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Description stringlengths 1 1.5k	Patient stringlengths 1 17.7k	Doctor stringlengths 2 11.4k	text stringlengths 77 18.8k
Q. Is it possible for me to get ICL or LASIK for eye power?	Hello doctor, I am 24 years old and have been wearing glasses for myopia for six years. I have spectacle powers -9D and -11D in left and right eyes respectively with some small degrees of astigmatism. I had been consulting doctors for LASIK and ICL. I was found ineligible for LASIK but each doctor has a different opinion on ICL. Some say I am fit while some say I am not. I am really fed up. Please help.	Hi. ICl is a surgical procedure to implant an artificial lens on the natural lens. During the workup of taking up a case for ICL surgery, many parameters are considered as it has a high risk of secondary cataract formation later on. Some of them are endothelial cell count, anterior chamber depth, the angle of the anterior chamber, corneal topography, etc. Only if criteria are met, they proceed for surgery. I may be able to help you more if you can send me the reports of your eye exam.	<s>[INST] Hello doctor, I am 24 years old and have been wearing glasses for myopia for six years. I have spectacle powers -9D and -11D in left and right eyes respectively with some small degrees of astigmatism. I had been consulting doctors for LASIK and ICL. I was found ineligible for LASIK but each doctor has a different opinion on ICL. Some say I am fit while some say I am not. I am really fed up. Please help. [/INST] Hi. ICl is a surgical procedure to implant an artificial lens on the natural lens. During the workup of taking up a case for ICL surgery, many parameters are considered as it has a high risk of secondary cataract formation later on. Some of them are endothelial cell count, anterior chamber depth, the angle of the anterior chamber, corneal topography, etc. Only if criteria are met, they proceed for surgery. I may be able to help you more if you can send me the reports of your eye exam.
Q. How can I manage constipation?	Hello doctor, Acute chronic constipation for the last 20 years. I have been taking in the past multiple medications but could not be cured of constipation. Recently, I started taking capsule Pantocid L in the morning and I found relief to the extent of 40 % from my constipation but still, I am struggling with my constipation and even laxatives are not suiting to my body. Kindly advise. It takes more than two and a half hour to evacuate my bowels. I take a lot of water, papaya and do yoga exercises but constipation is unabated.	Hi. Chronic constipation needs laxatives and life style modification. Some of the people may not be able to tolerate lactulose. Do not worry. We have another kind of laxatives that will not produce gases. Take Peglec one packet (big one) in two liters of water over 3 to 4 hours. It will help to clear your intestine in one go. If you did not clear your stool, repeat on the same day. By the second day, take Laxopeg sachets two sachets at night time. High fiber diet, include more salads in your meals. Adequate amount of water 4 to 5 liters in a day. No junk food. Regular excercise.	<s>[INST] Hello doctor, Acute chronic constipation for the last 20 years. I have been taking in the past multiple medications but could not be cured of constipation. Recently, I started taking capsule Pantocid L in the morning and I found relief to the extent of 40 % from my constipation but still, I am struggling with my constipation and even laxatives are not suiting to my body. Kindly advise. It takes more than two and a half hour to evacuate my bowels. I take a lot of water, papaya and do yoga exercises but constipation is unabated. [/INST] Hi. Chronic constipation needs laxatives and life style modification. Some of the people may not be able to tolerate lactulose. Do not worry. We have another kind of laxatives that will not produce gases. Take Peglec one packet (big one) in two liters of water over 3 to 4 hours. It will help to clear your intestine in one go. If you did not clear your stool, repeat on the same day. By the second day, take Laxopeg sachets two sachets at night time. High fiber diet, include more salads in your meals. Adequate amount of water 4 to 5 liters in a day. No junk food. Regular excercise.
Q. I have flaking in scalp and patches on the body. Please help.	Hi doctor, I have dandruff issue from childhood. Now I have got flakings in the scalp and I got round patches on back and back side of the ear and on the hand, elbow area. They are itchy and size is increasing after month. Please suggest the best treatment.	Hi. With your history it seems like psoriasis, though I cannot confirm without seeing the pictures. Please attach your clinical pictures so that I can look at the extent of involvement and suggest you appropriate treatment.	<s>[INST] Hi doctor, I have dandruff issue from childhood. Now I have got flakings in the scalp and I got round patches on back and back side of the ear and on the hand, elbow area. They are itchy and size is increasing after month. Please suggest the best treatment. [/INST] Hi. With your history it seems like psoriasis, though I cannot confirm without seeing the pictures. Please attach your clinical pictures so that I can look at the extent of involvement and suggest you appropriate treatment.
Q. I have rectal bleeding without any external cuts. Is it hemorrhoid?	Hello doctor, I have been experiencing rectal bleeding for the past 10 days. At first, it was light but today I noticed that the bleeding seems more severe. It dripped a lot and covered the majority of the toilet paper. The stool itself was not red, just light brown and regular as always. I do not think I have any external cuts or wounds because I do not feel any pain or stinging sensation as I wipe. If it were an external wound, it would have healed by now. I have been wiping gently or dabbing to stop the bleeding. Although I feel fine (no external or internal pain), I am anxious and nervous about this development. My rectum does bulge out when I pass stools, so the obvious is hemorrhoids. But the bleeding seems like something from inside.	Hello. Yes, I do agree, you are likely having bleeding from hemorrhoids. My recommendation for you will be: 1. Avoid constipation, take Ispaghol husk 2 tablespoons in a glass of water. Keep it for a good four hours and take it. 2. Take tablet Daflon (Flavonoid) 500 mg 1-0-1 for five days. Do not worry, it will settle. I hope this helps. Constipation, excessive straining, venous insufficiency, increased venous pressure. Hemorrhoids. Take plenty of water. Chew food well. Take a lot of vegetable and fruits.	<s>[INST] Hello doctor, I have been experiencing rectal bleeding for the past 10 days. At first, it was light but today I noticed that the bleeding seems more severe. It dripped a lot and covered the majority of the toilet paper. The stool itself was not red, just light brown and regular as always. I do not think I have any external cuts or wounds because I do not feel any pain or stinging sensation as I wipe. If it were an external wound, it would have healed by now. I have been wiping gently or dabbing to stop the bleeding. Although I feel fine (no external or internal pain), I am anxious and nervous about this development. My rectum does bulge out when I pass stools, so the obvious is hemorrhoids. But the bleeding seems like something from inside. [/INST] Hello. Yes, I do agree, you are likely having bleeding from hemorrhoids. My recommendation for you will be: 1. Avoid constipation, take Ispaghol husk 2 tablespoons in a glass of water. Keep it for a good four hours and take it. 2. Take tablet Daflon (Flavonoid) 500 mg 1-0-1 for five days. Do not worry, it will settle. I hope this helps. Constipation, excessive straining, venous insufficiency, increased venous pressure. Hemorrhoids. Take plenty of water. Chew food well. Take a lot of vegetable and fruits.
Q. How long should my husband and I wait to try for a baby if we did cocaine?	Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.	Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?	Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?	Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.	Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.	Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->	<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?	Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?	Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->	<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Q. Why do periods get delayed after first time sex?	Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?	Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->	<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
Q. Why am I getting recurrent cold attack in the last 3 years?	Hello doctor, I am suffering from a cold for three years until now. I think it is due to a dust allergy. Please help me.	Hello. The long-term cold is suggestive of allergic respiratory tract infection. You need to investigate with allergic testing for further work up. The causative allergen needs to be avoided like dust, mite, pollen exposure, cold atmosphere, etc. The Levocetirizine or Fexofenadine like anti-allergic medication can be prescribed for your case. Immunotherapy is also beneficial in such cases.	<s>[INST] Hello doctor, I am suffering from a cold for three years until now. I think it is due to a dust allergy. Please help me. [/INST] Hello. The long-term cold is suggestive of allergic respiratory tract infection. You need to investigate with allergic testing for further work up. The causative allergen needs to be avoided like dust, mite, pollen exposure, cold atmosphere, etc. The Levocetirizine or Fexofenadine like anti-allergic medication can be prescribed for your case. Immunotherapy is also beneficial in such cases.
Q. Is there any problem seen in my blood report after bladder surgery?	Hi doctor, I have undergone bladder surgery for poor flow. Now, I have done some blood test. I am in confusion. I have got rheumatic fever before 20 years. I am taking many antibiotics for the past two months. Please suggest.	Hi. I have gone through the attachment (attachment removed to protect patient identity). Your ASO (antistreptolysin O) titer is raised suggesting antibodies against streptococcal metabolites. Your ESR (erythrocyte sedimentation rate) and neutrophil counts are mildly elevated suggesting a mild inflammation in the body. It can be due to urinary tract infection. Kindly continue the medicines recommended by your physician for UTI and consult your urologist for a deeper insight as it may be related to your recent bladder operation.	<s>[INST] Hi doctor, I have undergone bladder surgery for poor flow. Now, I have done some blood test. I am in confusion. I have got rheumatic fever before 20 years. I am taking many antibiotics for the past two months. Please suggest. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Your ASO (antistreptolysin O) titer is raised suggesting antibodies against streptococcal metabolites. Your ESR (erythrocyte sedimentation rate) and neutrophil counts are mildly elevated suggesting a mild inflammation in the body. It can be due to urinary tract infection. Kindly continue the medicines recommended by your physician for UTI and consult your urologist for a deeper insight as it may be related to your recent bladder operation.
Q. I have a rash and white layers over the head of the penis. Is it due to HIV?	Hi doctor, I am 27 years old male. I have a rash and a white layer formation on my head of the penis. It is itchy. I always have this problem for at least a month. I need a permanent solution to get cured. Is this related to any HIV issue? Please help.	Hi. I have gone through the attachment (attachment removed to protect patient identity). This condition is called Balanoposthitis, in which there is inflammation of glans (penis tip) and foreskin. Most often, it is caused by candida (fungus). It is contagious, and it spreads from person to person if there is unprotected sexual intercourse when the infection is active. Please mention about the medicine used for it. Please suggest the history of unprotected sex. You can use topical Clotrimazole 1 % gel or lotion. Apply it to the affected area twice a day after cleaning the area with mild soap and wipe the area with a clean cotton towel. Apply the gel for six to eight weeks. You can take capsule Itraconazole 200 mg one capsule twice a day after food. Always keep the area clean and dry. Avoid using moist inner wear and use a dry one.	<s>[INST] Hi doctor, I am 27 years old male. I have a rash and a white layer formation on my head of the penis. It is itchy. I always have this problem for at least a month. I need a permanent solution to get cured. Is this related to any HIV issue? Please help. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). This condition is called Balanoposthitis, in which there is inflammation of glans (penis tip) and foreskin. Most often, it is caused by candida (fungus). It is contagious, and it spreads from person to person if there is unprotected sexual intercourse when the infection is active. Please mention about the medicine used for it. Please suggest the history of unprotected sex. You can use topical Clotrimazole 1 % gel or lotion. Apply it to the affected area twice a day after cleaning the area with mild soap and wipe the area with a clean cotton towel. Apply the gel for six to eight weeks. You can take capsule Itraconazole 200 mg one capsule twice a day after food. Always keep the area clean and dry. Avoid using moist inner wear and use a dry one.
Q. Is chronic ileitis a curable one?	Hi doctor, I am suffering from IBS since the last year. I am getting diarrhea whenever I eat outside food. Recently, I have been detected with chronic ileitis with activity after colonoscopy. I am ready to send the reports for kind perusal of gastroenterologist. Is it curable? I am now on Mesacol 800 mg three tablets daily and Folvite 5 mg one tablet daily. I am also taking some supplements like Amway nutrilite multivitamin once daily and cod liver oil capsule two to three daily. I have already taken medication for last one month with restricted foods such as no tea, no dairy product, no fried food, spice, etc. I also take cabbage juice as I have found that it is good for the disease. There is some burning feeling in the upper abdomen when I take lemon and tea. I am worried about what would happen? Will it lead to cancer? I have attached the reports of my stool, blood, urine, colonoscopy and ultrasound. I am eagerly looking for your kind reply. Thank you.	Hi. Yes, these ulcers can be healed. But, it will take some time. Colonoscopy shows multiple ulcers in terminal ileum. The cause of these ulcers could be Crohn's disease, tubercular ulcers or chronic non-specific ulcers which heal by their own. But, your report does not suggest Crohn's disease or tuberculosis (attachment removed to protect patient identity) as the cause. So, you just have to adhere to medication and diet modification to heal them. Your gallbladder shows adenomyomatosis which is benign enlargement of gallbladder. But, your direct bilirubin and liver enzymes are raised suggesting liver injury and adenomyomatosis could be the cause for it. Please do not fear of cancer as histopathology report has ruled out cancer. Medication with strict adherence to diet that you are following will show good results soon. Cod liver oil should not be taken more than once in a day. For further information consult an medical gastroenterologist online -->	<s>[INST] Hi doctor, I am suffering from IBS since the last year. I am getting diarrhea whenever I eat outside food. Recently, I have been detected with chronic ileitis with activity after colonoscopy. I am ready to send the reports for kind perusal of gastroenterologist. Is it curable? I am now on Mesacol 800 mg three tablets daily and Folvite 5 mg one tablet daily. I am also taking some supplements like Amway nutrilite multivitamin once daily and cod liver oil capsule two to three daily. I have already taken medication for last one month with restricted foods such as no tea, no dairy product, no fried food, spice, etc. I also take cabbage juice as I have found that it is good for the disease. There is some burning feeling in the upper abdomen when I take lemon and tea. I am worried about what would happen? Will it lead to cancer? I have attached the reports of my stool, blood, urine, colonoscopy and ultrasound. I am eagerly looking for your kind reply. Thank you. [/INST] Hi. Yes, these ulcers can be healed. But, it will take some time. Colonoscopy shows multiple ulcers in terminal ileum. The cause of these ulcers could be Crohn's disease, tubercular ulcers or chronic non-specific ulcers which heal by their own. But, your report does not suggest Crohn's disease or tuberculosis (attachment removed to protect patient identity) as the cause. So, you just have to adhere to medication and diet modification to heal them. Your gallbladder shows adenomyomatosis which is benign enlargement of gallbladder. But, your direct bilirubin and liver enzymes are raised suggesting liver injury and adenomyomatosis could be the cause for it. Please do not fear of cancer as histopathology report has ruled out cancer. Medication with strict adherence to diet that you are following will show good results soon. Cod liver oil should not be taken more than once in a day. For further information consult an medical gastroenterologist online -->
Q. Please suggest a diet to take care of diabetes and creatinine level.	Hello doctor, I am 60 years female, diabetic for past 10 years. I am taking medication for diabetes, hypertension, cholesterol, and Ecosprin 75 daily. Last week after a bout of fever and cough, I have been tested for high creatinine (2). I am still very weak and suffering from loss of appetite, nausea, biliousness. Please suggest a diet to take care of diabetes and creatinine level. I am vegetarian. Currently, I am taking Flexiglim 0.5 1-0-1, Aztor 10 0-0-1, and Ecosprin 75 0-1-0, Cilacar 10 mg 1-0-0, and Starpress XL 25 0-0-1.	Hi doctor. Need not worry. Due to fever and medication changes have happened. You need to meet your endocrinologist and monitor your medication and ask any fluid restriction follow-up till creatinine settel down, usually, they will recommend a good amount of fluids. Get KFT (kidney function test) done wherein we can monitor sodium and potassium levels. Till then you need to follow a strict diabetic diet. It is important to have a very good control of diabetes. Since you ate losing protein in urine you have tierdness. Have a small frequent meal, avoid excess greens, take moderate protein in diet fluids as per consultant. Take a supplement to manage protein loss. For more information consult a dietician online -->	<s>[INST] Hello doctor, I am 60 years female, diabetic for past 10 years. I am taking medication for diabetes, hypertension, cholesterol, and Ecosprin 75 daily. Last week after a bout of fever and cough, I have been tested for high creatinine (2). I am still very weak and suffering from loss of appetite, nausea, biliousness. Please suggest a diet to take care of diabetes and creatinine level. I am vegetarian. Currently, I am taking Flexiglim 0.5 1-0-1, Aztor 10 0-0-1, and Ecosprin 75 0-1-0, Cilacar 10 mg 1-0-0, and Starpress XL 25 0-0-1. [/INST] Hi doctor. Need not worry. Due to fever and medication changes have happened. You need to meet your endocrinologist and monitor your medication and ask any fluid restriction follow-up till creatinine settel down, usually, they will recommend a good amount of fluids. Get KFT (kidney function test) done wherein we can monitor sodium and potassium levels. Till then you need to follow a strict diabetic diet. It is important to have a very good control of diabetes. Since you ate losing protein in urine you have tierdness. Have a small frequent meal, avoid excess greens, take moderate protein in diet fluids as per consultant. Take a supplement to manage protein loss. For more information consult a dietician online -->
Q. Is it normal to have irregular period, ovarian pain and brown spots with Depo shots?	Hello doctor, I was wondering is it is normal to have an irregular period after stopping the Depo shot. My last shot was administered sometime befor three months (I do not remember the date). I had taken two shots but decided to stop because I kept bleeding and spotting while on the shot. I experienced bad cramping and heavy bleeding last month and it has been a month since then and now I have only experienced ovarian pain and brown discharge. I am not sure what this means.	Hello. As you mentioned, it is a known side effect of Depo shot to have irregular spotting or occasional bleeding too. And usually, the effect of the Depo Provera shot last maximum up to three months only (depending on the dose). The present experience of heavy bleeding and cramps may not be related to your Depo shots, it may be due to some underlying cause. So, I would like to know why was Depo shot advised for you? Was it only for contraception (birth control) or was it for any complaints like excessive bleeding and cramps during your periods (which may indicate a process called endometriosis)? Irregular bleeding may indicate some underlying hormonal disturbances which need to be evaluated. I would also like to know if you have any recent weight gain, excess unwanted facial hair, acne problems, scalp hair loss, headaches, visual disturbances, etc.? These may give some clue in finding a reason for this irregular pattern of bleeding. Also, if possible you could share some reports of your previous investigations like ultrasound to help me in guiding you for further evaluation.	<s>[INST] Hello doctor, I was wondering is it is normal to have an irregular period after stopping the Depo shot. My last shot was administered sometime befor three months (I do not remember the date). I had taken two shots but decided to stop because I kept bleeding and spotting while on the shot. I experienced bad cramping and heavy bleeding last month and it has been a month since then and now I have only experienced ovarian pain and brown discharge. I am not sure what this means. [/INST] Hello. As you mentioned, it is a known side effect of Depo shot to have irregular spotting or occasional bleeding too. And usually, the effect of the Depo Provera shot last maximum up to three months only (depending on the dose). The present experience of heavy bleeding and cramps may not be related to your Depo shots, it may be due to some underlying cause. So, I would like to know why was Depo shot advised for you? Was it only for contraception (birth control) or was it for any complaints like excessive bleeding and cramps during your periods (which may indicate a process called endometriosis)? Irregular bleeding may indicate some underlying hormonal disturbances which need to be evaluated. I would also like to know if you have any recent weight gain, excess unwanted facial hair, acne problems, scalp hair loss, headaches, visual disturbances, etc.? These may give some clue in finding a reason for this irregular pattern of bleeding. Also, if possible you could share some reports of your previous investigations like ultrasound to help me in guiding you for further evaluation.
Q. I have high WBC count. Do I have to worry about it?	Hello doctor, I have a high white blood cell count. It is more than usual. I got my blood tested. And the result is I have 12000 white blood count. In the report, it is written that normal count is up to 11000. Do I have to worry about anything? Please help.	Hello. I have gone through your query. White blood cells are a type of blood cells which are majorly involved in fighting infection in the body and are usually increased in amounts when the body is fighting against an infection and occasionally in certain other conditions. Though 12,000 count is a definitely increased number, it need not be considered very high if there are no associated symptoms or any other medical history. But before that, we need to look into the differential count of white blood cells which means the percentage of various different kinds of white blood cells which are elevated in different kinds of infections and other values in your blood picture report. I need you to answer me questions regarding certain symptoms. Though white blood cells are increased in certain types of blood cancers, the numbers are usually higher than your value. Please get back to me with the detailed differential count of white blood cells, hemoglobin, platelets and peripheral smear reports and also details regarding the above mentioned symptoms. This way we can exclude all the possible causes of your elevated white blood cells. For more information consult an internal medicine physician online -->	<s>[INST] Hello doctor, I have a high white blood cell count. It is more than usual. I got my blood tested. And the result is I have 12000 white blood count. In the report, it is written that normal count is up to 11000. Do I have to worry about anything? Please help. [/INST] Hello. I have gone through your query. White blood cells are a type of blood cells which are majorly involved in fighting infection in the body and are usually increased in amounts when the body is fighting against an infection and occasionally in certain other conditions. Though 12,000 count is a definitely increased number, it need not be considered very high if there are no associated symptoms or any other medical history. But before that, we need to look into the differential count of white blood cells which means the percentage of various different kinds of white blood cells which are elevated in different kinds of infections and other values in your blood picture report. I need you to answer me questions regarding certain symptoms. Though white blood cells are increased in certain types of blood cancers, the numbers are usually higher than your value. Please get back to me with the detailed differential count of white blood cells, hemoglobin, platelets and peripheral smear reports and also details regarding the above mentioned symptoms. This way we can exclude all the possible causes of your elevated white blood cells. For more information consult an internal medicine physician online -->
Q. I am unable to gain weight. Please suggest.	Hi doctor, I am 27 years old. I am unable to gain weight. I am in depression as I am underweight. My weight is 49 kilograms. Currently, I am taking homeopathy medicines.	Hi. I can understand your concern. Take Nutrigain granules (Ashwagandha with Shatavari) one teaspoon two times a day with lukewarm milk and add a half teaspoon of Desi ghee or clarified butter in lukewarm milk. It will help you in gaining weight. Also, learn exercises which increase your muscular bulk. It helps to gain weight. Consult a nearby ayurveda physician after one month regarding improvement and for further management.	<s>[INST] Hi doctor, I am 27 years old. I am unable to gain weight. I am in depression as I am underweight. My weight is 49 kilograms. Currently, I am taking homeopathy medicines. [/INST] Hi. I can understand your concern. Take Nutrigain granules (Ashwagandha with Shatavari) one teaspoon two times a day with lukewarm milk and add a half teaspoon of Desi ghee or clarified butter in lukewarm milk. It will help you in gaining weight. Also, learn exercises which increase your muscular bulk. It helps to gain weight. Consult a nearby ayurveda physician after one month regarding improvement and for further management.
Q. My fiance rubbed his penis on vagina on fifth day of period. Can I be pregnant?	Hello doctor, My fiance fingered and rubbed his dick on my vagina. There was no intercourse, no clue if there was semen or not on dick and fingers. I was on the fifth day of my periods. Bleeding stopped on the second day. I have a regular period cycle. Four days later I experienced white sticky mucus high quantity in the evening. When is my ovulation day? Can I still get pregnant? There was no intercourse. Experiencing lower back and abdomen pain, high heartbeat, gastric issues. I am worried.	Hello. Overall chances of pregnancy are less because it is considered safe period for 2 to 3 days after the period to have sex, but if ovulation occurred four days later, then there are some but again fewer chances of pregnancy. Usually, ovulation occurs on the 14th day of the cycle. Also, since there was no intercourse, chances are less, but it also depends on whether there was any semen on his fingers or penis. So overall, chances appear to be less and do not worry about it at present. This will be cleared within two weeks. If you do not get period then get urine pregnancy test done.	<s>[INST] Hello doctor, My fiance fingered and rubbed his dick on my vagina. There was no intercourse, no clue if there was semen or not on dick and fingers. I was on the fifth day of my periods. Bleeding stopped on the second day. I have a regular period cycle. Four days later I experienced white sticky mucus high quantity in the evening. When is my ovulation day? Can I still get pregnant? There was no intercourse. Experiencing lower back and abdomen pain, high heartbeat, gastric issues. I am worried. [/INST] Hello. Overall chances of pregnancy are less because it is considered safe period for 2 to 3 days after the period to have sex, but if ovulation occurred four days later, then there are some but again fewer chances of pregnancy. Usually, ovulation occurs on the 14th day of the cycle. Also, since there was no intercourse, chances are less, but it also depends on whether there was any semen on his fingers or penis. So overall, chances appear to be less and do not worry about it at present. This will be cleared within two weeks. If you do not get period then get urine pregnancy test done.
Q. What is the cause for low platelet count?	Hi doctor, God blessed me with a baby boy before three months. This is my second child. I faced many problems such as diabetes, before two years back. I had low platelet counts before six months when I took a test for CBC. Three days before delivery, my platelet count was 44000 per microliter of blood. My doctor suggests me to go for a blood transfusion for delivery. Before delivery, I took three units. After delivery, I took one unit of blood, my platelet count was 172000 per microliter of blood. After a month when I took a test for CBC, my platelet count was 72000 per microliter of blood. I experienced a headache and fever for a few days. I take one Paracetamol tablet in the night. What can I do? Please suggest.	Hello. Fever with a headache can occur in viral infection. Viral infection can affect the platelet count and can lead to low platelet count. Symptomatic management is done with Paracetamol and maintain your hydration. Your peripheral smear examination, a liver profile is also needed to be done for the primary work up. Peripheral smear examination will detect any parasite and abnormal cells if present. Repeat CBC (complete blood count) after few days and if still, it is elevated then, think of other investigations. For more information consult a hematologist online -->	<s>[INST] Hi doctor, God blessed me with a baby boy before three months. This is my second child. I faced many problems such as diabetes, before two years back. I had low platelet counts before six months when I took a test for CBC. Three days before delivery, my platelet count was 44000 per microliter of blood. My doctor suggests me to go for a blood transfusion for delivery. Before delivery, I took three units. After delivery, I took one unit of blood, my platelet count was 172000 per microliter of blood. After a month when I took a test for CBC, my platelet count was 72000 per microliter of blood. I experienced a headache and fever for a few days. I take one Paracetamol tablet in the night. What can I do? Please suggest. [/INST] Hello. Fever with a headache can occur in viral infection. Viral infection can affect the platelet count and can lead to low platelet count. Symptomatic management is done with Paracetamol and maintain your hydration. Your peripheral smear examination, a liver profile is also needed to be done for the primary work up. Peripheral smear examination will detect any parasite and abnormal cells if present. Repeat CBC (complete blood count) after few days and if still, it is elevated then, think of other investigations. For more information consult a hematologist online -->
Q. I have brown spotting after taking I-pill. Is it my period?	Hello doctor, I took an I-pill at 12 hours post intercourse 10 days ago. Now, I just see a minor brown spotting. My period is due. I am unsure if the brown spotting is my period. Or am I pregnant?	Hello For more information consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor, I took an I-pill at 12 hours post intercourse 10 days ago. Now, I just see a minor brown spotting. My period is due. I am unsure if the brown spotting is my period. Or am I pregnant? [/INST] Hello For more information consult an obstetrician and gynaecologist online -->
Q. How long should my husband and I wait to try for a baby if we did cocaine?	Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.	Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?	Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?	Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.	Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.	Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->	<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?	Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?	Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->	<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Q. Why do periods get delayed after first time sex?	Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?	Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->	<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
Q. It feels like some mucus is always stuck in my throat. How to get rid of this?	Hi Dr. I was operated for Nasal polyps surgery 3 years back. From last one month or so, It seems that some mucus is always stuck in my throat and I have to clear it every now and then. This gets worse while lying on bed. I showed it to my ENT specialist and he mentioned that it is GERD and prescribed some antacid tab that did not work. I have no other symptom and I always feel some kind of phelgm in my throat that hardly comes out or go inside while swallowing. This is very irritating. Please prescribe some medicine / any lifestyle changes to get rid of this.	Dear Welcome to icliniq I reviewed your history and attach file of ENT Surgeon. The problem you described is very typical of two things 1)Postnasal drip or 2)GERD As ENT Surgeon seen you and they ruled out postnasal drip so it is more in favour of GERD and another supporting evidence is its aggravation on lying down. I will recommend to start following treatment and then get back to me after 2 weeks and let me know the response. Antacids will not help in it. GERD Postnasal drip GERD 1. Cap. Deslansoprazole 60mg 1 before breakfast for 8 weeks. 2. Tab.Cetrizine 10mg 1 at night for 2 weeks. 3.Tab.levosulphride 25mg 1+1+1= Before meals for 10 days 1.Try to take dinner at least 2 hours before going to bed 2.Elevate head end of bed about 5 Inch 3.Avoid Smoking and Alcohol 4.Avoid Evening Coffee and tea Let me know after 2 weeks.	<s>[INST] Hi Dr. I was operated for Nasal polyps surgery 3 years back. From last one month or so, It seems that some mucus is always stuck in my throat and I have to clear it every now and then. This gets worse while lying on bed. I showed it to my ENT specialist and he mentioned that it is GERD and prescribed some antacid tab that did not work. I have no other symptom and I always feel some kind of phelgm in my throat that hardly comes out or go inside while swallowing. This is very irritating. Please prescribe some medicine / any lifestyle changes to get rid of this. [/INST] Dear Welcome to icliniq I reviewed your history and attach file of ENT Surgeon. The problem you described is very typical of two things 1)Postnasal drip or 2)GERD As ENT Surgeon seen you and they ruled out postnasal drip so it is more in favour of GERD and another supporting evidence is its aggravation on lying down. I will recommend to start following treatment and then get back to me after 2 weeks and let me know the response. Antacids will not help in it. GERD Postnasal drip GERD 1. Cap. Deslansoprazole 60mg 1 before breakfast for 8 weeks. 2. Tab.Cetrizine 10mg 1 at night for 2 weeks. 3.Tab.levosulphride 25mg 1+1+1= Before meals for 10 days 1.Try to take dinner at least 2 hours before going to bed 2.Elevate head end of bed about 5 Inch 3.Avoid Smoking and Alcohol 4.Avoid Evening Coffee and tea Let me know after 2 weeks.
Q. Should I take an emergency pill if I only had foreplay?	Hello doctor, I had foreplay with my partner yesterday. We both were having some fun. He actually inserted a finger into my vagina though not deep. He was not sure if he had touched his precum or not. Also, his penis touched my vagina two to three times though he never inserted. Should I take an I-pill to avoid the low chances of pregnancy due to this act?	Hello. For more information consult an internal medicine physician online -->	<s>[INST] Hello doctor, I had foreplay with my partner yesterday. We both were having some fun. He actually inserted a finger into my vagina though not deep. He was not sure if he had touched his precum or not. Also, his penis touched my vagina two to three times though he never inserted. Should I take an I-pill to avoid the low chances of pregnancy due to this act? [/INST] Hello. For more information consult an internal medicine physician online -->
Q. Please suggest some medicine to cure vaginal swelling, discomfort and abnormal discharge.	Hi doctor, From yesterday, I have vaginal swelling, discomfort, and abnormal discharge. I had intercourse with my partner before four days. Please prescribe some home remedies or medicine to cure this problem.	Hi. You have some vaginal infection, and it is causing the problem. 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 the washroom. Avoid using vaginal douches and creams. Revert me with the reports to guide you further.	<s>[INST] Hi doctor, From yesterday, I have vaginal swelling, discomfort, and abnormal discharge. I had intercourse with my partner before four days. Please prescribe some home remedies or medicine to cure this problem. [/INST] Hi. You have some vaginal infection, and it is causing the problem. 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 the washroom. Avoid using vaginal douches and creams. Revert me with the reports to guide you further.
Q. Though my interest is good, I am not getting proper erection. Why?	Hi doctor, I am 54 years old. I am a hypertensive patient. Currently, I am taking Telma 20 mg, Metoprolol 25 mg in the morning and Roseday 5 mg at night. My weight is 105 kilograms. I am not getting proper erection nowadays. Though I have an interest in intercourse, I am unable to perform. Before a month, I had a burning sensation after sex which lasted for 30 minutes. I do not have complications like fever, abdomen pain, frequent urination, cloudy or bloody urine, and pain during urination. I consulted my GP, and he gave me a food supplement. Please advice.	Hi. I have gone through the attachment (attachment removed to protect patient identity). Your report shows that you have diabetes, deficiency of vitamin D3 and vitamin B12. Your hba1C (glycated hemoglobin) is in a higher range. Take care of these issues. Have a walk in the morning for at least 30 to 40 minutes every day. Avoid smoking and drinking if you have these habits. Take healthy food and adequate sleep. For erectile dysfunction, I recommend taking Sildenafil 50 mg almost 30 to 60 minutes before having sex. If there is premature ejaculation, you can take Fluoxetine 20 mg or Paroxetine 12.5 mg or Dapoxetine 30 mg one tablet one hour before sexual activity. Try master and Johnson technique for erectile dysfunction and try stop technique or squeeze technique for premature ejaculation if you have.	<s>[INST] Hi doctor, I am 54 years old. I am a hypertensive patient. Currently, I am taking Telma 20 mg, Metoprolol 25 mg in the morning and Roseday 5 mg at night. My weight is 105 kilograms. I am not getting proper erection nowadays. Though I have an interest in intercourse, I am unable to perform. Before a month, I had a burning sensation after sex which lasted for 30 minutes. I do not have complications like fever, abdomen pain, frequent urination, cloudy or bloody urine, and pain during urination. I consulted my GP, and he gave me a food supplement. Please advice. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Your report shows that you have diabetes, deficiency of vitamin D3 and vitamin B12. Your hba1C (glycated hemoglobin) is in a higher range. Take care of these issues. Have a walk in the morning for at least 30 to 40 minutes every day. Avoid smoking and drinking if you have these habits. Take healthy food and adequate sleep. For erectile dysfunction, I recommend taking Sildenafil 50 mg almost 30 to 60 minutes before having sex. If there is premature ejaculation, you can take Fluoxetine 20 mg or Paroxetine 12.5 mg or Dapoxetine 30 mg one tablet one hour before sexual activity. Try master and Johnson technique for erectile dysfunction and try stop technique or squeeze technique for premature ejaculation if you have.
Q. I am bleeding after taking Unwanted 72. When will I get my normal period?	Hi doctor, Is having bleeding after ten days of taking Unwanted 72 normal? I have light bleeding for four days. When can I have my normal period?	Hi. After taking Unwanted 72 (Levonorgestrel), you can have a withdrawal bleed within one to two weeks. After getting withdrawal bleeding, your body needs some time to get rid of the hormonal effect. Getting a period after having withdrawal bleeding is unscheduled, and gradually the body returns to normal.	<s>[INST] Hi doctor, Is having bleeding after ten days of taking Unwanted 72 normal? I have light bleeding for four days. When can I have my normal period? [/INST] Hi. After taking Unwanted 72 (Levonorgestrel), you can have a withdrawal bleed within one to two weeks. After getting withdrawal bleeding, your body needs some time to get rid of the hormonal effect. Getting a period after having withdrawal bleeding is unscheduled, and gradually the body returns to normal.
Q. My penis cap skin is tight and has cracks. Please help.	Hi doctor, I have got cracks on penis cap skin, and it is tight. I am not able to retract it. Light irritation is there and is uncomfortable.	Hi. I have seen your query and examined your given picture (attachment removed to protect patient identity). It seems you have developed balanitis xerotica obliterans. Do you have diabetes? It is more common in diabetics. Clean the penile area with normal tap water, try to pull foreskin gradually while taking bath. Use Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a week for four weeks after consulting your GP or nearby dermatologist.	<s>[INST] Hi doctor, I have got cracks on penis cap skin, and it is tight. I am not able to retract it. Light irritation is there and is uncomfortable. [/INST] Hi. I have seen your query and examined your given picture (attachment removed to protect patient identity). It seems you have developed balanitis xerotica obliterans. Do you have diabetes? It is more common in diabetics. Clean the penile area with normal tap water, try to pull foreskin gradually while taking bath. Use Clotrimazole plus Fusidic acid cream local application twice daily and take tablet Fluconazole 150 mg once a week for four weeks after consulting your GP or nearby dermatologist.
Q. What changes can be done in diabetic medication for good diabetes control?	Hello doctor, I have diabetes since last 15 years and is poorly controlled. I have been taking Glimepiride 1 mg, 500 mg Metformin, daily, once in a day (in the morning). Average fasting glucose level is above 170 mg/dl daily and after the meal is usually 350+ mg/dl. HbA1c is 10. Please review my medication. Suggest an increase for good diabetes control. I am a male aged 57, weight 75 kg, a little daily exercise (1 km brisk walk in the morning and same in the evening). I eat one loaf in the morning and two in the evening and no snacks in a day. No ketoacidosis as no fruity smell in breath and urine. Please help.	Hello. I have seen the details (attachment removed to protect patient identity). Your blood glucose is definitely very poorly controlled. Even BP is also high. Ideally fasting glucose should be less than 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8, in a well-controlled diabetic person. It is clear that present medications are not giving effective control. Following is my suggestion for improving the treatment. There is a need to increase the dosage of Glimepiride to 2 mg with Metformin 500, (to be taken twice a day). To add tablet Vildagliptin 50 mg with 500 mg Metformin to be taken after lunch. Then please check blood glucose (fasting and PP ) after 10 days and report. Increase the intake of green leafy vegetables and salads before taking every meal. Increase the exercise to over one hour a day. If brisk walking is done please increase it to one hour (about 4 to 5 km). For blood pressure, increase Amlodipine to 5 mg per day. Get a lipid profile done and report the same.	<s>[INST] Hello doctor, I have diabetes since last 15 years and is poorly controlled. I have been taking Glimepiride 1 mg, 500 mg Metformin, daily, once in a day (in the morning). Average fasting glucose level is above 170 mg/dl daily and after the meal is usually 350+ mg/dl. HbA1c is 10. Please review my medication. Suggest an increase for good diabetes control. I am a male aged 57, weight 75 kg, a little daily exercise (1 km brisk walk in the morning and same in the evening). I eat one loaf in the morning and two in the evening and no snacks in a day. No ketoacidosis as no fruity smell in breath and urine. Please help. [/INST] Hello. I have seen the details (attachment removed to protect patient identity). Your blood glucose is definitely very poorly controlled. Even BP is also high. Ideally fasting glucose should be less than 100 mg, PP 150 to 170 mg and HbA1c % less than 6.8, in a well-controlled diabetic person. It is clear that present medications are not giving effective control. Following is my suggestion for improving the treatment. There is a need to increase the dosage of Glimepiride to 2 mg with Metformin 500, (to be taken twice a day). To add tablet Vildagliptin 50 mg with 500 mg Metformin to be taken after lunch. Then please check blood glucose (fasting and PP ) after 10 days and report. Increase the intake of green leafy vegetables and salads before taking every meal. Increase the exercise to over one hour a day. If brisk walking is done please increase it to one hour (about 4 to 5 km). For blood pressure, increase Amlodipine to 5 mg per day. Get a lipid profile done and report the same.
Q. Why is there pain in all muscles and joints of the body?	Hello doctor, I am a 41-year-old male. My blood and urine tests are normal. However, I am experiencing tender muscles all over the body. Both in legs, feet, and arms and wrist. I have tried various treatment to treat each one of the individual issues like physical therapy, chiropractic, massage, etc. However, I am concerned that there might be an overall systemic issue. This has been going on and off for the last 10 years. It is primarily a muscle tenderness and pain issue. I have sensitive spots all over the arms and legs. More recently I have joint pain as well (some in knee and thumb, however, this is only for the last year). However, the muscle tenderness has been around longer. I have moderate anxiety (OCD) and mild sadness or depression as well. I also have dust allergies. I had a consultation with a Rheumatologist here and we suspected that it might be fibromyalgia.	Hi. I have gone through your reports (attachment removed to protect patient identity) and found nothing significant. First of all, you need to understand that if any small pain exists in our body for more than three months, then there is also an involvement of psychological factors which reduces our threshold of pain. You need to answer a few of my questions so that I can help you better. What do you do for your daily living? How much physical activity is there in your daily life? How many family members you have in your family? How is your threshold of irritability?	<s>[INST] Hello doctor, I am a 41-year-old male. My blood and urine tests are normal. However, I am experiencing tender muscles all over the body. Both in legs, feet, and arms and wrist. I have tried various treatment to treat each one of the individual issues like physical therapy, chiropractic, massage, etc. However, I am concerned that there might be an overall systemic issue. This has been going on and off for the last 10 years. It is primarily a muscle tenderness and pain issue. I have sensitive spots all over the arms and legs. More recently I have joint pain as well (some in knee and thumb, however, this is only for the last year). However, the muscle tenderness has been around longer. I have moderate anxiety (OCD) and mild sadness or depression as well. I also have dust allergies. I had a consultation with a Rheumatologist here and we suspected that it might be fibromyalgia. [/INST] Hi. I have gone through your reports (attachment removed to protect patient identity) and found nothing significant. First of all, you need to understand that if any small pain exists in our body for more than three months, then there is also an involvement of psychological factors which reduces our threshold of pain. You need to answer a few of my questions so that I can help you better. What do you do for your daily living? How much physical activity is there in your daily life? How many family members you have in your family? How is your threshold of irritability?
Q. Will improper sexual intercourse make it difficult to get pregnant?	Hello doctor, I have been trying to conceive for the past six months without any success. I have done FSH, LHS, TSH, Prolactin tests (all normal). My AMH is 3.73. I have also done TVS where a 3 cm post fundal fibroid was found. My husband’s sperm analysis is also fine. What should I do now? I am really stressed. My cycle is 29 to 30 days and normal. I have hypothyroid and I am taking Thyronorm 12.5 for that.	Hello. If you have been on Thyroxine and your TSH levels are normal and your remaining hormonal profile is normal with optimal fertility and ovarian reserve as depicted by AMH levels , now you can opt for a dummy cycle where follicular monitoring can be done during mid-cycle to check for timely ovulation along with timed intercourse, which shall ensure that you are ovulating. Also, you can be started on prenatal like l-methyl folate and Ova bless tablet daily during this cycle to potentiate fertility in your case. Continue Thyroxine daily and practice timed intercourse. during the fertile period. The fibroid being posterior fundal 3 cm and not impinging on to the endometrium, conception should not be an issue if HSG reports ensure tubal latency as well. Also, important shall be to check for any vaginal infections in form of white discharge or itching per vaginum or foul-smelling discharge, which is deterrent for sperm survival and needs to be treated first. Avoid use of soap while bathing for genital and vaginal cleaning, use only plain water or alkaline washes. Please share your reports for preview.	<s>[INST] Hello doctor, I have been trying to conceive for the past six months without any success. I have done FSH, LHS, TSH, Prolactin tests (all normal). My AMH is 3.73. I have also done TVS where a 3 cm post fundal fibroid was found. My husband’s sperm analysis is also fine. What should I do now? I am really stressed. My cycle is 29 to 30 days and normal. I have hypothyroid and I am taking Thyronorm 12.5 for that. [/INST] Hello. If you have been on Thyroxine and your TSH levels are normal and your remaining hormonal profile is normal with optimal fertility and ovarian reserve as depicted by AMH levels , now you can opt for a dummy cycle where follicular monitoring can be done during mid-cycle to check for timely ovulation along with timed intercourse, which shall ensure that you are ovulating. Also, you can be started on prenatal like l-methyl folate and Ova bless tablet daily during this cycle to potentiate fertility in your case. Continue Thyroxine daily and practice timed intercourse. during the fertile period. The fibroid being posterior fundal 3 cm and not impinging on to the endometrium, conception should not be an issue if HSG reports ensure tubal latency as well. Also, important shall be to check for any vaginal infections in form of white discharge or itching per vaginum or foul-smelling discharge, which is deterrent for sperm survival and needs to be treated first. Avoid use of soap while bathing for genital and vaginal cleaning, use only plain water or alkaline washes. Please share your reports for preview.
Q. Why are there recurrent episodes of allergic cold?	Hello doctor, My son is 16 years old and gets an allergic cold bout at least once a month. His symptoms during that time are an excessive running nose, frequent sneezing bouts, and nasal irritation. Please suggest the appropriate remedy for curing his allergy from the root and also for immediate relief as he is studying. How do I detect the reason behind this allergy so to keep away from the cause?	Hi. Give him Allegra M (Montelukast and Fexofenadine) tablet for a week in the evenings. This medicine is better than others as it produces the least sleep. This will help him read well. Keep away from dust, smoke, fumes, perfumes, mud, pollution, direct air-conditioning, etc. After his exams are over, note down whenever he gets allergy and that way you may be able to find the offending agent. Allergy cannot be cured. It can only be prevented and kept under wraps. To detect the allergen one must do a skin prick allergy testing.	<s>[INST] Hello doctor, My son is 16 years old and gets an allergic cold bout at least once a month. His symptoms during that time are an excessive running nose, frequent sneezing bouts, and nasal irritation. Please suggest the appropriate remedy for curing his allergy from the root and also for immediate relief as he is studying. How do I detect the reason behind this allergy so to keep away from the cause? [/INST] Hi. Give him Allegra M (Montelukast and Fexofenadine) tablet for a week in the evenings. This medicine is better than others as it produces the least sleep. This will help him read well. Keep away from dust, smoke, fumes, perfumes, mud, pollution, direct air-conditioning, etc. After his exams are over, note down whenever he gets allergy and that way you may be able to find the offending agent. Allergy cannot be cured. It can only be prevented and kept under wraps. To detect the allergen one must do a skin prick allergy testing.
Q. Is it possible to get gum and cheek swelling due to tooth infection?	Hi doctor, I have an infection in my tooth and my gum and cheek are swollen and I woke up this morning with a black eye.	Hi. I have gone through your question and I can understand your concern. It looks you are having acute apical periodontitis with buccal space and other spaces related infection. This condition needs antibiotics treatment and it is necessary. Take following medicines if you are not allergic to any of it and if your weight is more than 50 kg. Tablet Augmentin 625 thrice daily, after every eight hours for five days, tablet Aceclofenac 200 mg twice daily for five days. In case you feel stomach upset take Pantoprazole 40 mg, empty stomach in the morning for one week.	<s>[INST] Hi doctor, I have an infection in my tooth and my gum and cheek are swollen and I woke up this morning with a black eye. [/INST] Hi. I have gone through your question and I can understand your concern. It looks you are having acute apical periodontitis with buccal space and other spaces related infection. This condition needs antibiotics treatment and it is necessary. Take following medicines if you are not allergic to any of it and if your weight is more than 50 kg. Tablet Augmentin 625 thrice daily, after every eight hours for five days, tablet Aceclofenac 200 mg twice daily for five days. In case you feel stomach upset take Pantoprazole 40 mg, empty stomach in the morning for one week.
Q. Can you please suggest a plan to help bring my sugar levels to the normal range?	Dear Doctor I am female 26yrs old. I have been diagnosed with diabetes from past 4 years. I take the following medicines every day: 1. Diamicron 60mg before breakfast 2. Gluconorm 500mg after lunch 3. Gluconorm 500mg after dinner Due to current covid situation, I am unable to visit any medical center to perform diabetes related blood tests. But I did test my sugar levels at home after breakfast. It was 346. I am worried as to how to consult doctors in this present situation. My sugar levels are not coming down, I eat normal meals in small portions like roti, little rice, snacks, etc. My last HBA1c tested 6 months back was more than 8. I use to take Jardiance before but stopped as I wanted to plan for my pregnancy. Since my sugar levels are not coming down, I am worried about my future. Can you please guide and suggest as to what action plan I should take to help reduce my sugar levels to normal range. Appreciate your timely help in this quarantined environment. I have thyroid too, taking Euthyrox 75mg every morning Regards	Hi. Good day. Thanks for your query. I have very uncontrolled diabetes. Ur lipids are also very high. That means ur not controlling ur sugar. Treating diabetes is not just bring sugar numbers down but avoiding complications which are associated with diabetes. It can affect heart kidneys eyes nerves brain and everything. First of all u need to stop bread rice pasta potatoes. Eat less fruits especially mango banana and grapes. No sugar in tea, no sugary juices ice cream or chocolates. Exercise at least 40 minutes daily even if it’s just a walk. If u will not change lifestyle no medication can control ur sugar. With the time ur all body can be then affected with diabetes. It’s a dietary disease and treatment is with diet only. Medication help when u change ur lifestyle. If ur planning to be pregnant u need to be on insulin and u need to have HBA1c less than 6.5. In pregnancy. U know where ur right now. I don’t think ur taking good drugs right now either. These will increase ur weight and that will lead u to have more sugar. Did u try glucophage before ? If yes why u had to stop. Did u try Sitagliptin? Jardiance is a good drug as well. So in my opinion u should be in insulin at present situation if u want to be pregnant especially. Otherwise the drugs I mentioned are the best choices. Let me know what u feel. If u agree we will start those. Thanks	<s>[INST] Dear Doctor I am female 26yrs old. I have been diagnosed with diabetes from past 4 years. I take the following medicines every day: 1. Diamicron 60mg before breakfast 2. Gluconorm 500mg after lunch 3. Gluconorm 500mg after dinner Due to current covid situation, I am unable to visit any medical center to perform diabetes related blood tests. But I did test my sugar levels at home after breakfast. It was 346. I am worried as to how to consult doctors in this present situation. My sugar levels are not coming down, I eat normal meals in small portions like roti, little rice, snacks, etc. My last HBA1c tested 6 months back was more than 8. I use to take Jardiance before but stopped as I wanted to plan for my pregnancy. Since my sugar levels are not coming down, I am worried about my future. Can you please guide and suggest as to what action plan I should take to help reduce my sugar levels to normal range. Appreciate your timely help in this quarantined environment. I have thyroid too, taking Euthyrox 75mg every morning Regards [/INST] Hi. Good day. Thanks for your query. I have very uncontrolled diabetes. Ur lipids are also very high. That means ur not controlling ur sugar. Treating diabetes is not just bring sugar numbers down but avoiding complications which are associated with diabetes. It can affect heart kidneys eyes nerves brain and everything. First of all u need to stop bread rice pasta potatoes. Eat less fruits especially mango banana and grapes. No sugar in tea, no sugary juices ice cream or chocolates. Exercise at least 40 minutes daily even if it’s just a walk. If u will not change lifestyle no medication can control ur sugar. With the time ur all body can be then affected with diabetes. It’s a dietary disease and treatment is with diet only. Medication help when u change ur lifestyle. If ur planning to be pregnant u need to be on insulin and u need to have HBA1c less than 6.5. In pregnancy. U know where ur right now. I don’t think ur taking good drugs right now either. These will increase ur weight and that will lead u to have more sugar. Did u try glucophage before ? If yes why u had to stop. Did u try Sitagliptin? Jardiance is a good drug as well. So in my opinion u should be in insulin at present situation if u want to be pregnant especially. Otherwise the drugs I mentioned are the best choices. Let me know what u feel. If u agree we will start those. Thanks
Q. How long should my husband and I wait to try for a baby if we did cocaine?	Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.	Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?	Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?	Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.	Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.	Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->	<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->