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Q. Can my symptoms of ringing in ears and mild headache be due to brain cancer? | Hello doctor, I am a 19-year-old boy since the last six months. I am feeling physical symptoms like a tight band wrapped around my head anytime, tightness and pain in the neck, ringing ears, stuffy nose, sneezing, upset stomach, bloating, gas, back pain, eye strain, red eyes, mild headaches above eyebrows, tense muscles, sudden chills, shivering, sometimes sweating, dry mouth, nausea, weakness, constant feeling of having a big disease like a brain tumor, cancer. I had done MRI brain a few months back and the report was normal. But after I again start worrying that I have got a brain tumor after MRI. I cannot concentrate on my studies. I am anytime worrying. Please convey me that how much time is needed for a brain tumor to grow. Does it grow in a few months? I have spent a lot of money on the scan reports. Everything is normal. Please convey me. | Hello. Your brain MRI is perfectly normal, so we can completely exclude any possible brain tumor. In my opinion, your symptoms are compatible with a tension-type headache, which is a benign type of headache related to psychological stress. I recommend performing yoga and regular physical activity. |
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Hello doctor, I am a 19-year-old boy since the last six months. I am feeling physical symptoms like a tight band wrapped around my head anytime, tightness and pain in the neck, ringing ears, stuffy nose, sneezing, upset stomach, bloating, gas, back pain, eye strain, red eyes, mild headaches above eyebrows, tense muscles, sudden chills, shivering, sometimes sweating, dry mouth, nausea, weakness, constant feeling of having a big disease like a brain tumor, cancer. I had done MRI brain a few months back and the report was normal. But after I again start worrying that I have got a brain tumor after MRI. I cannot concentrate on my studies. I am anytime worrying. Please convey me that how much time is needed for a brain tumor to grow. Does it grow in a few months? I have spent a lot of money on the scan reports. Everything is normal. Please convey me. [/INST] Hello. Your brain MRI is perfectly normal, so we can completely exclude any possible brain tumor. In my opinion, your symptoms are compatible with a tension-type headache, which is a benign type of headache related to psychological stress. I recommend performing yoga and regular physical activity. |
Q. Had unprotected sex followed by I-pill. How to confirm my partner is not pregnant? | Hi doctor, I had unprotected sex with my partner. I am not sure about ejaculation. She took I-pill within three to four hours after having sex. She had her previous period before 20 days. Is she safe from pregnancy and how to confirm it? Please suggest. | Hi. If she has taken I-pill (Levonorgestrel) in a proper advised dosage, within 48 to 72 hours of unprotected penetrative sex, then she will have an interruption in her normal menstrual cycle to prevent ovulation or fertilization and even conception to have a pregnancy. Within one to two weeks after taking medicine, she starts to have bleeding that is a withdrawal bleed. The regular menstrual cycle will get disturbed for some time until the body gets out of the effects of the externally induced hormones (I-pill). Then it will become normal gradually. |
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Hi doctor, I had unprotected sex with my partner. I am not sure about ejaculation. She took I-pill within three to four hours after having sex. She had her previous period before 20 days. Is she safe from pregnancy and how to confirm it? Please suggest. [/INST] Hi. If she has taken I-pill (Levonorgestrel) in a proper advised dosage, within 48 to 72 hours of unprotected penetrative sex, then she will have an interruption in her normal menstrual cycle to prevent ovulation or fertilization and even conception to have a pregnancy. Within one to two weeks after taking medicine, she starts to have bleeding that is a withdrawal bleed. The regular menstrual cycle will get disturbed for some time until the body gets out of the effects of the externally induced hormones (I-pill). Then it will become normal gradually. |
Q. Is it recommended to get blood transfusion before uterus removal? | Hi doctor, My mother is 64 years old. She has a fibroid above the uterus. The doctor has advised removing the uterus. She has a low level of hemoglobin, and she is given injections to increase the range. But it got increased from 10 g/dL to 10.4 g/dL. But the doctor advises my mother to have hemoglobin to be at 11 g/dL. The doctor recommends for a blood transfusion, and he ordered 350 ml blood from the blood bank. He plans for a uterus removal operation a couple of days later. Is this advisable and a routine procedure? | Hi. As your mother is 64 years old, it is better to have uterus removal and removal of fibroid along with it. Please mention about the symptoms faced by her. Please send the ultrasound report to guide you further. For increasing the range of Hb (hemoglobin), iron injections alone will not give quick results. So the doctor has decided for transfusion of blood before or after surgery. Depending on the location of the fibroid, there will be excessive bleeding, and it is better to have a blood transfusion soon. |
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Hi doctor, My mother is 64 years old. She has a fibroid above the uterus. The doctor has advised removing the uterus. She has a low level of hemoglobin, and she is given injections to increase the range. But it got increased from 10 g/dL to 10.4 g/dL. But the doctor advises my mother to have hemoglobin to be at 11 g/dL. The doctor recommends for a blood transfusion, and he ordered 350 ml blood from the blood bank. He plans for a uterus removal operation a couple of days later. Is this advisable and a routine procedure? [/INST] Hi. As your mother is 64 years old, it is better to have uterus removal and removal of fibroid along with it. Please mention about the symptoms faced by her. Please send the ultrasound report to guide you further. For increasing the range of Hb (hemoglobin), iron injections alone will not give quick results. So the doctor has decided for transfusion of blood before or after surgery. Depending on the location of the fibroid, there will be excessive bleeding, and it is better to have a blood transfusion soon. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Had sex near to my ovulation time. Am I at risk of getting pregnant? | Hi doctor, I had my last menstrual period before 15 days, and I have 26 days cycle. Before two days, my partner did a blow job and hand rubbing. I am not sure whether he did ejaculation or not. I took two dosages of Unwanted 72 within 14 hours. Am I at risk of getting pregnant? As I was near my ovulation period, Is there any chance for me to get pregnant? What can I do to avoid pregnancy? | Hi. Chances of getting pregnant are extremely low. As there is no ejaculation done and as you have taken pills, these are highly effective in preventing pregnancy. So pregnancy is very unlikely to occur. At present, you do not need action, and nothing can be done. You should wait until you get your periods, which may get delayed due to the pill. If the periods get delayed, then do a urine pregnancy test to be on a safer side. Overall, the chances of getting pregnant are very less. |
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Hi doctor, I had my last menstrual period before 15 days, and I have 26 days cycle. Before two days, my partner did a blow job and hand rubbing. I am not sure whether he did ejaculation or not. I took two dosages of Unwanted 72 within 14 hours. Am I at risk of getting pregnant? As I was near my ovulation period, Is there any chance for me to get pregnant? What can I do to avoid pregnancy? [/INST] Hi. Chances of getting pregnant are extremely low. As there is no ejaculation done and as you have taken pills, these are highly effective in preventing pregnancy. So pregnancy is very unlikely to occur. At present, you do not need action, and nothing can be done. You should wait until you get your periods, which may get delayed due to the pill. If the periods get delayed, then do a urine pregnancy test to be on a safer side. Overall, the chances of getting pregnant are very less. |
Q. How to treat endometrial hyperplasia with atypia? | Hi doctor, I am 56 years old female. I have heavy bleeding, and my endometrium is bulky. It is 15 mm. I have placed Mirena before four years, and I have removed it before two months. My doctor did a biopsy, and the report came as hyperplasia without atypia. Please suggest. | Hi. Please say whether you had any menopausal or perimenopausal symptoms. Please mention whether you had irregular bleeding or scanty periods or whether there is a stoppage of periods. You have placed Mirena before four years. You can also have side effects. The side effects should be subsided. Hormonal effects can also cause heavy bleeding or unscheduled irregular bleeding. Mirena is advised in endometrial hyperplasia with atypia. It usually gives scanty cycles, and there is a reduction in menstrual flow in some patients. In some patients, there is an increase in endometrial size after a long time due to a hormonal effect. In this age, it is better to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy (removal of ovaries due to a risk of ovarian cancer). Please mention the history regarding obesity, family history of cancer, diabetes, and hypertension. All the factors should be followed when you are planning to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Please give a detailed history. For symptomatic relief, I suggest you take cyclic Norethisterone 10 mg from 4th day to 25th day for three cycles. You can take it for six cycles. You can have this for heavy periods and during unscheduled bleeding. For pain, you can take tablet Ponstan 500 (Mefenamic acid) for eight hours from the second day to the fifth day. If the bleeding is heavy, you can also take tablet Tranexamic acid 500 mg for eight hours along with Ponstan from the second day to the fifth day. Both these tablets can be stopped if you are asymptomatic. Check your complete blood count and thyroid function test also. Please decide for having surgery soon as you cannot take hormones for more than six months. Have a healthy diet and iron supplements. Have a walk daily and maintain a healthy BMI (body mass index). |
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Hi doctor, I am 56 years old female. I have heavy bleeding, and my endometrium is bulky. It is 15 mm. I have placed Mirena before four years, and I have removed it before two months. My doctor did a biopsy, and the report came as hyperplasia without atypia. Please suggest. [/INST] Hi. Please say whether you had any menopausal or perimenopausal symptoms. Please mention whether you had irregular bleeding or scanty periods or whether there is a stoppage of periods. You have placed Mirena before four years. You can also have side effects. The side effects should be subsided. Hormonal effects can also cause heavy bleeding or unscheduled irregular bleeding. Mirena is advised in endometrial hyperplasia with atypia. It usually gives scanty cycles, and there is a reduction in menstrual flow in some patients. In some patients, there is an increase in endometrial size after a long time due to a hormonal effect. In this age, it is better to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy (removal of ovaries due to a risk of ovarian cancer). Please mention the history regarding obesity, family history of cancer, diabetes, and hypertension. All the factors should be followed when you are planning to have a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Please give a detailed history. For symptomatic relief, I suggest you take cyclic Norethisterone 10 mg from 4th day to 25th day for three cycles. You can take it for six cycles. You can have this for heavy periods and during unscheduled bleeding. For pain, you can take tablet Ponstan 500 (Mefenamic acid) for eight hours from the second day to the fifth day. If the bleeding is heavy, you can also take tablet Tranexamic acid 500 mg for eight hours along with Ponstan from the second day to the fifth day. Both these tablets can be stopped if you are asymptomatic. Check your complete blood count and thyroid function test also. Please decide for having surgery soon as you cannot take hormones for more than six months. Have a healthy diet and iron supplements. Have a walk daily and maintain a healthy BMI (body mass index). |
Q. Can HIV transmit through the cuts in the finger or sores in the mouth? | Hi doctor, I am a 27-year-old male. I met a girl recently. We both did deep kissing and fingering many times. I do not know about her HIV status. Recently, I read about HIV, and I am worried. I do not remember whether I had any cut in my finger. Can I have HIV through the cuts in the finger or sores in the mouth? Please assess my risk factor. Please suggest. | Hi. Fingering alone will not cause HIV transmission. For transmission, the virus needs to enter the bloodstream. Regarding the cut, there should be a fresh lesion for having an active transfer. As far as deep kissing is concerned, there is no possibility to have HIV transmission through the saliva and if it is mixed with blood, there can be a possibility. If you have any doubt about the exposure, you can do a test at four weeks of the exposure, and if the result is negative, you can do another test at three months of the last exposure. It will reduce your fear soon. |
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Hi doctor, I am a 27-year-old male. I met a girl recently. We both did deep kissing and fingering many times. I do not know about her HIV status. Recently, I read about HIV, and I am worried. I do not remember whether I had any cut in my finger. Can I have HIV through the cuts in the finger or sores in the mouth? Please assess my risk factor. Please suggest. [/INST] Hi. Fingering alone will not cause HIV transmission. For transmission, the virus needs to enter the bloodstream. Regarding the cut, there should be a fresh lesion for having an active transfer. As far as deep kissing is concerned, there is no possibility to have HIV transmission through the saliva and if it is mixed with blood, there can be a possibility. If you have any doubt about the exposure, you can do a test at four weeks of the exposure, and if the result is negative, you can do another test at three months of the last exposure. It will reduce your fear soon. |
Q. Stomach pain and headache after four days of loose motion. Please help. | Hello doctor, My son is having loose motion since last four days. Our doctor gave Rantac, Nutrolin B, and Cyclopam. Till three days his stool was watery but today we observed blood in that and is experiencing acute pain while having loose motion. After that, our doctor suggested giving a half tablet of Lopro and 6 ml Oxaflo 100. After giving this, his loose motion has stopped. But, he is complaining about stomach pain and headache. Please suggest. | Hello. I understand the situation you are facing. Stomach pain and headache could be related to the infection. Continue giving Cyclopam (Dicyclomine) for stomach ache and Paracetamol for a headache. Also give lots of liquid for proper hydration. If not getting relief with these measures, consult your doctor for reevaluation and further management. |
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Hello doctor, My son is having loose motion since last four days. Our doctor gave Rantac, Nutrolin B, and Cyclopam. Till three days his stool was watery but today we observed blood in that and is experiencing acute pain while having loose motion. After that, our doctor suggested giving a half tablet of Lopro and 6 ml Oxaflo 100. After giving this, his loose motion has stopped. But, he is complaining about stomach pain and headache. Please suggest. [/INST] Hello. I understand the situation you are facing. Stomach pain and headache could be related to the infection. Continue giving Cyclopam (Dicyclomine) for stomach ache and Paracetamol for a headache. Also give lots of liquid for proper hydration. If not getting relief with these measures, consult your doctor for reevaluation and further management. |
Q. From the picture, kindly advise the treatment for my skin infection. | Hi doctor, I have some skin infection for quite some time now. I have tired a few medicines for the same and I got a laser treatment once. Can you tell me what the issue is based on the images and also the possible treatment that I should undergo? | Hello. You seem to have eczematous dermatitis. I suggest you use a potent topical steroid like Tenovate-Gn (Clobetasol propionate and Neomycin) cream or Halovate-F cream (Ulobetasol and Fusidic acid), twice daily. In addition, I suggest you take an oral antihistamine like Cetirizine 10 mg tablet once a day for a few days. |
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Hi doctor, I have some skin infection for quite some time now. I have tired a few medicines for the same and I got a laser treatment once. Can you tell me what the issue is based on the images and also the possible treatment that I should undergo? [/INST] Hello. You seem to have eczematous dermatitis. I suggest you use a potent topical steroid like Tenovate-Gn (Clobetasol propionate and Neomycin) cream or Halovate-F cream (Ulobetasol and Fusidic acid), twice daily. In addition, I suggest you take an oral antihistamine like Cetirizine 10 mg tablet once a day for a few days. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. By mistake, I gave expired vitazyme drops to my 11 months old daughter. What do I do? | Hello doctor, My daughter is 11 months old. By mistake, I gave expired Vitazyme drops to her. After giving the dose she vomited immediately. Will this act of mine harm her? | Hi. As she vomited immediately, nothing would have gone inside. So, it is unlikely that it will cause any effect on her health. Advice: Review as per your requirements with a paediatrician online --> |
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Hello doctor, My daughter is 11 months old. By mistake, I gave expired Vitazyme drops to her. After giving the dose she vomited immediately. Will this act of mine harm her? [/INST] Hi. As she vomited immediately, nothing would have gone inside. So, it is unlikely that it will cause any effect on her health. Advice: Review as per your requirements with a paediatrician online --> |
Q. Ever since I had shoulder surgery, I have been unable to sleep like earlier. Please help. | Hello doctor, I am a 31 year old male. Avid weightlifter and I currently weigh about 208 lbs. Ever since I had shoulder surgery, I have been unable to sleep like earlier. I used to fall asleep wherever I was and stay asleep until multiple alarms would go off. These days, I am not able to sleep properly. I sleep for about one to two hours at a time, then wake up and then again sleep. I do this the whole night. It makes me quite tired the next day. I have had multiple sleep studies done and there is no apnea or lack of oxygen. I have also tried tablet Ambien 12.5 mg and that gets me to three to four hours of sleep without waking up. But, I take that only on those days I know I can stay in bed for more than eight hours to make sure I am not groggy. It does not truly knock me out/make me sleep. I have also tried Melatonin and Benadryl which showed no effects. I have also tried Buspar to see if that helped. No real effect either. I am getting stumped as to why my sleep cycle has changed and why nothing is working. Please help. | Hi. Sleep problems are mainly due to either psychological issues or actual physical problems in the body. Before actually going to the causes of physical problems, I need to know if there are any psychological issue bothering you. Start taking capsule Omeprazole 20 mg every night half an hour before your dinner for two weeks and observe the response (this is an antacid medication and not a sleeping pill). You had mentioned about your shoulder surgery. Are you on any medications for that? Or any other pain medicines? Also, you can ask your doctor for a prescription of tablet Zolpidem 10 mg every night which will give you a good sleep. But again, this is a temporary fix. We need to find the root cause to cure it. Kindly revert back with the details. Feel free to ask. |
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Hello doctor, I am a 31 year old male. Avid weightlifter and I currently weigh about 208 lbs. Ever since I had shoulder surgery, I have been unable to sleep like earlier. I used to fall asleep wherever I was and stay asleep until multiple alarms would go off. These days, I am not able to sleep properly. I sleep for about one to two hours at a time, then wake up and then again sleep. I do this the whole night. It makes me quite tired the next day. I have had multiple sleep studies done and there is no apnea or lack of oxygen. I have also tried tablet Ambien 12.5 mg and that gets me to three to four hours of sleep without waking up. But, I take that only on those days I know I can stay in bed for more than eight hours to make sure I am not groggy. It does not truly knock me out/make me sleep. I have also tried Melatonin and Benadryl which showed no effects. I have also tried Buspar to see if that helped. No real effect either. I am getting stumped as to why my sleep cycle has changed and why nothing is working. Please help. [/INST] Hi. Sleep problems are mainly due to either psychological issues or actual physical problems in the body. Before actually going to the causes of physical problems, I need to know if there are any psychological issue bothering you. Start taking capsule Omeprazole 20 mg every night half an hour before your dinner for two weeks and observe the response (this is an antacid medication and not a sleeping pill). You had mentioned about your shoulder surgery. Are you on any medications for that? Or any other pain medicines? Also, you can ask your doctor for a prescription of tablet Zolpidem 10 mg every night which will give you a good sleep. But again, this is a temporary fix. We need to find the root cause to cure it. Kindly revert back with the details. Feel free to ask. |
Q. I have burning sensation and pain in my vulva. Please help. | Hi doctor, I have a burning sensation and pain in my vulva. I checked with a mirror and there is excess skin at the bottom and it is painful when I touch it. I am just wondering what could this be. What can be done to stop this irritation? | Hi. Vulval pain (vulvodynia) or irritation is very common. You need not be worried as it usually resolves with just proper hygienic precautions and minor treatment. The reasons for this could be due to a condition called friction-induced skin infection or skin tag or other skin conditions like lichen sclerosis. But proper physical examination is needed to find out the actual diagnosis and suggest an appropriate treatment plan according to the etiology. However, I would advise you the following suggestions for relief: If the symptoms persist more than a week or if the condition worsens, consult a general practitioner online --> |
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Hi doctor, I have a burning sensation and pain in my vulva. I checked with a mirror and there is excess skin at the bottom and it is painful when I touch it. I am just wondering what could this be. What can be done to stop this irritation? [/INST] Hi. Vulval pain (vulvodynia) or irritation is very common. You need not be worried as it usually resolves with just proper hygienic precautions and minor treatment. The reasons for this could be due to a condition called friction-induced skin infection or skin tag or other skin conditions like lichen sclerosis. But proper physical examination is needed to find out the actual diagnosis and suggest an appropriate treatment plan according to the etiology. However, I would advise you the following suggestions for relief: If the symptoms persist more than a week or if the condition worsens, consult a general practitioner online --> |
Q. Please explain the CECT report taken after six cycles of chemotherapy. | Hi doctor, My father is 62 years old. I have attached his CECT of thorax, abdomen, and pelvis. It is taken after six cycles of chemotherapy with Gemcitabine and Cisplatin. He is diagnosed with carcinoma of unknown primary with left lung metastasis. | Hi. I have gone through the attachment (attachment removed to protect patient identity). The scans look quite reassuring. There is nodular enhancement involving the left diaphragmatic pleura with minimal pleural effusion. Background fibrotic changes are seen in the bilateral upper lobes. The head, body, and tail of pancreas appear healthy with no focal solid-cystic lesion or area of calcification. The gallbladder seems normal. There is no intrahepatic biliary radicle dilatation seen. There is no focal lesion seen in the liver or spleen. A small cystic lesion is noted in the mid pole of the right kidney, and it is like a simple cyst. The urinary bladder is partially distended and grossly normal. There is no ascites or lymphadenopathy seen. Bowel loops are non dilated. There is no focal area of thickening seen. The prostate is enlarged, and it needs further evaluation with ultrasound (transrectal ultrasonography) and blood PSA (prostate-specific antigen) levels. |
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Hi doctor, My father is 62 years old. I have attached his CECT of thorax, abdomen, and pelvis. It is taken after six cycles of chemotherapy with Gemcitabine and Cisplatin. He is diagnosed with carcinoma of unknown primary with left lung metastasis. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). The scans look quite reassuring. There is nodular enhancement involving the left diaphragmatic pleura with minimal pleural effusion. Background fibrotic changes are seen in the bilateral upper lobes. The head, body, and tail of pancreas appear healthy with no focal solid-cystic lesion or area of calcification. The gallbladder seems normal. There is no intrahepatic biliary radicle dilatation seen. There is no focal lesion seen in the liver or spleen. A small cystic lesion is noted in the mid pole of the right kidney, and it is like a simple cyst. The urinary bladder is partially distended and grossly normal. There is no ascites or lymphadenopathy seen. Bowel loops are non dilated. There is no focal area of thickening seen. The prostate is enlarged, and it needs further evaluation with ultrasound (transrectal ultrasonography) and blood PSA (prostate-specific antigen) levels. |
Q. Is there any established time interval and quantity to feed infants? | Hi doctor, I have twin nephews who are 45 days old. I feed them with NAN of 90 ml for every two hours. Is there any established time interval and quantity to feed infants? Please suggest. | Hi. Baby's are fed on demand, and it is not given with a fixed time interval. Usually, it takes two to three hours to have gastric emptying in babies. When the baby is fed before two hours, it results in overfeeding. As babies are on formula feed, they may take time to get digested. Do not delay the feed for more than three hours. You can increase the feed after third or fourth feed. It depends on the ability of the baby to digest. Demand feed is safe if babies are in full-term weight. |
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Hi doctor, I have twin nephews who are 45 days old. I feed them with NAN of 90 ml for every two hours. Is there any established time interval and quantity to feed infants? Please suggest. [/INST] Hi. Baby's are fed on demand, and it is not given with a fixed time interval. Usually, it takes two to three hours to have gastric emptying in babies. When the baby is fed before two hours, it results in overfeeding. As babies are on formula feed, they may take time to get digested. Do not delay the feed for more than three hours. You can increase the feed after third or fourth feed. It depends on the ability of the baby to digest. Demand feed is safe if babies are in full-term weight. |
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 dull testicular pain on standing with enlarged veins. Please help. | Hello doctor, My left testicle has a dull ache when I stand for a period of time. I can also see an enlarged vein on my testicle. It goes away when I sit or lay down for a little bit. I will attach a picture of the vein. | Hello. I think it is a hernia. Kindly give some other details. Do it have cough impulse (it means the swelling expands upon coughing, it is said to have a cough impulse). Can you get over the swelling? (this means when swelling is there are you able to pinch your spermatic cord?) ignore if you are not able to understand. Do you do weight lifting? Diabetes or hypertension? Any medication? |
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Hello doctor, My left testicle has a dull ache when I stand for a period of time. I can also see an enlarged vein on my testicle. It goes away when I sit or lay down for a little bit. I will attach a picture of the vein. [/INST] Hello. I think it is a hernia. Kindly give some other details. Do it have cough impulse (it means the swelling expands upon coughing, it is said to have a cough impulse). Can you get over the swelling? (this means when swelling is there are you able to pinch your spermatic cord?) ignore if you are not able to understand. Do you do weight lifting? Diabetes or hypertension? Any medication? |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I am worried about staphylococcus in my urine and a pelvic mass in ultrasound. Please help me. | Hi doctor, I have staphylococcus in my urine for a long time. My present laboratory test shows a profuse growth of staphylococcus in my urine. I have sensitivity towards Ciprofloxacin, Streptomycin, and Perflacin. I have pain in my urinary bladder, urine retention, buzzing sounds in ears and pain all over the body. I have a stiff neck and shoulder. I did an ultrasound, and it shows a mass deposit in my pelvis. Please help me. | Hi. The presence of Staphylococcal infection in urine is rare. I am worried about the mass present in the pelvis. Please send me the ultrasound report soon. |
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Hi doctor, I have staphylococcus in my urine for a long time. My present laboratory test shows a profuse growth of staphylococcus in my urine. I have sensitivity towards Ciprofloxacin, Streptomycin, and Perflacin. I have pain in my urinary bladder, urine retention, buzzing sounds in ears and pain all over the body. I have a stiff neck and shoulder. I did an ultrasound, and it shows a mass deposit in my pelvis. Please help me. [/INST] Hi. The presence of Staphylococcal infection in urine is rare. I am worried about the mass present in the pelvis. Please send me the ultrasound report soon. |
Q. How to get a proper erection? | Hi doctor, I am not getting a proper erection for the past three months. I consulted a sexologist, and the doctor told it as a sexual energy issue. Please help me. | Hi. The common causes for having an erectile issue in this age are stress, anxiety about erection, and due to certain nutritional deficiencies like Vitamin D. Take dates, raisin, anjeer, and almonds in your diet. Also, take Ashwagandha powder or capsules with milk twice daily. Practice kegel exercise and gomukhasana exercise daily. I suggest you take tablet Megalis (Tadalafil) 10 mg one tablet at night for three weeks and tablet Shelcal (Calcium carbonate with Vitamin D3) one tablet in the morning and night for four weeks. |
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Hi doctor, I am not getting a proper erection for the past three months. I consulted a sexologist, and the doctor told it as a sexual energy issue. Please help me. [/INST] Hi. The common causes for having an erectile issue in this age are stress, anxiety about erection, and due to certain nutritional deficiencies like Vitamin D. Take dates, raisin, anjeer, and almonds in your diet. Also, take Ashwagandha powder or capsules with milk twice daily. Practice kegel exercise and gomukhasana exercise daily. I suggest you take tablet Megalis (Tadalafil) 10 mg one tablet at night for three weeks and tablet Shelcal (Calcium carbonate with Vitamin D3) one tablet in the morning and night for four weeks. |
Q. Is it advisable to give Natrum Phos to a 3-month-old for acid reflux? | Hi doctor, My baby is 2.5 months old. He used to spit up a lot so we switched him to Enfamel AR formula. After that he stops vomiting but still spits up through mouth and nose almost once after every feed and whenever he does he wakes up from sleep and screams for few minutes. Spitting up bothers him a lot and it seems he is in pain after every feed. It disturbs his sleep a lot. I found that Hylands Natrum phos 6x helps with this, so I started giving him half tablet with every feed since last night. I have not observed any change yet. Should I keep on giving him? How much dosage? How long does it take to work? | Hi. Natrum Phos is a good remedy for babies suffering from acid reflux related problems. You can continue giving him one tablet twice a day (one in the morning and one at night). You will be able to see the gradual improvement in next 4 to 5 days. If your baby does not settle down in next seven days then I would advise you to seek the help from pediatrician to rule out any gastric disorder. |
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Hi doctor, My baby is 2.5 months old. He used to spit up a lot so we switched him to Enfamel AR formula. After that he stops vomiting but still spits up through mouth and nose almost once after every feed and whenever he does he wakes up from sleep and screams for few minutes. Spitting up bothers him a lot and it seems he is in pain after every feed. It disturbs his sleep a lot. I found that Hylands Natrum phos 6x helps with this, so I started giving him half tablet with every feed since last night. I have not observed any change yet. Should I keep on giving him? How much dosage? How long does it take to work? [/INST] Hi. Natrum Phos is a good remedy for babies suffering from acid reflux related problems. You can continue giving him one tablet twice a day (one in the morning and one at night). You will be able to see the gradual improvement in next 4 to 5 days. If your baby does not settle down in next seven days then I would advise you to seek the help from pediatrician to rule out any gastric disorder. |
Q. Please advise the management of chronic sinus infection due to weather. | Hello doctor, I have chronic sinus infection because of it I will face problem whole winter. What treatment should I take to get relief from cold in these winter months? Shall I make a choice for vaccination? | Hi. According to infectious disease guidelines, all persons aged 6 months and older are recommended for annual vaccination. For your symptoms treatment, here are the recommendations. Smoking cessation, irrigating the nasal cavities with saline reduces postnasal drainage, removes secretions, and rinses away allergens and irritants. This should be done 2 to 3 times a day thoroughly. Nasal glucocorticoid sprays (Budesonide, Fluticasone propionate, Mometasone Furoate). One or two sprays once daily. Antihistamines may be helpful if your chronic sinus has an allergic component. |
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Hello doctor, I have chronic sinus infection because of it I will face problem whole winter. What treatment should I take to get relief from cold in these winter months? Shall I make a choice for vaccination? [/INST] Hi. According to infectious disease guidelines, all persons aged 6 months and older are recommended for annual vaccination. For your symptoms treatment, here are the recommendations. Smoking cessation, irrigating the nasal cavities with saline reduces postnasal drainage, removes secretions, and rinses away allergens and irritants. This should be done 2 to 3 times a day thoroughly. Nasal glucocorticoid sprays (Budesonide, Fluticasone propionate, Mometasone Furoate). One or two sprays once daily. Antihistamines may be helpful if your chronic sinus has an allergic component. |
Q. I have a growth near my anus. Please help. | Hello doctor, I have a growth near my anus, I think it grew bigger so I checked it the other night. I see there is a tiny lesion that might be caused by the use of toilet paper but not sure. The growth has the same color all around but it is a bit lighter where the lesion is. Lately, I have been placing a Kleenex to keep it dry and help the healing process but it looks the same, no improvement but it does not get worse either. The other day I pressed it and a clear liquid came out of the tiny hole, not much though, it looked like sweat. What could it be? I suffered from hemorroids and IBS so I figured the growth was caused by either but not sure anymore. I will send you some pictures. I took them right after a shower so the growth turned bright pink. | Hi. The images suggest you have external hemorrhoids (attachment removed to protect patient identity). This has blood clot inside and that is causing it to be enlarged. These usually settle with time. You need to keep the area dry. Avoid constipation by dietary measures to prevent progression of hemorrhoids. Keep a close watch for any new signs in the area. |
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Hello doctor, I have a growth near my anus, I think it grew bigger so I checked it the other night. I see there is a tiny lesion that might be caused by the use of toilet paper but not sure. The growth has the same color all around but it is a bit lighter where the lesion is. Lately, I have been placing a Kleenex to keep it dry and help the healing process but it looks the same, no improvement but it does not get worse either. The other day I pressed it and a clear liquid came out of the tiny hole, not much though, it looked like sweat. What could it be? I suffered from hemorroids and IBS so I figured the growth was caused by either but not sure anymore. I will send you some pictures. I took them right after a shower so the growth turned bright pink. [/INST] Hi. The images suggest you have external hemorrhoids (attachment removed to protect patient identity). This has blood clot inside and that is causing it to be enlarged. These usually settle with time. You need to keep the area dry. Avoid constipation by dietary measures to prevent progression of hemorrhoids. Keep a close watch for any new signs in the area. |
Q. Please tell me in detail about psychopath. | Hello doctor, We are both 18 years old and we were wondering if you could answer some of our questions for school. We are required to consult with a psychiatrist, but we do not have money to consult with any. Our topic is psychopathy and how psychopaths are developed. The questions are as follows. How do you diagnose someone as a psychopath? What kind of therapy is needed to aid the brain condition of a psychopath? Is psychopathy a genetic condition? Are sociopaths and psychopaths developed the same way? What kind of environment is the most likely to form psychopaths? Are psychopaths more self-sufficient compared to an average person? If psychopaths are unable to feel strong emotions, what are their goals or aspirations in life? What are the signs of a psychopath targeting you? Do psychopaths lack the concept of sexuality since they are unable to form deep emotional connections? If a psychopath is able to form a family, what would be the effect on his or her children? | Hi. I would be happy to help you. What you are referring to as a psychopath is known as antisocial personality disorder in psychiatry. It is diagnosed using certain standard guidelines and criteria. These people show a persistent disregard for laws and the rights of others. Such people do not generally seek professional help unless it is for comorbid problems like substance use or mood disorder or they are in prison and brought by the police. These people have impulsive traits and extreme irritability which can be reduced with the help of psychiatric medication. Therapy may be helpful but more often than not. There is no permanent treatment because many of them do not follow up and majority do not feel there is anything wrong with them. People who have first degree relatives with psychopathy have higher chances of the same but social, economic and cultural factors also play a role. Sociopaths can be best described as a milder form of antisocial personality disorder. Psychopaths are highly intelligent but they lack empathy. So they do not generally have long lasting relationships or gain satisfaction from interpersonal relations. |
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Hello doctor, We are both 18 years old and we were wondering if you could answer some of our questions for school. We are required to consult with a psychiatrist, but we do not have money to consult with any. Our topic is psychopathy and how psychopaths are developed. The questions are as follows. How do you diagnose someone as a psychopath? What kind of therapy is needed to aid the brain condition of a psychopath? Is psychopathy a genetic condition? Are sociopaths and psychopaths developed the same way? What kind of environment is the most likely to form psychopaths? Are psychopaths more self-sufficient compared to an average person? If psychopaths are unable to feel strong emotions, what are their goals or aspirations in life? What are the signs of a psychopath targeting you? Do psychopaths lack the concept of sexuality since they are unable to form deep emotional connections? If a psychopath is able to form a family, what would be the effect on his or her children? [/INST] Hi. I would be happy to help you. What you are referring to as a psychopath is known as antisocial personality disorder in psychiatry. It is diagnosed using certain standard guidelines and criteria. These people show a persistent disregard for laws and the rights of others. Such people do not generally seek professional help unless it is for comorbid problems like substance use or mood disorder or they are in prison and brought by the police. These people have impulsive traits and extreme irritability which can be reduced with the help of psychiatric medication. Therapy may be helpful but more often than not. There is no permanent treatment because many of them do not follow up and majority do not feel there is anything wrong with them. People who have first degree relatives with psychopathy have higher chances of the same but social, economic and cultural factors also play a role. Sociopaths can be best described as a milder form of antisocial personality disorder. Psychopaths are highly intelligent but they lack empathy. So they do not generally have long lasting relationships or gain satisfaction from interpersonal relations. |
Q. Does teratospermia mean infertility? | Hello doctor, My sperm count is 50 M/ml, 3 ml ejaculate, 55 % motility, 45 % prog motility, grade 1 to 10, grade 2 to 10, grade 3 to 10, grade 15, normomorphs 20 %, no antibodies, colour and viscosity normal, pH 8.5. Diagnosed with teratospermia. Given two months course of Fertisure M and retest semen analysis. How serious is that? The doctor says if the report is repeated, she will plan for IUI as my wife reports are totally normal. Am I infertile? | Hi. How are you doing? I do not see any abnormalities in the report (attachment removed to protect patient identity). You are super fertile. As per WHO guidelines, the minimum count is 15 million/ml, minimum motility is progressive 32 %, minimum normal morphology 4 %. As you are above all these criteria, you have nothing to worry. Hope wife's blood evaluation and scan are normal. One test usually forgotten is the evaluation of tubal patency, with X-ray or HSG. The tube is bridge connecting uterus and ovaries. It cannot be seen on scan or examination. Its inner diameter is 1 mm. If blocked, no matter how good the egg and sperm are, they will not meet. If not done, better do it. Not costly or invasive. Can be done on day 7 to 10 of periods. Do not worry, you will get a positive result. |
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Hello doctor, My sperm count is 50 M/ml, 3 ml ejaculate, 55 % motility, 45 % prog motility, grade 1 to 10, grade 2 to 10, grade 3 to 10, grade 15, normomorphs 20 %, no antibodies, colour and viscosity normal, pH 8.5. Diagnosed with teratospermia. Given two months course of Fertisure M and retest semen analysis. How serious is that? The doctor says if the report is repeated, she will plan for IUI as my wife reports are totally normal. Am I infertile? [/INST] Hi. How are you doing? I do not see any abnormalities in the report (attachment removed to protect patient identity). You are super fertile. As per WHO guidelines, the minimum count is 15 million/ml, minimum motility is progressive 32 %, minimum normal morphology 4 %. As you are above all these criteria, you have nothing to worry. Hope wife's blood evaluation and scan are normal. One test usually forgotten is the evaluation of tubal patency, with X-ray or HSG. The tube is bridge connecting uterus and ovaries. It cannot be seen on scan or examination. Its inner diameter is 1 mm. If blocked, no matter how good the egg and sperm are, they will not meet. If not done, better do it. Not costly or invasive. Can be done on day 7 to 10 of periods. Do not worry, you will get a positive result. |
Q. How to cure the pain present in crowned tooth? | Hi doctor, I had a cavity in my lower front tooth. I filled it and placed a crown over it. After a month, I started to have pain and sensitivity. The X-ray was normal. Yesterday, I had pain again. The X-ray was quite fine and healthy. I also have soreness in my gums and pain in the chin. Please advice. | Hi. I have gone through your query (attachment removed to protect patient identity). Yes, it looks like stress related periapical periodontitis. You may need to readjust the crown if you feel muscle heaviness on the same side or opposite side. Please upload a picture of your X-ray so that I can guide you further. To prevent the further spread of infection, you need a course of antibiotics. |
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Hi doctor, I had a cavity in my lower front tooth. I filled it and placed a crown over it. After a month, I started to have pain and sensitivity. The X-ray was normal. Yesterday, I had pain again. The X-ray was quite fine and healthy. I also have soreness in my gums and pain in the chin. Please advice. [/INST] Hi. I have gone through your query (attachment removed to protect patient identity). Yes, it looks like stress related periapical periodontitis. You may need to readjust the crown if you feel muscle heaviness on the same side or opposite side. Please upload a picture of your X-ray so that I can guide you further. To prevent the further spread of infection, you need a course of antibiotics. |
Q. I am getting migraine headache once in every three days. Please help. | Hi doctor, Nowadays, I am getting a migraine for every three days alternatively. Before few days, I usually get a migraine once in 20 days. Often, I have a visual problem and aura symptoms. It relieves after taking Zerodol. Please suggest. | Hi. A migraine has two types of treatment. When the duration of the attack is more than 24 hours, we need to use both abortive and prophylactic medicine. In your case, you must use both the treatments. You can use Methysergide with Fluoxetine and Gabapentin as a preventive drug along with an abortive one. Make a daily diary to sort out the triggering factors such as lack of sleep, fatigue, stress, certain foods, and vasodilators. Avoid it soon. |
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Hi doctor, Nowadays, I am getting a migraine for every three days alternatively. Before few days, I usually get a migraine once in 20 days. Often, I have a visual problem and aura symptoms. It relieves after taking Zerodol. Please suggest. [/INST] Hi. A migraine has two types of treatment. When the duration of the attack is more than 24 hours, we need to use both abortive and prophylactic medicine. In your case, you must use both the treatments. You can use Methysergide with Fluoxetine and Gabapentin as a preventive drug along with an abortive one. Make a daily diary to sort out the triggering factors such as lack of sleep, fatigue, stress, certain foods, and vasodilators. Avoid it soon. |
Q. How to have a stability in blood pressure? | Hi doctor, My mother has BP in an unstable condition. She was taking Paroxee Cr, Etizola, and Covance 50. After taking these tablets, she had frequent urination, and her BP was fine. When she consulted the doctor for the problem of frequent urination, the doctor changed Covance 50 to Ctd 6.25 mg for blood pressure. After that, urination got controlled, but BP became unstable. She has a feeling of nausea. Her creatinine level is fine, and she does not have diabetes. She has a TSH of 8.9 mIU/L. Her hemoglobin is below 7 g/dL. Please suggest. | Hi. She suffers from anxiety and depression, and so she is taking antidepressants. TSH (thyroid stimulating hormone) level is raised which suggests that she has an under-working thyroid gland. Though she is taking Ctd tablet (Chlorthalidone), her blood pressure is not under control. Hence we need to try some other antihypertensive for her. Do CBC (complete blood count), thyroid profile, fasting lipid profile, renal function test, electrolytes, and ECG (electrocardiography). After doing these tests, you can consult a general physician for examination. Her HB (hemoglobin) is 7 g/dL which means that she is severely anemic. She can take Amlodipine or Valsartan 5 by 80 mg daily in the morning for controlling BP. She can take Ferrous sulfate 200 mg three times a day for anemia. Follow the same medications for depression. |
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Hi doctor, My mother has BP in an unstable condition. She was taking Paroxee Cr, Etizola, and Covance 50. After taking these tablets, she had frequent urination, and her BP was fine. When she consulted the doctor for the problem of frequent urination, the doctor changed Covance 50 to Ctd 6.25 mg for blood pressure. After that, urination got controlled, but BP became unstable. She has a feeling of nausea. Her creatinine level is fine, and she does not have diabetes. She has a TSH of 8.9 mIU/L. Her hemoglobin is below 7 g/dL. Please suggest. [/INST] Hi. She suffers from anxiety and depression, and so she is taking antidepressants. TSH (thyroid stimulating hormone) level is raised which suggests that she has an under-working thyroid gland. Though she is taking Ctd tablet (Chlorthalidone), her blood pressure is not under control. Hence we need to try some other antihypertensive for her. Do CBC (complete blood count), thyroid profile, fasting lipid profile, renal function test, electrolytes, and ECG (electrocardiography). After doing these tests, you can consult a general physician for examination. Her HB (hemoglobin) is 7 g/dL which means that she is severely anemic. She can take Amlodipine or Valsartan 5 by 80 mg daily in the morning for controlling BP. She can take Ferrous sulfate 200 mg three times a day for anemia. Follow the same medications for depression. |
Q. My partner has swollen lymph nodes with high CPR and eosinophils. Please interpret her USG. | Hello doctor, I am writing to you about my partner. She has had swollen lymph nodes for the past two years. Only other symptoms are high CPR and very slightly higher eosinophils. She had an ultrasound of her right side of the neck today, and I would like to know if you can see anything unusual. Also, I would like to know what the other two pictures say, that are 2 cm lymph node or the marked submandibular gland which was operated on. On two pictures, I see three small circles around a big circle, and on one of the pictures, some of the small circles have something inside of them. Obviously doctors are investigating possible lymphoma, so I would really appreciate your help and if you could take a good look at everything and tell us an opinion about the features of the examined organs. | Hi. Let me start with the right neck lymph nodes seen on the images (attachment removed to protect patient identity). They have a fusiform shape which is a good sign. They are mildly enlarged, the index one short axis measures 6 mm. Image 1: Lymph node with Doppler box, showing center blood supply which is again a good sign. Image 2: Couple of mildly enlarged lymph nodes. Image 3: Submandibular gland and mildly enlarged lymph nodes with a white center, fatty hilum, normal. Image 4: Index lymph node measurement long x short axis 21 x 6 mm. I would favor benign pathology versus lymphoma due to fusiform shape, central blood supply, preserved normal fatty hilum, and mild enlargement. This can also represent systemic inflammatory diseases. I hope this helps. |
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Hello doctor, I am writing to you about my partner. She has had swollen lymph nodes for the past two years. Only other symptoms are high CPR and very slightly higher eosinophils. She had an ultrasound of her right side of the neck today, and I would like to know if you can see anything unusual. Also, I would like to know what the other two pictures say, that are 2 cm lymph node or the marked submandibular gland which was operated on. On two pictures, I see three small circles around a big circle, and on one of the pictures, some of the small circles have something inside of them. Obviously doctors are investigating possible lymphoma, so I would really appreciate your help and if you could take a good look at everything and tell us an opinion about the features of the examined organs. [/INST] Hi. Let me start with the right neck lymph nodes seen on the images (attachment removed to protect patient identity). They have a fusiform shape which is a good sign. They are mildly enlarged, the index one short axis measures 6 mm. Image 1: Lymph node with Doppler box, showing center blood supply which is again a good sign. Image 2: Couple of mildly enlarged lymph nodes. Image 3: Submandibular gland and mildly enlarged lymph nodes with a white center, fatty hilum, normal. Image 4: Index lymph node measurement long x short axis 21 x 6 mm. I would favor benign pathology versus lymphoma due to fusiform shape, central blood supply, preserved normal fatty hilum, and mild enlargement. This can also represent systemic inflammatory diseases. I hope this helps. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Following first seizure attack, one should opt immediate treatment or wait for the second one? | Hi doctor, My son is 14 years old. He got a seizure before 15 days during sleep for 10 to 15 minutes. His EEG and MRI are normal. His doctor suggested two options. They are either we can wait for the second attack or go for treatment Val-Cr 300 for three to four years. Kindly give your opinion. Thank you. | Hi. I have gone through the query. A person can develop two seizures without regaining consciousness in between or one episode of status epilepticus lasting for more than five minutes. Seizures occurring for 15 minutes requires treatment, and it needs evaluation like EEG (electroencephalography), MRI brain (magnetic resonance imaging), serum calcium and electrolytes, and blood glucose. |
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Hi doctor, My son is 14 years old. He got a seizure before 15 days during sleep for 10 to 15 minutes. His EEG and MRI are normal. His doctor suggested two options. They are either we can wait for the second attack or go for treatment Val-Cr 300 for three to four years. Kindly give your opinion. Thank you. [/INST] Hi. I have gone through the query. A person can develop two seizures without regaining consciousness in between or one episode of status epilepticus lasting for more than five minutes. Seizures occurring for 15 minutes requires treatment, and it needs evaluation like EEG (electroencephalography), MRI brain (magnetic resonance imaging), serum calcium and electrolytes, and blood glucose. |
Q. Which tablet can be used to ease stomach pain and gas trouble? | Hello doctor, I am suffering from IBS (irritable bowel syndrome). Sometimes I feel like I am having stomach pain and when I go to pass stool, I feel incomplete. There is a bit of gas trouble as well. Can you suggest me a tablet that can ease the symptoms? | Hi. I will definitely help you with the medicines and IBS treatment. But before that, I need to know your ultrasound and endoscopy findings. |
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Hello doctor, I am suffering from IBS (irritable bowel syndrome). Sometimes I feel like I am having stomach pain and when I go to pass stool, I feel incomplete. There is a bit of gas trouble as well. Can you suggest me a tablet that can ease the symptoms? [/INST] Hi. I will definitely help you with the medicines and IBS treatment. But before that, I need to know your ultrasound and endoscopy findings. |
Q. Is it possible to develop peptic ulcer while taking Lansoprazole? | Hello doctor, A few years back, I suddenly developed constant dyspepsia, bloating, and reflux. Also on and off stomach pain. I was prescribed Lansoprazole and it took away the symptoms until a few weeks back. Symptoms have suddenly returned despite still taking PPI. Can an ulcer develop whilst taking Lansoprazole? I am also having minor pain under the right ribcage. Can an ulcer develop or worsen whilst taking a PPI? | Hello. Peptic ulcer disease is mostly related to the presence of Helicobacter pylori infection (a bacteria that is transmitted via saliva and is present in around 70 % of adults). The first step of the treatment is actually PPI. When this stops working (yes, you may develop more serious symptoms. Whilst taking PPI's) you have some options like add antiacids whenever you have symptoms like Magaldrate-Simethicone 3 to 4 times a day. Add H1 blockers (Ranitidine 150 mg tablets) every 2 to 3 times a day. Avoid over-the-counter pain-killers (with some exceptions such as COX2 inhibitors). If symptoms continue despite this, you need to do an H.pylori testing, if positive you need to take the medication for its eradication (it includes two antibiotics). This usually improves very much the symptoms for months or years. |
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Hello doctor, A few years back, I suddenly developed constant dyspepsia, bloating, and reflux. Also on and off stomach pain. I was prescribed Lansoprazole and it took away the symptoms until a few weeks back. Symptoms have suddenly returned despite still taking PPI. Can an ulcer develop whilst taking Lansoprazole? I am also having minor pain under the right ribcage. Can an ulcer develop or worsen whilst taking a PPI? [/INST] Hello. Peptic ulcer disease is mostly related to the presence of Helicobacter pylori infection (a bacteria that is transmitted via saliva and is present in around 70 % of adults). The first step of the treatment is actually PPI. When this stops working (yes, you may develop more serious symptoms. Whilst taking PPI's) you have some options like add antiacids whenever you have symptoms like Magaldrate-Simethicone 3 to 4 times a day. Add H1 blockers (Ranitidine 150 mg tablets) every 2 to 3 times a day. Avoid over-the-counter pain-killers (with some exceptions such as COX2 inhibitors). If symptoms continue despite this, you need to do an H.pylori testing, if positive you need to take the medication for its eradication (it includes two antibiotics). This usually improves very much the symptoms for months or years. |
Q. What is the advisable frequency for taking Ipill after unprotected sex? | Hello doctor, I had unprotected sex a week back and took an I-pill within 24 hours. He did not cum inside me but still, for protection, I took the pill. Five days later, the condom broke, although he did not cum inside me, I am not sure of how safe it is. Is there any chance of being pregnant? Should I take an Ipill again? Will my periods be early or delayed due to the pill? Please advise if I need to take an Ipill again and if it is safe. | Hello. If you have taken Ipill after first intercourse activity and it was taken properly, in proper dose and timings without vomiting, then actually ovulation or fertilization would have stopped already for this cycle. By rule, no need to take another pill if still, no bleeding is there after the previous pill. But if you are not satisfied with the above points then you can take another pill but it will further disturb cycle and will have a withdrawal bleed in coming 1 to 2 weeks. After withdrawal bleed, you will have next period, not as previously scheduled as the body gets accommodated with externally induced hormones. |
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Hello doctor, I had unprotected sex a week back and took an I-pill within 24 hours. He did not cum inside me but still, for protection, I took the pill. Five days later, the condom broke, although he did not cum inside me, I am not sure of how safe it is. Is there any chance of being pregnant? Should I take an Ipill again? Will my periods be early or delayed due to the pill? Please advise if I need to take an Ipill again and if it is safe. [/INST] Hello. If you have taken Ipill after first intercourse activity and it was taken properly, in proper dose and timings without vomiting, then actually ovulation or fertilization would have stopped already for this cycle. By rule, no need to take another pill if still, no bleeding is there after the previous pill. But if you are not satisfied with the above points then you can take another pill but it will further disturb cycle and will have a withdrawal bleed in coming 1 to 2 weeks. After withdrawal bleed, you will have next period, not as previously scheduled as the body gets accommodated with externally induced hormones. |
Q. After unsafe exposure, I have taken various HIV tests in frequent intervals. Are they conclusive? | Hello doctor, After unsafe exposure, I got 49 days ELISA antibody test done, 71 days HIV proviral DNA PCR test, 87 days ELISA antibody test. All were negative. The antibody test I took is not a fourth generation test. Is it conclusive or should I take another test? If I repeat the HIV test after six months what is the chance of staying negative? I am facing the problem like small bumps in the tongue, from the last two days a little bit of pain below ear region and it is a little swollen. Is it due to HIV? I am stressed, scared, full of tension. These are hampering my life. I do not know what to do. Today I am in the 107th day of exposure. | Hi. Your tests are conclusive and you are not infected. No need for further tests. Ear ache and tongue papilla are not due to HIV and may be a simple bacterial infection. Consult ENT specialist for an examination to rule out otitis externa. You will remain negative even after six months and one-year post exposure and no need for further testing. Weight loss may be a stress-related issue. Just leave this HIV issue here and you will regain weight soon. |
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Hello doctor, After unsafe exposure, I got 49 days ELISA antibody test done, 71 days HIV proviral DNA PCR test, 87 days ELISA antibody test. All were negative. The antibody test I took is not a fourth generation test. Is it conclusive or should I take another test? If I repeat the HIV test after six months what is the chance of staying negative? I am facing the problem like small bumps in the tongue, from the last two days a little bit of pain below ear region and it is a little swollen. Is it due to HIV? I am stressed, scared, full of tension. These are hampering my life. I do not know what to do. Today I am in the 107th day of exposure. [/INST] Hi. Your tests are conclusive and you are not infected. No need for further tests. Ear ache and tongue papilla are not due to HIV and may be a simple bacterial infection. Consult ENT specialist for an examination to rule out otitis externa. You will remain negative even after six months and one-year post exposure and no need for further testing. Weight loss may be a stress-related issue. Just leave this HIV issue here and you will regain weight soon. |
Q. On shifting from cow milk to formula milk my baby gets fever and vomiting. Why? | Hello doctor, My baby is 11 months old. On starting of 10th month I had a problem in my breasts and stopped feeding by doctor's advice. I thought cows milk is better than formula because it is natural so I am giving it for the past one month in very diluted form. Four days before we switched to the formula since cow milk is not available. After that he passes stools many times for two days and got fever. When consulting a pediatrician he advised not to give cows milk and suggested only formula. But now after giving for a day, he passed mucus in stools. Is my baby allergic to formula? He is fine with cows milk, can I give the same? Please help. | Hello, Welcome to icliniq.com. Cow milk should not be given until 1 year of age usually, as it may cause calcium and iron deficiency. Any change of feeds in babies can cause some change in stool pattern. Which formula are you giving and how do you prepare it? Proper concentration is very important. Have you started weaning? And how many times the baby is feeding milk? If only two or three times then you can continue with cow milk but do not dilute it. |
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Hello doctor, My baby is 11 months old. On starting of 10th month I had a problem in my breasts and stopped feeding by doctor's advice. I thought cows milk is better than formula because it is natural so I am giving it for the past one month in very diluted form. Four days before we switched to the formula since cow milk is not available. After that he passes stools many times for two days and got fever. When consulting a pediatrician he advised not to give cows milk and suggested only formula. But now after giving for a day, he passed mucus in stools. Is my baby allergic to formula? He is fine with cows milk, can I give the same? Please help. [/INST] Hello, Welcome to icliniq.com. Cow milk should not be given until 1 year of age usually, as it may cause calcium and iron deficiency. Any change of feeds in babies can cause some change in stool pattern. Which formula are you giving and how do you prepare it? Proper concentration is very important. Have you started weaning? And how many times the baby is feeding milk? If only two or three times then you can continue with cow milk but do not dilute it. |
Q. Even though I maintain my oral hygiene, I have bad breath. What is the reason behind it? | Hi doctor, I have removed all the four wisdom tooth before nine years. I had a safe and successful operation. After removing my wisdom tooth, I started to have bad breath. Before the removal of wisdom tooth, I do not have this problem. Currently, I floss daily, and I brush my teeth twice a day. I am using mouthwash twice a day, and I also do salt water gargling after taking foods. Nothing helps me. What could the problem behind it? Please help. | Hi. You are maintaining your oral hygiene well. Having bad breath after extraction or surgery is quite common due to an open socket. But it generally disappears after a few days. There are other possibilities also. The first cause can be periodontitis. It is the inflammation of the periodontal ligament or the structure supporting the gums. Bad breath can also occur due to GERD (gastroesophageal reflux disease) because of chronic acidity. Infections in tonsils or other areas of the throat can also cause bad breath. Food impaction around the teeth also causes bad breath. You can consult a dentist for a checkup and try to rule out periodontitis. Try to see the presence of calculus and do scaling. After ruling out periodontitis, you can see a physician for other health-related problems. |
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Hi doctor, I have removed all the four wisdom tooth before nine years. I had a safe and successful operation. After removing my wisdom tooth, I started to have bad breath. Before the removal of wisdom tooth, I do not have this problem. Currently, I floss daily, and I brush my teeth twice a day. I am using mouthwash twice a day, and I also do salt water gargling after taking foods. Nothing helps me. What could the problem behind it? Please help. [/INST] Hi. You are maintaining your oral hygiene well. Having bad breath after extraction or surgery is quite common due to an open socket. But it generally disappears after a few days. There are other possibilities also. The first cause can be periodontitis. It is the inflammation of the periodontal ligament or the structure supporting the gums. Bad breath can also occur due to GERD (gastroesophageal reflux disease) because of chronic acidity. Infections in tonsils or other areas of the throat can also cause bad breath. Food impaction around the teeth also causes bad breath. You can consult a dentist for a checkup and try to rule out periodontitis. Try to see the presence of calculus and do scaling. After ruling out periodontitis, you can see a physician for other health-related problems. |
Q. What is the cure for piles? | Hello doctor, I am 18 years old. I had a symtoms of piles. I think there must be a little growth of substance. Is it very serious? What can I do for it? And tell me some practices to control it. | Hello. First of all, do not worry too much. It does not seem you have complicated piles since this presents with sudden and intense local pain (in which case you should go to a surgeon). It seems you have a mild disease. There are various recommendations for this problem. You should poop without difficulty. I recommend Psyllium Plantago (oral powder) one spoon in a glass of water every morning. Sitz bath with warm (not too warm) water two times a day (for 20 to 30 minutes). Diltiazem ointment, place a small amount in the affected área two times a day (after you do sitz bath). Continue this for at least six weeks and you should get very good results. |
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Hello doctor, I am 18 years old. I had a symtoms of piles. I think there must be a little growth of substance. Is it very serious? What can I do for it? And tell me some practices to control it. [/INST] Hello. First of all, do not worry too much. It does not seem you have complicated piles since this presents with sudden and intense local pain (in which case you should go to a surgeon). It seems you have a mild disease. There are various recommendations for this problem. You should poop without difficulty. I recommend Psyllium Plantago (oral powder) one spoon in a glass of water every morning. Sitz bath with warm (not too warm) water two times a day (for 20 to 30 minutes). Diltiazem ointment, place a small amount in the affected área two times a day (after you do sitz bath). Continue this for at least six weeks and you should get very good results. |
Q. What is the reason for bad smell from nose while breathing? | Hello doctor, I have had this problem for years where a bad smell comes from my nose when I breathe. I am desperate for any type of help. It started after I got sick in high school. My tonsils were infected and enlarged. The infection came back a few more times until I was unable to get sick again. I have not gotten sick in a couple years, but I still get infections sometimes. | Hi. Do you smell the bad odor? Or the others only smell this odor? Please capture a photo of your throat using your mobile phone camera and send it to me. If you do not smell the bad odor, you may have atrophic rhinitis. If you can smell the bad odor, the problem can be in your throat or mouth. So I need a picture of your throat. Tell me about any other symptoms you have and your medical history as any chronic diseases. Chronic sinusitis can cause the bad smell too. Chronic sinusitis is characterized by a persistent headache, head heaviness, and persistent postnasal discharge. |
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Hello doctor, I have had this problem for years where a bad smell comes from my nose when I breathe. I am desperate for any type of help. It started after I got sick in high school. My tonsils were infected and enlarged. The infection came back a few more times until I was unable to get sick again. I have not gotten sick in a couple years, but I still get infections sometimes. [/INST] Hi. Do you smell the bad odor? Or the others only smell this odor? Please capture a photo of your throat using your mobile phone camera and send it to me. If you do not smell the bad odor, you may have atrophic rhinitis. If you can smell the bad odor, the problem can be in your throat or mouth. So I need a picture of your throat. Tell me about any other symptoms you have and your medical history as any chronic diseases. Chronic sinusitis can cause the bad smell too. Chronic sinusitis is characterized by a persistent headache, head heaviness, and persistent postnasal discharge. |
Q. I am not willing to wear regular dental braces. Is there any other option? | Hi doctor, I am 23 years old. I have a baby tooth. My mother also had a baby tooth when she was 19 years old. My doctor advises me to remove the baby tooth. I am not willing to have braces. Is there any option for me to have Invisalign or braces that cannot be seen or do I need to use regular braces? | Hi. Dentistry has a lot of development over these years, and there are a lot of options available. First of all, to get your braces, you need to extract your baby tooth. Apart from metallic braces, there are other types of braces also. For example, ceramic braces, it is a tooth-colored material. There are lingual braces too. It is placed on the inner surface of the tooth, and it is not visible from outside. |
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Hi doctor, I am 23 years old. I have a baby tooth. My mother also had a baby tooth when she was 19 years old. My doctor advises me to remove the baby tooth. I am not willing to have braces. Is there any option for me to have Invisalign or braces that cannot be seen or do I need to use regular braces? [/INST] Hi. Dentistry has a lot of development over these years, and there are a lot of options available. First of all, to get your braces, you need to extract your baby tooth. Apart from metallic braces, there are other types of braces also. For example, ceramic braces, it is a tooth-colored material. There are lingual braces too. It is placed on the inner surface of the tooth, and it is not visible from outside. |
Q. I have constipation and burning sensation in the anal region. Please help me. | Hi doctor, I have constipation, pain in stomach and gas for the past three to four days. I feel uncomfortable. I also have a burning sensation in the anal region. Please help me. | Hi. You can have stomach inflammation and indigestion problem. For that, you can take Rabeprazole. For proper digestion, you can take Alcid MPS syrup (Aluminium hydroxide with Dimethicone). If the constipation is severe, you can take Bisacodyl. If there is a burning pain in the anal region, then you can do a proctoscopy rectal examination. Avoid taking excess spicy foods. Drink lots of water and avoid having a sedentary lifestyle. You can consult a physician for a physical examination. |
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Hi doctor, I have constipation, pain in stomach and gas for the past three to four days. I feel uncomfortable. I also have a burning sensation in the anal region. Please help me. [/INST] Hi. You can have stomach inflammation and indigestion problem. For that, you can take Rabeprazole. For proper digestion, you can take Alcid MPS syrup (Aluminium hydroxide with Dimethicone). If the constipation is severe, you can take Bisacodyl. If there is a burning pain in the anal region, then you can do a proctoscopy rectal examination. Avoid taking excess spicy foods. Drink lots of water and avoid having a sedentary lifestyle. You can consult a physician for a physical examination. |
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. With Lutera, I get slight bleeding, bloating, and tender breast with weight gain. Why? | Hello doctor, I have been using Lutera but recently, I started having some problems. I have been bloated and my period began on the 14th (it usually lasts for four to six days), so the assumption was that it would conclude on the 19th. It is 23rd and I am still lightly bleeding, but my breast are tender again. I wanted to ask if this could possibly be side effects of the birth control or if there was possibly some other reason for this. I did do some research and I found that Lutera had been recalled a couple of times. I did stop taking it for a while to see if it only happened with the birth control and upon getting back on it the symptoms have persisted. I feel like I am gaining weight as well as breaking out with acne a lot more. Please suggest an opinion. | Hello. Lutera has multiple side effects and is not really good contraception. In fact, all oral contraceptives are not a very good option as contraceptives. Bloating, weight gain, irregular spotting, are a few side effects. Larger and other bad side effects are marked suppression of ovulation leading to suppression of the biological clock of females. It changes the vaginal environment and therefore causes the growth of multiple bacteria. It is also known to cause obesity, diabetes, HT (hypertension), and breast lumps. The best is condoms by the partner and vaginal tablet to be inserted at the time of contact. Kindly stop taking that tablet. Take capsule Primosa 1000 mg once daily. Also, take supplement of antioxidants like grape seed extract and multivitamins. Stop taking pills. |
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Hello doctor, I have been using Lutera but recently, I started having some problems. I have been bloated and my period began on the 14th (it usually lasts for four to six days), so the assumption was that it would conclude on the 19th. It is 23rd and I am still lightly bleeding, but my breast are tender again. I wanted to ask if this could possibly be side effects of the birth control or if there was possibly some other reason for this. I did do some research and I found that Lutera had been recalled a couple of times. I did stop taking it for a while to see if it only happened with the birth control and upon getting back on it the symptoms have persisted. I feel like I am gaining weight as well as breaking out with acne a lot more. Please suggest an opinion. [/INST] Hello. Lutera has multiple side effects and is not really good contraception. In fact, all oral contraceptives are not a very good option as contraceptives. Bloating, weight gain, irregular spotting, are a few side effects. Larger and other bad side effects are marked suppression of ovulation leading to suppression of the biological clock of females. It changes the vaginal environment and therefore causes the growth of multiple bacteria. It is also known to cause obesity, diabetes, HT (hypertension), and breast lumps. The best is condoms by the partner and vaginal tablet to be inserted at the time of contact. Kindly stop taking that tablet. Take capsule Primosa 1000 mg once daily. Also, take supplement of antioxidants like grape seed extract and multivitamins. Stop taking pills. |
Q. I have rashes, marks and black skin inside my butt cheeks. Kindly advise. | Hi doctor, I used to have itching and pimples or boils in my inside of the butt cheeks. Even after cleaning there thourougly it continued with no relief. I recently started applying ample moisturizer there after showers and can feel a significant improvement. However, there are many marks and dead black skin over there. Can you please advise how to get rid of it? | Hi. I have gone through your case. You need to follow strictly a few pieces of advice. Check your blood sugar level, fasting and random, because boils occur repeatedly in it. Apply Fucidin cream two times a day on the pimple. Apply Canesten (Clotrimazole) cream in your all black area. The rash is a fungus. Keep area neat and dry after washing. Wear loose clothes and avoid sweating as much as you can. |
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Hi doctor, I used to have itching and pimples or boils in my inside of the butt cheeks. Even after cleaning there thourougly it continued with no relief. I recently started applying ample moisturizer there after showers and can feel a significant improvement. However, there are many marks and dead black skin over there. Can you please advise how to get rid of it? [/INST] Hi. I have gone through your case. You need to follow strictly a few pieces of advice. Check your blood sugar level, fasting and random, because boils occur repeatedly in it. Apply Fucidin cream two times a day on the pimple. Apply Canesten (Clotrimazole) cream in your all black area. The rash is a fungus. Keep area neat and dry after washing. Wear loose clothes and avoid sweating as much as you can. |
Q. Why is there an increase in SGOT? | Hi doctor, My daughter has an SGOT of 81 units per liter of serum. She is suffering from high-grade fever and cold. So we are giving Tylenol. What is the problem? | Hi. SGOT (aspartate aminotransferase) is a liver enzyme, which increases due to multiple causes. One of the reason can be a viral infection. These mild rise in titer are very nonspecific and do not to worry. When the disease gets controlled, it becomes normal. Maintain good hydration. Your daughter is suffering from viral infection, so there is no need to take antibiotics. You can continue the rest medication as adviced by the doctor. Review after two days. |
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Hi doctor, My daughter has an SGOT of 81 units per liter of serum. She is suffering from high-grade fever and cold. So we are giving Tylenol. What is the problem? [/INST] Hi. SGOT (aspartate aminotransferase) is a liver enzyme, which increases due to multiple causes. One of the reason can be a viral infection. These mild rise in titer are very nonspecific and do not to worry. When the disease gets controlled, it becomes normal. Maintain good hydration. Your daughter is suffering from viral infection, so there is no need to take antibiotics. You can continue the rest medication as adviced by the doctor. Review after two days. |
Q. Is psychological disorder genetic? | Hi doctor, I firmly believe that psychological disorders can come through genes. My mother had schizophrenia. I am so worried that I can also have it. I am depressed in the evenings daily, and I have lost a lot of joy in my life with feelings. I am thinking about the psychological disorders every day. Please suggest some medication or counseling. | Hi. Psychiatric disorders including schizophrenia do not follow a direct mendelian inheritance, and they have multifactorial etiologies. If your mother has schizophrenia, then you have an increased risk of having schizophrenia or other psychiatric disorders. But that risk is not very high. So stop remaining anxious. You are repeatedly thinking about psychiatric disorders, and it is due to anxiety. You do not have schizophrenia. Just stay relaxed and spend your time in constructive activities and you will be alright. |
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Hi doctor, I firmly believe that psychological disorders can come through genes. My mother had schizophrenia. I am so worried that I can also have it. I am depressed in the evenings daily, and I have lost a lot of joy in my life with feelings. I am thinking about the psychological disorders every day. Please suggest some medication or counseling. [/INST] Hi. Psychiatric disorders including schizophrenia do not follow a direct mendelian inheritance, and they have multifactorial etiologies. If your mother has schizophrenia, then you have an increased risk of having schizophrenia or other psychiatric disorders. But that risk is not very high. So stop remaining anxious. You are repeatedly thinking about psychiatric disorders, and it is due to anxiety. You do not have schizophrenia. Just stay relaxed and spend your time in constructive activities and you will be alright. |
Q. I have red rashes and itching around the vagina. Kindly prescribe some medication. | Hi doctor, I am 59 years old. I have red rashes and itching around the vaginal area. I am not sexually active. Itching increases during night time. Kindly prescribe some medication. | Hi. You can have rashes and itching due to a vaginal infection. Please get yourself checked by a gynecologist internally and get a vaginal swab test done. Avoid having sex till then. Wear cotton panties, and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with ordinary tap water whenever you use a washroom. Avoid using vaginal douches and creams. Revert me with the reports so that I can guide you further. |
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Hi doctor, I am 59 years old. I have red rashes and itching around the vaginal area. I am not sexually active. Itching increases during night time. Kindly prescribe some medication. [/INST] Hi. You can have rashes and itching due to a vaginal infection. Please get yourself checked by a gynecologist internally and get a vaginal swab test done. Avoid having sex till then. Wear cotton panties, and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with ordinary tap water whenever you use a washroom. Avoid using vaginal douches and creams. Revert me with the reports so that I can guide you further. |
Q. What causes piles? Please suggest some medicines. | Hi doctor, I have piles for the past two months. Please suggest some medicines. | Hi. Sedentary lifestyle, eating oily and spicy junk foods, smoking and drinking habits are the common causes to have piles. It can be managed naturally through ayurvedic medicines and lifestyle changes. Avoid eating spicy and fried junk foods. Do regular kapalbhati Mandhukashana and Ardhamatsyendrasana. Drink plenty of water. Avoid smoking and drinking if you have these habits. Eat fibrous foods and fruits as well as green leafy vegetables. Do these things and provide your valuable feedback after fifteen days. |
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Hi doctor, I have piles for the past two months. Please suggest some medicines. [/INST] Hi. Sedentary lifestyle, eating oily and spicy junk foods, smoking and drinking habits are the common causes to have piles. It can be managed naturally through ayurvedic medicines and lifestyle changes. Avoid eating spicy and fried junk foods. Do regular kapalbhati Mandhukashana and Ardhamatsyendrasana. Drink plenty of water. Avoid smoking and drinking if you have these habits. Eat fibrous foods and fruits as well as green leafy vegetables. Do these things and provide your valuable feedback after fifteen days. |
Q. Why do I have pain in jaws after a filling? | Hi doctor, I had a bad cavity, and I filled it. After doing it, I started to have pain on my jaws and the areas around the tooth. My dentist is not available for a few days. What can I do now? | Hi. I have gone through the query (attachment removed to protect patient identity). I can see high points. The uneven pressure on the tooth causes tenderness in your jaw. You have to reduce the high points present in the filling soon and make it as even. You can take Paracetamol 500 mg for the pain until you visit your dentist. |
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Hi doctor, I had a bad cavity, and I filled it. After doing it, I started to have pain on my jaws and the areas around the tooth. My dentist is not available for a few days. What can I do now? [/INST] Hi. I have gone through the query (attachment removed to protect patient identity). I can see high points. The uneven pressure on the tooth causes tenderness in your jaw. You have to reduce the high points present in the filling soon and make it as even. You can take Paracetamol 500 mg for the pain until you visit your dentist. |
Q. Kindly advise management of fever, cold, cough, sore throat, and body pain. | Hello doctor, Fever, cold, cough, sore throat, body pain. Please suggest some medicine. For the past two days, it is there. It is for my husband and his age is 39. | Hello. Your husband could have acute pharyngitis like infective cause. It could be a viral infection for which symptomatic management can be done. You can be prescribed Vitamin C 500 mg BD for five days. It is advisable to take Levocetirizine or Phenylephrine like decongestant. Diluted Betadine gargle will be beneficial for you. If no improvement, then further work-up is needed in form of ASO titer and CBC. |
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Hello doctor, Fever, cold, cough, sore throat, body pain. Please suggest some medicine. For the past two days, it is there. It is for my husband and his age is 39. [/INST] Hello. Your husband could have acute pharyngitis like infective cause. It could be a viral infection for which symptomatic management can be done. You can be prescribed Vitamin C 500 mg BD for five days. It is advisable to take Levocetirizine or Phenylephrine like decongestant. Diluted Betadine gargle will be beneficial for you. If no improvement, then further work-up is needed in form of ASO titer and CBC. |
Q. There is neck infection in a 4-month-old baby. Please help. | Hello doctor, My baby boy is 4 months old. He is suffering from neck infection. | Hi. I have gone through your query and reviewed the attached photograph (attachment removed to protect patient identity). Your child is having intertrigo which is inflammation of the body fold. I would recommend you to apply Clobetasone and Miconazole cream (Eumosone M cream) on the affected area twice daily for seven days. Also, keep the area dry and clean. |
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Hello doctor, My baby boy is 4 months old. He is suffering from neck infection. [/INST] Hi. I have gone through your query and reviewed the attached photograph (attachment removed to protect patient identity). Your child is having intertrigo which is inflammation of the body fold. I would recommend you to apply Clobetasone and Miconazole cream (Eumosone M cream) on the affected area twice daily for seven days. Also, keep the area dry and clean. |
Q. What does the blood test taken for sudden hearing loss indicate? | Hello doctor, I had a sudden hearing loss twice and because it happened twice, I was sent for a plethora of blood tests. My ANA was negative but I noticed two markers out of range. I was wondering if you could give any insight into these blood test results? | Hello. I went through your post and investigations (attachment removed to protect patient identity), there are two things which I presume you think are abnormal. CK (creatine kinase), it is an enzyme produced by heart muscle and skeletal muscle. So, is elevated in people with muscle or heart disease but low levels have no significance and are common in people with a sedentary lifestyle who do not exert much. Anti-histone antibodies are seen in people with drug-induced lupus so if one does not have other features of lupus as in your case the hearing loss is not a criterion for lupus (ACR criteria for SLE). It has little or no importance. I think there is a possibility of Meniere's disease for which you should get investigated that can cause sudden temporary hearing loss. |
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Hello doctor, I had a sudden hearing loss twice and because it happened twice, I was sent for a plethora of blood tests. My ANA was negative but I noticed two markers out of range. I was wondering if you could give any insight into these blood test results? [/INST] Hello. I went through your post and investigations (attachment removed to protect patient identity), there are two things which I presume you think are abnormal. CK (creatine kinase), it is an enzyme produced by heart muscle and skeletal muscle. So, is elevated in people with muscle or heart disease but low levels have no significance and are common in people with a sedentary lifestyle who do not exert much. Anti-histone antibodies are seen in people with drug-induced lupus so if one does not have other features of lupus as in your case the hearing loss is not a criterion for lupus (ACR criteria for SLE). It has little or no importance. I think there is a possibility of Meniere's disease for which you should get investigated that can cause sudden temporary hearing loss. |
Q. What can be done for neck pain due to prolonged sitting? | Hello doctor, I have to sit nine hours per day at work. Due to long time sitting, there is a pain in my neck. What should I do to get rid of this pain? | Hello. A very common issue with people working on the desk. Long hours at a stretch spent in poor posture and bad ergonomic position leads to the symptoms you describe. I will recommend reading about the correct office or desk posture and making changes to your laptop screen height, chair height and distance from the screen, etc., online. Isometric neck exercises to strengthen the neck muscles and a stint of physiotherapy will help in the long run. Also, to note that at a stretch do not spend time on the desk for more than 25 to 30 minutes. Finally, posture applies to the use of smartphones, watching TV, reading books in bed, etc. |
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Hello doctor, I have to sit nine hours per day at work. Due to long time sitting, there is a pain in my neck. What should I do to get rid of this pain? [/INST] Hello. A very common issue with people working on the desk. Long hours at a stretch spent in poor posture and bad ergonomic position leads to the symptoms you describe. I will recommend reading about the correct office or desk posture and making changes to your laptop screen height, chair height and distance from the screen, etc., online. Isometric neck exercises to strengthen the neck muscles and a stint of physiotherapy will help in the long run. Also, to note that at a stretch do not spend time on the desk for more than 25 to 30 minutes. Finally, posture applies to the use of smartphones, watching TV, reading books in bed, etc. |
Q. Had sex during last month periods, taken i-pill and missed period this month. Am I pregnant? | Hello doctor, Actually, I had sex with my partner during period. And after that, I have taken i-pill within 12 hours. After two days my period stopped and now about one month passed but my period did not start yet and I tested with pregnancy kit with negative results. Some white liquid is leaking and some symptoms make me to feel like I am pregnant. What should I do? I am confused because the kit shows negative. Please help. | Hello, Welcome to icliniq.com. I have gone through your query. As the urine pregnancy test is negative, you are definitely not pregnant right now. Sometimes the premenstrual symptoms can also be similar to pregnancy because of similar hormones acting in both the situations. Some amount of menstrual disturbances are known side effects of the emergency contraceptive pill. So if you still have a doubt you can recheck it again after three to four days with an early morning sample. If still negative, you can be sure you are not pregnant. Just wait for a week for periods to come. Please use a better and consistent method of birth control in the future like oral contraceptive pills or condoms, and repeated emergency contraceptive pill can take a toll on your hormonal balance. I hope this helps. |
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Hello doctor, Actually, I had sex with my partner during period. And after that, I have taken i-pill within 12 hours. After two days my period stopped and now about one month passed but my period did not start yet and I tested with pregnancy kit with negative results. Some white liquid is leaking and some symptoms make me to feel like I am pregnant. What should I do? I am confused because the kit shows negative. Please help. [/INST] Hello, Welcome to icliniq.com. I have gone through your query. As the urine pregnancy test is negative, you are definitely not pregnant right now. Sometimes the premenstrual symptoms can also be similar to pregnancy because of similar hormones acting in both the situations. Some amount of menstrual disturbances are known side effects of the emergency contraceptive pill. So if you still have a doubt you can recheck it again after three to four days with an early morning sample. If still negative, you can be sure you are not pregnant. Just wait for a week for periods to come. Please use a better and consistent method of birth control in the future like oral contraceptive pills or condoms, and repeated emergency contraceptive pill can take a toll on your hormonal balance. I hope this helps. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What is the reason for blood in urine? | Hi doctor, My friend has seen just a pinch of blood while urinating. He immediately went to the doctor and they asked him to take some tests. I am attaching the reports. Please tell me if anything is serious. He does heavy gyming and running as well. | Hi. I have seen your urine report. First of all do not panic This is occasionally hematuria from the external urethral tract, not from kidney due to heavy exercise, mild trauma or ureteric stone. In the urine report, no blood is detected, it is completely normal. If he has any pain during urination or recurring blood in urine, go for USG KUB. |
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Hi doctor, My friend has seen just a pinch of blood while urinating. He immediately went to the doctor and they asked him to take some tests. I am attaching the reports. Please tell me if anything is serious. He does heavy gyming and running as well. [/INST] Hi. I have seen your urine report. First of all do not panic This is occasionally hematuria from the external urethral tract, not from kidney due to heavy exercise, mild trauma or ureteric stone. In the urine report, no blood is detected, it is completely normal. If he has any pain during urination or recurring blood in urine, go for USG KUB. |
Q. There is tooth sensitivity even after getting a filling done. Please advise. | Hello doctor, I had a filling done last week on my distal lateral incisor. It was pretty sensitive for a few days but it dissipated. This morning, after I brushed and flossed, the sensitivity to cold air returned and was getting progressively worse with throbbing and a headache. I took four 200 mg Ibuprofen which is stopping the throbbing. Is sensitivity like this normal? No allergies, no medications, 5'3'' height, weight 115. | Hi. I have gone through your question. I can understand your concern. I think there is a breach or dislodging of filling. You need to visit the dentist again and get a dental X-ray (IOPAR) done. It is reversible pulpitis and you will feel pain and sensitivity. Use fluoridated toothpaste and take Aceclofenac 200 mg twice daily till you visit the dentist. |
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Hello doctor, I had a filling done last week on my distal lateral incisor. It was pretty sensitive for a few days but it dissipated. This morning, after I brushed and flossed, the sensitivity to cold air returned and was getting progressively worse with throbbing and a headache. I took four 200 mg Ibuprofen which is stopping the throbbing. Is sensitivity like this normal? No allergies, no medications, 5'3'' height, weight 115. [/INST] Hi. I have gone through your question. I can understand your concern. I think there is a breach or dislodging of filling. You need to visit the dentist again and get a dental X-ray (IOPAR) done. It is reversible pulpitis and you will feel pain and sensitivity. Use fluoridated toothpaste and take Aceclofenac 200 mg twice daily till you visit the dentist. |
Q. I consumed food containing toxin. Please help. | Hello doctor, While I was having fast food in a restaurant, I found some material not familiar to me in the food. Two days later, I visited the same restaurant and had the same food. But there was no similar material that I found two days ago. After that event, I have been thinking if that substance is fatal to health. Of course, that seems very unrealistic since I am still alive. I am very confused. If I eat some toxic chemical substances which have toxins, is it possible for that substance to act later or very slowly (maybe two to five months later) ? I know that our body has the function of detoxifying the toxins. Even then I am scared our body might fail to detoxify. If I know what material it was, I do not need to worry. But, since I do not know the toxic material, I am very curious and scared. Please explain to me in detail. Sorry to ask such an odd question. | Hi. I would like to give a scientific explanation of food/chemical toxicity. The ingredients used to prepare fast food may not always be the same. The cook may use different brands, different batch of the same manufacturer, or different item itself. The procedure of cooking is also subjective. Hence the taste what we get once may be different from the second time. A difference in the taste or missing something second time compared to the previous time also happens due to consumer psychology (who eats the food), the level of hunger or mood or the environment. And you are healthy in other words alive after eating that food which means it is not fatal to you. There are many dangerous or toxic foodstuff which we use commonly. It includes vegetables exposed to pesticides, meat exposed to antibiotics/hormones during farming, preservatives, flavors, taste enhancers (including some chemicals which make you addicted to using it again). Our body can detoxify and excrete a few of these toxins. It is possible for a toxin to act in the body or show its bad effect for a maximum of one week. The washout period for any chemical is 14 days. It means after 14 days, any type of toxin gets excreted out of the body. Hence it cannot show its effect after one month. Consuming the same chemical daily through food or exposure to chemical hazards continuously can produce some amount of visible bad effects on the body organs such as liver or kidney. It will not happen with a single dose. If the single dose is high, then the side effects appear immediately and go off gradually after few days. The amount of toxins deposited within the body gets detoxified slowly and will be excreted over a period of time. Thus, the amount/volume of toxin in the body will be definitely lesser than earlier. One-time exposure will never cause late effects in the body. Either it shows its bad effect immediately or as early as possible. No later effect is possible. Long time exposure to chemicals will affect the liver or kidney, and they get altered in their microscopic structure. Because of this structural alteration, the function of that organ gets affected. This can be clinically seen with some symptoms. There are laboratory investigations to check the damage caused to any particular organ. This will tell you if the liver/kidney is affected or not. But, such a damage will never happen with single exposure to toxins in food. |
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Hello doctor, While I was having fast food in a restaurant, I found some material not familiar to me in the food. Two days later, I visited the same restaurant and had the same food. But there was no similar material that I found two days ago. After that event, I have been thinking if that substance is fatal to health. Of course, that seems very unrealistic since I am still alive. I am very confused. If I eat some toxic chemical substances which have toxins, is it possible for that substance to act later or very slowly (maybe two to five months later) ? I know that our body has the function of detoxifying the toxins. Even then I am scared our body might fail to detoxify. If I know what material it was, I do not need to worry. But, since I do not know the toxic material, I am very curious and scared. Please explain to me in detail. Sorry to ask such an odd question. [/INST] Hi. I would like to give a scientific explanation of food/chemical toxicity. The ingredients used to prepare fast food may not always be the same. The cook may use different brands, different batch of the same manufacturer, or different item itself. The procedure of cooking is also subjective. Hence the taste what we get once may be different from the second time. A difference in the taste or missing something second time compared to the previous time also happens due to consumer psychology (who eats the food), the level of hunger or mood or the environment. And you are healthy in other words alive after eating that food which means it is not fatal to you. There are many dangerous or toxic foodstuff which we use commonly. It includes vegetables exposed to pesticides, meat exposed to antibiotics/hormones during farming, preservatives, flavors, taste enhancers (including some chemicals which make you addicted to using it again). Our body can detoxify and excrete a few of these toxins. It is possible for a toxin to act in the body or show its bad effect for a maximum of one week. The washout period for any chemical is 14 days. It means after 14 days, any type of toxin gets excreted out of the body. Hence it cannot show its effect after one month. Consuming the same chemical daily through food or exposure to chemical hazards continuously can produce some amount of visible bad effects on the body organs such as liver or kidney. It will not happen with a single dose. If the single dose is high, then the side effects appear immediately and go off gradually after few days. The amount of toxins deposited within the body gets detoxified slowly and will be excreted over a period of time. Thus, the amount/volume of toxin in the body will be definitely lesser than earlier. One-time exposure will never cause late effects in the body. Either it shows its bad effect immediately or as early as possible. No later effect is possible. Long time exposure to chemicals will affect the liver or kidney, and they get altered in their microscopic structure. Because of this structural alteration, the function of that organ gets affected. This can be clinically seen with some symptoms. There are laboratory investigations to check the damage caused to any particular organ. This will tell you if the liver/kidney is affected or not. But, such a damage will never happen with single exposure to toxins in food. |
Q. Kindly advise treatment for hoarse voice, nasal congestion, cough, and sore throat. | Hello doctor, My conditions are serious from a few days. My symptoms are hoarse voice, nasal congestion both nose and ear, coughing, sore throat. Please suggest me. | Hello. You seem to be suffering from acute viral upper respiratory tract infection which is a common type of nose and throat infection in this season. You need to take antibiotics, anti cold medicines and decongestant nasal drops for a few days. I am going to prescribe generic names of the medicines so that you can get it in your place. Tablet Cefixime 200 mg two times daily after food for five days. Tablet Chlorpheniramine maleate and Phenylephrine, Paracetamol (fixed dose combination) three times daily for three days after food. Xylometazoline nasal drops three drops three times daily for three days. You can do steam inhalation two times daily for a few days for faster recovery. |
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Hello doctor, My conditions are serious from a few days. My symptoms are hoarse voice, nasal congestion both nose and ear, coughing, sore throat. Please suggest me. [/INST] Hello. You seem to be suffering from acute viral upper respiratory tract infection which is a common type of nose and throat infection in this season. You need to take antibiotics, anti cold medicines and decongestant nasal drops for a few days. I am going to prescribe generic names of the medicines so that you can get it in your place. Tablet Cefixime 200 mg two times daily after food for five days. Tablet Chlorpheniramine maleate and Phenylephrine, Paracetamol (fixed dose combination) three times daily for three days after food. Xylometazoline nasal drops three drops three times daily for three days. You can do steam inhalation two times daily for a few days for faster recovery. |
Q. How to treat social phobia? | Hi doctor, I have social phobia. I have this problem from my childhood. Till now, I have not visited any doctor. I am explaining my common issues. Please go through it and please suggest me. I dislike being introduced to other people. I find hard to go outside. I cannot be confident in front of other people. I hesitate to go through crowds. I have a fear to go to parties. I have a fear to have eye contact. I cannot concentrate on my work. I find it hard to socialize with other people. I feel hard to talk in front of other people. I feel anxious when I go to social ceremonies or functions. I generally want to stay silent always. I have a fear to talk with others. It makes me depressed. I have a fear to give a speech in front of other people. My mind is going blank, and I am very nervous. Please give me useful advice. | Hi. I have gone through your problem, and I can understand your concern. You have social phobia and anxiety disorder. You need to consult a psychiatrist soon as depression and avoidant personality disorder are difficult to differentiate from a social anxiety disorder. In social phobia, SSRI (selective serotonin reuptake inhibitor) and psychotherapy such as cognitive retraining, homework assignment, and desensitization are helpful. |
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Hi doctor, I have social phobia. I have this problem from my childhood. Till now, I have not visited any doctor. I am explaining my common issues. Please go through it and please suggest me. I dislike being introduced to other people. I find hard to go outside. I cannot be confident in front of other people. I hesitate to go through crowds. I have a fear to go to parties. I have a fear to have eye contact. I cannot concentrate on my work. I find it hard to socialize with other people. I feel hard to talk in front of other people. I feel anxious when I go to social ceremonies or functions. I generally want to stay silent always. I have a fear to talk with others. It makes me depressed. I have a fear to give a speech in front of other people. My mind is going blank, and I am very nervous. Please give me useful advice. [/INST] Hi. I have gone through your problem, and I can understand your concern. You have social phobia and anxiety disorder. You need to consult a psychiatrist soon as depression and avoidant personality disorder are difficult to differentiate from a social anxiety disorder. In social phobia, SSRI (selective serotonin reuptake inhibitor) and psychotherapy such as cognitive retraining, homework assignment, and desensitization are helpful. |
Q. What is the possibility of potential ectopic pregnancy while on contraceptive pills? | Hello doctor, I was wondering if I could ask a few questions about a potential ectopic pregnancy? I recently started new birth control (after not taking any sort of birth control for three months) called Drospirenone and Ethinyl tablets, USP (3mg/0.02mg) and I am now on day 22 of taking the pills. I had unprotected sex within the first week of taking the pill. However, I have always had a really light period and rarely got a period when I was previously taking birth control. The last day, I had unproductive sex was exactly 19 days ago. However, about five days ago, I started to have more intense cramps on the same side and I am also bleeding. This is what it felt like last year before I took a test, just way less severe. I looked online and learned that I can take a pregnancy test at least 19 days after intercourse, so I just took one, and it came back negative. I am not sure if I am having an ectopic pregnancy or it is just too early to tell if this could be a side effect of the new birth control? Or if this is just my regular period (despite it starting in the middle of my pack)? | Hello. You have to know that contraceptive pills will prevent a future pregnancy if you have taken the pills for seven days. After that, you can have unprotected sexual intercourse. So before that you have to use another form of contraception. Also, if you have had sexual intercourse not in your ovulatory day (that means at first day of your cycle), the possibility of a pregnancy is low. The urinary test has a high acurracy, if you perform that after a week of menstrual delay. I read that you have experienced a rupture ectopic pregnancy last year. The typical symptoms of an ectopic pregnancy are missed period, abdominal pain, cramps, and spotting. I recommend you a b-HCG (human chorionic gonadotropin) blood test. You can repeat that every 48 hours to detect a future pregnancy. It will double its value in an intrauterine pregnancy, meanwhile, the rise of b-HCG value in an ectopic pregnancy has another pattern less than a normal pregnancy. Also, the COC and the medication that you take can affect your cycle. I would recommend b-HCG blood test at first. If you have the bleeding within your expected date without delay, it would be your cycle that has come. |
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Hello doctor, I was wondering if I could ask a few questions about a potential ectopic pregnancy? I recently started new birth control (after not taking any sort of birth control for three months) called Drospirenone and Ethinyl tablets, USP (3mg/0.02mg) and I am now on day 22 of taking the pills. I had unprotected sex within the first week of taking the pill. However, I have always had a really light period and rarely got a period when I was previously taking birth control. The last day, I had unproductive sex was exactly 19 days ago. However, about five days ago, I started to have more intense cramps on the same side and I am also bleeding. This is what it felt like last year before I took a test, just way less severe. I looked online and learned that I can take a pregnancy test at least 19 days after intercourse, so I just took one, and it came back negative. I am not sure if I am having an ectopic pregnancy or it is just too early to tell if this could be a side effect of the new birth control? Or if this is just my regular period (despite it starting in the middle of my pack)? [/INST] Hello. You have to know that contraceptive pills will prevent a future pregnancy if you have taken the pills for seven days. After that, you can have unprotected sexual intercourse. So before that you have to use another form of contraception. Also, if you have had sexual intercourse not in your ovulatory day (that means at first day of your cycle), the possibility of a pregnancy is low. The urinary test has a high acurracy, if you perform that after a week of menstrual delay. I read that you have experienced a rupture ectopic pregnancy last year. The typical symptoms of an ectopic pregnancy are missed period, abdominal pain, cramps, and spotting. I recommend you a b-HCG (human chorionic gonadotropin) blood test. You can repeat that every 48 hours to detect a future pregnancy. It will double its value in an intrauterine pregnancy, meanwhile, the rise of b-HCG value in an ectopic pregnancy has another pattern less than a normal pregnancy. Also, the COC and the medication that you take can affect your cycle. I would recommend b-HCG blood test at first. If you have the bleeding within your expected date without delay, it would be your cycle that has come. |
Q. What are the chances of contracting HIV after unprotected sex? | Hello doctor, A guy penetrates my vagina without protection and I do not know his status. It was for approximately for 10 seconds. What are the chances of contracting HIV and should I get a PEP? | Hi. You had a low risk for HIV acquisition. Studies have shown that risk of HIV acquisition through receptive vaginal sex (receiving the penis in vagina) to be 0.08 % (one per 1250 exposures). Post-exposure prophylaxis needs to be started as early as possible within 72 hours of the exposure. |
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Hello doctor, A guy penetrates my vagina without protection and I do not know his status. It was for approximately for 10 seconds. What are the chances of contracting HIV and should I get a PEP? [/INST] Hi. You had a low risk for HIV acquisition. Studies have shown that risk of HIV acquisition through receptive vaginal sex (receiving the penis in vagina) to be 0.08 % (one per 1250 exposures). Post-exposure prophylaxis needs to be started as early as possible within 72 hours of the exposure. |
Q. Please suggest some tips to lose my weight. | Hi doctor, My weight is 80 kilograms. As per my height, my weight should be around 60 to 65 kilograms. Please suggest some tips to lose my weight. | Hi. Start your day with a half liter of warm water followed by eight to ten soaked almonds and raisins. Never start your day with tea or coffee. Then try to do simple exercises like walking or light aerobics. You have to do simple exercise for at least 45 minutes for five days a week. Eat all your meals at a set time. Eat a healthy snack in between your major meals. Choose any one among the following such as a handful of peanuts or any other raw nuts or dry fruits, a bowl of sprouts, or any fruit. Drink at least three liters of water daily. Sleep and wake up at the same time every day. Reduce taking oily foods and sweets. Avoid drinking sugary drinks. Finish your last meal at least two hours before you go to bed. Follow these tips, and you will see a change within a month. |
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Hi doctor, My weight is 80 kilograms. As per my height, my weight should be around 60 to 65 kilograms. Please suggest some tips to lose my weight. [/INST] Hi. Start your day with a half liter of warm water followed by eight to ten soaked almonds and raisins. Never start your day with tea or coffee. Then try to do simple exercises like walking or light aerobics. You have to do simple exercise for at least 45 minutes for five days a week. Eat all your meals at a set time. Eat a healthy snack in between your major meals. Choose any one among the following such as a handful of peanuts or any other raw nuts or dry fruits, a bowl of sprouts, or any fruit. Drink at least three liters of water daily. Sleep and wake up at the same time every day. Reduce taking oily foods and sweets. Avoid drinking sugary drinks. Finish your last meal at least two hours before you go to bed. Follow these tips, and you will see a change within a month. |
Q. Why have I been advised Thyronorm based on my regular check-up results? | Hello doctor, I have pain in right knee and recently went through a periodic medical examination. In the report, I found the following advice. Reduce body weight, low-calorie high fiber diet. Avoid Squatting, tablet Thyronorm 75 mg one tablet before breakfast. Recheck lipids, TSH after 12 weeks. Consult orthopedic surgeon. Is there any issue with my health? | Hello. Your report does not show your laboratory test (attachment removed to protect patient identity). What we have in the abdominal ultrasound is that you have fatty liver. This is a common problem in patients with metabolic syndrome (overweight, high triglycerides, and low HDL, high blood pressure). This is why you are suggested to reduce body weight and have a low-calorie diet. The Thyronorm is prescribed whenever your thyroid hormones are low (this is called hypothyroidism and it a very common disease). I guess (since I do not know your laboratory results) this is what resulted from your tests. Also, when your thyroid hormones are low you usually gain weight, are constipated, and your triglycerides and cholesterol get higher than usual. You need to take the medication 75 mcg, at least 30 to 40 min before breakfast (in order to be absorbed well by your body), every day and recheck your blood thyroid hormones in 6 to 8 weeks (12 weeks is more than recommended in medical articles). Your weight control usually helps knee problems. Acetaminophen 500 mg every 8 or 12 hours can help with the pain and the swelling. If this persists for more than a week you do need to see an orthopedic surgeon in order to search for the cause. |
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Hello doctor, I have pain in right knee and recently went through a periodic medical examination. In the report, I found the following advice. Reduce body weight, low-calorie high fiber diet. Avoid Squatting, tablet Thyronorm 75 mg one tablet before breakfast. Recheck lipids, TSH after 12 weeks. Consult orthopedic surgeon. Is there any issue with my health? [/INST] Hello. Your report does not show your laboratory test (attachment removed to protect patient identity). What we have in the abdominal ultrasound is that you have fatty liver. This is a common problem in patients with metabolic syndrome (overweight, high triglycerides, and low HDL, high blood pressure). This is why you are suggested to reduce body weight and have a low-calorie diet. The Thyronorm is prescribed whenever your thyroid hormones are low (this is called hypothyroidism and it a very common disease). I guess (since I do not know your laboratory results) this is what resulted from your tests. Also, when your thyroid hormones are low you usually gain weight, are constipated, and your triglycerides and cholesterol get higher than usual. You need to take the medication 75 mcg, at least 30 to 40 min before breakfast (in order to be absorbed well by your body), every day and recheck your blood thyroid hormones in 6 to 8 weeks (12 weeks is more than recommended in medical articles). Your weight control usually helps knee problems. Acetaminophen 500 mg every 8 or 12 hours can help with the pain and the swelling. If this persists for more than a week you do need to see an orthopedic surgeon in order to search for the cause. |
Q. I have severe leg cramps at night. What is causing this? | Hello doctor, I am a 55 year old female. I weigh 160 lbs. I have hypothyroidism and take medication daily. Generally, I have severe leg cramps at night in my calves, traveling stinging cramps to the bottom of my feet and toes. What is causing this? | Hi. The causes for these kinds of muscular cramps are not quite clear. It is believed to be associated with chemical imbalance within the muscle cells. Some of the conditions causing these cramps are: No drug is specifically proven to cure these muscle cramps. Once the underlying condition gets corrected, nocturnal cramps usually subside. I suggest you check your blood sugar, complete hemogram and serum electrolytes (calcium, potassium, magnesium). Also check your thyroid status with TSH to assess the effectiveness of your current thyroid medication. We need to rule out a rare possibility named DVT (Deep Vein Thrombosis) with physical examination and if needed color doppler study of your lower limb blood vessels and then proceed with the necessary treatment.I would also suggest you follow the below suggestions to get relief in the meantime. Revert back with the reports to a general practitioner online --> |
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Hello doctor, I am a 55 year old female. I weigh 160 lbs. I have hypothyroidism and take medication daily. Generally, I have severe leg cramps at night in my calves, traveling stinging cramps to the bottom of my feet and toes. What is causing this? [/INST] Hi. The causes for these kinds of muscular cramps are not quite clear. It is believed to be associated with chemical imbalance within the muscle cells. Some of the conditions causing these cramps are: No drug is specifically proven to cure these muscle cramps. Once the underlying condition gets corrected, nocturnal cramps usually subside. I suggest you check your blood sugar, complete hemogram and serum electrolytes (calcium, potassium, magnesium). Also check your thyroid status with TSH to assess the effectiveness of your current thyroid medication. We need to rule out a rare possibility named DVT (Deep Vein Thrombosis) with physical examination and if needed color doppler study of your lower limb blood vessels and then proceed with the necessary treatment.I would also suggest you follow the below suggestions to get relief in the meantime. Revert back with the reports to a general practitioner online --> |
Q. Is unhealed mouth sore the first sign of oral cancer? | Hi doctor, I have pain in some tooth on the right side of the jaw. I went to a dentist, and the doctor did an X-ray. The dentist concluded that it is probably due to clenching or grinding of the tooth. He suggested me a mouthguard. I have given impressions for a mouth guard. But still, I have mild pain. For a few weeks back, I have realized that I am biting the inner part of the cheek and tongue. After a week, I had an ulcer or sore in my mouth. It does not get healed. I saw a doctor again, and he prescribed me Orajel and an antifungal mouth rinse. I have attached the images of the mouth sore which is not healing. Could you please take a look at the picture of the sore on my inner part of the mouth? Please suggest me whether it is the first sign of oral cancer. Do I need to get screened? How long should I have to wait for the mouth ulcer or the sore to get healed? | Hi. I have gone through the images (attachment removed to protect patient identity). It looks like a well indurated mucosal ulcer. Being oral cancer is unlikely. Please mention about your habits regarding tobacco chewing or any other habit. Generally, oral ulcer takes three to four weeks to get healed. It depends on the cause. There are multiple causes such as vitamin deficiency, iron deficiency, viral and other immunocompromised diseases. Do CBC (complete blood count), VDRL (venereal disease research laboratory test), vitamin B12, and folic acid. Revert me with the reports. Continue using an antifungal mouth rinse, use Orajel (Benzocaine) and take B complex tablets daily for 15 days. |
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Hi doctor, I have pain in some tooth on the right side of the jaw. I went to a dentist, and the doctor did an X-ray. The dentist concluded that it is probably due to clenching or grinding of the tooth. He suggested me a mouthguard. I have given impressions for a mouth guard. But still, I have mild pain. For a few weeks back, I have realized that I am biting the inner part of the cheek and tongue. After a week, I had an ulcer or sore in my mouth. It does not get healed. I saw a doctor again, and he prescribed me Orajel and an antifungal mouth rinse. I have attached the images of the mouth sore which is not healing. Could you please take a look at the picture of the sore on my inner part of the mouth? Please suggest me whether it is the first sign of oral cancer. Do I need to get screened? How long should I have to wait for the mouth ulcer or the sore to get healed? [/INST] Hi. I have gone through the images (attachment removed to protect patient identity). It looks like a well indurated mucosal ulcer. Being oral cancer is unlikely. Please mention about your habits regarding tobacco chewing or any other habit. Generally, oral ulcer takes three to four weeks to get healed. It depends on the cause. There are multiple causes such as vitamin deficiency, iron deficiency, viral and other immunocompromised diseases. Do CBC (complete blood count), VDRL (venereal disease research laboratory test), vitamin B12, and folic acid. Revert me with the reports. Continue using an antifungal mouth rinse, use Orajel (Benzocaine) and take B complex tablets daily for 15 days. |
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 2-year-old daughter is getting seizure around 15-30 seconds in sleep. Please help. | Hi doctor, I would like to have a second opening regarding my daughter's case. She is just 2 years old and she was having some seizures at night while asleep. For 10-15 days, we started to observe that she is having jerking movements, stiffening of the body, and sometimes teeth grinding for about 15-30 seconds. I am attaching her consultation and lab report for details. | Hello. I can understand your concern. According to your statement, your two years baby has been suffering from seizure which lasts for 15-30 seconds. Anything that interrupts the normal connection between nerve cells in the brain can cause a seizure. This includes high fever, high or low blood sugar, drug withdrawal, or brain injury. There is various type of seizures like absence seizure, tonic-clonic seizure, atonic seizure, clonic seizure, tonic seizure, myoclonic seizure, etc. By CBC, EEG, and MRI of brain, we can detect the type of seizure and then treat them accordingly. As soon as you know your child is starting to have a seizure, you should gently try to get your baby in a position where your baby is safe. Stay with ur child. Do not put anything in your child's mouth. Do not try to stop or restrain the child's movement. Children often foam at the mouth during a seizure, wash that carefully. |
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Hi doctor, I would like to have a second opening regarding my daughter's case. She is just 2 years old and she was having some seizures at night while asleep. For 10-15 days, we started to observe that she is having jerking movements, stiffening of the body, and sometimes teeth grinding for about 15-30 seconds. I am attaching her consultation and lab report for details. [/INST] Hello. I can understand your concern. According to your statement, your two years baby has been suffering from seizure which lasts for 15-30 seconds. Anything that interrupts the normal connection between nerve cells in the brain can cause a seizure. This includes high fever, high or low blood sugar, drug withdrawal, or brain injury. There is various type of seizures like absence seizure, tonic-clonic seizure, atonic seizure, clonic seizure, tonic seizure, myoclonic seizure, etc. By CBC, EEG, and MRI of brain, we can detect the type of seizure and then treat them accordingly. As soon as you know your child is starting to have a seizure, you should gently try to get your baby in a position where your baby is safe. Stay with ur child. Do not put anything in your child's mouth. Do not try to stop or restrain the child's movement. Children often foam at the mouth during a seizure, wash that carefully. |
Q. My sugar levels are high along with painful weak limbs. What to do? | Hello doctor, I am having some weakness issue and pain in limbs. I am diabetic for the last five years. My current fasting blood glucose level is 200 and PP is 278. HbA1c is 8.5. Current medicines are Galvus Met 50/1000 twice daily. Diamicron XR 60 two tablets. Pioglit 30 once during dinner. Supradyne once before food. | Hello. I have seen the details given, including the laboratory reports (attachment removed to protect patient identity). Your blood glucose (both fasting and PP) are high. Fasting is particularly much higher. HbA1c % is also fairly high, both these suggest there is improper control of diabetes. This itself can be the cause of weakness. Ideally in well-controlled diabetes fasting glucose should be <100 mg, PP 150 to 160 mg and HbA1c % < 6.8. Therefore, looking at this situation there is a need for upgrading the treatment with some additional drugs plus there has to be a closer look given to your diet and exercise schedule. So, I would like to know your diet pattern and extent of daily exercise being done. I suggest an addition of tablet Teneligliptin 20 mg plus Metformin daily once just after lunch. I am enclosing the prescription. |
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Hello doctor, I am having some weakness issue and pain in limbs. I am diabetic for the last five years. My current fasting blood glucose level is 200 and PP is 278. HbA1c is 8.5. Current medicines are Galvus Met 50/1000 twice daily. Diamicron XR 60 two tablets. Pioglit 30 once during dinner. Supradyne once before food. [/INST] Hello. I have seen the details given, including the laboratory reports (attachment removed to protect patient identity). Your blood glucose (both fasting and PP) are high. Fasting is particularly much higher. HbA1c % is also fairly high, both these suggest there is improper control of diabetes. This itself can be the cause of weakness. Ideally in well-controlled diabetes fasting glucose should be <100 mg, PP 150 to 160 mg and HbA1c % < 6.8. Therefore, looking at this situation there is a need for upgrading the treatment with some additional drugs plus there has to be a closer look given to your diet and exercise schedule. So, I would like to know your diet pattern and extent of daily exercise being done. I suggest an addition of tablet Teneligliptin 20 mg plus Metformin daily once just after lunch. I am enclosing the prescription. |
Q. What is the treatment for lower back pain? | Hello doctor, There is pain near the lower back portion above the tailbone in the right side, little swelling too. There is no problem in walking but sometimes it pains too much on some jerk or stretch. | Hi. This seems like coccydynia, pain of coccyx bone or near to it. Did you have a fall on your tailbone a week back? Also, if you had lifted something heavy, this kind of pain may come to lower back and may get radiated to buttocks or lower. Do hot pack for 3 to 4 minutes and ice pack 1 to 2 minutes, at least two sessions in a day. If you have any local pain relief cream, please apply it locally. Those painkillers will not work for this pain. Let me know in five days. |
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Hello doctor, There is pain near the lower back portion above the tailbone in the right side, little swelling too. There is no problem in walking but sometimes it pains too much on some jerk or stretch. [/INST] Hi. This seems like coccydynia, pain of coccyx bone or near to it. Did you have a fall on your tailbone a week back? Also, if you had lifted something heavy, this kind of pain may come to lower back and may get radiated to buttocks or lower. Do hot pack for 3 to 4 minutes and ice pack 1 to 2 minutes, at least two sessions in a day. If you have any local pain relief cream, please apply it locally. Those painkillers will not work for this pain. Let me know in five days. |
Q. Can I have a chance to become pregnant even after taking Yasmin? | Hi doctor, I removed IUD recently as I was not sexually active. I had unprotected sex after a week, and I took Yasmin. I read that increased intake of Yasmin can work as an emergency pill. I took five tablets in the afternoon, another five tablets after eight hours and again five tablets after six hours. I got my last period before a month, and it was delayed for two days when I had unprotected sex. Can I have a chance to become pregnant even after taking Yasmin? | Hi. Please tell the exact time of IUD removal, the precise time of the last period, current period and the last exposure. |
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Hi doctor, I removed IUD recently as I was not sexually active. I had unprotected sex after a week, and I took Yasmin. I read that increased intake of Yasmin can work as an emergency pill. I took five tablets in the afternoon, another five tablets after eight hours and again five tablets after six hours. I got my last period before a month, and it was delayed for two days when I had unprotected sex. Can I have a chance to become pregnant even after taking Yasmin? [/INST] Hi. Please tell the exact time of IUD removal, the precise time of the last period, current period and the last exposure. |
Q. Is it necessary to do a surgery for inflamed eye carbuncle? | Hello doctor, I have a small ball in the corner of my left eye, (on my nose side). I have looked it up and apparently, it is an inflamed eye carbuncle. The surrounding area inside my eye is becoming increasingly red. Please what is the regular treatment for this? Do I need surgery? I am taking antibiotic eye drops, prescribed yesterday by a general doctor. The drops are named Ofloxacin. | Hi. Good that you are taking antibiotics, in addition to it, take anti-inflammatory drops like Flurbiprofen eye drops. If still severe pain or redness, you may need oral anti-inflammatory drugs like Serratiopeptidase. Do apply hot compresses. No surgery required for now. See an eye doctor nearby. Take care. |
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Hello doctor, I have a small ball in the corner of my left eye, (on my nose side). I have looked it up and apparently, it is an inflamed eye carbuncle. The surrounding area inside my eye is becoming increasingly red. Please what is the regular treatment for this? Do I need surgery? I am taking antibiotic eye drops, prescribed yesterday by a general doctor. The drops are named Ofloxacin. [/INST] Hi. Good that you are taking antibiotics, in addition to it, take anti-inflammatory drops like Flurbiprofen eye drops. If still severe pain or redness, you may need oral anti-inflammatory drugs like Serratiopeptidase. Do apply hot compresses. No surgery required for now. See an eye doctor nearby. Take care. |
Q. Kindly tell the treatment for recurrent cough and fever in a 5-year-old. | Hi doctor, My 5-year-old boy has a cough for three days and today he has a mild fever too. He also has a runny nose and watery eyes. Last month also he had a viral cold infection. Can you please guide me what should I do? I am giving him honey. And he gets sick so much. And he has a runny nose almost all the time. I think he has rhinitis allergies. But I am not sure. | Hi. Please continue giving honey to the child as one tablespoon twice a day. You can also give the honey in warm milk to provide a soothing effect. You can give Panadol for the fever. However, with regards to the child falling ill recurrently with a cough, cold and fever, it seems more so like a hyperreactive airway disease. We may need to start the child on Montelukast for a few months and see the change. |
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Hi doctor, My 5-year-old boy has a cough for three days and today he has a mild fever too. He also has a runny nose and watery eyes. Last month also he had a viral cold infection. Can you please guide me what should I do? I am giving him honey. And he gets sick so much. And he has a runny nose almost all the time. I think he has rhinitis allergies. But I am not sure. [/INST] Hi. Please continue giving honey to the child as one tablespoon twice a day. You can also give the honey in warm milk to provide a soothing effect. You can give Panadol for the fever. However, with regards to the child falling ill recurrently with a cough, cold and fever, it seems more so like a hyperreactive airway disease. We may need to start the child on Montelukast for a few months and see the change. |
Q. I have intense itching in my vagina. How to manage it? | Hi doctor, I am a 20-year-old woman. Today morning, when I woke up, I had an intense itching inside my vagina. I was unable to resist it and scratched it with my fingers inside. Now I am having a burning sensation in my vagina. The burning got reduced after I took a bath. But it is still burning very intensely. I have got my periods a few days back. I do not have periods now. I have never faced this issue. Is it something serious? | Hi. The most common cause of vaginal itching is due to a fungal infection. It usually gets reddish and irritated in and around the vagina. Sometimes a little white fluid is present. Often, it does not present with a foul smell. For this, there are several treatment options available. You can use Clotrimazole 2 % cream over the affected area daily for three days. You can also use Miconazole 4 % cream daily for three days. For the pain due to scratching, you can take a painkiller such as Acetaminophen or Ibuprofen and EMLA (Lidocaine with Prilocaine) cream. Apply it to the affected area for every four to six hours. Be careful of the scratches for two to three days. Maintain good hygiene with soap and water. Avoid having sex as you have scratches. It can increase the infection rate. |
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Hi doctor, I am a 20-year-old woman. Today morning, when I woke up, I had an intense itching inside my vagina. I was unable to resist it and scratched it with my fingers inside. Now I am having a burning sensation in my vagina. The burning got reduced after I took a bath. But it is still burning very intensely. I have got my periods a few days back. I do not have periods now. I have never faced this issue. Is it something serious? [/INST] Hi. The most common cause of vaginal itching is due to a fungal infection. It usually gets reddish and irritated in and around the vagina. Sometimes a little white fluid is present. Often, it does not present with a foul smell. For this, there are several treatment options available. You can use Clotrimazole 2 % cream over the affected area daily for three days. You can also use Miconazole 4 % cream daily for three days. For the pain due to scratching, you can take a painkiller such as Acetaminophen or Ibuprofen and EMLA (Lidocaine with Prilocaine) cream. Apply it to the affected area for every four to six hours. Be careful of the scratches for two to three days. Maintain good hygiene with soap and water. Avoid having sex as you have scratches. It can increase the infection rate. |
Q. Kindly tell me the best medicine to cure prostate enlargement. | Hello doctor, I have the condition of enlargement of the prostate for the last over five years. I am 53 years old. I am taking capsule Urimax 40 mg once in a day and I am able to manage the condition. However, it seems that of late, my libido is negative and the sex life is absolutely zero. Though sex at this age is not important but sometimes for the sake of feeling that you are not 70 years male one desires to feel with a certain enthusiasm. So could you please let me know that whether the prostate enlargement and the Urimax is having a fallout on my libido and poor sex life? Is there any mild medicine for the treatment of this condition which is not having any side effect and is not habit forming and has no withdrawal symptoms if the medicine is discontinued after use? | Hi. I have gone through your query. The symptoms of BPH (benign prostatic hyperplasia), if severe can have a negative impact on the sexual drive of the person. The medication that you are currently taking, does not have any effect on libido but itself. That said the most likely reason in your case must be reduced testosterone levels, which can be checked. If reduced, you can be given supplemental testosterone. Also, if your symptoms of BPH are not very severe, there are medications that improve erectile function which are effective for early BPH as well. You can consult with your treating urologist for changing your medication and see if there is an improvement. |
<s>[INST]
Hello doctor, I have the condition of enlargement of the prostate for the last over five years. I am 53 years old. I am taking capsule Urimax 40 mg once in a day and I am able to manage the condition. However, it seems that of late, my libido is negative and the sex life is absolutely zero. Though sex at this age is not important but sometimes for the sake of feeling that you are not 70 years male one desires to feel with a certain enthusiasm. So could you please let me know that whether the prostate enlargement and the Urimax is having a fallout on my libido and poor sex life? Is there any mild medicine for the treatment of this condition which is not having any side effect and is not habit forming and has no withdrawal symptoms if the medicine is discontinued after use? [/INST] Hi. I have gone through your query. The symptoms of BPH (benign prostatic hyperplasia), if severe can have a negative impact on the sexual drive of the person. The medication that you are currently taking, does not have any effect on libido but itself. That said the most likely reason in your case must be reduced testosterone levels, which can be checked. If reduced, you can be given supplemental testosterone. Also, if your symptoms of BPH are not very severe, there are medications that improve erectile function which are effective for early BPH as well. You can consult with your treating urologist for changing your medication and see if there is an improvement. |
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