi. According to your history and complaints, I can tell that the CT and PET scan you underwent detects exactly where the cancer cells are spreading and macro and micro-localization of the spread. Sometimes after removal of the cancerous growth, some cells which are cancerous might stay or circulate in spots undetectable at that time. Thereby, mutating the others and multiplying afterward which gets detected afterward. I recommend you to promptly start the treatment according to your doctor's advice without wasting much time as here time is precious while treating. All the best. Do not worry, you will be fine. Take care. |
Q. Is it normal to get floaters after laser treatment? | Hi doctor, I recently went for LASIK examination and an ophthalmologist said I have a few weak spots and I need to get barrage laser before LASIK. I am highly nearsighted -7 and -8 diopter. I got my barrage laser a few days back but I noticed floaters and a small light around the corner of my right eye which occurs occasionally. Is this common? Also, how long will it take for new weak spots or tears to appear after barrage? | Hi. It is normal to see floaters and light post laser also because the retina is a light-sensitive tissue but if it increases in frequency and shower of floaters occurred then immediately call for a checkup. There is no time limit for fresh spots to develop. We cannot comment on it. It may take days to years but mostly I have seen in my patients that it is less likely to develop in near future once laser barrage is done. |
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Hi doctor, I recently went for LASIK examination and an ophthalmologist said I have a few weak spots and I need to get barrage laser before LASIK. I am highly nearsighted -7 and -8 diopter. I got my barrage laser a few days back but I noticed floaters and a small light around the corner of my right eye which occurs occasionally. Is this common? Also, how long will it take for new weak spots or tears to appear after barrage? [/INST] Hi. It is normal to see floaters and light post laser also because the retina is a light-sensitive tissue but if it increases in frequency and shower of floaters occurred then immediately call for a checkup. There is no time limit for fresh spots to develop. We cannot comment on it. It may take days to years but mostly I have seen in my patients that it is less likely to develop in near future once laser barrage is done. |
Q. I have a non-healing recurring spot on my back. Why? | Hi doctor, I seem to have a recurring spot on my back. Feels like a bite but it never heals and never goes away. It also has a brownish dark area on the skin around it. No pain. | Hi. Exactly how long it has been there? Please send few more close up photographs? Any family history? Any history of diabetes mellitus or hypertension or any other medical illness? |
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Hi doctor, I seem to have a recurring spot on my back. Feels like a bite but it never heals and never goes away. It also has a brownish dark area on the skin around it. No pain. [/INST] Hi. Exactly how long it has been there? Please send few more close up photographs? Any family history? Any history of diabetes mellitus or hypertension or any other medical illness? |
Q. What is the surgical method used to retract the foreskin of the penis? | Hi doctor, I am 36 years old. I have an extra foreskin in my penis. It is never retracted from my birth. I usually use a lubricant oil while doing intercourse with my partner. I do not have any discomfort due to the nonretractable foreskin. I never had any pain or discomfort during sex. But I am unable to clean below my foreskin. I want to know whether there is any non-surgical method available to retract my foreskin. | Hi. I have gone through your query and pictures (attachment removed to protect patient identity). You have a condition called as phimosis. It is a condition where you cannot retract the foreskin because the opening will be too narrow. There is no medical treatment available for this condition in adults. Non-surgical dilatation of the opening can be practiced. But it is only for very mild cases. Your treating urologist will determine it after a thorough clinical examination. It should not be tried by yourself, as the foreskin can become stuck behind the head of the penis. It is a hazardous situation. The safest and the most straightforward approach is to get a circumcision done, which is only minor surgery, and it will solve your problem permanently. |
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Hi doctor, I am 36 years old. I have an extra foreskin in my penis. It is never retracted from my birth. I usually use a lubricant oil while doing intercourse with my partner. I do not have any discomfort due to the nonretractable foreskin. I never had any pain or discomfort during sex. But I am unable to clean below my foreskin. I want to know whether there is any non-surgical method available to retract my foreskin. [/INST] Hi. I have gone through your query and pictures (attachment removed to protect patient identity). You have a condition called as phimosis. It is a condition where you cannot retract the foreskin because the opening will be too narrow. There is no medical treatment available for this condition in adults. Non-surgical dilatation of the opening can be practiced. But it is only for very mild cases. Your treating urologist will determine it after a thorough clinical examination. It should not be tried by yourself, as the foreskin can become stuck behind the head of the penis. It is a hazardous situation. The safest and the most straightforward approach is to get a circumcision done, which is only minor surgery, and it will solve your problem permanently. |
Q. I have reddish mark on face and itching on inner thighs. How to cure it? | Hi doctor, I am 27 years old. I have got allergies on my inner thighs. I used all the medicines. But there is no relief. Recently, I went for sonography and found with multiple cysts in the ovary. Due to allergy, the skin of inner thighs got darker, and I have reddish marks with itching on my face. Please help me. | Hi. With your descriptions, it seems that you have developed tinea cruris. It requires a minimum of two to three months to have a complete cure. I would suggest you take tablet Itraconazole 100 mg once daily and use 2 % Miconazole gel local application twice daily for one month and use Kz 2 % soap (Ketoconazole) for bathing after consulting your GP or nearby dermatologist. Revert me after a month. |
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Hi doctor, I am 27 years old. I have got allergies on my inner thighs. I used all the medicines. But there is no relief. Recently, I went for sonography and found with multiple cysts in the ovary. Due to allergy, the skin of inner thighs got darker, and I have reddish marks with itching on my face. Please help me. [/INST] Hi. With your descriptions, it seems that you have developed tinea cruris. It requires a minimum of two to three months to have a complete cure. I would suggest you take tablet Itraconazole 100 mg once daily and use 2 % Miconazole gel local application twice daily for one month and use Kz 2 % soap (Ketoconazole) for bathing after consulting your GP or nearby dermatologist. Revert me after a month. |
Q. I have severe pain in the lower back region. Please suggest a remedy. | Hi doctor, I have severe pain in the lower back region. I have this problem for a few days. The pain is present only on the lower back just above the hips. I feel stiffness and pain in the lower back in the mornings. I have the pain radiating towards my upper spine when I squeeze the upper back muscles. After a few hours, my pain goes away and comes back again after a night sleep. I always do weightlifting at home. Please suggest a remedy. | Hi. You have a muscle spasm. Evaluate your sleeping conditions and ensure that you are sleeping on a supportive mattress that is not over seven years old. When sleeping on your back, place small support under the lower back and knees. You can use a small pillow or rolled towel. When resting on the side, keep a medium size pillow between your knees to keep your pelvis straight. Try sleeping on a heating pad. Do light lower back stretches every morning and every night in every direction. |
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Hi doctor, I have severe pain in the lower back region. I have this problem for a few days. The pain is present only on the lower back just above the hips. I feel stiffness and pain in the lower back in the mornings. I have the pain radiating towards my upper spine when I squeeze the upper back muscles. After a few hours, my pain goes away and comes back again after a night sleep. I always do weightlifting at home. Please suggest a remedy. [/INST] Hi. You have a muscle spasm. Evaluate your sleeping conditions and ensure that you are sleeping on a supportive mattress that is not over seven years old. When sleeping on your back, place small support under the lower back and knees. You can use a small pillow or rolled towel. When resting on the side, keep a medium size pillow between your knees to keep your pelvis straight. Try sleeping on a heating pad. Do light lower back stretches every morning and every night in every direction. |
Q. I have a consistent hike in my blood sugar. Please suggest. | Hi doctor, I am 46 years old. I am diabetic, and I have a high blood sugar level of 200 mg/dL. I also have a hernia problem. Currently, I am taking allopathic medicines, Glimepiride and Metformin. Please suggest. | Hi. If your blood sugar level is above 200 mg/dL, you may need a change in the dosage of your medication. You might need to increase the dosage of the existing medication, or you may require a new medication. You have not mentioned the exact dosage of Metformin and Glimepiride that you are currently taking. The medication and the dosage are decided by the doctor based on various factors like age, weight, previous medical history, duration of diabetes, other medical conditions, other medications and the condition of your vital organs. It may not be ideal to give you a prescription without doing a clinical examination and evaluation of laboratory parameters. Hence I suggest you meet your diabetologist for proper clinical assessment. For the hernia issue, it is essential to understand the stage of the disease. It helps to determine whether it needs conservative treatment or whether there is a need for surgery. It can be decided only by a qualified surgeon after a detailed clinical examination, and it involves various steps. |
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Hi doctor, I am 46 years old. I am diabetic, and I have a high blood sugar level of 200 mg/dL. I also have a hernia problem. Currently, I am taking allopathic medicines, Glimepiride and Metformin. Please suggest. [/INST] Hi. If your blood sugar level is above 200 mg/dL, you may need a change in the dosage of your medication. You might need to increase the dosage of the existing medication, or you may require a new medication. You have not mentioned the exact dosage of Metformin and Glimepiride that you are currently taking. The medication and the dosage are decided by the doctor based on various factors like age, weight, previous medical history, duration of diabetes, other medical conditions, other medications and the condition of your vital organs. It may not be ideal to give you a prescription without doing a clinical examination and evaluation of laboratory parameters. Hence I suggest you meet your diabetologist for proper clinical assessment. For the hernia issue, it is essential to understand the stage of the disease. It helps to determine whether it needs conservative treatment or whether there is a need for surgery. It can be decided only by a qualified surgeon after a detailed clinical examination, and it involves various steps. |
Q. Please suggest some remedies to prevent the shrinkage of anus. | Hi doctor, I am a 24-year-old woman suffering from hemorrhoids. I have a feeling that my anus is reducing in size. My doctor has advised me to do a surgery for removing it. But my hemoglobin levels are low. So my doctor recommended me to increase the hemoglobin levels. I am taking iron supplements to improve my hemoglobin levels. I am very depressed. I have a fear that a delay in surgery can worsen my condition. Please suggest some remedies to prevent the shrinkage of the anus. | Hi. You have to remove piles through surgery as it is increasing in size. Anal shrinkage is not a complication of piles. Because of the enlargement seen in piles, the anal area looks shrank. You can take a stool softener for piles like Cremaffin syrup (Liquid paraffin with Magnesium hydroxide). Avoid taking excess spicy foods. Drink more water. If the pain is severe, then an oral anti-inflammatory drug can be taken. Topical Lignocaine jelly can be applied if there is severe pain. You can use anal water sitz bath in lukewarm water for piles. |
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Hi doctor, I am a 24-year-old woman suffering from hemorrhoids. I have a feeling that my anus is reducing in size. My doctor has advised me to do a surgery for removing it. But my hemoglobin levels are low. So my doctor recommended me to increase the hemoglobin levels. I am taking iron supplements to improve my hemoglobin levels. I am very depressed. I have a fear that a delay in surgery can worsen my condition. Please suggest some remedies to prevent the shrinkage of the anus. [/INST] Hi. You have to remove piles through surgery as it is increasing in size. Anal shrinkage is not a complication of piles. Because of the enlargement seen in piles, the anal area looks shrank. You can take a stool softener for piles like Cremaffin syrup (Liquid paraffin with Magnesium hydroxide). Avoid taking excess spicy foods. Drink more water. If the pain is severe, then an oral anti-inflammatory drug can be taken. Topical Lignocaine jelly can be applied if there is severe pain. You can use anal water sitz bath in lukewarm water for piles. |
Q. I have cold, headache, sinus problem and breathing difficulty. Please help. | Hello doctor, I am suffering from sinus problem since birth. Currently, I am suffering from a cold, headache and unable to breathe properly due to nose blockage intermittently. Kindly advise which medicines I should take. I am 44 years old and currently working in a call center where I have to sit in AC for at least eight hours. | Hello. It seems this is your chronic problem as you have been suffering for the two years. For the best result, I would advise you to seek consultation from a good homeopathy doctor who can prescribe the correct remedy based on the detailed case history. For the meantime, based on the above short description, I would advise you to take Kali Bichromicum 30c four pills twice a day for five days. Do not eat or drink 30 minutes before or after taking this remedy. Avoid taking a lemon, strong coffee, raw onion, and raw garlic until you take this remedy. Kindly report back in 10 days. |
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Hello doctor, I am suffering from sinus problem since birth. Currently, I am suffering from a cold, headache and unable to breathe properly due to nose blockage intermittently. Kindly advise which medicines I should take. I am 44 years old and currently working in a call center where I have to sit in AC for at least eight hours. [/INST] Hello. It seems this is your chronic problem as you have been suffering for the two years. For the best result, I would advise you to seek consultation from a good homeopathy doctor who can prescribe the correct remedy based on the detailed case history. For the meantime, based on the above short description, I would advise you to take Kali Bichromicum 30c four pills twice a day for five days. Do not eat or drink 30 minutes before or after taking this remedy. Avoid taking a lemon, strong coffee, raw onion, and raw garlic until you take this remedy. Kindly report back in 10 days. |
Q. My partner gets pain on penetration after a period of abstinence. Why? | Hi doctor, I am a 58-year-old male. I am healthy, and I do not have erection issues. My partner is 55 years old, and she is healthy. She visited an obstetrician and gynecologist last month. She is celibate for about six years. But now, we are living together for seven months, and we are trying to have a more physical relationship. On my first attempt, she had pain during initial penetration. During my second attempt, she allowed for penetration up to four inches, and she was very comfortable to have further penetration. During the next attempt, she started to have pain even beyond one inch of penetration. Can I know whether inserting finger during lubrication make intercourse uncomfortable during initial penetration? | Hi. At 55 years of age, it is vital to know whether she has reached menopause or still she gets her menses. Even perimenopausal status itself can cause atrophic vaginitis. It results in vaginal dryness and mucous atrophy. The second reason can be PID (pelvic inflammatory disease). It can also initiate a deep pain during penetration. Due to prolonged abstinence, the vagina muscles can be tight, and it can also cause vaginismus. All these features are needed to be evaluated and ruled out before proceeding further. |
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Hi doctor, I am a 58-year-old male. I am healthy, and I do not have erection issues. My partner is 55 years old, and she is healthy. She visited an obstetrician and gynecologist last month. She is celibate for about six years. But now, we are living together for seven months, and we are trying to have a more physical relationship. On my first attempt, she had pain during initial penetration. During my second attempt, she allowed for penetration up to four inches, and she was very comfortable to have further penetration. During the next attempt, she started to have pain even beyond one inch of penetration. Can I know whether inserting finger during lubrication make intercourse uncomfortable during initial penetration? [/INST] Hi. At 55 years of age, it is vital to know whether she has reached menopause or still she gets her menses. Even perimenopausal status itself can cause atrophic vaginitis. It results in vaginal dryness and mucous atrophy. The second reason can be PID (pelvic inflammatory disease). It can also initiate a deep pain during penetration. Due to prolonged abstinence, the vagina muscles can be tight, and it can also cause vaginismus. All these features are needed to be evaluated and ruled out before proceeding further. |
Q. I get stomach upset with intake of milk and orange juice. Why? | Hello doctor, My stomach gets upset when I drink milk, orange juice, or even yogurt which is normally good for an upset stomach. I cannot digest banana, corn flakes, and many other foods, and it has been going on for a long time. I have been to many doctors and they had endoscopy and colonoscopy tests but nothing came out bad. Please help. | Hello. I can understand you must be very upset about your condition. So you see the diets you are kind of allergic to are containing milk protein. Yes, there are some diets that contain no milk, but the diet that predispose you to have stomch upset will disturb your stomach as often as one has allergies to almost every diets the person takes. So, I suggest you to cut down your dairy intake. It occurs due to the deficiency of an enzyme called lactase which usually digests the milk. Or you can purchase a commercially available drug containing lactase enzyme. Tablet Lactaid 9000 FU just every time before having a milk-based diet. If you want to discuss more I am here to help. Follow up in one week. |
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Hello doctor, My stomach gets upset when I drink milk, orange juice, or even yogurt which is normally good for an upset stomach. I cannot digest banana, corn flakes, and many other foods, and it has been going on for a long time. I have been to many doctors and they had endoscopy and colonoscopy tests but nothing came out bad. Please help. [/INST] Hello. I can understand you must be very upset about your condition. So you see the diets you are kind of allergic to are containing milk protein. Yes, there are some diets that contain no milk, but the diet that predispose you to have stomch upset will disturb your stomach as often as one has allergies to almost every diets the person takes. So, I suggest you to cut down your dairy intake. It occurs due to the deficiency of an enzyme called lactase which usually digests the milk. Or you can purchase a commercially available drug containing lactase enzyme. Tablet Lactaid 9000 FU just every time before having a milk-based diet. If you want to discuss more I am here to help. Follow up in one week. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I have viral infection with fever and cold. What can I do? | Hi doctor, I have a viral infection. I have a fever and cold. What can I do? | Hi. Usually, 95 % of respiratory infections are viral. At this point, you can take medicines for cold for five to seven days. They should include an anti-inflammatory drug (such as Acetaminophen or Ibuprofen), an antihistamine (such as Diphenhydramine) and decongestant (such as Pseudoephedrine). If you have a fever for more than five days, then you should do a checkup. Take a good rest and eat well. Drink plenty of water to stay hydrated. |
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Hi doctor, I have a viral infection. I have a fever and cold. What can I do? [/INST] Hi. Usually, 95 % of respiratory infections are viral. At this point, you can take medicines for cold for five to seven days. They should include an anti-inflammatory drug (such as Acetaminophen or Ibuprofen), an antihistamine (such as Diphenhydramine) and decongestant (such as Pseudoephedrine). If you have a fever for more than five days, then you should do a checkup. Take a good rest and eat well. Drink plenty of water to stay hydrated. |
Q. Post penis augmentation, I bled during sex. What to do? | Hi doctor, I have undergone penis augmentation using a cross-linked dextran gel injection. While doing sex, I got a cut in my penis, and it bled a little. While doing sex, I feel some pain at the contact point of the penis skin, and it is red. Please suggest medicine for this problem. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Apply Bacitracin or Framycetin cream twice daily over the area. Before each application wash off the previous application with lukewarm water. Do not wear tight innerwear and prevent extreme sweating. Take care of the pubic area. It will get healed soon after two days. Try to restrain from sex or masturbation for a couple of days. Try to rule out condom allergy. If there is no wound healing or if there is any pus discharge or if you have a fever, then you can take antibiotics. Then revert to me with a fresh picture. Please mention about your age, habits, diabetic status, and drug history. |
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Hi doctor, I have undergone penis augmentation using a cross-linked dextran gel injection. While doing sex, I got a cut in my penis, and it bled a little. While doing sex, I feel some pain at the contact point of the penis skin, and it is red. Please suggest medicine for this problem. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Apply Bacitracin or Framycetin cream twice daily over the area. Before each application wash off the previous application with lukewarm water. Do not wear tight innerwear and prevent extreme sweating. Take care of the pubic area. It will get healed soon after two days. Try to restrain from sex or masturbation for a couple of days. Try to rule out condom allergy. If there is no wound healing or if there is any pus discharge or if you have a fever, then you can take antibiotics. Then revert to me with a fresh picture. Please mention about your age, habits, diabetic status, and drug history. |
Q. Should I take bed rest for soft cervix during pregnancy? | Hello doctor, My age is 31 years and weight is 65 kg. I have 4 years 3 months old son. In my first pregnancy, I did not have any complications until my delivery date. Regarding my cervical length or cervix softness, no other issues. My delivery type was C-section first time. Now I am five months pregnant and my doctor did PV and told that I m having a soft cervix and advised me to take bed rest till the eighth month and suggested me to take Hydroxyprogesterone (maintenance 500 mg) for every 15 days till the eighth month and told to take tablet Optogest 200 mg daily twice. I climb about 30 steps in the morning and evening. So is it advisable to work for at least six hours for one more month and then take rest for remaining three months (that is for seventh, eighth and ninth months)? | Hi. How are you doing? I do not see any reason for rest. What your doctor is worried is about cervical insufficiency or incompetence. This condition can be diagnosed only by seeing a cervical length of less than 2.5 cm with funneling of the internal OS (internal orifice) or by a history of previous painless delivery. I do not see any of these in your history. In present pregnancy too, I do not see any risk factors. Every pregnant uterus will have a soft cervix. This does not mean that it has incompetence. Your cervical length has always been more than 3 cm. You can follow the advice of having those medications. They keep the uterus silent and will prevent any sudden progress of pain. You can definitely work, avoid too much physical stress and avoid any infections like urinary infection (avoid filthy public toilets, have a lot of water and do not hold back urine for long), respiratory infection (keep away from people with fever, cold), gastrointestinal infections (avoid unhygienic food) at 28 weeks. Have a glucose challenge test to rule out pregnancy induced diabetes. Better not to use Progestins for too long. They can cause mild growth restrictions. You can definitely have a routine regular life. After all, pregnancy is not a disease. All the best. |
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Hello doctor, My age is 31 years and weight is 65 kg. I have 4 years 3 months old son. In my first pregnancy, I did not have any complications until my delivery date. Regarding my cervical length or cervix softness, no other issues. My delivery type was C-section first time. Now I am five months pregnant and my doctor did PV and told that I m having a soft cervix and advised me to take bed rest till the eighth month and suggested me to take Hydroxyprogesterone (maintenance 500 mg) for every 15 days till the eighth month and told to take tablet Optogest 200 mg daily twice. I climb about 30 steps in the morning and evening. So is it advisable to work for at least six hours for one more month and then take rest for remaining three months (that is for seventh, eighth and ninth months)? [/INST] Hi. How are you doing? I do not see any reason for rest. What your doctor is worried is about cervical insufficiency or incompetence. This condition can be diagnosed only by seeing a cervical length of less than 2.5 cm with funneling of the internal OS (internal orifice) or by a history of previous painless delivery. I do not see any of these in your history. In present pregnancy too, I do not see any risk factors. Every pregnant uterus will have a soft cervix. This does not mean that it has incompetence. Your cervical length has always been more than 3 cm. You can follow the advice of having those medications. They keep the uterus silent and will prevent any sudden progress of pain. You can definitely work, avoid too much physical stress and avoid any infections like urinary infection (avoid filthy public toilets, have a lot of water and do not hold back urine for long), respiratory infection (keep away from people with fever, cold), gastrointestinal infections (avoid unhygienic food) at 28 weeks. Have a glucose challenge test to rule out pregnancy induced diabetes. Better not to use Progestins for too long. They can cause mild growth restrictions. You can definitely have a routine regular life. After all, pregnancy is not a disease. All the best. |
Q. Are the negative HIV tests after unprotected sex confirmatory? | Hello doctor, My age is 26 and I had unprotected oral sex. I licked a sex worker's vagina with a lotion. I had protected vaginal sex. Performed HIV tests on 25th, 42nd, and 70th days. I also did HIV1 PCR RNA qualitative on 76th day. CMIA antibodies on 70th day. Now, we will get the result of p24 on 86th day. All my reports are negative. But, I have rashes and recently got a cold. Are my tests results conclusive? I feel each and every symptom to be related to HIV. | Hi. HIV can never be diagnosed based on clinical symptoms. Moreover, symptoms of HIV include a generalized lymphadenopathy, weight loss of more than 10 % in short duration, long term diarrhea more than one month, etc. You have done CMIA test after 70 days that detect both antigen and antibody. It gives conclusive result after six weeks. So you may need not worry. However, the guideline says that you should repeat your HIV test after three months of exposure and that too after 85 to 90 days of exposure. |
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Hello doctor, My age is 26 and I had unprotected oral sex. I licked a sex worker's vagina with a lotion. I had protected vaginal sex. Performed HIV tests on 25th, 42nd, and 70th days. I also did HIV1 PCR RNA qualitative on 76th day. CMIA antibodies on 70th day. Now, we will get the result of p24 on 86th day. All my reports are negative. But, I have rashes and recently got a cold. Are my tests results conclusive? I feel each and every symptom to be related to HIV. [/INST] Hi. HIV can never be diagnosed based on clinical symptoms. Moreover, symptoms of HIV include a generalized lymphadenopathy, weight loss of more than 10 % in short duration, long term diarrhea more than one month, etc. You have done CMIA test after 70 days that detect both antigen and antibody. It gives conclusive result after six weeks. So you may need not worry. However, the guideline says that you should repeat your HIV test after three months of exposure and that too after 85 to 90 days of exposure. |
Q. May I know whether eating a fruit contaminated with rat saliva and urine cause rabies? | Hi doctor, Accidentally, I ate pineapple infected with house rat saliva and urine. I suspect it because I saw rat urine and feces near it. Is there any risk for me to get rabies? Please suggest. | Hi. You do not have a chance to get rabies. Even if the rat is infected, transmission from a non-bite exposure is relatively rare. Some cases have shown rabies being transferred from corneal transplant and liver transplant. Rabies transferred from ingested infected saliva is not seen. The disease which you can get by contaminated rat urine is leptospirosis. |
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Hi doctor, Accidentally, I ate pineapple infected with house rat saliva and urine. I suspect it because I saw rat urine and feces near it. Is there any risk for me to get rabies? Please suggest. [/INST] Hi. You do not have a chance to get rabies. Even if the rat is infected, transmission from a non-bite exposure is relatively rare. Some cases have shown rabies being transferred from corneal transplant and liver transplant. Rabies transferred from ingested infected saliva is not seen. The disease which you can get by contaminated rat urine is leptospirosis. |
Q. I have Hashimoto's and alopecia with loss of eyelashes. What should I do to regrow it? | Hello doctor, My main problem is alopecia. I had it from 2015 with several patches on the head and now they are gone, but the problem is my eyelashes are gone and never grew back. I used castor oil, garlic, and now Revitalash and other things. Two years ago a rheumatologist prescribed me Dolquine and I did not have patches but my eyelashes still fell. I have lots of problems like hypothyroidism and Hashimoto and currently on Euthyrox 100. My doctor told me it has nothing to do with alopecia because it is normal now (good T3, T4, and TSH, etc.). I newley knew that I have PCO (normal result in echo but my glucose is lowered after 1 hour of glucose 75 mg intake and my insulin was 60, plus androstenedione 3.5). And I have hyper prolactinemia for six years on its own did an IRM and no tumor and currently taking Dostinex. With all these problems I smoke water pipe (shisha, nargile) three times a day. | Hi. Your concern is genuine and you are so brave and facing all challenges very bravely. You did not mention your prolactin and thyroid hormone levels. Loss of hair can be autoimmune as you were treated for it as well and due to Hashimoto as well. If there is no skin issue involved in the loss of hair (you should consult a dermatologist for it) it may be due to your autoimmune disease. Hashimoto is autoimmune as well. What you can do is that you decrease the TSH (thyroid-stimulating hormone) target to a lower level with increasing Levothyroxine and then see if it has a better effect. I hope this helps. |
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Hello doctor, My main problem is alopecia. I had it from 2015 with several patches on the head and now they are gone, but the problem is my eyelashes are gone and never grew back. I used castor oil, garlic, and now Revitalash and other things. Two years ago a rheumatologist prescribed me Dolquine and I did not have patches but my eyelashes still fell. I have lots of problems like hypothyroidism and Hashimoto and currently on Euthyrox 100. My doctor told me it has nothing to do with alopecia because it is normal now (good T3, T4, and TSH, etc.). I newley knew that I have PCO (normal result in echo but my glucose is lowered after 1 hour of glucose 75 mg intake and my insulin was 60, plus androstenedione 3.5). And I have hyper prolactinemia for six years on its own did an IRM and no tumor and currently taking Dostinex. With all these problems I smoke water pipe (shisha, nargile) three times a day. [/INST] Hi. Your concern is genuine and you are so brave and facing all challenges very bravely. You did not mention your prolactin and thyroid hormone levels. Loss of hair can be autoimmune as you were treated for it as well and due to Hashimoto as well. If there is no skin issue involved in the loss of hair (you should consult a dermatologist for it) it may be due to your autoimmune disease. Hashimoto is autoimmune as well. What you can do is that you decrease the TSH (thyroid-stimulating hormone) target to a lower level with increasing Levothyroxine and then see if it has a better effect. I hope this helps. |
Q. Can I become sexually active if I do not have any pain after pelvic inflammation treatment? | Hello doctor, I am a female and I have pelvic inflammation and I went to see a doctor. I was given Tramacet, Azithromycin, and Ciprobay for treatment. It has been four weeks after the treatment and I do not have any abdominal pain. I had been seeing the doctor before. Can the absence of the abdominal pain mean that I have healed? And can my fiance get sick from the inflammation if we have sex without a condom? | Hi. How are you doing? No pain or discharge or itching means the infection has subsided, but a point you have to understand is that you got this infection only after you had sex. So your fiance is the source of the infection. So he too should have the same course of antibiotics. Treatment is never complete without both partners being treated. So he will not get inflammation, he will infect you again and your old symptoms will reappear. So I would advise you to give him same medications and avoid sex till he finishes the medicines and two weeks further so that the infection heals. Let him masturbate 1 to 2 times before you have sex, so all the dead infections too will be thrown out. |
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Hello doctor, I am a female and I have pelvic inflammation and I went to see a doctor. I was given Tramacet, Azithromycin, and Ciprobay for treatment. It has been four weeks after the treatment and I do not have any abdominal pain. I had been seeing the doctor before. Can the absence of the abdominal pain mean that I have healed? And can my fiance get sick from the inflammation if we have sex without a condom? [/INST] Hi. How are you doing? No pain or discharge or itching means the infection has subsided, but a point you have to understand is that you got this infection only after you had sex. So your fiance is the source of the infection. So he too should have the same course of antibiotics. Treatment is never complete without both partners being treated. So he will not get inflammation, he will infect you again and your old symptoms will reappear. So I would advise you to give him same medications and avoid sex till he finishes the medicines and two weeks further so that the infection heals. Let him masturbate 1 to 2 times before you have sex, so all the dead infections too will be thrown out. |
Q. I have lower abdominal discomfort and food digestion issues. Please help. | Hello doctor,I think I suffer from liver and a gastric problem for the past two years. Food is not digested properly. Lower abdomen left side some burning sensation, swelling, and pain were there. Sometimes, I feel the hardness in the lower left abdomen. Bilirubin total is high and bilirubin direct and indirect are also high. | Hello. Your liver tests are normal. The small increase in indirect billirubin alone (as the one you have) most commonly corresponds to Gilbert syndrome, which is totally harmless. This syndrome is hereditary but has no serious consequences. Mild jaundice may appear under conditions of exertion, stress, fasting (as the one you need for the laboratory tests), and infections. About your gastric problem, what do you mean by food is not digested properly? Do you mean you have rests of food in your stool? Do you mean you have bloating, nausea, vomiting? Chronic pain in the left abdomen especially after eating and with changes in your stool may be colitis or irritable bowel syndrome. For this, you may take over-the-counter medicines that contain Pinaverium bromide or/and Cinitapride. This should be taken every 12 hours for two weeks. This medication is to cease the swelling and irritation in this problem. About your thyroid tests. You have subclinical hypothyroidism (which is you have increased thyroid stimulating hormone and normal thyroid hormones). If you have other symptoms like intolerance to cold weather, increase in weight without another reason, constipation, then you may need thyroid replacing hormones. If you do not have these symptoms you may repeat this laboratory test in 4 to 6 months. |
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Hello doctor,I think I suffer from liver and a gastric problem for the past two years. Food is not digested properly. Lower abdomen left side some burning sensation, swelling, and pain were there. Sometimes, I feel the hardness in the lower left abdomen. Bilirubin total is high and bilirubin direct and indirect are also high. [/INST] Hello. Your liver tests are normal. The small increase in indirect billirubin alone (as the one you have) most commonly corresponds to Gilbert syndrome, which is totally harmless. This syndrome is hereditary but has no serious consequences. Mild jaundice may appear under conditions of exertion, stress, fasting (as the one you need for the laboratory tests), and infections. About your gastric problem, what do you mean by food is not digested properly? Do you mean you have rests of food in your stool? Do you mean you have bloating, nausea, vomiting? Chronic pain in the left abdomen especially after eating and with changes in your stool may be colitis or irritable bowel syndrome. For this, you may take over-the-counter medicines that contain Pinaverium bromide or/and Cinitapride. This should be taken every 12 hours for two weeks. This medication is to cease the swelling and irritation in this problem. About your thyroid tests. You have subclinical hypothyroidism (which is you have increased thyroid stimulating hormone and normal thyroid hormones). If you have other symptoms like intolerance to cold weather, increase in weight without another reason, constipation, then you may need thyroid replacing hormones. If you do not have these symptoms you may repeat this laboratory test in 4 to 6 months. |
Q. There is frequent nose bleeding without any reason. Is it normal? | Hello doctor, I would like to ask if the nose bleeding is normal? I mean the father's family are like this. They just get the nosebleeding out of the blue and so the child too, just a while ago. I am really worried about my nephew. Is this normal? Or something serious is going on? Please help me. | Hello. The one episode of nose bleed can be neglected. But if repeated nose bleeding occurs than it should be evaluated in detail. For that, his blood pressure should be checked and coagulation profile should be checked. You are giving a positive family history of nose bleed so further work up in form of PT (prothrombin time), APTT (activated partial thromboplastin time) test, CBC (complete blood count) and BT (bleeding time) testing are needed to rule out any coagulation problem, if present. Nose trauma is a common cause for nose bleeding. But excess bleed should be evaluated further. During bleeding episode, the nose should be pinched with index finger and thumb. |
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Hello doctor, I would like to ask if the nose bleeding is normal? I mean the father's family are like this. They just get the nosebleeding out of the blue and so the child too, just a while ago. I am really worried about my nephew. Is this normal? Or something serious is going on? Please help me. [/INST] Hello. The one episode of nose bleed can be neglected. But if repeated nose bleeding occurs than it should be evaluated in detail. For that, his blood pressure should be checked and coagulation profile should be checked. You are giving a positive family history of nose bleed so further work up in form of PT (prothrombin time), APTT (activated partial thromboplastin time) test, CBC (complete blood count) and BT (bleeding time) testing are needed to rule out any coagulation problem, if present. Nose trauma is a common cause for nose bleeding. But excess bleed should be evaluated further. During bleeding episode, the nose should be pinched with index finger and thumb. |
Q. What can be done for swelling and pain in cheek due to decayed tooth? | Hello doctor, I have had pain recently in a tooth that has a hole in it for several months and the pain has been horrible and a couple of days back, I woke up with swollen cheek on the side of my bad tooth and pain is also there. When I touch my cheek, pain shoots down to my tooth and I do not know what this means. | Hi. I have gone through your question and I can understand your concern. As per your history, it seems to me that you are having acute apical periodontitis with related buccal space infection. You need antibiotics for at least five days, so have non-steroidal anti-inflammatory medication. In case you want me to prescribe proper dosage, upload your picture of the swollen face so that I know the severity, and also your weight and height too. Or, you can visit a dentist physically but do not avoid it as the space infection can be dangerous too. |
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Hello doctor, I have had pain recently in a tooth that has a hole in it for several months and the pain has been horrible and a couple of days back, I woke up with swollen cheek on the side of my bad tooth and pain is also there. When I touch my cheek, pain shoots down to my tooth and I do not know what this means. [/INST] Hi. I have gone through your question and I can understand your concern. As per your history, it seems to me that you are having acute apical periodontitis with related buccal space infection. You need antibiotics for at least five days, so have non-steroidal anti-inflammatory medication. In case you want me to prescribe proper dosage, upload your picture of the swollen face so that I know the severity, and also your weight and height too. Or, you can visit a dentist physically but do not avoid it as the space infection can be dangerous too. |
Q. Can blood in sputum be due to cancer in a chronic smoker? | Hello doctor, My brother just turned 26 years old three days back and he is a smoker from last seven years. On an average, he smokes 6 to 7 cigarettes a day. He developed a morning cough within a year of smoking. Now my query is that a few days back his stomach was upset and he puked. After puking he was cleaning his mouth and in the process, he was collecting phlegm and spitting. He noticed something red in the spit one time. He is not sure if it was blood or vomit since it was not bright red. He spat 3 to 4 times after that but nothing came out. It has been a week since then and no such incident has occurred after that. There is no other complaint. He is not breathless. Appetite is excellent. Stamina is very good. No weight loss. He has had his last X-ray a year back during job recruitment. Now my query is that he has said he is not going to smoke again but is not going to meet the doctor for the red thing. I am really worried about the chances of lung cancer. | Hello. It is unlikely to be lung cancer. Firstly, the lung cancer is unlikely at this age group and frequently develop after 45 to 50 years. Next thing, blood should have been present consistently and other symptoms would have been present. Most of the times such occasional bleeding is due to mucosal bleeding in mouth or GIT. However, it is better to get evaluated once and get chest X-ray, although unlikely. So, try to convince him. |
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Hello doctor, My brother just turned 26 years old three days back and he is a smoker from last seven years. On an average, he smokes 6 to 7 cigarettes a day. He developed a morning cough within a year of smoking. Now my query is that a few days back his stomach was upset and he puked. After puking he was cleaning his mouth and in the process, he was collecting phlegm and spitting. He noticed something red in the spit one time. He is not sure if it was blood or vomit since it was not bright red. He spat 3 to 4 times after that but nothing came out. It has been a week since then and no such incident has occurred after that. There is no other complaint. He is not breathless. Appetite is excellent. Stamina is very good. No weight loss. He has had his last X-ray a year back during job recruitment. Now my query is that he has said he is not going to smoke again but is not going to meet the doctor for the red thing. I am really worried about the chances of lung cancer. [/INST] Hello. It is unlikely to be lung cancer. Firstly, the lung cancer is unlikely at this age group and frequently develop after 45 to 50 years. Next thing, blood should have been present consistently and other symptoms would have been present. Most of the times such occasional bleeding is due to mucosal bleeding in mouth or GIT. However, it is better to get evaluated once and get chest X-ray, although unlikely. So, try to convince him. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My mom is diagnosed with UTI and recurrent candida in throat. Will Fluconazole help? | Hi doctor, I need some advice on behalf of my mother who is 67 years old. For the past 12 days my mother has been experiencing pain in the throat area, feels like something is stuck, vomiting mucous, weakness, body aches, white tongue, difficulty swallowing, and vomiting feeling while talking and eating. She vomits about twice a day. She consulted an ENT and internal medicine doctor. ENT dismissed her after nothing found in throat using a camera but the internal medicine doctor did some investigations. Results showed UTI (epithelial cells 20-25/HPF and pus cells 30-35) and TSH (13.5) raised as well as Candida Albicans growth from a throat swab. She has had this issue every few months and normally clears up on its own, but this time it is very severe and not going away. Current medication: Cefotil (Cefuroxime 500 mg and Clavulanic acid 125 mg), Gelora gel for oral thrush (Miconazole BP 2%), Motigut for vomiting 10mg), Thyroxine (50 mcg currently but internal medicine doctor asked to increase the dose to 1.5 tablets due to high TSH). Urine culture was done and it was normal. My query is, whether this is a bad infection, not bacterial but growth of esophageal candidiasis can be treated by antifungal therapy Fluconazole? No improvements are seen with many antibiotics. Oral thrush candida was found on initial appointments and also candida in throat swab. Is there any harm in trying a course of Fluconazole? She had a history of fungal infections in the throat which normally clear up on its own. This time it seems much more serious. If it is fine, what dosage would you recommend and for what period? | Hello. Yes, your mother is suffering from 1. Hypothyroidism. 2. Oral candidiasis. 3. UTI (urinary tract infection). 4. Dysphagia. Oral candidiasis or oral thrush if not improved within five days after starting local antifungals then you may start oral antifungal medication. You may use tablet AF (Fluconazole) 150 mg once a day for one week. But in case of old age, people may feel nausea or vomiting for this drug then you can give iv Fluconazole (Forcan 100 ml) once a day for five days. In old age, vitamin B12 deficiency is also common, so it may present like glossitis with pharyngitis. Take vitamin B12 injection weekly once. You can give Neurobion injection also. Use Candid B mouth paint for local application. Use tablet Levosulfuride 25 mg twice a day for nausea and vomiting. At the same time check for serum electrolytes levels which may be altered in old age lead to vomiting. You may give probiotics like capsule Gut ok or Sporulac sachets to increase the immunity levels and also prevent gut growth of fungus. Remaining medications you continue the same. Response to the treatment may take four to five days. Diabetic patients are more prone to oral candidiasis so check for blood sugar. |
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Hi doctor, I need some advice on behalf of my mother who is 67 years old. For the past 12 days my mother has been experiencing pain in the throat area, feels like something is stuck, vomiting mucous, weakness, body aches, white tongue, difficulty swallowing, and vomiting feeling while talking and eating. She vomits about twice a day. She consulted an ENT and internal medicine doctor. ENT dismissed her after nothing found in throat using a camera but the internal medicine doctor did some investigations. Results showed UTI (epithelial cells 20-25/HPF and pus cells 30-35) and TSH (13.5) raised as well as Candida Albicans growth from a throat swab. She has had this issue every few months and normally clears up on its own, but this time it is very severe and not going away. Current medication: Cefotil (Cefuroxime 500 mg and Clavulanic acid 125 mg), Gelora gel for oral thrush (Miconazole BP 2%), Motigut for vomiting 10mg), Thyroxine (50 mcg currently but internal medicine doctor asked to increase the dose to 1.5 tablets due to high TSH). Urine culture was done and it was normal. My query is, whether this is a bad infection, not bacterial but growth of esophageal candidiasis can be treated by antifungal therapy Fluconazole? No improvements are seen with many antibiotics. Oral thrush candida was found on initial appointments and also candida in throat swab. Is there any harm in trying a course of Fluconazole? She had a history of fungal infections in the throat which normally clear up on its own. This time it seems much more serious. If it is fine, what dosage would you recommend and for what period? [/INST] Hello. Yes, your mother is suffering from 1. Hypothyroidism. 2. Oral candidiasis. 3. UTI (urinary tract infection). 4. Dysphagia. Oral candidiasis or oral thrush if not improved within five days after starting local antifungals then you may start oral antifungal medication. You may use tablet AF (Fluconazole) 150 mg once a day for one week. But in case of old age, people may feel nausea or vomiting for this drug then you can give iv Fluconazole (Forcan 100 ml) once a day for five days. In old age, vitamin B12 deficiency is also common, so it may present like glossitis with pharyngitis. Take vitamin B12 injection weekly once. You can give Neurobion injection also. Use Candid B mouth paint for local application. Use tablet Levosulfuride 25 mg twice a day for nausea and vomiting. At the same time check for serum electrolytes levels which may be altered in old age lead to vomiting. You may give probiotics like capsule Gut ok or Sporulac sachets to increase the immunity levels and also prevent gut growth of fungus. Remaining medications you continue the same. Response to the treatment may take four to five days. Diabetic patients are more prone to oral candidiasis so check for blood sugar. |
Q. Why is there severe pain even after anesthesia during tooth extraction? | Hello doctor, I went to the dentist this morning for an extraction on a bottom molar on my left side. After being completely numbed he started the extraction and I had excruciating pain. He numbed me more but no matter how much he numbed, it hurt so bad. He eventually said he would refer me to a dental surgeon so I could be sedated. He was extremely nice about it the entire time but I could tell he just thought I was anxious and misinterpreting the pressure as pain. I was extremely nervous and anxious so I understand but I have had a tooth pulled before and I know the pressure, but this was an intense pain even though I was numbed. He said the dental surgeon would give me an IV that would relax me and make the procedure easier for me. I am worried that being sedated will not stop the pain. He said because I had a bad infection in the tooth that it could be causing the pain so he prescribed me some antibiotics to get rid of the infection. My questions are is this normal to have such terrible pain even while completely numb and will being sedated even help with this pain? | Hi. It is the best question I have got in my practice and the most frequent query is how and why. This is due to two reasons. Infected tooth with much inflammation or patient's anxious nature. So to tackle such cases it is better to prescribe antibiotics for five days then extract even if patient complaints, again it is better to give him or her tablet of Alprazolam before extraction one or two days to relieve anxiety. Moreover, before blocking the nerve, we can also give an injection of Dexamethasone which reduces inflammation. |
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Hello doctor, I went to the dentist this morning for an extraction on a bottom molar on my left side. After being completely numbed he started the extraction and I had excruciating pain. He numbed me more but no matter how much he numbed, it hurt so bad. He eventually said he would refer me to a dental surgeon so I could be sedated. He was extremely nice about it the entire time but I could tell he just thought I was anxious and misinterpreting the pressure as pain. I was extremely nervous and anxious so I understand but I have had a tooth pulled before and I know the pressure, but this was an intense pain even though I was numbed. He said the dental surgeon would give me an IV that would relax me and make the procedure easier for me. I am worried that being sedated will not stop the pain. He said because I had a bad infection in the tooth that it could be causing the pain so he prescribed me some antibiotics to get rid of the infection. My questions are is this normal to have such terrible pain even while completely numb and will being sedated even help with this pain? [/INST] Hi. It is the best question I have got in my practice and the most frequent query is how and why. This is due to two reasons. Infected tooth with much inflammation or patient's anxious nature. So to tackle such cases it is better to prescribe antibiotics for five days then extract even if patient complaints, again it is better to give him or her tablet of Alprazolam before extraction one or two days to relieve anxiety. Moreover, before blocking the nerve, we can also give an injection of Dexamethasone which reduces inflammation. |
Q. Having kell antigens in blood during pregnancy cause any permanent effect in babies? | Hi doctor, My partner is pregnant with twins of 22 weeks. She has kell antigens in her blood received from a transfusion when my first son is born. I did a blood test last week, and I also have a kell group present in my blood. Do my babies are safe? What can be done to help them? Are there any permanent effects that would inhibit them from having a healthy life? I am scared after knowing it. Please help me. | Hi. Kell blood group is a minor blood group system. ABO and Rh are called major blood group system. Kell antigen can be antigenic and can create a problem during a blood transfusion or else it may not create any problem. So there is no need for having a specific treatment. Whenever your child requires a blood transfusion, the blood bank should find the right blood suitable for your child as per cross match report. Please mention the blood group of your partner and first child. If the mother is Rh negative and the child is Rh positive, then there is a chance to have a hemolytic disease of a newborn, and it requires anti D. |
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Hi doctor, My partner is pregnant with twins of 22 weeks. She has kell antigens in her blood received from a transfusion when my first son is born. I did a blood test last week, and I also have a kell group present in my blood. Do my babies are safe? What can be done to help them? Are there any permanent effects that would inhibit them from having a healthy life? I am scared after knowing it. Please help me. [/INST] Hi. Kell blood group is a minor blood group system. ABO and Rh are called major blood group system. Kell antigen can be antigenic and can create a problem during a blood transfusion or else it may not create any problem. So there is no need for having a specific treatment. Whenever your child requires a blood transfusion, the blood bank should find the right blood suitable for your child as per cross match report. Please mention the blood group of your partner and first child. If the mother is Rh negative and the child is Rh positive, then there is a chance to have a hemolytic disease of a newborn, and it requires anti D. |
Q. Will fingering during shower lead to pregnancy? | Hello doctor, I had fingered (inserted my finger) my fiancee in the shower (hot water). I touched my penis twice but I did wash it too with bathing soap. There may be precum which I may have touched. But I washed it once as I said. It is her 14th day from the first day of her period. Is there any risk of her getting pregnant? Kindly suggest, do I need to panic? | Hello. There is no need to panic as the chances of pregnancy are minimal as you have already cleaned your penis with soap and water. Pre-cum sperms once they come in contact with the soap, they get denatured due to chemical reaction. However, as she is in her fertile period and to allay the chances and be safe, she can opt for an emergency contraceptive pill like an Ipill within next 72 hours to avoid any chances of pregnancy. She would get a withdrawal bleed in the next 4 to 5 days which shall indicate that she is pregnancy safe. |
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Hello doctor, I had fingered (inserted my finger) my fiancee in the shower (hot water). I touched my penis twice but I did wash it too with bathing soap. There may be precum which I may have touched. But I washed it once as I said. It is her 14th day from the first day of her period. Is there any risk of her getting pregnant? Kindly suggest, do I need to panic? [/INST] Hello. There is no need to panic as the chances of pregnancy are minimal as you have already cleaned your penis with soap and water. Pre-cum sperms once they come in contact with the soap, they get denatured due to chemical reaction. However, as she is in her fertile period and to allay the chances and be safe, she can opt for an emergency contraceptive pill like an Ipill within next 72 hours to avoid any chances of pregnancy. She would get a withdrawal bleed in the next 4 to 5 days which shall indicate that she is pregnancy safe. |
Q. What is the reason for hives? Are these harmful? | Hi doctor, I am getting red rashes on my skin when I apply some pressure or when I scratch my skin. They disappear after a few minutes. I consulted a dermatologist, and I am following these medicines. I am taking Allegra 120 mg and Rantac 150 mg. My doctor told me to continue the medication for a while. Do I need to take these medications for a few months? Can I have any side effect after using these medicines for a long duration? What is the reason for having hives? Are these harmful? What is the permanent remedy? | Hi. You have urticaria or hives. These medicines are safe, and they can be continued for a while if the problem persists. Hives can happen in response to a food allergen or food preservative, medications, infections, and alcohol. A large number of urticarias are idiopathic. There is no known cause for having it. Urticaria is mainly symptomatic, and it is treated with oral antihistamines. |
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Hi doctor, I am getting red rashes on my skin when I apply some pressure or when I scratch my skin. They disappear after a few minutes. I consulted a dermatologist, and I am following these medicines. I am taking Allegra 120 mg and Rantac 150 mg. My doctor told me to continue the medication for a while. Do I need to take these medications for a few months? Can I have any side effect after using these medicines for a long duration? What is the reason for having hives? Are these harmful? What is the permanent remedy? [/INST] Hi. You have urticaria or hives. These medicines are safe, and they can be continued for a while if the problem persists. Hives can happen in response to a food allergen or food preservative, medications, infections, and alcohol. A large number of urticarias are idiopathic. There is no known cause for having it. Urticaria is mainly symptomatic, and it is treated with oral antihistamines. |
Q. Can positive factor V cause heavy bleeding and blood clots? | Hi doctor, My factor V Leiden showed a positive outcome before three months. I got Depo birth control shot before three months. I have heavy bleeding and blood clots now. Please suggest. | Hi. You have factor V Leiden showing a positive result. So you are at high risk for developing blood clots in various organs of the body especially in the lungs and leg as pulmonary embolism and deep vein thrombosis. If you have major clots occurring in the future, then blood thinner and anticoagulant like Rivaroxaban can be used. There is no treatment available for the eradication of factor V mutation. For heavy menstruation, you can consult a gynecologist soon for a pelvic examination and pelvic USG. |
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Hi doctor, My factor V Leiden showed a positive outcome before three months. I got Depo birth control shot before three months. I have heavy bleeding and blood clots now. Please suggest. [/INST] Hi. You have factor V Leiden showing a positive result. So you are at high risk for developing blood clots in various organs of the body especially in the lungs and leg as pulmonary embolism and deep vein thrombosis. If you have major clots occurring in the future, then blood thinner and anticoagulant like Rivaroxaban can be used. There is no treatment available for the eradication of factor V mutation. For heavy menstruation, you can consult a gynecologist soon for a pelvic examination and pelvic USG. |
Q. Is it possible for gingival fibers to regenerate after scaling? | Hello doctor, Is it true that gingival fiber does not regenerate once destroyed? Can they regenerate in certain conditions? I got scaling of teeth done recently and developed gaps. I am wondering whether the gingiva can grow into this space. | Hi. I have gone through your question. I can understand your concern. No, you are not right in this case, gingival tissue regenerates as do others except the nerve fibers, if an injury takes place. Dental scaling is good for the heath of gums and should be employed after every six months. If you have a gingival recession, that cannot be because of oral prophylaxis (scaling). So do not worry. The attachment will happen within days. |
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Hello doctor, Is it true that gingival fiber does not regenerate once destroyed? Can they regenerate in certain conditions? I got scaling of teeth done recently and developed gaps. I am wondering whether the gingiva can grow into this space. [/INST] Hi. I have gone through your question. I can understand your concern. No, you are not right in this case, gingival tissue regenerates as do others except the nerve fibers, if an injury takes place. Dental scaling is good for the heath of gums and should be employed after every six months. If you have a gingival recession, that cannot be because of oral prophylaxis (scaling). So do not worry. The attachment will happen within days. |
Q. I have a problem to defecate completely. What to do? | Hi doctor, I have a problem to defecate completely. It takes me more than 20 minutes to defecate completely. I also take more than two minutes to pass urine completely. I am very healthy. I consulted a doctor, and I have done various tests and examinations such as defecogram, balloon expulsion test, rectal manometry, and colonoscopy. The doctor told that I have pelvic floor dyssynergia-type 1. I underwent biofeedback sessions to get relaxed and to correct my way of passing stools. Even after that also, I am unable to clear my bladder. I am still taking the same amount of time. I do not have a habit of smoking and drinking alcohol. I have used all the laxatives and medicines given by the doctor. But they did not help me. I usually have a walk for 20 kilometers a day. At that time, I had some relief. But as soon as when I stopped it, I have developed the same problem. Please help me. | Hi. It is a complex problem. Exercises like kegel exercise and medication can help. Urinary issues also occur due to constipation and dyssynergia. Use Docusate sodium 200 mg twice daily. It is a good stool softener, and you can use it for a long time. |
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Hi doctor, I have a problem to defecate completely. It takes me more than 20 minutes to defecate completely. I also take more than two minutes to pass urine completely. I am very healthy. I consulted a doctor, and I have done various tests and examinations such as defecogram, balloon expulsion test, rectal manometry, and colonoscopy. The doctor told that I have pelvic floor dyssynergia-type 1. I underwent biofeedback sessions to get relaxed and to correct my way of passing stools. Even after that also, I am unable to clear my bladder. I am still taking the same amount of time. I do not have a habit of smoking and drinking alcohol. I have used all the laxatives and medicines given by the doctor. But they did not help me. I usually have a walk for 20 kilometers a day. At that time, I had some relief. But as soon as when I stopped it, I have developed the same problem. Please help me. [/INST] Hi. It is a complex problem. Exercises like kegel exercise and medication can help. Urinary issues also occur due to constipation and dyssynergia. Use Docusate sodium 200 mg twice daily. It is a good stool softener, and you can use it for a long time. |
Q. I am sensitive to wood smoke. How to clean and detox my blood? | Hi doctor, I am very sensitive to wood smoke. The particle smaller than PM 2.5 or smallest ultrafine particles in wood smoke can behave like gases and can pass through the lungs and reaches the bloodstream directly. I have an increase in blood viscosity level after experiencing the smoke. I can feel it in my arteries. I have three stents placed for my LAD. What can I do to clean and detox my blood? | Hi. Our lung alveolar macrophage will do the job of clearing particles through the phagocytosis process. But when the load is over, or daily exposure is there, then phagocytosis can become defective. There is no specific drug needed for detoxification. You can practice the following steps for detoxification. Take more green leafy vegetables and fruits. Take more Vitamin C rich foods. Drink lots of water. Taking warm water is useful. Take one teaspoon of turmeric powder with milk daily. There is no need for taking medication for this problem. |
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Hi doctor, I am very sensitive to wood smoke. The particle smaller than PM 2.5 or smallest ultrafine particles in wood smoke can behave like gases and can pass through the lungs and reaches the bloodstream directly. I have an increase in blood viscosity level after experiencing the smoke. I can feel it in my arteries. I have three stents placed for my LAD. What can I do to clean and detox my blood? [/INST] Hi. Our lung alveolar macrophage will do the job of clearing particles through the phagocytosis process. But when the load is over, or daily exposure is there, then phagocytosis can become defective. There is no specific drug needed for detoxification. You can practice the following steps for detoxification. Take more green leafy vegetables and fruits. Take more Vitamin C rich foods. Drink lots of water. Taking warm water is useful. Take one teaspoon of turmeric powder with milk daily. There is no need for taking medication for this problem. |
Q. I have a swelling on the gum of a painful tooth. What is it? | Hi doctor, I have been suffering from tooth problem for the last 6 or 7 years. The first few years I was feeling pain, I visited some dentist near me, they gave me medicines for relieving pain. After that, my tooth corners started desquamation, and now from the last few months, a small ball full of blood and matter appeared on the gum of that tooth. Kindly tell me what is that ball and what should I do now? | Hi. I have gone through your question. I can understand your concern. It looks you are having repeated sinus drainage, it is a localized infection because of that infectious tooth. I would have provided you a better possible diagnosis and treatment plan if you would have uploaded a picture. You can take Ofloxacin 200 mg twice daily and Metronidazole 400 mg thrice daily for five days. Your problem will be solved. But it is not a permanent solution you either need to get a root canal treatment done or get it removed. To check whether there is any chance to save this tooth, I need a photograph of your tooth with this ball. |
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Hi doctor, I have been suffering from tooth problem for the last 6 or 7 years. The first few years I was feeling pain, I visited some dentist near me, they gave me medicines for relieving pain. After that, my tooth corners started desquamation, and now from the last few months, a small ball full of blood and matter appeared on the gum of that tooth. Kindly tell me what is that ball and what should I do now? [/INST] Hi. I have gone through your question. I can understand your concern. It looks you are having repeated sinus drainage, it is a localized infection because of that infectious tooth. I would have provided you a better possible diagnosis and treatment plan if you would have uploaded a picture. You can take Ofloxacin 200 mg twice daily and Metronidazole 400 mg thrice daily for five days. Your problem will be solved. But it is not a permanent solution you either need to get a root canal treatment done or get it removed. To check whether there is any chance to save this tooth, I need a photograph of your tooth with this ball. |
Q. What ayurvedic medicine can be used to treat ependymoma and sciatica pain? | Hello doctor, This is regarding my brother, male, age 39 years, height 5'10", weight 65 kg suffering from spinal cord tumor ependymoma was diagnosed six months back. The problems faced are sciatica pain in the left leg, back of the thigh, lower back, piriformis muscle, ankle pain, tingling, numbness, and burning in both the feet. Also, suffering from avascular necrosis in left and right hip. There is a weakness in the left leg, difficulty in walking. I have had so many medicines till now like homeopathy, allopathy, but no improvement at all. He has started with ayurvedic treatment from the last two months, that is, Kachnar Guggulu, turmeric, and St John wart tablets. Please suggest appropriate medicines in ayurveda or any alternative medicines which are easily available and reasonable which can help to treat or reduce or shrink this tumor or remove sciatica pain. He is going through a very bad pain. | Hi. The report you have attached was taken eight months back (attachment removed to protect patient identity). So, now there might be more growth and spread of the tumor. Ideally, surgery and radiotherapy can be preferred. If more pain is there, the oncologist will give morphine (strictly under supervision), that can control the pain. Turmeric tablet is good to continue, two tablets morning, two in the afternoon and two in the night. In addition, I can suggest few Siddha medications to you as follows. Vallaarai tablet two in the morning, two in the afternoon and two in the night. It is the Centella asiatica herb. Capsule Rasaganthi mezhugu one morning, one afternoon and one night after food. Drink a cup of buttermilk (curd with water) while consuming the capsule. Serankottai nei one spoon (2 ml), mix in hot milk, and drink. This is to be done morning and night after food. Tablet Rumowin (or tablet Chithira moola kuligai) two tablets in the morning and two in the night after food. Capsule Siddhaadhi ennai one capsule before bed with a half cup of warm water. The above Siddha drugs are to kill cancer cells, to prevent its spread and to increase immunity. Continue all these medications for the next three months. Within 15 days of therapy, you will find the improvement. |
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Hello doctor, This is regarding my brother, male, age 39 years, height 5'10", weight 65 kg suffering from spinal cord tumor ependymoma was diagnosed six months back. The problems faced are sciatica pain in the left leg, back of the thigh, lower back, piriformis muscle, ankle pain, tingling, numbness, and burning in both the feet. Also, suffering from avascular necrosis in left and right hip. There is a weakness in the left leg, difficulty in walking. I have had so many medicines till now like homeopathy, allopathy, but no improvement at all. He has started with ayurvedic treatment from the last two months, that is, Kachnar Guggulu, turmeric, and St John wart tablets. Please suggest appropriate medicines in ayurveda or any alternative medicines which are easily available and reasonable which can help to treat or reduce or shrink this tumor or remove sciatica pain. He is going through a very bad pain. [/INST] Hi. The report you have attached was taken eight months back (attachment removed to protect patient identity). So, now there might be more growth and spread of the tumor. Ideally, surgery and radiotherapy can be preferred. If more pain is there, the oncologist will give morphine (strictly under supervision), that can control the pain. Turmeric tablet is good to continue, two tablets morning, two in the afternoon and two in the night. In addition, I can suggest few Siddha medications to you as follows. Vallaarai tablet two in the morning, two in the afternoon and two in the night. It is the Centella asiatica herb. Capsule Rasaganthi mezhugu one morning, one afternoon and one night after food. Drink a cup of buttermilk (curd with water) while consuming the capsule. Serankottai nei one spoon (2 ml), mix in hot milk, and drink. This is to be done morning and night after food. Tablet Rumowin (or tablet Chithira moola kuligai) two tablets in the morning and two in the night after food. Capsule Siddhaadhi ennai one capsule before bed with a half cup of warm water. The above Siddha drugs are to kill cancer cells, to prevent its spread and to increase immunity. Continue all these medications for the next three months. Within 15 days of therapy, you will find the improvement. |
Q. I notice lot of brown patches below my left armpit with stinky sweat. What could it be? | Hello doctor, I am a 42-year-old male, non-smoker and non-alcoholic. For the last two months, I am noticing lots of brown patches below my armpits of the left hand and nothing much on the right hand. And off late I could sense I am sweating (armpits) which I never had before. Will you please consult on this issue? | Hi. What I can make out from your history is that you are having brown patches over the left armpit for two months. I want to know no other symptoms in this lesion like if they pain or burn? Are they increasing in size or same since their start? Any other family member having such lesions? Please send a clear photo. Send history as asked and photo. |
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Hello doctor, I am a 42-year-old male, non-smoker and non-alcoholic. For the last two months, I am noticing lots of brown patches below my armpits of the left hand and nothing much on the right hand. And off late I could sense I am sweating (armpits) which I never had before. Will you please consult on this issue? [/INST] Hi. What I can make out from your history is that you are having brown patches over the left armpit for two months. I want to know no other symptoms in this lesion like if they pain or burn? Are they increasing in size or same since their start? Any other family member having such lesions? Please send a clear photo. Send history as asked and photo. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. How can I change a child's violent behavior? | Hi doctor, My niece is five years old now. She has difficulty in talking to new people. She becomes excessively angry at times and shows violent behaviors like scratching and kicking. She prefers to watch videos of old people and imitates them. When she paints or plays, suddenly becomes angry and destroys them. Otherwise, she is normal, but sometimes she shows these behaviors. Please advise. | Hi. I can understand your concern. Every child is different and has a different temperament. If your niece milestones are normal, she can have a proper eye to eye contact while talking, she can make friends, and she will not have restrictive and repetitive behavior. She has a behavior issue. She does not have the behavior whatever I mentioned, and we need to assess her in detail. Prenatal, natal and her childhood history is required. When she shows such tantrums, try to handle her with authority and do not show aggression and plea in front of her. Give rewards for good behavior and appreciate her when she is doing good things. It will help enormously. |
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Hi doctor, My niece is five years old now. She has difficulty in talking to new people. She becomes excessively angry at times and shows violent behaviors like scratching and kicking. She prefers to watch videos of old people and imitates them. When she paints or plays, suddenly becomes angry and destroys them. Otherwise, she is normal, but sometimes she shows these behaviors. Please advise. [/INST] Hi. I can understand your concern. Every child is different and has a different temperament. If your niece milestones are normal, she can have a proper eye to eye contact while talking, she can make friends, and she will not have restrictive and repetitive behavior. She has a behavior issue. She does not have the behavior whatever I mentioned, and we need to assess her in detail. Prenatal, natal and her childhood history is required. When she shows such tantrums, try to handle her with authority and do not show aggression and plea in front of her. Give rewards for good behavior and appreciate her when she is doing good things. It will help enormously. |
Q. What is the reason for pain and gum bleeding with wisdom tooth eruption? | Hello doctor, I recently had a wisdom tooth coming out and my gums are swollen and I am suffering from the pain. When I brush and floss, it bleeds. What is this? | Hello. You need to go to your dentist and get an X-ray done to find out whether the tooth needs to be removed. Wisdom tooth always causes such problems due to lack of space causing infection due to food debris accumulating at the pockets of the gums there. Use warm salt water gargle twice a day for a week or two. You may need antibiotics too. If it started recently, then you can wait for two weeks or so to see if it erupts normally and comes to the correct position. If it is more than that, go to your dentist as soon as possible. |
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Hello doctor, I recently had a wisdom tooth coming out and my gums are swollen and I am suffering from the pain. When I brush and floss, it bleeds. What is this? [/INST] Hello. You need to go to your dentist and get an X-ray done to find out whether the tooth needs to be removed. Wisdom tooth always causes such problems due to lack of space causing infection due to food debris accumulating at the pockets of the gums there. Use warm salt water gargle twice a day for a week or two. You may need antibiotics too. If it started recently, then you can wait for two weeks or so to see if it erupts normally and comes to the correct position. If it is more than that, go to your dentist as soon as possible. |
Q. I am having severe hair loss for the past two months. Please help. | Hello doctor, I am 18 years old. I have had beautiful long red hair my whole life. Recently for the past two months, I have had severe hair fall and it is now extremely thin and continuing to fall out. Nobody has answers for me. | Hello. I just read your query. See it can have many reasons like genetic cause, nutritional deficit, and some underlying disease. You should ask your physician about thyroid function test and perform it after discussing it. Because severe hair fall can be due to thyroid dysfunction sometimes. Besides that add curry leaves, raisins, figs, and almonds in your diet. Take one glass of lukewarm milk in the evening daily. Add half a teaspoon of turmeric powder and a pinch of black pepper in it. Protect your hairs from excessive sunlight, dust, etc. Wash your hairs with mild herbal shampoo. Oil your hairs with Mahabhringraj oil every alternate day. Try all these things regularly and you will feel a positive response. |
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Hello doctor, I am 18 years old. I have had beautiful long red hair my whole life. Recently for the past two months, I have had severe hair fall and it is now extremely thin and continuing to fall out. Nobody has answers for me. [/INST] Hello. I just read your query. See it can have many reasons like genetic cause, nutritional deficit, and some underlying disease. You should ask your physician about thyroid function test and perform it after discussing it. Because severe hair fall can be due to thyroid dysfunction sometimes. Besides that add curry leaves, raisins, figs, and almonds in your diet. Take one glass of lukewarm milk in the evening daily. Add half a teaspoon of turmeric powder and a pinch of black pepper in it. Protect your hairs from excessive sunlight, dust, etc. Wash your hairs with mild herbal shampoo. Oil your hairs with Mahabhringraj oil every alternate day. Try all these things regularly and you will feel a positive response. |
Q. Why is there high fasting blood glucose level? | Hello doctor,My MPV has been high with a range of 12.1 to 13.9 and my platelets have ranged from 128 to 173 for the past four years. The most recent is MPV of 13.9 and platelets of 157. I also had a high fasting blood glucose this time of 109. This is the first time that I have had a fasting glucose. My fasting glucose level was 91 a few months back. Any ideas or suggestions would be appreciated. I would also like you to note that I contracted Lyme disease from a tick bite in 15 years back. The antibodies were still active in four years back at 2.09. Currently, I am taking Zyrtec 10 mg daily and Clobetasol for skin dermatitis. | Hi. I must compliment you for the excellent spreadsheet of your laboratory results. Regarding your CBC, we look at all three lines, Hb, WBC, and platelet count. A little variation individual to individual basis and with age is common. I can see that you are pretty young. At this moment I can see that Hb 13.1, WBC is 3.71, and platelet count is 165. I agree with few past reports of variation on platelet count and others cells in your case which happens to all of us (attachment removed to protect patient identity). To me, it is still not clear why you required two units of blood transfusion in the past. However, at this moment there is nothing major concern which I can point out at this moment. In future, if you go anemic, then please get your iron profile, vitamin B12 level, and folic acid level checked (not now). Fasting sugar of 109 is known as pre-diabetes, but that needs recheck which your primary can easily do. Make sure what is your HbA1c level is because greater than 6.5 is required to make a diagnosis of type 2 diabetes. Lyme is not of any issue for you. |
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Hello doctor,My MPV has been high with a range of 12.1 to 13.9 and my platelets have ranged from 128 to 173 for the past four years. The most recent is MPV of 13.9 and platelets of 157. I also had a high fasting blood glucose this time of 109. This is the first time that I have had a fasting glucose. My fasting glucose level was 91 a few months back. Any ideas or suggestions would be appreciated. I would also like you to note that I contracted Lyme disease from a tick bite in 15 years back. The antibodies were still active in four years back at 2.09. Currently, I am taking Zyrtec 10 mg daily and Clobetasol for skin dermatitis. [/INST] Hi. I must compliment you for the excellent spreadsheet of your laboratory results. Regarding your CBC, we look at all three lines, Hb, WBC, and platelet count. A little variation individual to individual basis and with age is common. I can see that you are pretty young. At this moment I can see that Hb 13.1, WBC is 3.71, and platelet count is 165. I agree with few past reports of variation on platelet count and others cells in your case which happens to all of us (attachment removed to protect patient identity). To me, it is still not clear why you required two units of blood transfusion in the past. However, at this moment there is nothing major concern which I can point out at this moment. In future, if you go anemic, then please get your iron profile, vitamin B12 level, and folic acid level checked (not now). Fasting sugar of 109 is known as pre-diabetes, but that needs recheck which your primary can easily do. Make sure what is your HbA1c level is because greater than 6.5 is required to make a diagnosis of type 2 diabetes. Lyme is not of any issue for you. |
Q. Will Vigantol and Tavanik cause any drug reaction in a prostatitis patient? | Hello doctor, I am being treated for chronic prostatitis rebounce. It is now the third day I am taking Tavanik (Levofloxacin) 500 mg a day. I am taking it the same time each day among other medications. One of them is Vigantol 1000 I.E. My doctor told me to take Tavanik at least one hour after and before other medications. I think I have errored and might have taken Vigantol soon after Tavanik. Any problem with that? | Hi. I have gone through your query, your doctor had suggested you take Levofloxacin before any other medication as the absorption will be better. Usually, we instruct patients to wait for an hour at least so that the drug can be absorbed. Unless you took both the medication together, even if you had spaced them by 30 minutes you should be fine. There is nothing to be concerned. But I would suggest you space the medication properly from now, because in chronic prostatitis, the more the drug is absorbed, better is its action. |
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Hello doctor, I am being treated for chronic prostatitis rebounce. It is now the third day I am taking Tavanik (Levofloxacin) 500 mg a day. I am taking it the same time each day among other medications. One of them is Vigantol 1000 I.E. My doctor told me to take Tavanik at least one hour after and before other medications. I think I have errored and might have taken Vigantol soon after Tavanik. Any problem with that? [/INST] Hi. I have gone through your query, your doctor had suggested you take Levofloxacin before any other medication as the absorption will be better. Usually, we instruct patients to wait for an hour at least so that the drug can be absorbed. Unless you took both the medication together, even if you had spaced them by 30 minutes you should be fine. There is nothing to be concerned. But I would suggest you space the medication properly from now, because in chronic prostatitis, the more the drug is absorbed, better is its action. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. Kindly tell me whether the symptom-less spot on one side of tongue is normal or not. | Hello doctor, I have had this spot on the side of my tongue for some time now. I noticed it six months back. No change in that amount time, although I will post a picture from that time to show. I have been told that it is a frictional thing from adjacent teeth, but I want to get a second opinion to make sure that it is nothing more sinister. There are no symptoms in this spot. When I run my finger over it, I do not feel anything hard, different or even a hole. I want to know if I have a serious problem or if this is something I can safely let go. | Hi. Yes, it is not even traumatic ulcer. It is simply hyperkeratinized epithelium. That means it is normal tissue which is bearing some sort of stress. I think your upper tooth has a rough surface that may be the issue causing this or even it may be because of food if you are chewing only from that side. You need to take foods with much Vitamin A and B complex, fruits and carrot. Even you can take supplements like that of Vitamin A. No it is not something that can be the cause of concern. It is not a cancerous or ulcerous lesion. So, do not be too apprehensive. It is a normal tissue with little keratinization. |
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Hello doctor, I have had this spot on the side of my tongue for some time now. I noticed it six months back. No change in that amount time, although I will post a picture from that time to show. I have been told that it is a frictional thing from adjacent teeth, but I want to get a second opinion to make sure that it is nothing more sinister. There are no symptoms in this spot. When I run my finger over it, I do not feel anything hard, different or even a hole. I want to know if I have a serious problem or if this is something I can safely let go. [/INST] Hi. Yes, it is not even traumatic ulcer. It is simply hyperkeratinized epithelium. That means it is normal tissue which is bearing some sort of stress. I think your upper tooth has a rough surface that may be the issue causing this or even it may be because of food if you are chewing only from that side. You need to take foods with much Vitamin A and B complex, fruits and carrot. Even you can take supplements like that of Vitamin A. No it is not something that can be the cause of concern. It is not a cancerous or ulcerous lesion. So, do not be too apprehensive. It is a normal tissue with little keratinization. |
Q. When can I expect my periods after taking Deviry tablet? | Hello doctor, I have not got my periods for the past 60 days. Now I have planned for trip in the next week. My doctor advised me to take Deviry tablet twice in a day for five days. Can any one let me know by when will I get my periods? I have started taking the tablet yesterday night. | Hi. After completing a five days course, you will be getting your periods within a week or so. However, if you have a doubt then get back to me. Take care. |
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Hello doctor, I have not got my periods for the past 60 days. Now I have planned for trip in the next week. My doctor advised me to take Deviry tablet twice in a day for five days. Can any one let me know by when will I get my periods? I have started taking the tablet yesterday night. [/INST] Hi. After completing a five days course, you will be getting your periods within a week or so. However, if you have a doubt then get back to me. Take care. |
Q. I suffer from sports hernia or Gilmore's groin. Please suggest some medicine to cure it. | Hi doctor, I suffer from sports hernia or Gilmore's groin. I have severe pain at the sphincter of the inguinal canal and scrotum. Please suggest some medicine to cure it. | Hi. Gilmore's groin needs surgical treatment, or it is best to restore the torn ligaments of the inguinal canal. Medications reduce pain temporarily. You should consult a surgeon soon for treating the condition. Other conditions like cord swelling and orchalgia have to be ruled out. |
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Hi doctor, I suffer from sports hernia or Gilmore's groin. I have severe pain at the sphincter of the inguinal canal and scrotum. Please suggest some medicine to cure it. [/INST] Hi. Gilmore's groin needs surgical treatment, or it is best to restore the torn ligaments of the inguinal canal. Medications reduce pain temporarily. You should consult a surgeon soon for treating the condition. Other conditions like cord swelling and orchalgia have to be ruled out. |
Q. My penis shrinks before I penetrate. What to do? | Hi doctor, I am 29 years old, and my partner is 22 years old. We started our life with unpleasant moments after marriage. After a year, we started our sexual life. We are trying for a baby for the past few months. I have a habit of masturbating regularly. Recently, my sperm count and motility got reduced entirely. I consulted a doctor, and the doctor gave me Popson tablets for increasing the sperm count. Also, my doctor did all the necessary scans for my prostate, and the results came normal. But I am unable to do intercourse properly, and my penis becomes small automatically after a few minutes of trying for insertion. I have irritation in penis and pain during urination. We are not doing any foreplay before sex as my partner is not interested in it. I am very much stressed and depressed. What can I do for my erection problem? Can taking tablets for erection become an addiction? Can I have any side effects? Please help me. | Hi. You have a problem with erection. It occurs due to the stress of having a baby. Regarding masturbation and a decrease in motility of sperm and their count, there is no absolute relationship between these two things. Masturbation is a healthy and safe practice. It is better to assess the level of stress in you. Treat the cause responsible for it, and the problem will get better soon. Taking medicine under the guidance of a doctor will not become an addiction. Your doctor decides the medication, the duration of taking it and stopping it. |
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Hi doctor, I am 29 years old, and my partner is 22 years old. We started our life with unpleasant moments after marriage. After a year, we started our sexual life. We are trying for a baby for the past few months. I have a habit of masturbating regularly. Recently, my sperm count and motility got reduced entirely. I consulted a doctor, and the doctor gave me Popson tablets for increasing the sperm count. Also, my doctor did all the necessary scans for my prostate, and the results came normal. But I am unable to do intercourse properly, and my penis becomes small automatically after a few minutes of trying for insertion. I have irritation in penis and pain during urination. We are not doing any foreplay before sex as my partner is not interested in it. I am very much stressed and depressed. What can I do for my erection problem? Can taking tablets for erection become an addiction? Can I have any side effects? Please help me. [/INST] Hi. You have a problem with erection. It occurs due to the stress of having a baby. Regarding masturbation and a decrease in motility of sperm and their count, there is no absolute relationship between these two things. Masturbation is a healthy and safe practice. It is better to assess the level of stress in you. Treat the cause responsible for it, and the problem will get better soon. Taking medicine under the guidance of a doctor will not become an addiction. Your doctor decides the medication, the duration of taking it and stopping it. |
Q. Is there any simple test available to rule out colon or rectal cancer? | Hi doctor, I have hemorrhoids for a few years. My doctor has suggested me a colonoscopy to rule out cancer. Is there any simple test available to rule out colon or rectal cancer? Please mention an opinion regarding stool occult blood test. | Hi. First of all, you get an MRI (magnetic resonance imaging) abdomen done. You can have a presence of mass when you have a colon or rectal cancer. If there is a mass seen, then you can do a colonoscopy. You can also do a CEA (carcinoembryonic antigen) as CEA show an increase in range when you have colon cancer. You can also do a stool DNA test. If the stool DNA test is positive, then you can also do a colonoscopy to confirm the diagnosis. |
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Hi doctor, I have hemorrhoids for a few years. My doctor has suggested me a colonoscopy to rule out cancer. Is there any simple test available to rule out colon or rectal cancer? Please mention an opinion regarding stool occult blood test. [/INST] Hi. First of all, you get an MRI (magnetic resonance imaging) abdomen done. You can have a presence of mass when you have a colon or rectal cancer. If there is a mass seen, then you can do a colonoscopy. You can also do a CEA (carcinoembryonic antigen) as CEA show an increase in range when you have colon cancer. You can also do a stool DNA test. If the stool DNA test is positive, then you can also do a colonoscopy to confirm the diagnosis. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<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 --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
<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. My skin is itchy, bumpy and red all over my body. Why? | Hi doctor, I have allergies on my skin (Hives). My skin is bumpy, red and itchy. It is present all over the body. I got these allergies suddenly. I do not remember the cause. I applied a topical analgesic containing Benzyl alcohol with Pramoxine hydrochloride and taken Claritin for allergies. Please suggest. | Hi. Please explain about the exact site of involvement of allergies. |
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Hi doctor, I have allergies on my skin (Hives). My skin is bumpy, red and itchy. It is present all over the body. I got these allergies suddenly. I do not remember the cause. I applied a topical analgesic containing Benzyl alcohol with Pramoxine hydrochloride and taken Claritin for allergies. Please suggest. [/INST] Hi. Please explain about the exact site of involvement of allergies. |
Q. Should I worry about my elevated cortisol and DHEA levels? | Hi doctor, I have done blood work and urinalysis. Everything came back normal except with slightly elevated cortisol of 25 ug/dl in the morning and elevated DHEA-S of 480 micrograms per deciliter also in the morning. My urine has some microscopic blood in it. I get my periods two times a month. Please help me. | Hi. I have gone through the attachment (attachment removed to protect patient identity). The normal upper limit of DHEA (dehydroepiandrosterone) for your age is 400 micrograms per deciliter of blood. Your level is 480 micrograms per deciliter of blood which is a mild elevation. The normal upper limit of cortisol in the morning sample is 20 ug/dl, and you have 25 ug/dl which is a slight elevation. This minor elevation does not have any significance, and it needs to be followed up with repeated tests after three to four months. I need to know whether you are taking any medicines because some medicines can alter the DHEA levels or cortisol levels. Please mention about the other symptoms like excessive hair growth on the face or body, change in voice, any shrinkage in breast size or anything else. |
<s>[INST]
Hi doctor, I have done blood work and urinalysis. Everything came back normal except with slightly elevated cortisol of 25 ug/dl in the morning and elevated DHEA-S of 480 micrograms per deciliter also in the morning. My urine has some microscopic blood in it. I get my periods two times a month. Please help me. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). The normal upper limit of DHEA (dehydroepiandrosterone) for your age is 400 micrograms per deciliter of blood. Your level is 480 micrograms per deciliter of blood which is a mild elevation. The normal upper limit of cortisol in the morning sample is 20 ug/dl, and you have 25 ug/dl which is a slight elevation. This minor elevation does not have any significance, and it needs to be followed up with repeated tests after three to four months. I need to know whether you are taking any medicines because some medicines can alter the DHEA levels or cortisol levels. Please mention about the other symptoms like excessive hair growth on the face or body, change in voice, any shrinkage in breast size or anything else. |
Q. How to get relief from ear pain, head pain, clogged nose and itchy throat? | Hi doctor, I have episodes of bad sinuses every year. Last year, I had hay fever with an extreme blocked nose. I went to my GP, and he gave me sinus injection. I got better after treating it. The doctor prescribed Allerway 5, and Spersallerg eye drops for me. This year, my condition seems to be poor. My sinus has become bad. I use endless nasal sprays and allergy tablets. But there is no relief. I went to GP again, and he gave me an injection. This time, injection has not helped me. I have ear pain, head pain, clogged nose, with itchy eyes and itchy throat. When I lie down to sleep, the pain gets worse, and I have throbbing pain in the head. I have nonstop sneezing for 30 minutes in the mornings. I have also taken two courses of antibiotics. But there is no relief. In the mornings, when I sneeze, the mucous seems to be yellow with some blood present in it. Later, the mucus becomes clear again. I cannot sleep at night because of the throbbing head pain. I will try to change directions, and I will add more pillows to sleep. But nothing has helped me. | Hi. You are suffering from an acute attack of bacterial infection along with allergic rhinitis. You can take the following medications. Use Avamyse nasal spray (Fluticasone furoate nasal spray) once daily for a month. Take Claritin (Loratadine) tablet once daily during the winter season. Take tablet Targo 750 (Levofloxacin) once daily for ten days. Try to do self-nasal saline or water wash. The last treatment for allergic rhinitis is immunotherapy. You can redo CT scan for the nose and sinus after finishing Avamsye. |
<s>[INST]
Hi doctor, I have episodes of bad sinuses every year. Last year, I had hay fever with an extreme blocked nose. I went to my GP, and he gave me sinus injection. I got better after treating it. The doctor prescribed Allerway 5, and Spersallerg eye drops for me. This year, my condition seems to be poor. My sinus has become bad. I use endless nasal sprays and allergy tablets. But there is no relief. I went to GP again, and he gave me an injection. This time, injection has not helped me. I have ear pain, head pain, clogged nose, with itchy eyes and itchy throat. When I lie down to sleep, the pain gets worse, and I have throbbing pain in the head. I have nonstop sneezing for 30 minutes in the mornings. I have also taken two courses of antibiotics. But there is no relief. In the mornings, when I sneeze, the mucous seems to be yellow with some blood present in it. Later, the mucus becomes clear again. I cannot sleep at night because of the throbbing head pain. I will try to change directions, and I will add more pillows to sleep. But nothing has helped me. [/INST] Hi. You are suffering from an acute attack of bacterial infection along with allergic rhinitis. You can take the following medications. Use Avamyse nasal spray (Fluticasone furoate nasal spray) once daily for a month. Take Claritin (Loratadine) tablet once daily during the winter season. Take tablet Targo 750 (Levofloxacin) once daily for ten days. Try to do self-nasal saline or water wash. The last treatment for allergic rhinitis is immunotherapy. You can redo CT scan for the nose and sinus after finishing Avamsye. |
Q. What can be done to stop hair loss? | Hello doctor, I have hair loss. How can I stop it? | Hello. You can start with Wiesbaden 30 five pills in the morning, noon, evening, and night, Arnica hair oil (massage thrice in a week), Arnica shampoo, along with medicines. Have healthy food which has protein and calcium. Fenugreek is also good for hair. Have proper sound sleep. Mix coconut oil, castor oil, sesame oil. Do hair massage with it. Warm oil is good. Give follow up after one week to set the duration of treatment. |
<s>[INST]
Hello doctor, I have hair loss. How can I stop it? [/INST] Hello. You can start with Wiesbaden 30 five pills in the morning, noon, evening, and night, Arnica hair oil (massage thrice in a week), Arnica shampoo, along with medicines. Have healthy food which has protein and calcium. Fenugreek is also good for hair. Have proper sound sleep. Mix coconut oil, castor oil, sesame oil. Do hair massage with it. Warm oil is good. Give follow up after one week to set the duration of treatment. |
Q. I have belly fat, big thighs and hips. How to reduce it? | Hi doctor, I am 28 years old. My height is 5.8 feet, and my weight is 83 kilograms. I have belly fat, big thighs, and hips. Please suggest. | Hi. With your height and weight, I have calculated your body mass index. You have a BMI of 26.8 which means that you are overweight. The first thing to do in your case is to assess your diet and activity. Please explain about the count of calories taken by you every day. You should be consuming 1600 to 1700 kcal per day. Try to do exercise for 30 minutes for at least five days a week. It can be any activity like walking, jogging, swimming to dancing. If you do these exercise for one to two months, and if there is no loss of weight, then it is necessary to see the thyroid hormone levels. An imbalance in hormones is usually present with other symptoms such as intolerance to cold weather, constipation, skin dryness and a lot of hair loss. |
<s>[INST]
Hi doctor, I am 28 years old. My height is 5.8 feet, and my weight is 83 kilograms. I have belly fat, big thighs, and hips. Please suggest. [/INST] Hi. With your height and weight, I have calculated your body mass index. You have a BMI of 26.8 which means that you are overweight. The first thing to do in your case is to assess your diet and activity. Please explain about the count of calories taken by you every day. You should be consuming 1600 to 1700 kcal per day. Try to do exercise for 30 minutes for at least five days a week. It can be any activity like walking, jogging, swimming to dancing. If you do these exercise for one to two months, and if there is no loss of weight, then it is necessary to see the thyroid hormone levels. An imbalance in hormones is usually present with other symptoms such as intolerance to cold weather, constipation, skin dryness and a lot of hair loss. |
Q. What is the treatment followed for resolving back pain? | Hi doctor, I am 28 years old. My weight is 89 kilograms, and my height is 177 cm. I suffer from severe back pain. When I was at a soccer camp at the age of 14, I used to have a very stiff back. Now, I have severe pain in my back, and I am unable to stand and walk. I did an MRI, and the report showed a bulging disc in L5 to S1, with a slight tear. I proceeded with physiotherapy to solve my back pain. My physiotherapist noted the cause in me. He told me that my core is weak, along with my glutes and hamstrings. I am taking physiotherapy treatment for two years now. Before two days, I started to have a bad episode of back pain. I had back pain preceded by a gym work out. I might have overdone it with hamstring lifts, and I may have tried it too heavy. I did an MRI yesterday, and the report showed that there is no protrusion, but L5 to S1 showed a degeneration. My orthopedic doctor told me that the pain does not emerge from the disc because it does not pinch any nerves. But I have intense pain in my back with stiffness and dullness in my left calf and foot. I am trying to take ozone-laser injection therapy. What can I do now? | Hi. I agree with your doctor on the fact that the disc protrusion and degeneration does not cause pain in this region. In my opinion, the back pain could be related to a twisted or strained back muscle during the physical activity that you have performed. Ozone laser injection therapy can help against inflammation. It can lead to some benefits for the bulging disc, but I doubt whether it will improve the pain that you are feeling now. I suggest you take a muscle relaxant (Flexeril) and use a topical ointment with painkillers coupled with oral Ibuprofen for the pain. Local warm packs can help. A good back massage can also help to reduce the muscle spasms. Avoid doing physical activity that causes strain. Try to have a rest for a few days. |
<s>[INST]
Hi doctor, I am 28 years old. My weight is 89 kilograms, and my height is 177 cm. I suffer from severe back pain. When I was at a soccer camp at the age of 14, I used to have a very stiff back. Now, I have severe pain in my back, and I am unable to stand and walk. I did an MRI, and the report showed a bulging disc in L5 to S1, with a slight tear. I proceeded with physiotherapy to solve my back pain. My physiotherapist noted the cause in me. He told me that my core is weak, along with my glutes and hamstrings. I am taking physiotherapy treatment for two years now. Before two days, I started to have a bad episode of back pain. I had back pain preceded by a gym work out. I might have overdone it with hamstring lifts, and I may have tried it too heavy. I did an MRI yesterday, and the report showed that there is no protrusion, but L5 to S1 showed a degeneration. My orthopedic doctor told me that the pain does not emerge from the disc because it does not pinch any nerves. But I have intense pain in my back with stiffness and dullness in my left calf and foot. I am trying to take ozone-laser injection therapy. What can I do now? [/INST] Hi. I agree with your doctor on the fact that the disc protrusion and degeneration does not cause pain in this region. In my opinion, the back pain could be related to a twisted or strained back muscle during the physical activity that you have performed. Ozone laser injection therapy can help against inflammation. It can lead to some benefits for the bulging disc, but I doubt whether it will improve the pain that you are feeling now. I suggest you take a muscle relaxant (Flexeril) and use a topical ointment with painkillers coupled with oral Ibuprofen for the pain. Local warm packs can help. A good back massage can also help to reduce the muscle spasms. Avoid doing physical activity that causes strain. Try to have a rest for a few days. |
Q. What medicine can be used for allergic reaction to dust? | Hello doctor, I am allergic to dust. I have a doubt that I have a seasonal allergic rhinitis and I have been using anti-histamine and still it is not working for me. My anti-histamine is Telfast 180 mg. I am using it for the past one month because I have been sneezing. My nose is dropping watery colored liquid and my nostril is so itchy. Can you give me some advice and medication what to use? | Hello. I suggest you investigate with AEC (absolute eosinophil count) testing so that further comment can be given. If AEC is much high, Hetrazan can be prescribed. For allergy inflammation, Fexofenadine plus Montelukast combination can be prescribed. Moreover, for rhinitis, Azelestin or Fluticasone nasal spray can be prescribed to use for 3 to 5 days. Steam inhalation done three times a day with lukewarm water will be beneficial. I would like to suggest you consult an otorhinolaryngologist for detailed evaluation as rhinitis is there for one month. |
<s>[INST]
Hello doctor, I am allergic to dust. I have a doubt that I have a seasonal allergic rhinitis and I have been using anti-histamine and still it is not working for me. My anti-histamine is Telfast 180 mg. I am using it for the past one month because I have been sneezing. My nose is dropping watery colored liquid and my nostril is so itchy. Can you give me some advice and medication what to use? [/INST] Hello. I suggest you investigate with AEC (absolute eosinophil count) testing so that further comment can be given. If AEC is much high, Hetrazan can be prescribed. For allergy inflammation, Fexofenadine plus Montelukast combination can be prescribed. Moreover, for rhinitis, Azelestin or Fluticasone nasal spray can be prescribed to use for 3 to 5 days. Steam inhalation done three times a day with lukewarm water will be beneficial. I would like to suggest you consult an otorhinolaryngologist for detailed evaluation as rhinitis is there for one month. |
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