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Q. Is it safe to use Dapoxetine daily after marriage? | Hello doctor, I am a 33 year old unmarried male. I have severe problem of premature ejaculation (less than a minute). Once I tried Dapoxetine 30 mg and it worked well. My marriage is going to be fixed soon. Is it safe to use Dapoxetine daily? If yes, for how many years can I continue the tablet? Or after some months of use, will I be able to have control over my ejaculation for many years? Please help. | Hello. For further information consult a sexologist online --> |
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Hello doctor, I am a 33 year old unmarried male. I have severe problem of premature ejaculation (less than a minute). Once I tried Dapoxetine 30 mg and it worked well. My marriage is going to be fixed soon. Is it safe to use Dapoxetine daily? If yes, for how many years can I continue the tablet? Or after some months of use, will I be able to have control over my ejaculation for many years? Please help. [/INST] Hello. For further information consult a sexologist online --> |
Q. What is the dosage of Dapoxetine for premature ejaculation? | Hello doctor,I am 45 years and suffering from severe premature ejaculation (cannot sustain for a minute or two) and mild to moderate erectile dysfunction (less hardness and short length after erection, difficult penetrating other than the missionary position, long delay in repeat erection) since the beginning of my sexual life. For last few years, I am taking Dapoxetine 30 mg (Duralast 30) before sex. It gives me a bit control but as I find 30 mg not much effective so I started taking two pills of 30 mg sometimes together and sometimes after a gap of 3 to 6 hours. Occasionally, I also add 25 mg Sildenafil or Tadalafil 20 mg (Tazzle) for improving erection. My problems are as under:I find Dapoxetine 30 mg not effective but when I take two tablets, can control the ejaculation in a better way but has nausea feeling and low libido. I also feel too hungry after 1 to 2 hours of taking tablets. Besides even two tablets has effect for 2 to 3 hours and does not remain effective if sex is delayed. Now I started giving a gap of 2 to 3 hours between two doses of 30 mg which reduced the side effects. Is this pattern of dose fine?Is there a probability of any longterm effect of taking 60 mg daily dose of Dapoxetine?As most of the time one cannot fix the time of sex in advance as it depend upon the mood of the partner too. So Dapoxetinecannot be used as a curative medicine to improve the condition permanently or it is only SOS?How can I reduce the side effect especially of low libido and nausea?Effect of sildenafil remain a bit longer and help in erection even for two days of taking the tablet. What is your recommendation of doses? How to enhance the length of the penis as my penis face difficulty in reaching partner’s G spot and it reaches to full length only just before erection. Please advise a remedy. | Hello. I will answer as per order of your queries: For more information consult a sexologist online --> |
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Hello doctor,I am 45 years and suffering from severe premature ejaculation (cannot sustain for a minute or two) and mild to moderate erectile dysfunction (less hardness and short length after erection, difficult penetrating other than the missionary position, long delay in repeat erection) since the beginning of my sexual life. For last few years, I am taking Dapoxetine 30 mg (Duralast 30) before sex. It gives me a bit control but as I find 30 mg not much effective so I started taking two pills of 30 mg sometimes together and sometimes after a gap of 3 to 6 hours. Occasionally, I also add 25 mg Sildenafil or Tadalafil 20 mg (Tazzle) for improving erection. My problems are as under:I find Dapoxetine 30 mg not effective but when I take two tablets, can control the ejaculation in a better way but has nausea feeling and low libido. I also feel too hungry after 1 to 2 hours of taking tablets. Besides even two tablets has effect for 2 to 3 hours and does not remain effective if sex is delayed. Now I started giving a gap of 2 to 3 hours between two doses of 30 mg which reduced the side effects. Is this pattern of dose fine?Is there a probability of any longterm effect of taking 60 mg daily dose of Dapoxetine?As most of the time one cannot fix the time of sex in advance as it depend upon the mood of the partner too. So Dapoxetinecannot be used as a curative medicine to improve the condition permanently or it is only SOS?How can I reduce the side effect especially of low libido and nausea?Effect of sildenafil remain a bit longer and help in erection even for two days of taking the tablet. What is your recommendation of doses? How to enhance the length of the penis as my penis face difficulty in reaching partner’s G spot and it reaches to full length only just before erection. Please advise a remedy. [/INST] Hello. I will answer as per order of your queries: For more information consult a sexologist online --> |
Q. I have swollen lymph nodes and sore throat even after a month of wisdom tooth removal. Why? | Hello doctor, I had aggressive damaged wisdom teeth removal about a month ago. And since then I have a swollen lymph node in my neck on the side of the removal which sometimes it hurts and feel swollen and sometimes normal but it does not go away. But for the last two days, both sides are swollen and my throat is sore and hurts when I swallow or smoke. Is this something serious? | Hello. I have seen the image. (attachment removed to protect patient identity). It is showing right follicular tonsilitis with keratitis of the right buccal mucosa and attrition of the teeth with discoloration of the teeth present. For tonsillitis, you have to use antibiotics like Amoxicillin and Clavulanic acid 625 mg twice a day for five days, and tablet Azithromycin 500 mg first day followed by 250 mg once a day for five days. Avoid cool drinks and alcohol. Avoid smoking and tobacco chewing. Use water vapor inhalation and salt water gargling thrice a day. For keratitis, avoid smoking and use capsule vitamin A once a day for one week. Eat green leafy vegetables and fruits. Please consult with your oral pathologist, he will examine and if possible will take a biopsy and treat you accordingly. I would like to some details. How old are you? Since when you are smoking? Is lymph node feeling hard or soft? It is possible that lymph node enlargement in case of any infection in the oral cavity, nose, or ears. If the lymph node is soft, painful, and easily moving means it is inflammatory pathology. But if it is hard, matted, and non-movable means a malignant pathology. |
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Hello doctor, I had aggressive damaged wisdom teeth removal about a month ago. And since then I have a swollen lymph node in my neck on the side of the removal which sometimes it hurts and feel swollen and sometimes normal but it does not go away. But for the last two days, both sides are swollen and my throat is sore and hurts when I swallow or smoke. Is this something serious? [/INST] Hello. I have seen the image. (attachment removed to protect patient identity). It is showing right follicular tonsilitis with keratitis of the right buccal mucosa and attrition of the teeth with discoloration of the teeth present. For tonsillitis, you have to use antibiotics like Amoxicillin and Clavulanic acid 625 mg twice a day for five days, and tablet Azithromycin 500 mg first day followed by 250 mg once a day for five days. Avoid cool drinks and alcohol. Avoid smoking and tobacco chewing. Use water vapor inhalation and salt water gargling thrice a day. For keratitis, avoid smoking and use capsule vitamin A once a day for one week. Eat green leafy vegetables and fruits. Please consult with your oral pathologist, he will examine and if possible will take a biopsy and treat you accordingly. I would like to some details. How old are you? Since when you are smoking? Is lymph node feeling hard or soft? It is possible that lymph node enlargement in case of any infection in the oral cavity, nose, or ears. If the lymph node is soft, painful, and easily moving means it is inflammatory pathology. But if it is hard, matted, and non-movable means a malignant pathology. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Is it necessary to take Adava tablet to reduce cholesterol? | Hi doctor, My doctor has advised taking Adava stat F tablet to reduce cholesterol. I have type 2 diabetes and my cholesterol 175.6, triglycerides 297, and HDL 24.5. So, do I need to take this and how long I need to take? The doctor said only three months or lifelong. | Hi. We can say you have mix dyslipidemia with your results. This means you have a lipid disorder but at this point, you do not need medication. Medication for an increase in triglycerides should be taken when greater than 450 to 600 mg/dL or cholesterol LDL is greater than 130 and you have increased cardiovascular risk (which is not your case). DM (diabetes mellitus) 2 increases your heart risk so it is important you meet your goals of control. Treatment at this point includes exercise 30 min/day for five days per week with a low carbohydrate diet (150 to 200 g of carbohydrate per day). Follow up with new laboratory test (including HbA1c, fasting glucose, and new lipid profile). The other thing to consider is to check your blood pressure sporadically since this can also increase your cardiovascular risk. |
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Hi doctor, My doctor has advised taking Adava stat F tablet to reduce cholesterol. I have type 2 diabetes and my cholesterol 175.6, triglycerides 297, and HDL 24.5. So, do I need to take this and how long I need to take? The doctor said only three months or lifelong. [/INST] Hi. We can say you have mix dyslipidemia with your results. This means you have a lipid disorder but at this point, you do not need medication. Medication for an increase in triglycerides should be taken when greater than 450 to 600 mg/dL or cholesterol LDL is greater than 130 and you have increased cardiovascular risk (which is not your case). DM (diabetes mellitus) 2 increases your heart risk so it is important you meet your goals of control. Treatment at this point includes exercise 30 min/day for five days per week with a low carbohydrate diet (150 to 200 g of carbohydrate per day). Follow up with new laboratory test (including HbA1c, fasting glucose, and new lipid profile). The other thing to consider is to check your blood pressure sporadically since this can also increase your cardiovascular risk. |
Q. What can be done for frequent urge to urinate? | Hello doctor, I am 22 years old, 5.4 feet and 75 kg man suffering from a repeated urge to urinate in every one hour. This problem is occurring from childhood and is the same till date. No changes in this time interval. | Hello. You are having repeated urination problem. For that, you need to investigate as follows. Serum random blood sugar estimation to rule out diabetes, urine routine microscopic examination to rule out any infection, if present, ultrasonography pelvis to look interior of bladder and kidney, if no cause identified then urodynamic flow study can be done. You can consult a urologist for examination and discuss all these. |
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Hello doctor, I am 22 years old, 5.4 feet and 75 kg man suffering from a repeated urge to urinate in every one hour. This problem is occurring from childhood and is the same till date. No changes in this time interval. [/INST] Hello. You are having repeated urination problem. For that, you need to investigate as follows. Serum random blood sugar estimation to rule out diabetes, urine routine microscopic examination to rule out any infection, if present, ultrasonography pelvis to look interior of bladder and kidney, if no cause identified then urodynamic flow study can be done. You can consult a urologist for examination and discuss all these. |
Q. What are the methods to get rid of gas problem? | Hello doctor, I have a heavy gas problem with heaviness on head and neck. I am a diabetic with 72 age, weight 60 kg, and height 160 cm. | Hello. You can have a functional indigestion problem and so gas problem. Kindly mention any other clinical complaint if present to guide you further. You can be prescribed Gelusil or Alcid MPS like syrup to solve your gas problem. Meanwhile try to avoid intake of gas-forming foods like turnip, onion, cauliflower, cabbage, etc. Aristozyme like fiber supplement can be given for relief from indigestion. Eat slowly and avoid intake of excess fatty foods. If no improvement, then USG scan done for further work up. |
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Hello doctor, I have a heavy gas problem with heaviness on head and neck. I am a diabetic with 72 age, weight 60 kg, and height 160 cm. [/INST] Hello. You can have a functional indigestion problem and so gas problem. Kindly mention any other clinical complaint if present to guide you further. You can be prescribed Gelusil or Alcid MPS like syrup to solve your gas problem. Meanwhile try to avoid intake of gas-forming foods like turnip, onion, cauliflower, cabbage, etc. Aristozyme like fiber supplement can be given for relief from indigestion. Eat slowly and avoid intake of excess fatty foods. If no improvement, then USG scan done for further work up. |
Q. What is the ayurvedic medicine available for follicular cyst and PID? | Hi doctor, I had endometriosis before four years. I got it removed, and then I got married. I have a child now. I am having pain in the left iliac fossa. It is diagnosed as follicular cyst and PID. What can I do now? | Hi. You have pain in the left iliac fossa, and it is diagnosed as PID (pelvic inflammatory disease) and follicular cyst. But several other issues can also cause this condition. It can be due to colitis or constipation. You should take your kind attention to this problem. You should take anti-inflammatory and anti-lipidemic treatment. Take Hyponid charak (Yashad bhasma with purified asphaltum) two tablets twice a day with warm water after meals. Take Yogaraja Guggulu (Yavani with Jeeraka) two tablets twice a day with warm water after meals. Take Prawalpanchamrita one tablet twice a day with warm water after meals. Take Sarivadyasava 15 ml (Sariva with Amla) twice a day with an equal amount of water after meals. Use Nirgundi oil for external application only. Have a check over your thyroid profile and go for USG (ultrasound) abdomen after following these medicines. You should avoid eating spicy foods and fried junk foods. Drink plenty of water and avoid taking cold drinks and ice creams. Do regular yoga and pranayama. |
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Hi doctor, I had endometriosis before four years. I got it removed, and then I got married. I have a child now. I am having pain in the left iliac fossa. It is diagnosed as follicular cyst and PID. What can I do now? [/INST] Hi. You have pain in the left iliac fossa, and it is diagnosed as PID (pelvic inflammatory disease) and follicular cyst. But several other issues can also cause this condition. It can be due to colitis or constipation. You should take your kind attention to this problem. You should take anti-inflammatory and anti-lipidemic treatment. Take Hyponid charak (Yashad bhasma with purified asphaltum) two tablets twice a day with warm water after meals. Take Yogaraja Guggulu (Yavani with Jeeraka) two tablets twice a day with warm water after meals. Take Prawalpanchamrita one tablet twice a day with warm water after meals. Take Sarivadyasava 15 ml (Sariva with Amla) twice a day with an equal amount of water after meals. Use Nirgundi oil for external application only. Have a check over your thyroid profile and go for USG (ultrasound) abdomen after following these medicines. You should avoid eating spicy foods and fried junk foods. Drink plenty of water and avoid taking cold drinks and ice creams. Do regular yoga and pranayama. |
Q. I have pain in buttock and unable to walk. How to get cured? | Hi doctor, I have pain in my buttocks. I am unable to walk, and it has been there for a week. I am unable to move my body during sleeping. Please help. | Hi. The pain can be a musculoskeletal pain. For that, a non-steroid anti-inflammatory drug can be taken for five days. A hot compress can be applied over it. If there is no improvement, you can consult an orthopedic surgeon for a detailed physical examination. If the pain is sharp, then it should be ruled out for nerve compression. |
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Hi doctor, I have pain in my buttocks. I am unable to walk, and it has been there for a week. I am unable to move my body during sleeping. Please help. [/INST] Hi. The pain can be a musculoskeletal pain. For that, a non-steroid anti-inflammatory drug can be taken for five days. A hot compress can be applied over it. If there is no improvement, you can consult an orthopedic surgeon for a detailed physical examination. If the pain is sharp, then it should be ruled out for nerve compression. |
Q. I am 4 months pregnant with hyperthyroidism. Is PTU good for me during pregnancy? | Hello doctor, I am 26 years old. I have a problem with hyperthyroidism during my pregnancy. I am in my fourth month of pregnancy with TSH- 0.07, T4- 161, T3- 2.34. What are the complications with this? Is it good for me to take PTU. | Hi. Hyperthyroidism in pregnancy is usually treated with Propylthiouracil 50-100 mg/day. Generally, treatment is withdrawn four weeks prior to delivery after which normal doses may be resumed. Your hormone levels are still very high, you need to increase your dose. Pregnancies complicated by uncontrolled hyperthyroidism may result in higher incidences of spontaneous abortion (miscarriage), preterm labor, low birth-weight babies, or stillbirths. Complications of pregnancy, including pre-eclampsia (a condition associated with hypertension, low blood platelet count, protein in the urine, and mental changes) may also occur. So please increase your dosage. Another thing I want to highlight is that you should do TSH (thyroid-stimulating hormone) receptor antibodies and to see what is the cause of your hyperthyroidism. Is it Graves’ disease. These antibodies can enter from the mother's blood to the baby's blood and stimulate the baby's thyroid gland. These antibodies should be measured in the mother during her second trimester of pregnancy because the values that are greater than five times normal have been associated with hyperthyroidism in the baby at birth. |
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Hello doctor, I am 26 years old. I have a problem with hyperthyroidism during my pregnancy. I am in my fourth month of pregnancy with TSH- 0.07, T4- 161, T3- 2.34. What are the complications with this? Is it good for me to take PTU. [/INST] Hi. Hyperthyroidism in pregnancy is usually treated with Propylthiouracil 50-100 mg/day. Generally, treatment is withdrawn four weeks prior to delivery after which normal doses may be resumed. Your hormone levels are still very high, you need to increase your dose. Pregnancies complicated by uncontrolled hyperthyroidism may result in higher incidences of spontaneous abortion (miscarriage), preterm labor, low birth-weight babies, or stillbirths. Complications of pregnancy, including pre-eclampsia (a condition associated with hypertension, low blood platelet count, protein in the urine, and mental changes) may also occur. So please increase your dosage. Another thing I want to highlight is that you should do TSH (thyroid-stimulating hormone) receptor antibodies and to see what is the cause of your hyperthyroidism. Is it Graves’ disease. These antibodies can enter from the mother's blood to the baby's blood and stimulate the baby's thyroid gland. These antibodies should be measured in the mother during her second trimester of pregnancy because the values that are greater than five times normal have been associated with hyperthyroidism in the baby at birth. |
Q. What is the black line in eye obstructing the vision? | Hello doctor,My left eye developed a black wavy line that moves around every time I try to focus, at times obstructing my vision. After consulting a doctor and after an eye dilution test, she confirmed that bleeding had occurred in my eye around two weeks ago and the black line I could see was the blood that had spilled. She sent me to a retina doctor who said he had to inject me in the eye. He did not explain the reason why and was a bit unwelcoming to the point that he did not give me a chance to inquire. He prescribed two drugs (Maxidex sterile ophthalmic ointment) and Ceprolen-D eye, ear drops). I have been using these medications since I did not have money for the injection. I can see little improvement but I am afraid it is not cleared yet.All I want to inquire is, what could be wrong with me? I underwent many blood tests and passed them all. I have never been in accident. All I have had is little sensitivity to light. Also I had been working long hours in front of the computer without anti-glare glasses before my problem started. Do I need the injection or is there a medicine that is more appropriate? I am 21 years old..Please help me out. Thanks | Hi. You seem to have vasculitis which is inflammation of blood vessels in your eye which makes your blood vessels leaky. Injections of an anti-VEGF compound are indicated in this but before this, you need laser therapy in your eye along with a course of steroids. You need to undergo fundus fluorescein angiography to locate the area of leaky vessels and we have to laser it. You also need to get a blood investigation to rule out infections like tuberculosis. After that is ruled out, we have to start steroids. Anti-VEGF injections come after that. Kindly do not delay it if this process continues. The visual prognosis becomes poorer if not done in time. You may need surgery which would be more costly. |
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Hello doctor,My left eye developed a black wavy line that moves around every time I try to focus, at times obstructing my vision. After consulting a doctor and after an eye dilution test, she confirmed that bleeding had occurred in my eye around two weeks ago and the black line I could see was the blood that had spilled. She sent me to a retina doctor who said he had to inject me in the eye. He did not explain the reason why and was a bit unwelcoming to the point that he did not give me a chance to inquire. He prescribed two drugs (Maxidex sterile ophthalmic ointment) and Ceprolen-D eye, ear drops). I have been using these medications since I did not have money for the injection. I can see little improvement but I am afraid it is not cleared yet.All I want to inquire is, what could be wrong with me? I underwent many blood tests and passed them all. I have never been in accident. All I have had is little sensitivity to light. Also I had been working long hours in front of the computer without anti-glare glasses before my problem started. Do I need the injection or is there a medicine that is more appropriate? I am 21 years old..Please help me out. Thanks [/INST] Hi. You seem to have vasculitis which is inflammation of blood vessels in your eye which makes your blood vessels leaky. Injections of an anti-VEGF compound are indicated in this but before this, you need laser therapy in your eye along with a course of steroids. You need to undergo fundus fluorescein angiography to locate the area of leaky vessels and we have to laser it. You also need to get a blood investigation to rule out infections like tuberculosis. After that is ruled out, we have to start steroids. Anti-VEGF injections come after that. Kindly do not delay it if this process continues. The visual prognosis becomes poorer if not done in time. You may need surgery which would be more costly. |
Q. Is it advisable to take Arjunarishta for high cholesterol? | Hi docor, Can I take Arjunarishta? I have high cholesterol and am using Rozavel 5 mg. | Hello sir, I just read your query. Arjunarishta is advised in conditions like high cholesterol level. As you have this problem, you can take it along with your current medicine. But keep some gap between your allopathic medicine and Arjunarishta. Arjunarishta is not advised in diabetic patients. So, if your sugar levels are controlled you can take it in the following dose. Take 10 ml of Arjunarishta with an equal amount of water two times a day after food for one month. Consult me or a nearby Ayurveda physician after one month regarding improvement and for further management. Hopefully, you will feel better results within a month. Poor eating habits and improper lifestyle. Lipid profile test after one month. |
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Hi docor, Can I take Arjunarishta? I have high cholesterol and am using Rozavel 5 mg. [/INST] Hello sir, I just read your query. Arjunarishta is advised in conditions like high cholesterol level. As you have this problem, you can take it along with your current medicine. But keep some gap between your allopathic medicine and Arjunarishta. Arjunarishta is not advised in diabetic patients. So, if your sugar levels are controlled you can take it in the following dose. Take 10 ml of Arjunarishta with an equal amount of water two times a day after food for one month. Consult me or a nearby Ayurveda physician after one month regarding improvement and for further management. Hopefully, you will feel better results within a month. Poor eating habits and improper lifestyle. Lipid profile test after one month. |
Q. I have pain between my shoulder and neck. What to do? | Hi doctor, I have a problem with my shoulder. I have a pain between my shoulder and neck. I had treatment for it. It was good for three months. Again, I started to have pain between my shoulder. I do not know the reason. What to do? | Hi. You have soreness, and it triggers the trigger points. There is nothing to worry. Try to do a lot of icing and mild rolling with a foam roller in your neck and back. Once the pain gets reduced, try to do a lot of stretches for neck and chest muscles. Try to strengthen your neck muscles. Drink plenty of water. |
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Hi doctor, I have a problem with my shoulder. I have a pain between my shoulder and neck. I had treatment for it. It was good for three months. Again, I started to have pain between my shoulder. I do not know the reason. What to do? [/INST] Hi. You have soreness, and it triggers the trigger points. There is nothing to worry. Try to do a lot of icing and mild rolling with a foam roller in your neck and back. Once the pain gets reduced, try to do a lot of stretches for neck and chest muscles. Try to strengthen your neck muscles. Drink plenty of water. |
Q. How to stop hair fall immediately? | Hi doctor, I am a 21-year-old male. I have hair fall problem for more than a year. When I am not taking a head bath a day, my hair becomes oily, and I start to have itching. How can I manage this condition? | Hi. I have gone through the attachment (attachment removed to protect patient identity). The condition is known as androgenetic alopecia (AGA). It is also known as male pattern hair loss. It is genetic, and it occurs due to hormonal changes. It is a progressive condition. If you have a positive family history, then there can be a fast progression. Medications can control it. You can use topical Minoxidil 5 % solution. Apply one ml to the scalp in the morning after washing the scalp and apply one ml at night. It has long-term treatment. Take Androanagen (Biotin with Calcium pantothenate) tablet. It is a hair nutrient. Take one tablet in the morning after breakfast. Use Anaphase shampoo (Glyceryl laurate with Sodium laureth sulfate) to wash the scalp every day. Stop smoking if you have the habit. Nicotine decreases the blood supply to the hair roots. Do regular physical exercise every day for 40 minutes. It keeps the hormones under control. Take protein rich diet which includes egg, chicken, fish, milk, curd, and lentils. Hair is made up of a protein called keratin. So there is more requirement of protein in the diet. Wash your scalp every day. Do not use oil over your hair as you have sufficient oil in your scalp coming from the sebaceous glands of the scalp. Excess oil makes the scalp prone to dandruff. |
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Hi doctor, I am a 21-year-old male. I have hair fall problem for more than a year. When I am not taking a head bath a day, my hair becomes oily, and I start to have itching. How can I manage this condition? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). The condition is known as androgenetic alopecia (AGA). It is also known as male pattern hair loss. It is genetic, and it occurs due to hormonal changes. It is a progressive condition. If you have a positive family history, then there can be a fast progression. Medications can control it. You can use topical Minoxidil 5 % solution. Apply one ml to the scalp in the morning after washing the scalp and apply one ml at night. It has long-term treatment. Take Androanagen (Biotin with Calcium pantothenate) tablet. It is a hair nutrient. Take one tablet in the morning after breakfast. Use Anaphase shampoo (Glyceryl laurate with Sodium laureth sulfate) to wash the scalp every day. Stop smoking if you have the habit. Nicotine decreases the blood supply to the hair roots. Do regular physical exercise every day for 40 minutes. It keeps the hormones under control. Take protein rich diet which includes egg, chicken, fish, milk, curd, and lentils. Hair is made up of a protein called keratin. So there is more requirement of protein in the diet. Wash your scalp every day. Do not use oil over your hair as you have sufficient oil in your scalp coming from the sebaceous glands of the scalp. Excess oil makes the scalp prone to dandruff. |
Q. Is there any aberration seen in hemogram? | Hi doctor, My partner is 62 years old. She has diabetes. Her fasting sugar is 138 mg/dL, and PPBS is normal. Her TSH is usual at present. The HbA1c test is standard with 5.5 %. We did hemogram along with a sugar testing last week. It showed some aberration. The WBC was normal. Total WBC was marginally high. Her hemoglobin was 14.4 g/dL, and her hematocrit was normal. But the red cell distribution width was marginally high. Her platelet count was 164,000 platelets per microliter of blood. Her platelet distribution width, mean platelet volume, and platelet to large cell ratio were higher than normal. Her lipid profile was normal. She does not have any obvious abnormal symptoms. She takes Vysov-M 50 by 500 mg for diabetes and Thyrox 50 for thyroid. | Hi. I have gone through the attachment (attachment removed to protect patient identity). The RBC (red blood cells) count is normal. The red cell distribution width indicates the variation in the size of the RBCs. It is usually seen in iron deficiency anemia where the RBCs become smaller in size. The hemoglobin is normal, and the elevation is only marginal. There is nothing to worry. The platelet distribution width indicates the variation in the size of the platelets. It is seen generally. Sometimes, the rate of production of platelets is accelerated in bone marrow, and it results in larger sized platelets in the blood. There is nothing to worry. |
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Hi doctor, My partner is 62 years old. She has diabetes. Her fasting sugar is 138 mg/dL, and PPBS is normal. Her TSH is usual at present. The HbA1c test is standard with 5.5 %. We did hemogram along with a sugar testing last week. It showed some aberration. The WBC was normal. Total WBC was marginally high. Her hemoglobin was 14.4 g/dL, and her hematocrit was normal. But the red cell distribution width was marginally high. Her platelet count was 164,000 platelets per microliter of blood. Her platelet distribution width, mean platelet volume, and platelet to large cell ratio were higher than normal. Her lipid profile was normal. She does not have any obvious abnormal symptoms. She takes Vysov-M 50 by 500 mg for diabetes and Thyrox 50 for thyroid. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). The RBC (red blood cells) count is normal. The red cell distribution width indicates the variation in the size of the RBCs. It is usually seen in iron deficiency anemia where the RBCs become smaller in size. The hemoglobin is normal, and the elevation is only marginal. There is nothing to worry. The platelet distribution width indicates the variation in the size of the platelets. It is seen generally. Sometimes, the rate of production of platelets is accelerated in bone marrow, and it results in larger sized platelets in the blood. There is nothing to worry. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I am taking Trepiline and Eltroxin for depression. Shall I replace it with St. John's wort? | Hi doctor, I have been having terrible problems with anxiety and depression. I was on Trepiline and Eltroxin for depression when I was younger and I mainly want to know if I can substitute St John's wort for 25 mg Trepiline? These episodes definitely worsen around my period, so might a vitamin B supplement help? I am 35 years old. So far I have been managing this with breathing techniques, mindfulness, etc., but I really cannot carry on like this anymore. Please help. | Hello. See, just because Prozac did not work for you, does not mean that you will not respond to other medicines. There are at least 15-20 types of antidepressants. Depression and anxiety are very common and a lot of people have it. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. Things like St Johns wort, Eltroxin, etc., will only add to the effect of the primary antidepressant. It will never be a substitute for the medicines. Still, if you wish to try these, you can take St Johns wort twice a day, and also take L-Theanine 200 mg once or twice a day. L-Theanine is also an over the counter dietary supplement which shows good results for anxiety. If you have sleeping issues, you can take Melatonin 5 mg over the counter supplement at night. Yes, taking a probiotic compound along with Vitamin B will also help also. Take it once a day. |
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Hi doctor, I have been having terrible problems with anxiety and depression. I was on Trepiline and Eltroxin for depression when I was younger and I mainly want to know if I can substitute St John's wort for 25 mg Trepiline? These episodes definitely worsen around my period, so might a vitamin B supplement help? I am 35 years old. So far I have been managing this with breathing techniques, mindfulness, etc., but I really cannot carry on like this anymore. Please help. [/INST] Hello. See, just because Prozac did not work for you, does not mean that you will not respond to other medicines. There are at least 15-20 types of antidepressants. Depression and anxiety are very common and a lot of people have it. It basically happens when some neurotransmitters such as serotonin reduce in your brain leading to a problem with handling the day to day stresses of life. Medicines are usually given for two to four months and then tapered off slowly and stopped. Things like St Johns wort, Eltroxin, etc., will only add to the effect of the primary antidepressant. It will never be a substitute for the medicines. Still, if you wish to try these, you can take St Johns wort twice a day, and also take L-Theanine 200 mg once or twice a day. L-Theanine is also an over the counter dietary supplement which shows good results for anxiety. If you have sleeping issues, you can take Melatonin 5 mg over the counter supplement at night. Yes, taking a probiotic compound along with Vitamin B will also help also. Take it once a day. |
Q. After two years of facial hair removal treatment, my skin looks worse. What to do? | Hi doctor, I used to take treatments for facial hair removal using a laser, microdermabrasion, and chemical peeling. I did these treatments before two years. My skin has become worse now. I have more dead cells in my skin, and I have darker looking skin. Even my lips have turned dark. My entire upper lip is black. I do not know the reason behind this problem. Do I have this problem due to the laser treatment or due to hormonal imbalance? I am taking medication for thyroid, which is normal now. I am taking Metformin for hormone regulation. I have facial hairs, and it grows faster. I have facial hair above the lips and chin. I use a razor to clear it. Please prescribe me ointments or creams to reduce the problem. | Hi. You are having hormonal issues. It could be the reason for having pigmentation and excess hair growth. Please mention about the steps taken to maintain the skin. Please send the images of the darkened portion of the skin. I can suggest some remedies after looking at the present condition. |
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Hi doctor, I used to take treatments for facial hair removal using a laser, microdermabrasion, and chemical peeling. I did these treatments before two years. My skin has become worse now. I have more dead cells in my skin, and I have darker looking skin. Even my lips have turned dark. My entire upper lip is black. I do not know the reason behind this problem. Do I have this problem due to the laser treatment or due to hormonal imbalance? I am taking medication for thyroid, which is normal now. I am taking Metformin for hormone regulation. I have facial hairs, and it grows faster. I have facial hair above the lips and chin. I use a razor to clear it. Please prescribe me ointments or creams to reduce the problem. [/INST] Hi. You are having hormonal issues. It could be the reason for having pigmentation and excess hair growth. Please mention about the steps taken to maintain the skin. Please send the images of the darkened portion of the skin. I can suggest some remedies after looking at the present condition. |
Q. My skin color varies in different body parts. Why? | Hi doctor, My skin is not clear, and I have my skin with different colors. I drink a lot of soda. Do I have the skin color due to drinking soda? How can I clear it? Please suggest. | Hi. I have gone through the attachment (attachment removed to protect patient identity). You have beautiful brown shade. There is no connection between a soda and skin color. But alcohol can increase the activity of sebaceous glands, and it makes the skin more oily. Your chest color is lighter than your face. It is normal as the face is always exposed more to sunlight when compared to the chest. You have seborrheic melanosis around your mouth. Seborrheic melanosis is due to excessive oil production from the sebaceous glands of the face. You can use topical Elidel 1 % cream (Pimecrolimus). Apply it to the dark area around the mouth at night. You can use a good sunscreen with SPF (sun protection factor) 50. Apply it to the face before 30 minutes when you are going out. Use Salicylic acid face wash to wash the excess oil present in the face. |
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Hi doctor, My skin is not clear, and I have my skin with different colors. I drink a lot of soda. Do I have the skin color due to drinking soda? How can I clear it? Please suggest. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). You have beautiful brown shade. There is no connection between a soda and skin color. But alcohol can increase the activity of sebaceous glands, and it makes the skin more oily. Your chest color is lighter than your face. It is normal as the face is always exposed more to sunlight when compared to the chest. You have seborrheic melanosis around your mouth. Seborrheic melanosis is due to excessive oil production from the sebaceous glands of the face. You can use topical Elidel 1 % cream (Pimecrolimus). Apply it to the dark area around the mouth at night. You can use a good sunscreen with SPF (sun protection factor) 50. Apply it to the face before 30 minutes when you are going out. Use Salicylic acid face wash to wash the excess oil present in the face. |
Q. How to treat patients having destructive behaviour and anger? | Hi doctor, I have destructive behavior. I break things, and I kick them when I am in anger. Please suggest. | Hi. You seem to have some severe anger issues. These type of problems are due to various psychiatric issues. It can also be due to depression, anxiety, and schizophrenia. We need to have a complete assessment of your symptoms, and the provoking factors. You can manage anger by following these techniques. Have control over yourself. Start to count from one to hundred when you are in anger. Try to do relaxation exercise and deep breathing exercise. You can have counseling with your psychiatrist. You may need to take medicines depending upon the severity. |
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Hi doctor, I have destructive behavior. I break things, and I kick them when I am in anger. Please suggest. [/INST] Hi. You seem to have some severe anger issues. These type of problems are due to various psychiatric issues. It can also be due to depression, anxiety, and schizophrenia. We need to have a complete assessment of your symptoms, and the provoking factors. You can manage anger by following these techniques. Have control over yourself. Start to count from one to hundred when you are in anger. Try to do relaxation exercise and deep breathing exercise. You can have counseling with your psychiatrist. You may need to take medicines depending upon the severity. |
Q. What is the best possible advice followed to get rid of allergic nasal polyp? | Hi doctor, I am 39 years old. I have an allergic nasal polyp for the past ten years. I consulted the doctor before ten years back. The doctor told me that there is no need to undergo surgery and he prescribed Rhinocort aqua which is currently unavailable, and I have been using other sprays. It is not working on me. What is your best possible advice to get rid off allergic nasal polyp? | Hi. First, we need a clinical examination, radiology, and endoscopy. The treatment options are surgery and medical management along with environmental control. Surgery involves endoscopic sinus surgery, and medical management includes control of allergy and inflammation. It is necessary to find the allergen, and it is better to avoid it. It is the step followed under environmental control. Long-term allergy control involves immunotherapy. There is no use in using various sprays and waiting for a polyp to resolve. |
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Hi doctor, I am 39 years old. I have an allergic nasal polyp for the past ten years. I consulted the doctor before ten years back. The doctor told me that there is no need to undergo surgery and he prescribed Rhinocort aqua which is currently unavailable, and I have been using other sprays. It is not working on me. What is your best possible advice to get rid off allergic nasal polyp? [/INST] Hi. First, we need a clinical examination, radiology, and endoscopy. The treatment options are surgery and medical management along with environmental control. Surgery involves endoscopic sinus surgery, and medical management includes control of allergy and inflammation. It is necessary to find the allergen, and it is better to avoid it. It is the step followed under environmental control. Long-term allergy control involves immunotherapy. There is no use in using various sprays and waiting for a polyp to resolve. |
Q. There is pain and pus leakage from belly button. What can be done? | Hello doctor, I am a 19-year-old female and last night I went to the ER because my belly button was leaking pus. I was then diagnosed with a urachal cyst. Tonight, I am nauseous, dizzy when I am standing up, and my stomach hurts so bad. I am about to start crying. I feel like period cramps but I have never had them remotely this bad. I have been trying to fall asleep for the past two hours but the pain is keeping me awake, also mildly short of breath. | Hi. Sorry to hear about your suffering. Most probably the pain you feel is due to an infected patent urachal cyst. As long as there are pus and inflammation, there will be a pain. The ultimate solution is surgery. My advice is to use Augmentin (Amoxicillin and Clavulanic acid) 1 gm twice per day for one week. Ibuprofen 600 mg as a painkiller. Consult your physician for surgery. Please provide me with a photo in order to classify your stage plus your CBC laboratory result to see how the infection is serious. |
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Hello doctor, I am a 19-year-old female and last night I went to the ER because my belly button was leaking pus. I was then diagnosed with a urachal cyst. Tonight, I am nauseous, dizzy when I am standing up, and my stomach hurts so bad. I am about to start crying. I feel like period cramps but I have never had them remotely this bad. I have been trying to fall asleep for the past two hours but the pain is keeping me awake, also mildly short of breath. [/INST] Hi. Sorry to hear about your suffering. Most probably the pain you feel is due to an infected patent urachal cyst. As long as there are pus and inflammation, there will be a pain. The ultimate solution is surgery. My advice is to use Augmentin (Amoxicillin and Clavulanic acid) 1 gm twice per day for one week. Ibuprofen 600 mg as a painkiller. Consult your physician for surgery. Please provide me with a photo in order to classify your stage plus your CBC laboratory result to see how the infection is serious. |
Q. Kindly tell how someone can be brought out of sorrow of losing a dear one. | Hello doctor, My mother lost her father who she loved very much. Though the incidence was about 5 to 6 months back, she is not able to come out of the sorrow. She always remains depressed. We are trying our best to cope with her, but the situation is not improving. | Hi. It might be that she might be suffering from adjustment disorder due to loss of a loved one because of which you are seeing these symptoms. It happens at a late age when you lose your spouse. But you should be careful that it does not proceed ahead. Also, please let me know if she also has any medical comorbidities like diabetes or hypertension and is she on medicines for any of these, whether she has thyroid issues? As it is known to cause depression-like symptoms. |
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Hello doctor, My mother lost her father who she loved very much. Though the incidence was about 5 to 6 months back, she is not able to come out of the sorrow. She always remains depressed. We are trying our best to cope with her, but the situation is not improving. [/INST] Hi. It might be that she might be suffering from adjustment disorder due to loss of a loved one because of which you are seeing these symptoms. It happens at a late age when you lose your spouse. But you should be careful that it does not proceed ahead. Also, please let me know if she also has any medical comorbidities like diabetes or hypertension and is she on medicines for any of these, whether she has thyroid issues? As it is known to cause depression-like symptoms. |
Q. What is the reason for delayed periods? | Hello doctor, I have regular periods every month. I missed my period 10 months back and until now I have not received my period. I took two pregnancy tests a month later and both came out to be negative. I would sometimes get light cramps and discharge (clear). I want to know is this normal or is something wrong with my body? Could I still be pregnant? Please let me know I am desperate for help. | Hello. If your prime concern is pregnancy alone, then you can get a serum beta hCG test done which is the gold standard and conclusive. If the hCG levels are less than 5 mIY then you are surely not pregnant and the delay of menses could be stress induced as in most women. You can then opt for a withdrawal bleed with Progesterones. The other most common causes of oligomenorrhoea are PCOS, hypothyroidism, and hyperprolactinemia. So you may get a hormonal profile to get these levels checked as well and an ultrasound pelvis to rule out polycystic ovaries which are again very common in young women. |
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Hello doctor, I have regular periods every month. I missed my period 10 months back and until now I have not received my period. I took two pregnancy tests a month later and both came out to be negative. I would sometimes get light cramps and discharge (clear). I want to know is this normal or is something wrong with my body? Could I still be pregnant? Please let me know I am desperate for help. [/INST] Hello. If your prime concern is pregnancy alone, then you can get a serum beta hCG test done which is the gold standard and conclusive. If the hCG levels are less than 5 mIY then you are surely not pregnant and the delay of menses could be stress induced as in most women. You can then opt for a withdrawal bleed with Progesterones. The other most common causes of oligomenorrhoea are PCOS, hypothyroidism, and hyperprolactinemia. So you may get a hormonal profile to get these levels checked as well and an ultrasound pelvis to rule out polycystic ovaries which are again very common in young women. |
Q. What is the best treatment for gum bleeding and bad breath? | Hello doctor, I have crooked teeth, four up and four down. I want to know what should be done to them to fix. I had recently started facing the problem of gum bleeding and bad smell from mouth. Some yellow decay are there inside my lower four teeth. | Hi. I can understand the problem. It is called lower jaw insufficiency and it is an orthodontic problem with crowding in lower front teeth. The yellow layer is called dental calculus and it is a calcified dirt. I would suggest you undergo orthodontic treatment. The dentist may extract one or two teeth as a part of treatment after a thorough examination. He shall align the teeth properly in a year duration. Also, undergo scaling and polishing of your teeth at the earliest. |
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Hello doctor, I have crooked teeth, four up and four down. I want to know what should be done to them to fix. I had recently started facing the problem of gum bleeding and bad smell from mouth. Some yellow decay are there inside my lower four teeth. [/INST] Hi. I can understand the problem. It is called lower jaw insufficiency and it is an orthodontic problem with crowding in lower front teeth. The yellow layer is called dental calculus and it is a calcified dirt. I would suggest you undergo orthodontic treatment. The dentist may extract one or two teeth as a part of treatment after a thorough examination. He shall align the teeth properly in a year duration. Also, undergo scaling and polishing of your teeth at the earliest. |
Q. Will congenital deafness get transferred to future generation? | Hello doctor, Girl's father is dumb and deaf affected. If I marry that girl (affected person's daughter), will the child born to us also be affected? And I am not dumb and deaf. Please help me to decide to marry her or not. | Hi. I understand your concern. Congenital deafness and mutism has a genetic effect and may pass to future generation but incidences are very less as compared to other congenital and genetic diseases. You may marry with girls concern. Deafness and mutism in the next generation are due to so many factors. So deafness of father should not be criteria for rejection of daughter for marriage. Now a days deaf and mutism is very easily managed by cochlear implants and few agencies are sponsoring the surgical costs as well. So need not worry and go ahead. |
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Hello doctor, Girl's father is dumb and deaf affected. If I marry that girl (affected person's daughter), will the child born to us also be affected? And I am not dumb and deaf. Please help me to decide to marry her or not. [/INST] Hi. I understand your concern. Congenital deafness and mutism has a genetic effect and may pass to future generation but incidences are very less as compared to other congenital and genetic diseases. You may marry with girls concern. Deafness and mutism in the next generation are due to so many factors. So deafness of father should not be criteria for rejection of daughter for marriage. Now a days deaf and mutism is very easily managed by cochlear implants and few agencies are sponsoring the surgical costs as well. So need not worry and go ahead. |
Q. What has to be done to reduce fasting blood sugar levels? | Hello doctor, I am 49 years old, moderately active, all biochemical parameters mid-range normal. Fasting sugar levels steady at 147 to 149, PP 159 to 250, drops to 80 to 105 at about 6 PM, after lunch at 1.30 to 2 PM. I am having (Glycomet Trio1 and Glycomet GP1) twice a day. Am unable to understand how to get these levels down to fasting. | Hi. I understand your concerns. Great fluctuations in blood sugar level are common in diabetics. Your treatment is suitable but it may require some small modifications. My advice in order to have better control is that you have to eat a small meal between the main meals. Stay strictly with the diabetic diet. You can miss one dose if you are not going to eat the meal or you are going to eat a very small amount of food. If you tolerate Metformin well, I suggest that you increase the dose to 1000 twice daily after food and decrease the dose of Glimipride as Metformin decrease the sugar level back to normal but not causing hypoglycemia like Glimipride (after consulting your physician). Measuring HbA1c will give us a good idea about how the blood sugar was controlled over the last three months. I need to know about your meals timings and your medications timings . Do you take both medications twice, so that you are taking four tablets in total or you take one in the morning and the other in the evening? So you take only two tablets? Please provide me with your feedback. For further advice, please do not hesitate to send follow up query. |
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Hello doctor, I am 49 years old, moderately active, all biochemical parameters mid-range normal. Fasting sugar levels steady at 147 to 149, PP 159 to 250, drops to 80 to 105 at about 6 PM, after lunch at 1.30 to 2 PM. I am having (Glycomet Trio1 and Glycomet GP1) twice a day. Am unable to understand how to get these levels down to fasting. [/INST] Hi. I understand your concerns. Great fluctuations in blood sugar level are common in diabetics. Your treatment is suitable but it may require some small modifications. My advice in order to have better control is that you have to eat a small meal between the main meals. Stay strictly with the diabetic diet. You can miss one dose if you are not going to eat the meal or you are going to eat a very small amount of food. If you tolerate Metformin well, I suggest that you increase the dose to 1000 twice daily after food and decrease the dose of Glimipride as Metformin decrease the sugar level back to normal but not causing hypoglycemia like Glimipride (after consulting your physician). Measuring HbA1c will give us a good idea about how the blood sugar was controlled over the last three months. I need to know about your meals timings and your medications timings . Do you take both medications twice, so that you are taking four tablets in total or you take one in the morning and the other in the evening? So you take only two tablets? Please provide me with your feedback. For further advice, please do not hesitate to send follow up query. |
Q. Why am I experiencing brain fog and feel pressure in head and dizziness? | hello doctor, i am experiencing brain fog cannot think properly even a single sentence or a Numerical or Complex problems, feel pressure and blockage in head and dizzy and foggy in Eyes. when i read A Palpitation began to Start in my Head and in Overall Body and Eyes Become Blurred , Frequently Heart Palpitations Became to start Again and Again and i feel Uneasiness in Gut Area . My body is Stiff All the Time ,stiffness in Jaws, Neck And Back Area . I feel Pressure while Speaking and it becomes Uneasiness for me to speak Softly , Aggression in Facial Area and some Uneasiness in Whole Body. I have use Different Psychaitric Medications, Psychotherapy, and Even Homeopathy Medicine but Nothing Works, MRI and EEG is Normal, Blood Tests are Also Normal . Plz Doctor Give me Advice What is Going on With Me , I have sinus Problem Also . | Hello Dear I am sorry about your health condition. which antipsychotic drugs are you using? Yes sinusitis patients feel foggy mind and heavy ness in the head. The heavyness may aggravated on head bending position. Few anti psychotics usage may also cause cloudy mind with confusion. So for sinusitis use water vapour inhalation thrice a day for five days. Avoid cool drinks and ice creams. Use tablet monterleukast and levocetrizine once a day for five days. Do yoga and meditation regularly. If symptoms not improved please consult with your treating doctor he will change the dosage and treat you accordingly. Take care. |
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hello doctor, i am experiencing brain fog cannot think properly even a single sentence or a Numerical or Complex problems, feel pressure and blockage in head and dizzy and foggy in Eyes. when i read A Palpitation began to Start in my Head and in Overall Body and Eyes Become Blurred , Frequently Heart Palpitations Became to start Again and Again and i feel Uneasiness in Gut Area . My body is Stiff All the Time ,stiffness in Jaws, Neck And Back Area . I feel Pressure while Speaking and it becomes Uneasiness for me to speak Softly , Aggression in Facial Area and some Uneasiness in Whole Body. I have use Different Psychaitric Medications, Psychotherapy, and Even Homeopathy Medicine but Nothing Works, MRI and EEG is Normal, Blood Tests are Also Normal . Plz Doctor Give me Advice What is Going on With Me , I have sinus Problem Also . [/INST] Hello Dear I am sorry about your health condition. which antipsychotic drugs are you using? Yes sinusitis patients feel foggy mind and heavy ness in the head. The heavyness may aggravated on head bending position. Few anti psychotics usage may also cause cloudy mind with confusion. So for sinusitis use water vapour inhalation thrice a day for five days. Avoid cool drinks and ice creams. Use tablet monterleukast and levocetrizine once a day for five days. Do yoga and meditation regularly. If symptoms not improved please consult with your treating doctor he will change the dosage and treat you accordingly. Take care. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. There is reduced mouth opening after wisdom tooth removal. Why? | Hello doctor, I was put to sleep and had a surgery on all my wisdom teeth to have them removed. It has been three weeks since surgery and I can only put two fingers in my mouth. My bottom wisdom teeth were impacted in my gums and bone that is why it had to be surgically removed. What can I do to get my mouth to open wider? I cannot eat a burger. | Hello. As per your query, I have gone through it and I came to a provisional diagnosis of trismus (inability to open mouth). This is the diagnosis based on your query and it may not be right. You just need to visit the dentist who removed your molars and you need to go through a clinical examination for your diagnosis. If this might be the case then you need to go through different type of physiotherapy exercises according to the severity of trismus. The cause for trismus is the injury to a muscle or muscle sheath. It is treatable. You need not worry about it. Physiotherapy exercise, heat therapy, muscle relaxant Benzodiazepine. |
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Hello doctor, I was put to sleep and had a surgery on all my wisdom teeth to have them removed. It has been three weeks since surgery and I can only put two fingers in my mouth. My bottom wisdom teeth were impacted in my gums and bone that is why it had to be surgically removed. What can I do to get my mouth to open wider? I cannot eat a burger. [/INST] Hello. As per your query, I have gone through it and I came to a provisional diagnosis of trismus (inability to open mouth). This is the diagnosis based on your query and it may not be right. You just need to visit the dentist who removed your molars and you need to go through a clinical examination for your diagnosis. If this might be the case then you need to go through different type of physiotherapy exercises according to the severity of trismus. The cause for trismus is the injury to a muscle or muscle sheath. It is treatable. You need not worry about it. Physiotherapy exercise, heat therapy, muscle relaxant Benzodiazepine. |
Q. Can you recommend some supplements to reduce HbA1c? | Hi doctor, My HbA1c is around 6.0 %. Several years ago, it was used to be at 5.2 %. Can you recommend some supplements to reduce HbA1c? | Hi. HbA1c level (glycated hemoglobin) goes up when your body is unable to control glucose accurately and when the insulin sensitivity is low. You have not mentioned the treatment taken for diabetes. I assume that you are prediabetic and I am giving the following instructions. You have to change your lifestyle and diet. Or else you will become prone to diabetic. Please follow these instructions to increase the sensitivity to insulin and to decrease your HbA1c. Daily exercise improves your glycemic control and insulin resistance. You should do both strength training exercise and aerobic exercise. It helps you to reduce body fat and improves the skeletal muscle mass and strength. You should have a low GI (glycemic index) diet. You should focus on eating foods with a GI less than 55 and take fiber-rich foods such as apples, grapefruit, legumes, onions and garlic, dense, grainy bread and wholegrain cereals such as whole oats. Try to reduce taking sugary foods, processed foods, and concentrated carbohydrates. Take a fiber-rich diet. Consume soluble fiber at least 40 grams per day. Take good sources of soluble fibers such as vegetables, oats, whole grain rice and legumes. Dietary fibers are also beneficial. Reduce taking saturated fat and increase the consumption of omega 3 rich foods and monounsaturated foods. Eat antioxidant-rich foods containing vitamin B, vitamin C, and vitamin E. Eat foods that contain low GI, bioflavonoid and anthocyanin-rich foods such as blueberry, raspberry, strawberry, blackberry, citrus fruits, and onion. Take cinnamon regularly in the diet. It helps to lower the postprandial glucose. Take 50 to 100 ml bitter melon juice containing 100-gram fruit in 100 ml. It reduces the fasting and postprandial glucose levels. Reduce taking tea and coffee. Instead, drink plenty of water. Tea and coffee inhibit the absorption of essential nutrients especially when consumed close to the meals. Take Chromium 200 microgram per day. It helps us to have glucose control. Take Magnesium 400 mg per day. Magnesium deficiency aggravates insulin resistance. Taking a good quantity of vitamins, minerals and antioxidant supplement provide essential micronutrients. Take omega 3 fish oil 1000 mg three times a day. Take vitamin E 500 IU daily. Take Alpha-lipoic acid 600 micrograms in divided doses. |
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Hi doctor, My HbA1c is around 6.0 %. Several years ago, it was used to be at 5.2 %. Can you recommend some supplements to reduce HbA1c? [/INST] Hi. HbA1c level (glycated hemoglobin) goes up when your body is unable to control glucose accurately and when the insulin sensitivity is low. You have not mentioned the treatment taken for diabetes. I assume that you are prediabetic and I am giving the following instructions. You have to change your lifestyle and diet. Or else you will become prone to diabetic. Please follow these instructions to increase the sensitivity to insulin and to decrease your HbA1c. Daily exercise improves your glycemic control and insulin resistance. You should do both strength training exercise and aerobic exercise. It helps you to reduce body fat and improves the skeletal muscle mass and strength. You should have a low GI (glycemic index) diet. You should focus on eating foods with a GI less than 55 and take fiber-rich foods such as apples, grapefruit, legumes, onions and garlic, dense, grainy bread and wholegrain cereals such as whole oats. Try to reduce taking sugary foods, processed foods, and concentrated carbohydrates. Take a fiber-rich diet. Consume soluble fiber at least 40 grams per day. Take good sources of soluble fibers such as vegetables, oats, whole grain rice and legumes. Dietary fibers are also beneficial. Reduce taking saturated fat and increase the consumption of omega 3 rich foods and monounsaturated foods. Eat antioxidant-rich foods containing vitamin B, vitamin C, and vitamin E. Eat foods that contain low GI, bioflavonoid and anthocyanin-rich foods such as blueberry, raspberry, strawberry, blackberry, citrus fruits, and onion. Take cinnamon regularly in the diet. It helps to lower the postprandial glucose. Take 50 to 100 ml bitter melon juice containing 100-gram fruit in 100 ml. It reduces the fasting and postprandial glucose levels. Reduce taking tea and coffee. Instead, drink plenty of water. Tea and coffee inhibit the absorption of essential nutrients especially when consumed close to the meals. Take Chromium 200 microgram per day. It helps us to have glucose control. Take Magnesium 400 mg per day. Magnesium deficiency aggravates insulin resistance. Taking a good quantity of vitamins, minerals and antioxidant supplement provide essential micronutrients. Take omega 3 fish oil 1000 mg three times a day. Take vitamin E 500 IU daily. Take Alpha-lipoic acid 600 micrograms in divided doses. |
Q. Is it possible to see lung cancer in CAT scan if pleural effusion is present? | Hello doctor, How likely is a CAT scan to show a lung cancer if a pleural effusion is present? My husband has a pleural effusion and has had four CT scans, none of which show any suspicious mass. Cytology records are inconclusive. I am wondering if the presence of the pleural effusion limits the visibility of a potential tumor? What about in the presence of a middle lobe collapse, could that be hiding a tumor? He has right side pain, short of breath, and was admitted to hospital and fluid drained. | Hi. Detection of tumor on CAT (computed tomography) scan has nearly 85 to 90 percent efficacy which further increases to 95 percent in post-contrast studies. The pleasurable effusion can be due to numerous causes and in your case due to mucous plugging causing lung lobe collapse-tumor need to be the cause always so do not be apprehensive about that. Any heterogenous abnormal enhancement can be a tumor seen in contrast scan which is not present in your scan. |
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Hello doctor, How likely is a CAT scan to show a lung cancer if a pleural effusion is present? My husband has a pleural effusion and has had four CT scans, none of which show any suspicious mass. Cytology records are inconclusive. I am wondering if the presence of the pleural effusion limits the visibility of a potential tumor? What about in the presence of a middle lobe collapse, could that be hiding a tumor? He has right side pain, short of breath, and was admitted to hospital and fluid drained. [/INST] Hi. Detection of tumor on CAT (computed tomography) scan has nearly 85 to 90 percent efficacy which further increases to 95 percent in post-contrast studies. The pleasurable effusion can be due to numerous causes and in your case due to mucous plugging causing lung lobe collapse-tumor need to be the cause always so do not be apprehensive about that. Any heterogenous abnormal enhancement can be a tumor seen in contrast scan which is not present in your scan. |
Q. What is the reason for weight loss and hair fall after craniotomy surgery? | Hello doctor, My sister is having a craniotomy operation. MRI before surgery and post-surgery are attached. Biopsy report is also attached. So, kindly help me to understand the biopsy report. Current medications are Encorate Chrono 500 mg twice daily, Thyronorm 50 mg. Current problems are weight loss, severe hair fall, less appetite, weakness, not able to eat or smell non-veg items, no hunger. | Hi. The biopsy report and MRI findings are suggesting astrocytoma which is kind of cancerous brain tumor. Post operation MRI is showing that the tumor is not fully removed in surgery. That usually happens in these kinds of tumors because it is sometimes not possible to remove the whole tumor. Please consult with a good radiation oncologist to decide radiotherapy if not yet given. Hair loss is because of Encorate. Restoring the symptoms should be taken seriously and a repeat MRI should be considered after consulting with the neurosurgeon. |
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Hello doctor, My sister is having a craniotomy operation. MRI before surgery and post-surgery are attached. Biopsy report is also attached. So, kindly help me to understand the biopsy report. Current medications are Encorate Chrono 500 mg twice daily, Thyronorm 50 mg. Current problems are weight loss, severe hair fall, less appetite, weakness, not able to eat or smell non-veg items, no hunger. [/INST] Hi. The biopsy report and MRI findings are suggesting astrocytoma which is kind of cancerous brain tumor. Post operation MRI is showing that the tumor is not fully removed in surgery. That usually happens in these kinds of tumors because it is sometimes not possible to remove the whole tumor. Please consult with a good radiation oncologist to decide radiotherapy if not yet given. Hair loss is because of Encorate. Restoring the symptoms should be taken seriously and a repeat MRI should be considered after consulting with the neurosurgeon. |
Q. Is it fine to have a bit higher bilirubin level? | Hello doctor, I am a 29-year-old male, weigh 90 kg, height is 182, non-smoker, non-alcohol drinker. I do not have any symptoms or signs, normal eye, and skin color. I am taking Cipralex 15 mg for the past one year. Had a history of bladder stone and it required admission for one week until it passed normally by medications without surgical intervention. When I reviewed my blood test results, I found out the bilirubin level is bit higher than normal. I was overthinking, so I kept repeating the test weekly. What do you think of my case? Could we consider bilirubin high? If yes, what might be the causes? | Hi. If Mmol means micron mol, then it is fine (attachment removed to protect patient identity). It looks like a normal variant of hyperbilirubinemia. Most common cause of the condition is hemolysis, Gilbert syndrome is also a common cause of such a situation. In both the conditions, we find the unconjugated bilirubin. I hope your urine is not yellow. Another issue is you have high BMI. It is obesity. So, you may have a fatty liver disease, that could be the cause of high ALT. I want to do a fibroscan and repeat ultrasound for fatty liver and TATA box mutation for Gilbert syndrome and reticulocyte counts with smear examination and G6PD level in blood. Rest of the workup you have already done. You may provide the complete reports of the investigation, including the previous investigation. So it will be good for us and help to interpret. Hemolysis (thalassemia variant or G6PD deficiency), Gilbert syndrome, fatty liver disease. Do fibroscan and repeat ultrasound for fatty liver. TATA box mutation for Gilbert syndrome, reticulocyte counts with smear examination and G6PD level in blood, liver function tests, fasting blood glucose, HbA1c. Hemolysis (thalassemia variant or G6PD deficiency), Gilbert syndrome, fatty liver disease. Provide the reports. Do regular exercise, at least 1 to 2 hours a day. A low-fat diet. Target weight is 75 to 80 kg, lose 5 kg in the next three months. Stop alcohol, if you are addicted to that. Capsule Vitamin E, 400 mg once in a day. |
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Hello doctor, I am a 29-year-old male, weigh 90 kg, height is 182, non-smoker, non-alcohol drinker. I do not have any symptoms or signs, normal eye, and skin color. I am taking Cipralex 15 mg for the past one year. Had a history of bladder stone and it required admission for one week until it passed normally by medications without surgical intervention. When I reviewed my blood test results, I found out the bilirubin level is bit higher than normal. I was overthinking, so I kept repeating the test weekly. What do you think of my case? Could we consider bilirubin high? If yes, what might be the causes? [/INST] Hi. If Mmol means micron mol, then it is fine (attachment removed to protect patient identity). It looks like a normal variant of hyperbilirubinemia. Most common cause of the condition is hemolysis, Gilbert syndrome is also a common cause of such a situation. In both the conditions, we find the unconjugated bilirubin. I hope your urine is not yellow. Another issue is you have high BMI. It is obesity. So, you may have a fatty liver disease, that could be the cause of high ALT. I want to do a fibroscan and repeat ultrasound for fatty liver and TATA box mutation for Gilbert syndrome and reticulocyte counts with smear examination and G6PD level in blood. Rest of the workup you have already done. You may provide the complete reports of the investigation, including the previous investigation. So it will be good for us and help to interpret. Hemolysis (thalassemia variant or G6PD deficiency), Gilbert syndrome, fatty liver disease. Do fibroscan and repeat ultrasound for fatty liver. TATA box mutation for Gilbert syndrome, reticulocyte counts with smear examination and G6PD level in blood, liver function tests, fasting blood glucose, HbA1c. Hemolysis (thalassemia variant or G6PD deficiency), Gilbert syndrome, fatty liver disease. Provide the reports. Do regular exercise, at least 1 to 2 hours a day. A low-fat diet. Target weight is 75 to 80 kg, lose 5 kg in the next three months. Stop alcohol, if you are addicted to that. Capsule Vitamin E, 400 mg once in a day. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. My home pregnancy tests are positive, but I am spotting. Should I be concerned? | Hello, I’m a 25 year old woman who recently discovered they are pregnant. My period was due on 1st of this month, that same day I took a test that came back positive. I’ve tested several times sense and all have been positive. However on the 6th, I noticed some bleeding. The first time it was on the napkin and a bit made it into the toilet. Then it went away for several hours and then came back but only on my napkin. It’s now almost 3am and I noticed I’m still spotting but very lightly. I do have an appointment today to confirm if I’m really pregnant but I am concerned. | Hello, Welcome to Icliniq. I would like to let you know that any spotting or bleeding in early pregnancy is a sign of threatened miscarriage. You need to visit your doctor so that she can perform a scan to check if the pregnancy is still viable or not. Also if your previous cycles were totally regular, then you would be mostly around 5 weeks gestation. So please visit your Gynaecologist as soon as possible. Wishing you good luck and a great health. - Ultrasound for viability and also. - after the ultrasound, to consider progesterone support as advised by your Gynaecologist. avoid sexual intercourse till 1st 3months of pregnancy. |
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Hello, I’m a 25 year old woman who recently discovered they are pregnant. My period was due on 1st of this month, that same day I took a test that came back positive. I’ve tested several times sense and all have been positive. However on the 6th, I noticed some bleeding. The first time it was on the napkin and a bit made it into the toilet. Then it went away for several hours and then came back but only on my napkin. It’s now almost 3am and I noticed I’m still spotting but very lightly. I do have an appointment today to confirm if I’m really pregnant but I am concerned. [/INST] Hello, Welcome to Icliniq. I would like to let you know that any spotting or bleeding in early pregnancy is a sign of threatened miscarriage. You need to visit your doctor so that she can perform a scan to check if the pregnancy is still viable or not. Also if your previous cycles were totally regular, then you would be mostly around 5 weeks gestation. So please visit your Gynaecologist as soon as possible. Wishing you good luck and a great health. - Ultrasound for viability and also. - after the ultrasound, to consider progesterone support as advised by your Gynaecologist. avoid sexual intercourse till 1st 3months of pregnancy. |
Q. How to treat skin itching and scratching problem in a diabetic individual? | Hi doctor, My mother has itching and scratching for the past three months. She is 85 years old with a controlled diabetic. For now, she is applying Polysporin ointment and Benadryl 25 mg. She gets better for a while, and she gets it again. I am attaching the picture. Please suggest. | Hi. I have gone through the attachment (attachment removed to protect patient identity). It looks like prurigo simplex. Apply Mometasone cream. Mix it with coconut oil in equal ratio and apply over the affected area twice daily for two weeks. Take tablet Levocetirizine 5 mg twice daily. Please say whether your mother had any skin lesion in the fingers, abdomen, thighs, and private parts. Please mention whether the itching got increased at night. Please say whether any family member had similar complaints. If these are present, then the treatment varies or else go ahead with the above treatment for two weeks. |
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Hi doctor, My mother has itching and scratching for the past three months. She is 85 years old with a controlled diabetic. For now, she is applying Polysporin ointment and Benadryl 25 mg. She gets better for a while, and she gets it again. I am attaching the picture. Please suggest. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). It looks like prurigo simplex. Apply Mometasone cream. Mix it with coconut oil in equal ratio and apply over the affected area twice daily for two weeks. Take tablet Levocetirizine 5 mg twice daily. Please say whether your mother had any skin lesion in the fingers, abdomen, thighs, and private parts. Please mention whether the itching got increased at night. Please say whether any family member had similar complaints. If these are present, then the treatment varies or else go ahead with the above treatment for two weeks. |
Q. When I concentrate on plain walI, I see tiny dots and fuzziness. Is it due to vitreous liquefaction? | Hi doctor, If I concentrate on plain wall or dark surface, I can see tiny dots and fuzziness sometimes. I have consulted eye doctors, and the test results are fine. I have been observing this from my childhood, and I am not taking medicines for it. Is it due to vitreous liquefaction? Does it happen to everyone? | Hi. You are right. It happens due to vitreous liquefaction with aging. The condition you are describing is known as floaters. They are perfectly normal. It occurs earlier in myopes or people using minus power glasses. They are a matter of concern only if you see a sudden shower of floaters. It may be due to pigment release from a hole or a break in the retina. In that case, a dilated retinal examination is required to be done by a retina specialist. |
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Hi doctor, If I concentrate on plain wall or dark surface, I can see tiny dots and fuzziness sometimes. I have consulted eye doctors, and the test results are fine. I have been observing this from my childhood, and I am not taking medicines for it. Is it due to vitreous liquefaction? Does it happen to everyone? [/INST] Hi. You are right. It happens due to vitreous liquefaction with aging. The condition you are describing is known as floaters. They are perfectly normal. It occurs earlier in myopes or people using minus power glasses. They are a matter of concern only if you see a sudden shower of floaters. It may be due to pigment release from a hole or a break in the retina. In that case, a dilated retinal examination is required to be done by a retina specialist. |
Q. I feel incomplete bladder emptying and urge to pee. Why? | Hi doctor, I am 42 years old, and I had a bacterial infection. I took anti-bacterial and anti-fungus medication. Now, I have a burning sensation while going pee and I feel like I have an unemptied bladder. I have an urge to pee. I also have a feeling of having leakage. I am taking the following medication for other causes such as Zyloric, Aspirin, Zantac, Coversyl, and Hypothyroid. Please suggest. | Hi. You are suffering from recurrent urinary tract infection. Please explain about the bacterial infection you had and about the medication taken. Please explain the reason for taking Aspirin. |
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Hi doctor, I am 42 years old, and I had a bacterial infection. I took anti-bacterial and anti-fungus medication. Now, I have a burning sensation while going pee and I feel like I have an unemptied bladder. I have an urge to pee. I also have a feeling of having leakage. I am taking the following medication for other causes such as Zyloric, Aspirin, Zantac, Coversyl, and Hypothyroid. Please suggest. [/INST] Hi. You are suffering from recurrent urinary tract infection. Please explain about the bacterial infection you had and about the medication taken. Please explain the reason for taking Aspirin. |
Q. My mother is having mutiple myeloma. Will allogeneic transplantation help her? | Hi doctor, Recently, my mother is diagnosed with multiple myeloma. She had a fast progression. Within a year, the plasmacytoma has progressed to MGUS which resulted in multiple myeloma with severe bone involvement. She got a heart attack at the onset of multiple myeloma. I know that deletion of 17p and mutations of TP53 are associated with worse prognosis. My mother has not undergone cytogenetic testing. My two sons carry a germline (not somatic) deletion of seven genes on 17p13.2. This deletion does not include TP53, but it includes MYBBP1A which is known to regulate TP53 and deletion. It is implicated in some cancers. If my mother has this deletion, what will be her treatment? She is getting ideal treatment for 17p deletion. She takes Velcade, Revlimid, and Dex with Zometa. Germline mutation makes an autologous transplant less likely to help. Can allogeneic transplantation help her? What does a germline mutation mean? | Hi. The advantage of allogeneic stem cell transplant is that the donor stem cells make their own immune cells. They help to destroy the cancer cells that remain after high-dose treatment. It is called as a graft-versus-cancer effect. Autologous stem cell transplant does not offer the benefits of graft versus tumor (GVL) effect when healthy donor cells attack cancer cells, and they do not carry the risk of transplantation rejection due to graft versus host reaction. They are relatively safe procedures, with low rates of complications and infections compared with allogeneic transplants. Deaths due to the transplant are approximately 2 % to 3 % in patients with newly diagnosed myeloma. In theory, one disadvantage of autologous stem cell transplant is that the transplant can potentially get contaminated with tumor cells when patient stem cells are used. However, recent studies indicate that this is not a significant problem and it is not a significant cause of myeloma relapse. |
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Hi doctor, Recently, my mother is diagnosed with multiple myeloma. She had a fast progression. Within a year, the plasmacytoma has progressed to MGUS which resulted in multiple myeloma with severe bone involvement. She got a heart attack at the onset of multiple myeloma. I know that deletion of 17p and mutations of TP53 are associated with worse prognosis. My mother has not undergone cytogenetic testing. My two sons carry a germline (not somatic) deletion of seven genes on 17p13.2. This deletion does not include TP53, but it includes MYBBP1A which is known to regulate TP53 and deletion. It is implicated in some cancers. If my mother has this deletion, what will be her treatment? She is getting ideal treatment for 17p deletion. She takes Velcade, Revlimid, and Dex with Zometa. Germline mutation makes an autologous transplant less likely to help. Can allogeneic transplantation help her? What does a germline mutation mean? [/INST] Hi. The advantage of allogeneic stem cell transplant is that the donor stem cells make their own immune cells. They help to destroy the cancer cells that remain after high-dose treatment. It is called as a graft-versus-cancer effect. Autologous stem cell transplant does not offer the benefits of graft versus tumor (GVL) effect when healthy donor cells attack cancer cells, and they do not carry the risk of transplantation rejection due to graft versus host reaction. They are relatively safe procedures, with low rates of complications and infections compared with allogeneic transplants. Deaths due to the transplant are approximately 2 % to 3 % in patients with newly diagnosed myeloma. In theory, one disadvantage of autologous stem cell transplant is that the transplant can potentially get contaminated with tumor cells when patient stem cells are used. However, recent studies indicate that this is not a significant problem and it is not a significant cause of myeloma relapse. |
Q. I have body and penile irritation. Is it safe to take Ofloxacin? | Hi doctor, I have body irritation and irritation in the penile area. I have body weakness and pain in the back and waist. I have a mild fever and malaise. Please go through my reports. Suggest me a suitable treatment plan. I want to know an answer. Is it safe to take Ofloxacin 400 mg for a longer time? | Hi. I have gone through the attachment (attachment removed to protect patient identity). Based on the reports, it is probably prostatitis. If there is no improvement with a short course of antibiotics, then it can be chronic prostatitis or recurring prostatitis. In such cases, you can take a course of antibiotics orally for six weeks. You can take Ofloxacin orally for six weeks. |
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Hi doctor, I have body irritation and irritation in the penile area. I have body weakness and pain in the back and waist. I have a mild fever and malaise. Please go through my reports. Suggest me a suitable treatment plan. I want to know an answer. Is it safe to take Ofloxacin 400 mg for a longer time? [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Based on the reports, it is probably prostatitis. If there is no improvement with a short course of antibiotics, then it can be chronic prostatitis or recurring prostatitis. In such cases, you can take a course of antibiotics orally for six weeks. You can take Ofloxacin orally for six weeks. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What is the treatment followed for lung cancer? | Hi doctor, My mother has lung cancer. It is in the fourth stage. Currently, the doctor has advised her to take targetted therapy. She is taking Gefitinib tablets every day. Is there anything serious? Please help me. | Hi. Please say about the histopathology report. Please explain the condition briefly. Please state whether there was a mutation done before starting Gefitinib. All these things are essential for deciding the response to Gefitinib. In general, on taking Gefitinib, the average survival is 13 to 14 months. But some patients have long-term survival for three to four years. Some patients do well for five to six years. Usually, Gefitinib is well tolerated. The most common side effects are skin rash and acne. Rarely, it can cause hepatitis or pneumonitis which is manageable with drug discontinuation for a few weeks. I recommend doing a PET (positron emission tomography) scan every three months. Have a look over the drug response. Please send your report so that I can guide you further. |
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Hi doctor, My mother has lung cancer. It is in the fourth stage. Currently, the doctor has advised her to take targetted therapy. She is taking Gefitinib tablets every day. Is there anything serious? Please help me. [/INST] Hi. Please say about the histopathology report. Please explain the condition briefly. Please state whether there was a mutation done before starting Gefitinib. All these things are essential for deciding the response to Gefitinib. In general, on taking Gefitinib, the average survival is 13 to 14 months. But some patients have long-term survival for three to four years. Some patients do well for five to six years. Usually, Gefitinib is well tolerated. The most common side effects are skin rash and acne. Rarely, it can cause hepatitis or pneumonitis which is manageable with drug discontinuation for a few weeks. I recommend doing a PET (positron emission tomography) scan every three months. Have a look over the drug response. Please send your report so that I can guide you further. |
Q. Kindly explain a few materials that are toxic to humans. | Hi doctor, Please list a few things that are toxic to humans. Please explain. | Hi. Detergents contain hazardous chemicals. It can irritate our skin and cause eczema. Some people may even get contact dermatitis. When they are ingested, it damages our mucosal lining of the gastrointestinal tract. Perfumes and body sprays contain chemicals. When they are inhaled, they irritate the mucosal surface of the respiratory tract leading to asthma and allergic rhinitis. Processed food like sausages are harmful to the digestive system and may predispose to colon cancer if ingested regularly over a long time. Canned food also contain chemicals that are carcinogenic. Air fresheners contain chemicals that are harmful to the kidneys and lungs. Some may affect reproductive functions also. |
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Hi doctor, Please list a few things that are toxic to humans. Please explain. [/INST] Hi. Detergents contain hazardous chemicals. It can irritate our skin and cause eczema. Some people may even get contact dermatitis. When they are ingested, it damages our mucosal lining of the gastrointestinal tract. Perfumes and body sprays contain chemicals. When they are inhaled, they irritate the mucosal surface of the respiratory tract leading to asthma and allergic rhinitis. Processed food like sausages are harmful to the digestive system and may predispose to colon cancer if ingested regularly over a long time. Canned food also contain chemicals that are carcinogenic. Air fresheners contain chemicals that are harmful to the kidneys and lungs. Some may affect reproductive functions also. |
Q. Is it advisable to get root canal treatment in a broken tooth? | Hello doctor, I am meant to be having a root canal filling in one of my teeth. I have had it temporarily filled twice and now it has fallen out but it feels like there is only one side of my tooth almost like it has broken in half. Will they still do the root canal filling? | Hi. I have gone through your question. I can understand your concern. Yes, if the root stem is strong and not resorbed, root canal treatment can be performed, after that, if the crown tissue is grossly damaged they will do another procedure called post and core treatment. So, you need not worry. |
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Hello doctor, I am meant to be having a root canal filling in one of my teeth. I have had it temporarily filled twice and now it has fallen out but it feels like there is only one side of my tooth almost like it has broken in half. Will they still do the root canal filling? [/INST] Hi. I have gone through your question. I can understand your concern. Yes, if the root stem is strong and not resorbed, root canal treatment can be performed, after that, if the crown tissue is grossly damaged they will do another procedure called post and core treatment. So, you need not worry. |
Q. Can Sitagliptin phosphate be taken to reduce blood sugar level? | Hello doctor, I am 36 years old and am having diabetes for five years. Fasting ranges from 180 to 220 without medicine. Now I have decided to take Sitagliptin phosphate 100 mg per day to lower diabetes. Is it fine? | Hi. To answer briefly, yes you should take added medicine. Sitagliptin is a good choice, added to Metformin. Please send me your HbA1c as well. But as I tell all my patients, treating diabetes properly does not limit to taking medicine only. It involves a lot more. 1 or 2 readings usually does not give a clear picture. When I treat diabetes, I look at it 360 degrees, from lifestyle, food, the timing of food, timing of medicine, sleep pattern, co-morbid conditions, hormonal balance, Vitamin D level, evaluation of the type of diabetes which is most important. You are 36 years of age. If medicine 2 onboard diet and exercise are still keeping your blood sugar above 150 and 200 category, you should look into checking into your insulin level, to make sure you are not becoming type 1 diabetes category where your body needs insulin to survive. I have been seeing this pattern frequently now among 30 to 40 years old category. |
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Hello doctor, I am 36 years old and am having diabetes for five years. Fasting ranges from 180 to 220 without medicine. Now I have decided to take Sitagliptin phosphate 100 mg per day to lower diabetes. Is it fine? [/INST] Hi. To answer briefly, yes you should take added medicine. Sitagliptin is a good choice, added to Metformin. Please send me your HbA1c as well. But as I tell all my patients, treating diabetes properly does not limit to taking medicine only. It involves a lot more. 1 or 2 readings usually does not give a clear picture. When I treat diabetes, I look at it 360 degrees, from lifestyle, food, the timing of food, timing of medicine, sleep pattern, co-morbid conditions, hormonal balance, Vitamin D level, evaluation of the type of diabetes which is most important. You are 36 years of age. If medicine 2 onboard diet and exercise are still keeping your blood sugar above 150 and 200 category, you should look into checking into your insulin level, to make sure you are not becoming type 1 diabetes category where your body needs insulin to survive. I have been seeing this pattern frequently now among 30 to 40 years old category. |
Q. My pubic area smells terrible. Please help. | Hello doctor, I am 29 years old and I have been diagnosed with PCOS. I have a drooping bladder and I cannot take this smell. My vagina stays dry and sex is painful and hurting. I have the sex drive of an 80-year-old instead of a person in their 20’s. Also, my husband’s semen interferes with my pH balance and makes my vagina have a terrible smell. My husband has these knot-like bumps in his groin area. They appear to be raised or badly infected hair bumps or keloids. Similar bumps are seen around his beard towards the neck area. I am trying to conceive. Is this possible? I had undergone tests for STDs and those screening tests are all normal. I use deodorant right under my belly to try and control the irritating smell. I have also tried waxing or removing the hair in the pubic area, but nothing helps. I lose my bladder even after I just emptied it. I continue to get UTI and yeast infections. I have a pus pocket on my tonsils that stays infected. Another issue I am having is that I am overweight for my height. And I feel extremely tired and fatigue. I have been having headaches. My memory is also slipping away. Vitamin B12 is not helping. Please help. | Hi. It looks like you are struggling with a lot of medical conditions. But the good news is that all of these are easily treatable. Do not worry. PCOS is treated depending on the symptoms. If you are overweight you need to stick to a diet plan, exercise and manage stress to keep this condition under check. It may be a good idea to check your thyroid and prolactin along with sugar and lipid levels. Anything that is prescribed to control your unwanted hair will interfere with pregnancy except Metformin which can help reduce weight, help you conceive and help reduce unwanted hair. Using deodorant directly on the pubic area is not safe. Every woman has a specific odor. You cannot completely take away that odor. For yeast infections, you need local creams/pessaries and if recurrent fungal infection persists, you may have to take oral antifungal medications. If your partner has similar symptoms, he needs treatment as well. Same applies to UTI (urinary tract infection). Your husband needs to get his groin and beard swellings checked. Attach photographs of the swelling for further follow up regarding the swellings. It is better to avoid sex until all these infections are completely cleared. Later on, you can use a water-basedlubricant for dryness of the vagina. UTI may be a reason for poor bladder control, so wait till the UTI is cleared. You can learn to do pelvic floor exercises for bladder control. If your periods are regular you can try for pregnancy naturally after three months. For tonsil infection, you need to take antibiotics. Headaches could be a result of sinusitis along with infected tonsil. For further follow up regarding conception, consult a gynaecologist online --> |
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Hello doctor, I am 29 years old and I have been diagnosed with PCOS. I have a drooping bladder and I cannot take this smell. My vagina stays dry and sex is painful and hurting. I have the sex drive of an 80-year-old instead of a person in their 20’s. Also, my husband’s semen interferes with my pH balance and makes my vagina have a terrible smell. My husband has these knot-like bumps in his groin area. They appear to be raised or badly infected hair bumps or keloids. Similar bumps are seen around his beard towards the neck area. I am trying to conceive. Is this possible? I had undergone tests for STDs and those screening tests are all normal. I use deodorant right under my belly to try and control the irritating smell. I have also tried waxing or removing the hair in the pubic area, but nothing helps. I lose my bladder even after I just emptied it. I continue to get UTI and yeast infections. I have a pus pocket on my tonsils that stays infected. Another issue I am having is that I am overweight for my height. And I feel extremely tired and fatigue. I have been having headaches. My memory is also slipping away. Vitamin B12 is not helping. Please help. [/INST] Hi. It looks like you are struggling with a lot of medical conditions. But the good news is that all of these are easily treatable. Do not worry. PCOS is treated depending on the symptoms. If you are overweight you need to stick to a diet plan, exercise and manage stress to keep this condition under check. It may be a good idea to check your thyroid and prolactin along with sugar and lipid levels. Anything that is prescribed to control your unwanted hair will interfere with pregnancy except Metformin which can help reduce weight, help you conceive and help reduce unwanted hair. Using deodorant directly on the pubic area is not safe. Every woman has a specific odor. You cannot completely take away that odor. For yeast infections, you need local creams/pessaries and if recurrent fungal infection persists, you may have to take oral antifungal medications. If your partner has similar symptoms, he needs treatment as well. Same applies to UTI (urinary tract infection). Your husband needs to get his groin and beard swellings checked. Attach photographs of the swelling for further follow up regarding the swellings. It is better to avoid sex until all these infections are completely cleared. Later on, you can use a water-basedlubricant for dryness of the vagina. UTI may be a reason for poor bladder control, so wait till the UTI is cleared. You can learn to do pelvic floor exercises for bladder control. If your periods are regular you can try for pregnancy naturally after three months. For tonsil infection, you need to take antibiotics. Headaches could be a result of sinusitis along with infected tonsil. For further follow up regarding conception, consult a gynaecologist online --> |
Q. I have a painful swelling under my jaw. Kindly advise. | Hi doctor, A few months back I noticed that underside my jaw is swollen and painful, just one side (left). I did not have any symptoms. So, I thought its flu-related. But now it got worse, a bit painful, sore and can feel something inside like a lump that moves. I went to the doctor but they said looks like it is the salivary gland and it might be infected. So, just wait and come back if it did not get better or got worse. My doctor did not do any scan or X-rays. | Hi. It could be an inflamed submandibular, submental or jugulodigastric lymph node depending on the exact location. Since it is painful, it could be due to an infection of the oral cavity like the gums, tooth, tonsils, etc. Even an aphthous ulcer can lead to an inflamed lymph node under the jaw. Are there any such symptoms as I described? However, since it has been months, it is more likely to be sialadenitis or sialolithiasis meaning inflammation of the salivary gland or stone impacted in the salivary gland. An ultrasonography of the neck can be done to locate that. You should go back to the hospital and ask for an ultrasound. Are there any other symptoms like bad breath, excess or decreased saliva, dysphagia? |
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Hi doctor, A few months back I noticed that underside my jaw is swollen and painful, just one side (left). I did not have any symptoms. So, I thought its flu-related. But now it got worse, a bit painful, sore and can feel something inside like a lump that moves. I went to the doctor but they said looks like it is the salivary gland and it might be infected. So, just wait and come back if it did not get better or got worse. My doctor did not do any scan or X-rays. [/INST] Hi. It could be an inflamed submandibular, submental or jugulodigastric lymph node depending on the exact location. Since it is painful, it could be due to an infection of the oral cavity like the gums, tooth, tonsils, etc. Even an aphthous ulcer can lead to an inflamed lymph node under the jaw. Are there any such symptoms as I described? However, since it has been months, it is more likely to be sialadenitis or sialolithiasis meaning inflammation of the salivary gland or stone impacted in the salivary gland. An ultrasonography of the neck can be done to locate that. You should go back to the hospital and ask for an ultrasound. Are there any other symptoms like bad breath, excess or decreased saliva, dysphagia? |
Q. Is it normal to have 11 % blast cells in bone marrow aspiration cytology? | Hello doctor, Bone marrow aspiration cytology was done for my father who is 77 years old and the report shows the presence of 11 percent of blast cells (about two months ago). Kindly advice the next line of management. His ninth chemotherapy was completed three months back. Now lab report is showing that his Hb is 6.5 gm percent and platelet 20,000. No chemotherapy was used after that but six units of blood were transfused till a week back. Rest of the parameters are within normal limits. Waiting for your kind response at the earliest for the second opinion. What to do? Whether we should restart Azacytidine and continue or take only supportive measures to increase the quality of life? Lab tests showed severe anemia with thrombocytopenia due to AML-M2. | Hello. You have not achieved complete remission from chemotherapy. Usually. complete remission can be considered only when blast cells in bone marrow are less than 5 % and platelet count more than one lakh. So, you can go for combination chemotherapy to achieve that target. After you achieve remission, consolidation chemotherapy also can be given. No doubt, chemotherapy has its own side effects but chemotherapy under observation can be given to achieve remission. Usually, the prognosis is good in AML M2. I suggest you consult hematooncologist for your detailed examination and treatment. |
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Hello doctor, Bone marrow aspiration cytology was done for my father who is 77 years old and the report shows the presence of 11 percent of blast cells (about two months ago). Kindly advice the next line of management. His ninth chemotherapy was completed three months back. Now lab report is showing that his Hb is 6.5 gm percent and platelet 20,000. No chemotherapy was used after that but six units of blood were transfused till a week back. Rest of the parameters are within normal limits. Waiting for your kind response at the earliest for the second opinion. What to do? Whether we should restart Azacytidine and continue or take only supportive measures to increase the quality of life? Lab tests showed severe anemia with thrombocytopenia due to AML-M2. [/INST] Hello. You have not achieved complete remission from chemotherapy. Usually. complete remission can be considered only when blast cells in bone marrow are less than 5 % and platelet count more than one lakh. So, you can go for combination chemotherapy to achieve that target. After you achieve remission, consolidation chemotherapy also can be given. No doubt, chemotherapy has its own side effects but chemotherapy under observation can be given to achieve remission. Usually, the prognosis is good in AML M2. I suggest you consult hematooncologist for your detailed examination and treatment. |
Q. Is it good to take an emergency contraceptive pill after an unprotected sex? | Hi doctor, Is it right to have unprotected sex without a condom? Can I take an emergency contraceptive pill after it? | Hi. An emergency pill is meant only for emergency and during accidental contacts. It should not be used for a routine purpose. It is better to go for a consistent method of contraception like condoms and oral contraceptive pills. Cyclical oral contraceptive pills have very less failure rate when compared to emergency pills. Emergency pills have high doses of hormones, and it causes delayed or irregular bleeding. |
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Hi doctor, Is it right to have unprotected sex without a condom? Can I take an emergency contraceptive pill after it? [/INST] Hi. An emergency pill is meant only for emergency and during accidental contacts. It should not be used for a routine purpose. It is better to go for a consistent method of contraception like condoms and oral contraceptive pills. Cyclical oral contraceptive pills have very less failure rate when compared to emergency pills. Emergency pills have high doses of hormones, and it causes delayed or irregular bleeding. |
Q. What could be the reason for fever with joint pain? | Hi doctor, My brother has fever and pain in all the joints. All types of RA TEST showed a negative result, and ANTICCP is negative. He did a Widal test. The Widal test showed a positive result. Please suggest. | Hi. Your brother has a typhoid infection. He can take Ciplox 500 mg (Ciprofloxacin) twice a day, Rantac 150 mg before a meal and Multivitamin A to Z twice daily for 15 days. Take boiled water and light food which are easily digestible. Avoid eating raw vegetables. After 15 days, redo the Widal test again. If everything is normal, then stop taking antibiotics. But continue taking Multivitamin for three months. Follow the same diet plan for three months. |
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Hi doctor, My brother has fever and pain in all the joints. All types of RA TEST showed a negative result, and ANTICCP is negative. He did a Widal test. The Widal test showed a positive result. Please suggest. [/INST] Hi. Your brother has a typhoid infection. He can take Ciplox 500 mg (Ciprofloxacin) twice a day, Rantac 150 mg before a meal and Multivitamin A to Z twice daily for 15 days. Take boiled water and light food which are easily digestible. Avoid eating raw vegetables. After 15 days, redo the Widal test again. If everything is normal, then stop taking antibiotics. But continue taking Multivitamin for three months. Follow the same diet plan for three months. |
Q. I have longer and irregular periods problem. What to do? | Hi doctor, I have periods for more than ten days. For a few days, I usually have light bleeding. It will be dark brown with a little hint of blood. I will have like this for eight to ten days. Then, I will have a heavy period until it stops. I usually have periods for 10 to 17 days. I will not have periods for two and a half weeks. I always have irregular periods nowadays. I had a miscarriage last year and after this, my periods have become irregular. What can I do now? | Hi. Ongoing through your history, you can have PCOD (polycystic ovaries). It is a congenital condition. It is genetical. You can get it from your parents. When you have a sudden gain in weight, the cholesterol is converted into estrogen hormone. When there is fat in the body more than average, it is converted to hormones. FSH (follicle stimulating hormone) stimulates follicle from the ovary. When the follicle is ready to ovulate, the FSH is suppressed by the estrogen hormone from the ovary. When the estrogen hormone comes from fat, the brain becomes confused, and the follicle growth stops at a smaller follicular size, and it will not rupture. On the next scan, you will see these follicles as polycystic ovaries. It is usually associated with obesity, irregular menstrual cycles, absence of periods for a few months and later there can be a heavy period with clots and fleshy masses or spotting on off and off. There can be a thyroid abnormality and prolactin problem indirectly. You will develop an extra pad of fat around the mid-segment of the body, especially in waist, thighs, and breast. There will be an absence of fat below elbows and knees. There will be an excessive hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face, black skin over the back of the neck, inner thighs and undersurface of the breast. You may have a family history of diabetes. Regular ovulation will not occur during this problem, and you cannot get pregnant until it is treated. It increases the chance of early pregnancy abortions. But there is a solution. Your weight has to be weight (kilograms) = height (in centimeters) - 100. When you have a reduction of weight to normal range, then there is no requirement of medicines to get periods or to get pregnant, and pregnancy will be healthy. Avoid eating junk foods, fast foods, and red meat. Reduce taking snacks in between meals. Have a low-calorie diet with high proteins. Do regular exercise (especially for waist and hip area), aerobics, yoga, and brisk walking. Try to reduce two to four kilograms per month. When there is a loss of weight of five kilograms, you can see changes. You will not require medications and the problems during periods will resolve soon without medications. If you want to have regular periods till you reduce weight, you can have birth control pills cyclically from the first day of the periods for three to six cycles. It will regularize your hormones and periods. |
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Hi doctor, I have periods for more than ten days. For a few days, I usually have light bleeding. It will be dark brown with a little hint of blood. I will have like this for eight to ten days. Then, I will have a heavy period until it stops. I usually have periods for 10 to 17 days. I will not have periods for two and a half weeks. I always have irregular periods nowadays. I had a miscarriage last year and after this, my periods have become irregular. What can I do now? [/INST] Hi. Ongoing through your history, you can have PCOD (polycystic ovaries). It is a congenital condition. It is genetical. You can get it from your parents. When you have a sudden gain in weight, the cholesterol is converted into estrogen hormone. When there is fat in the body more than average, it is converted to hormones. FSH (follicle stimulating hormone) stimulates follicle from the ovary. When the follicle is ready to ovulate, the FSH is suppressed by the estrogen hormone from the ovary. When the estrogen hormone comes from fat, the brain becomes confused, and the follicle growth stops at a smaller follicular size, and it will not rupture. On the next scan, you will see these follicles as polycystic ovaries. It is usually associated with obesity, irregular menstrual cycles, absence of periods for a few months and later there can be a heavy period with clots and fleshy masses or spotting on off and off. There can be a thyroid abnormality and prolactin problem indirectly. You will develop an extra pad of fat around the mid-segment of the body, especially in waist, thighs, and breast. There will be an absence of fat below elbows and knees. There will be an excessive hair growth, hair fall, a dark shade over the lower half of the face, acne, oily face, black skin over the back of the neck, inner thighs and undersurface of the breast. You may have a family history of diabetes. Regular ovulation will not occur during this problem, and you cannot get pregnant until it is treated. It increases the chance of early pregnancy abortions. But there is a solution. Your weight has to be weight (kilograms) = height (in centimeters) - 100. When you have a reduction of weight to normal range, then there is no requirement of medicines to get periods or to get pregnant, and pregnancy will be healthy. Avoid eating junk foods, fast foods, and red meat. Reduce taking snacks in between meals. Have a low-calorie diet with high proteins. Do regular exercise (especially for waist and hip area), aerobics, yoga, and brisk walking. Try to reduce two to four kilograms per month. When there is a loss of weight of five kilograms, you can see changes. You will not require medications and the problems during periods will resolve soon without medications. If you want to have regular periods till you reduce weight, you can have birth control pills cyclically from the first day of the periods for three to six cycles. It will regularize your hormones and periods. |
Q. What is the chance of herniated disc L5-S1 causing pain in groin area and testicle? | Hello doctor, I have been diagnosed with a herniated disc at L5-S1 and bulge at L4-L5. I have some lower back pain, but I also have pain in the groin area which seems to move also in the testicle. My question is, could the pain in the groin area and in testicles be caused by this herniated disc? | Hello. Well, the pain of L5-S1 disc herniation typically is pain on the backside of the thigh and radiates down to the leg on the outer aspect and to the foot. The nerves of the groin region are more below. But, as in your case, if the disc prolapse is big then it can also compress nerves of the groin region and can cause pain. Do you have any bladder issues or any numbness in your private parts? |
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Hello doctor, I have been diagnosed with a herniated disc at L5-S1 and bulge at L4-L5. I have some lower back pain, but I also have pain in the groin area which seems to move also in the testicle. My question is, could the pain in the groin area and in testicles be caused by this herniated disc? [/INST] Hello. Well, the pain of L5-S1 disc herniation typically is pain on the backside of the thigh and radiates down to the leg on the outer aspect and to the foot. The nerves of the groin region are more below. But, as in your case, if the disc prolapse is big then it can also compress nerves of the groin region and can cause pain. Do you have any bladder issues or any numbness in your private parts? |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will same blood group of couple cause any complication to the baby? | Hello doctor, My brother is worried about his marriage because of the same blood group. Both are having a B+ blood group. Is there any problem after marriage for getting a healthy baby? Please explain it to me so that I can talk to him. | Hello. Same blood group people can marry and can produce a normal child. There is two common universal blood group system that is ABO and Rh. If they both are relative then genetic counselling is needed. As far as same blood group is concerned, do not worry about that. If you want to investigate, then I personally advise you that they both should get tested for thalassemia minor by electrophoresis by HPLC method. You can inform me your electrophoresis report for giving further comment. Take care. |
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Hello doctor, My brother is worried about his marriage because of the same blood group. Both are having a B+ blood group. Is there any problem after marriage for getting a healthy baby? Please explain it to me so that I can talk to him. [/INST] Hello. Same blood group people can marry and can produce a normal child. There is two common universal blood group system that is ABO and Rh. If they both are relative then genetic counselling is needed. As far as same blood group is concerned, do not worry about that. If you want to investigate, then I personally advise you that they both should get tested for thalassemia minor by electrophoresis by HPLC method. You can inform me your electrophoresis report for giving further comment. Take care. |
Q. What are the ways to detect condom breakage? | Hello doctor, I and my fiance had sex for the first time two days back. We both were virgins till now. We used condoms while intercourse and also checked them for breakage but found them to be non-broken as per our knowledge about condom breakage. But my fiance is experiencing headache, feeling like urine not in control, abnormal feelings, etc. We are worried if these are signs of pregnancy or just due to first time intercourse. Please also tell about detecting condom breakage or leakage, as we could not find any visible hole in the condoms after intercourse. If anything serious, please suggest about taking I-pills as 72 hours are not yet completed. | Hello. It is not possible to say so early if one could be pregnant from your history. If you have doubts about condom breakage, I would advise considering an emergency contraceptive pill that is I-pill. The symptoms she has could be due to urinary tract infection. So she can get a urine analysis and culture to look for infection. Syrup Citralka (Disodium hydrogen citrate) and plenty of fluids. |
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Hello doctor, I and my fiance had sex for the first time two days back. We both were virgins till now. We used condoms while intercourse and also checked them for breakage but found them to be non-broken as per our knowledge about condom breakage. But my fiance is experiencing headache, feeling like urine not in control, abnormal feelings, etc. We are worried if these are signs of pregnancy or just due to first time intercourse. Please also tell about detecting condom breakage or leakage, as we could not find any visible hole in the condoms after intercourse. If anything serious, please suggest about taking I-pills as 72 hours are not yet completed. [/INST] Hello. It is not possible to say so early if one could be pregnant from your history. If you have doubts about condom breakage, I would advise considering an emergency contraceptive pill that is I-pill. The symptoms she has could be due to urinary tract infection. So she can get a urine analysis and culture to look for infection. Syrup Citralka (Disodium hydrogen citrate) and plenty of fluids. |
Q. There is breathing issue in a cardiac patient. Please help. | Hello doctor, My father is 77 years old and suffering some cardiac issues from the last 8 to 10 years. But recently he has faced some tremendous issue and admitted in the nursing home for thrice. He was suffering from a breathing issue. I am sharing all the latest report which I have received from the nursing home. The nursing doctor told me the different issue at a different time. Sometimes they told me there is a major heart failure and sometimes told there is an issue with high sugar (diabetic). Also, they told me that he was suffering from a bacterial infection. I am puzzled with their comments. Could you please help me and suggest an actual issue with my father? | Hello. I have gone through the reports (attachment removed to protect patient identity). The likely cause for his shortness of breath is heart failure only. However, the infection, high BP may precipitate this heart failure and leads to accumulation of fluid within lungs and shortness of breath. Also, elevated blood sugar is an incidental finding and will come to know on the blood test and will not cause shortness of breath directly. So, the infection may precipitate heart failure in susceptible patients. So, both infection and heart failure needs to be treated. For infection, he needs to be on antibiotics and for heart failure, he has to be on multiple medications including medicines which will increase urination. So, in the treatment chart which you have attached, the diuretics and beta blockers which are two important medicines in his case are not there, so need to discuss with the local doctor regarding these if not having. Also, antibiotic for infection is not mentioned so discuss regarding this if course is not completed. Next thing, he should have an echo done to look for heart function if not done recently. He needs to have cardiologist consultation for assessment for angiography after his shortness of breath is resolved and an optimization of medicines. So, overall, the treatment he is having is fine but he will need some more medicines for heart failure or ECGabnormalities and will need an echo. |
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Hello doctor, My father is 77 years old and suffering some cardiac issues from the last 8 to 10 years. But recently he has faced some tremendous issue and admitted in the nursing home for thrice. He was suffering from a breathing issue. I am sharing all the latest report which I have received from the nursing home. The nursing doctor told me the different issue at a different time. Sometimes they told me there is a major heart failure and sometimes told there is an issue with high sugar (diabetic). Also, they told me that he was suffering from a bacterial infection. I am puzzled with their comments. Could you please help me and suggest an actual issue with my father? [/INST] Hello. I have gone through the reports (attachment removed to protect patient identity). The likely cause for his shortness of breath is heart failure only. However, the infection, high BP may precipitate this heart failure and leads to accumulation of fluid within lungs and shortness of breath. Also, elevated blood sugar is an incidental finding and will come to know on the blood test and will not cause shortness of breath directly. So, the infection may precipitate heart failure in susceptible patients. So, both infection and heart failure needs to be treated. For infection, he needs to be on antibiotics and for heart failure, he has to be on multiple medications including medicines which will increase urination. So, in the treatment chart which you have attached, the diuretics and beta blockers which are two important medicines in his case are not there, so need to discuss with the local doctor regarding these if not having. Also, antibiotic for infection is not mentioned so discuss regarding this if course is not completed. Next thing, he should have an echo done to look for heart function if not done recently. He needs to have cardiologist consultation for assessment for angiography after his shortness of breath is resolved and an optimization of medicines. So, overall, the treatment he is having is fine but he will need some more medicines for heart failure or ECGabnormalities and will need an echo. |
Q. Can I smoke cigarette or weed within four days of tonsil removal? | Hello doctor, I got my tonsils removed four days ago. I wanted to know if it is okay to smoke one cigarette and some weed. | Hi, Welcome to iciniq.com. No, you should not. It is just four days and healing takes at least 15 days. The area where the tonsils were there has to regrow the mucus lining and the lining should start functioning normally after a few days of growing. If you smoke cigarettes or weed the smoke will directly get adsorbed on the raw area making it vulnerable to bleeding, infection, pain, edema, swelling, and impaired healing. Smoke and weed will deposit soot and carbon particles which will delay healing and act as a nidus for infection. I strongly ask you to desist from doing those two and eat and drink healthy foods for a month until you are completely fine. Take abundant fluids. Take all the medicines prescribed by the doctor and follow up with him as per his instructions. Do ping me if you need any support. |
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Hello doctor, I got my tonsils removed four days ago. I wanted to know if it is okay to smoke one cigarette and some weed. [/INST] Hi, Welcome to iciniq.com. No, you should not. It is just four days and healing takes at least 15 days. The area where the tonsils were there has to regrow the mucus lining and the lining should start functioning normally after a few days of growing. If you smoke cigarettes or weed the smoke will directly get adsorbed on the raw area making it vulnerable to bleeding, infection, pain, edema, swelling, and impaired healing. Smoke and weed will deposit soot and carbon particles which will delay healing and act as a nidus for infection. I strongly ask you to desist from doing those two and eat and drink healthy foods for a month until you are completely fine. Take abundant fluids. Take all the medicines prescribed by the doctor and follow up with him as per his instructions. Do ping me if you need any support. |
Q. Does spitting phlegm with blood is an alarming one? | Hi doctor, My partner had phlegm with blood just now without coughing. He does not have chest pain and a fast heartbeat. Before a day, he also had a headache and hot temperature. Yesterday, he poked his nose with his finger at night. This morning, he had phlegm coming with a portion of blood. Does it require medical attention? Does spitting phlegm with blood is an alarming one? Please suggest. | Hi. A possible diagnosis can be lung cancer. For it, your partner must be a smoker for 15 to 20 years or over 50 years so that he can spit blood continuously. If your partner does not have these conditions, then you must be calm. Respiratory tract infection can also be a cause for having phlegm with blood. A headache and fever will also support the diagnosis. Poking the nose with a finger can also be a cause for having phlegm with blood because blood can pass from the back of the nose to the pharynx. On considering the age, it is necessary to rule out malignant pathology. If the bleeding is not continuous, then there is no need to get tensed. In addition to bleeding, if your partner has a fever, headache, and cough, then respiratory tract infection will be a probable diagnosis. You can consult a family doctor for evaluation and treatment. If there is a continuation of bleeding and if your partner is a smoker, then it is necessary to do a chest X-ray. |
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Hi doctor, My partner had phlegm with blood just now without coughing. He does not have chest pain and a fast heartbeat. Before a day, he also had a headache and hot temperature. Yesterday, he poked his nose with his finger at night. This morning, he had phlegm coming with a portion of blood. Does it require medical attention? Does spitting phlegm with blood is an alarming one? Please suggest. [/INST] Hi. A possible diagnosis can be lung cancer. For it, your partner must be a smoker for 15 to 20 years or over 50 years so that he can spit blood continuously. If your partner does not have these conditions, then you must be calm. Respiratory tract infection can also be a cause for having phlegm with blood. A headache and fever will also support the diagnosis. Poking the nose with a finger can also be a cause for having phlegm with blood because blood can pass from the back of the nose to the pharynx. On considering the age, it is necessary to rule out malignant pathology. If the bleeding is not continuous, then there is no need to get tensed. In addition to bleeding, if your partner has a fever, headache, and cough, then respiratory tract infection will be a probable diagnosis. You can consult a family doctor for evaluation and treatment. If there is a continuation of bleeding and if your partner is a smoker, then it is necessary to do a chest X-ray. |
Q. I took pregnancy test as soon as I missed period and it turned negative. Why? | Hello doctor, I have missed my period for this month. Last month my date was 29th and my cycle is usually 28 to 30 days. I am married and I had tried for pregnancy during my ovulation days. Now, as soon as I missed my period I took the pregnancy test but it came out negative. I am having severe back pain, abdominal pain, leg pain, and constipation. Two days before there was some vaginal discharge of brownish color but there was no bleeding. I am not on any medications. I tried for pregnancy test today also but again it came out negative. Can you please tell me if it is or not pregnancy and why all these things are happening to me? | Hi, Welcome to iclinq.com. It is unlikely to be a pregnancy as the card is negative. However, if you do not get your regular cycles even after one more week. Do check serum beta HCG (human chorionic gonadotropin) blood test to rule out pregnancy, as some times false negatives can happen with urine tests. Such changes in the cycle pattern that you had mentioned can occur with hormonal imbalance, stress, weight gain, changes in diet and exercise pattern, anemia, hypothyroidism, etc. Hormonal. Serum beta HCG (if the normal cycle does not revert in a week). Hormonal. Reassurance, if the cycle pattern continues to be irregular in subsequent cycles, then you need to take TVS (transvaginal scan). Lifestyle modification. |
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Hello doctor, I have missed my period for this month. Last month my date was 29th and my cycle is usually 28 to 30 days. I am married and I had tried for pregnancy during my ovulation days. Now, as soon as I missed my period I took the pregnancy test but it came out negative. I am having severe back pain, abdominal pain, leg pain, and constipation. Two days before there was some vaginal discharge of brownish color but there was no bleeding. I am not on any medications. I tried for pregnancy test today also but again it came out negative. Can you please tell me if it is or not pregnancy and why all these things are happening to me? [/INST] Hi, Welcome to iclinq.com. It is unlikely to be a pregnancy as the card is negative. However, if you do not get your regular cycles even after one more week. Do check serum beta HCG (human chorionic gonadotropin) blood test to rule out pregnancy, as some times false negatives can happen with urine tests. Such changes in the cycle pattern that you had mentioned can occur with hormonal imbalance, stress, weight gain, changes in diet and exercise pattern, anemia, hypothyroidism, etc. Hormonal. Serum beta HCG (if the normal cycle does not revert in a week). Hormonal. Reassurance, if the cycle pattern continues to be irregular in subsequent cycles, then you need to take TVS (transvaginal scan). Lifestyle modification. |
Q. I have ulcers and stiffness in my mouth due to chewing pan. What to do? | Hi doctor, I have got ulcers in my mouth due to chewing pan masala, and I have stopped eating it now. I am unable to eat spicy food and hot foods. I have developed stiffness in my inner mouth. So I am unable to open my mouth. Please suggest. | Hi. Your symptoms and signs indicate that you have a white lesion. I need to check your cheek area and if you can send a photograph with an open mouth, focus on the cheek region so that I can precisely see and say you the current condition. It can be oral submucous fibrosis, fungal infection, and lichen planus. I have gone through the attachment (attachment removed to protect patient identity). Your inner side of the cheek looks that you have a white lesion and due to that, you have all these symptoms. Please send a photograph with a mouth opening and measure the mouth opening with a scale from the edge of the central tooth to the lower edge of the central tooth. There is a need for having further information to initiate treatment. If it is a case of oral submucous fibrosis, you need to take it seriously. The other two conditions require treatment. But they are minor. Stop smoking. |
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Hi doctor, I have got ulcers in my mouth due to chewing pan masala, and I have stopped eating it now. I am unable to eat spicy food and hot foods. I have developed stiffness in my inner mouth. So I am unable to open my mouth. Please suggest. [/INST] Hi. Your symptoms and signs indicate that you have a white lesion. I need to check your cheek area and if you can send a photograph with an open mouth, focus on the cheek region so that I can precisely see and say you the current condition. It can be oral submucous fibrosis, fungal infection, and lichen planus. I have gone through the attachment (attachment removed to protect patient identity). Your inner side of the cheek looks that you have a white lesion and due to that, you have all these symptoms. Please send a photograph with a mouth opening and measure the mouth opening with a scale from the edge of the central tooth to the lower edge of the central tooth. There is a need for having further information to initiate treatment. If it is a case of oral submucous fibrosis, you need to take it seriously. The other two conditions require treatment. But they are minor. Stop smoking. |
Q. How to become healthy after getting recovered from liver disease? | Hi doctor, I have a liver disease for the past few months. My blood report showed a bilirubin of 1.8 mg/dL. I took Pan 40 and Ribsyn tablet for the past one month. After taking medications, my bilirubin got decreased. Now, I am too slim. How to become healthy? | Hi. The liver is the most vital organ in the body. It takes part in metabolic activities. When it works correctly, you will gain weight automatically. Take the following medicines. Take Liv 52 syrup (Caper bush with Chicory) 10 ml twice a day before food. Take Kutki capsule (Picrorhiza kurroa) one tablet twice a day after meals. Take Rohitakarishta 15 ml twice a day with an equal amount of water after meals. You should follow some precautions. Avoid eating spicy and fried junk foods. Drink plenty of water. Do regular yoga and pranayama. Do these things and provide your valuable feedback after fifteen days. |
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Hi doctor, I have a liver disease for the past few months. My blood report showed a bilirubin of 1.8 mg/dL. I took Pan 40 and Ribsyn tablet for the past one month. After taking medications, my bilirubin got decreased. Now, I am too slim. How to become healthy? [/INST] Hi. The liver is the most vital organ in the body. It takes part in metabolic activities. When it works correctly, you will gain weight automatically. Take the following medicines. Take Liv 52 syrup (Caper bush with Chicory) 10 ml twice a day before food. Take Kutki capsule (Picrorhiza kurroa) one tablet twice a day after meals. Take Rohitakarishta 15 ml twice a day with an equal amount of water after meals. You should follow some precautions. Avoid eating spicy and fried junk foods. Drink plenty of water. Do regular yoga and pranayama. Do these things and provide your valuable feedback after fifteen days. |
Q. Will I develop latex allergy if I use rubber yoga mat? | Hi doctor, I am a 19-year-old male. Currently, I have a dust allergy. Sometimes, I have a sinus problem. Can I develop latex allergy if I use yoga mat made up of natural rubber material? | Hi. Allergy is genetically determined, and it can be identified by doing allergy testing. We cannot say whether you can develop an allergy or not. Even a skin prick test or a blood allergy profile can tell you whether you are sensitized to that particular allergen, or not and it is not confirmatory. Regarding the current allergies you have, dust allergy is a misconception. Anybody will sneeze when they inhale dust or polluted air. That is not an allergy. Sinus problem occurs due to allergy. Most common allergies occur due to pollens, house dust mites, and molds. Molds play an important role in allergy and chronic sinusitis patients. |
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Hi doctor, I am a 19-year-old male. Currently, I have a dust allergy. Sometimes, I have a sinus problem. Can I develop latex allergy if I use yoga mat made up of natural rubber material? [/INST] Hi. Allergy is genetically determined, and it can be identified by doing allergy testing. We cannot say whether you can develop an allergy or not. Even a skin prick test or a blood allergy profile can tell you whether you are sensitized to that particular allergen, or not and it is not confirmatory. Regarding the current allergies you have, dust allergy is a misconception. Anybody will sneeze when they inhale dust or polluted air. That is not an allergy. Sinus problem occurs due to allergy. Most common allergies occur due to pollens, house dust mites, and molds. Molds play an important role in allergy and chronic sinusitis patients. |
Q. Does low G6PD level cause hemolytic anemia? | Hi doctor, Recently, I did a series of blood tests to check my pre-existing G6PD deficiency. The results showed low G6PD levels of 0.4 units/gram of hemoglobin. I have read that anything below 10 % of the normal range can cause hemolytic anemia. Please suggest. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Your G6PD (glucose-6-phosphate dehydrogenase) level is low. But clinical correlation is needed in your case. I suggest you investigate with CBC, reticulocyte count estimation, and peripheral smear examination to check whether there is a presence of hemolysis or not. If there is no hemolytic episode, then there is no need to worry. In G6PD deficiency, you have to be alert when you have typhoid and pneumonia. It can lead to oxidative damage and can result in hemolysis. Drugs like Primaquine, Sulpha drugs, Aspirin, and Vitamin K analog should be avoided. Fava beans should be restricted in your diet. |
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Hi doctor, Recently, I did a series of blood tests to check my pre-existing G6PD deficiency. The results showed low G6PD levels of 0.4 units/gram of hemoglobin. I have read that anything below 10 % of the normal range can cause hemolytic anemia. Please suggest. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Your G6PD (glucose-6-phosphate dehydrogenase) level is low. But clinical correlation is needed in your case. I suggest you investigate with CBC, reticulocyte count estimation, and peripheral smear examination to check whether there is a presence of hemolysis or not. If there is no hemolytic episode, then there is no need to worry. In G6PD deficiency, you have to be alert when you have typhoid and pneumonia. It can lead to oxidative damage and can result in hemolysis. Drugs like Primaquine, Sulpha drugs, Aspirin, and Vitamin K analog should be avoided. Fava beans should be restricted in your diet. |
Q. Which medicine is recommended for diabetes instead of Sitaglu Met? | Hi doctor, I am 40 years old, and my weight is 97 kilograms. I am a diabetic patient, and my A1C test showed a result of 9 %. I am taking Sitaglu Met 500 mg. It has not helped me. When I take it, within five minutes, my sugar level gets increased to 250 mg/dL and comes down again to 180 mg/dL or 190 mg/dL. Sometimes, it does not get reduced. My fasting blood sugar level is 180 mg/dL. I am thinking to change my medicines. Please suggest. | Hi. Please verify the dose of Sitaglu Met. It is a combination medication. It has two medicines Sitagliptin and Metformin. Please mention whether you take 50 mg/500 mg or 50 mg/1000 mg dose. Please send a picture of it. Medication alone cannot control diabetes. Determining the type of diabetes is essential. There is a possibility that you may have type 1, so appropriate testing is required. You are overweight for your age, and the blood sugar is high. If your diabetic level is not controlled at this stage, it can lead to kidney problem and vision problem in two to three years. Both are irreversible once they get developed. Have control in your diet. If you are surely diagnosed with type 2, I can suggest you take Glucophage 1000 mg (Metformin) daily and Linagliptin injection. It is not insulin. It controls the blood sugar, and it helps to lose weight. |
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Hi doctor, I am 40 years old, and my weight is 97 kilograms. I am a diabetic patient, and my A1C test showed a result of 9 %. I am taking Sitaglu Met 500 mg. It has not helped me. When I take it, within five minutes, my sugar level gets increased to 250 mg/dL and comes down again to 180 mg/dL or 190 mg/dL. Sometimes, it does not get reduced. My fasting blood sugar level is 180 mg/dL. I am thinking to change my medicines. Please suggest. [/INST] Hi. Please verify the dose of Sitaglu Met. It is a combination medication. It has two medicines Sitagliptin and Metformin. Please mention whether you take 50 mg/500 mg or 50 mg/1000 mg dose. Please send a picture of it. Medication alone cannot control diabetes. Determining the type of diabetes is essential. There is a possibility that you may have type 1, so appropriate testing is required. You are overweight for your age, and the blood sugar is high. If your diabetic level is not controlled at this stage, it can lead to kidney problem and vision problem in two to three years. Both are irreversible once they get developed. Have control in your diet. If you are surely diagnosed with type 2, I can suggest you take Glucophage 1000 mg (Metformin) daily and Linagliptin injection. It is not insulin. It controls the blood sugar, and it helps to lose weight. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I get recurrent headache with low intensity. What could this be? | Hello doctor, I recently have recurring headaches. Some a little intense and some not. I usually just take Paracetamol and the pain goes away. Last night, the pain started at top of my head but mostly on the left side. The pain eases when I try to massage my head but what is different was the pain intensifies when I lie down. I take 2.5 mg Nebivolol in the morning for my hypertension. I also have panic disorder. Yesterday, I did experience a panic attack in the morning then my headache started in the afternoon then again at night. I took Clonidine 75 mcg which got rid of the headache and helped me sleep. | Hi. With the given information I think you are having a migraine. Please tell me what is the current frequency of headache per month? Additionally please answer the following questions. Do you have nausea or vomiting like sensation with a headache? Is it a throbbing type or tension-type? Is it mostly one side? Is there irritation to light and sound? How long it goes? Do you have disturbed sleep? Any visual disturbances? |
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Hello doctor, I recently have recurring headaches. Some a little intense and some not. I usually just take Paracetamol and the pain goes away. Last night, the pain started at top of my head but mostly on the left side. The pain eases when I try to massage my head but what is different was the pain intensifies when I lie down. I take 2.5 mg Nebivolol in the morning for my hypertension. I also have panic disorder. Yesterday, I did experience a panic attack in the morning then my headache started in the afternoon then again at night. I took Clonidine 75 mcg which got rid of the headache and helped me sleep. [/INST] Hi. With the given information I think you are having a migraine. Please tell me what is the current frequency of headache per month? Additionally please answer the following questions. Do you have nausea or vomiting like sensation with a headache? Is it a throbbing type or tension-type? Is it mostly one side? Is there irritation to light and sound? How long it goes? Do you have disturbed sleep? Any visual disturbances? |
Q. Is it possible for ear perforation to heal on its own again? | Hello doctor, I had an ear perforation two months before. My ear was healing really well. The doctor told me to clean my ear by ear syringing. He gave me two shots of syringing. After that, earwax clean up. My ear had gone bad. I feel like my eardrum is hardened. Whenever I put my finger in my ear to pop up my eardrum, my eardrum does not flexibly move at all. It is like it got stuck in one place. It does not move up and down when I put my finger. It is just fixed up in one place and the tinnitus has also gone bad. It vibrates really bad when anyone talks to me or I talk to anyone. I am so worried. Will my eardrum heal again? | Hello. First of all, tympanic membrane is anchored to bone and does not move up and down but moves inward and outward because of sound. Secondly, it is placed 2.5 cm from external ear orifice and cannot be moved with a finger. Since you had a perforation two years back, it might not have healed at all. The other symptom you are talking about is tinnitus. It is possible to have in presence of a perforation. You should get the ear examined. Also, I would like to know if you have any discharge now. |
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Hello doctor, I had an ear perforation two months before. My ear was healing really well. The doctor told me to clean my ear by ear syringing. He gave me two shots of syringing. After that, earwax clean up. My ear had gone bad. I feel like my eardrum is hardened. Whenever I put my finger in my ear to pop up my eardrum, my eardrum does not flexibly move at all. It is like it got stuck in one place. It does not move up and down when I put my finger. It is just fixed up in one place and the tinnitus has also gone bad. It vibrates really bad when anyone talks to me or I talk to anyone. I am so worried. Will my eardrum heal again? [/INST] Hello. First of all, tympanic membrane is anchored to bone and does not move up and down but moves inward and outward because of sound. Secondly, it is placed 2.5 cm from external ear orifice and cannot be moved with a finger. Since you had a perforation two years back, it might not have healed at all. The other symptom you are talking about is tinnitus. It is possible to have in presence of a perforation. You should get the ear examined. Also, I would like to know if you have any discharge now. |
Q. Kindly tell me the ways to gain weight. | Hello doctor, I am 25 years old having 61 kg and 173 cm in height. How can I gain some weight? | Hi. You should focus on a balanced diet. Start having protein, carbohydrate-rich diet. You can take a banana shake in the morning. It will give you instant energy as well as help in weight gain. Start taking milk and milk products. You can have pulses, beans, legumes, fruits, and vegetables. Apart from the exercise, you should be active physically. Go for a walk or do some exercise on daily basis to increase your stamina and muscle building. Thyroid test, CBC (complete blood count) test. Underweight. |
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Hello doctor, I am 25 years old having 61 kg and 173 cm in height. How can I gain some weight? [/INST] Hi. You should focus on a balanced diet. Start having protein, carbohydrate-rich diet. You can take a banana shake in the morning. It will give you instant energy as well as help in weight gain. Start taking milk and milk products. You can have pulses, beans, legumes, fruits, and vegetables. Apart from the exercise, you should be active physically. Go for a walk or do some exercise on daily basis to increase your stamina and muscle building. Thyroid test, CBC (complete blood count) test. Underweight. |
Q. Why is there low urine flow and pain in testicles after sex? | Hello doctor, I am worried about my prostate. Urine stream is low. Often going to the toilet. Can feel pain in testicles after sex. | Hi. I have gone through your query. Can you please confirm how old you are? You have mentioned your age to be 41 years. I am asking because 41 years is pretty early to develop prostate enlargement, although not impossible, it is definitely very rare to develop significant enlargement to cause symptoms at your age. That said it is possible to have some low-grade prostate infection that can possibly cause your symptoms. To find out, a prostate examination and urine analysis are necessary to confirm. Also, an ultrasound scan to measure the size of the prostate gland and a uroflowmetry to ascertain the speed of the urinary flow will give a complete picture. If it is due to prostate enlargement, then simple daily medication should be effective if you have had symptoms only for a short duration. |
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Hello doctor, I am worried about my prostate. Urine stream is low. Often going to the toilet. Can feel pain in testicles after sex. [/INST] Hi. I have gone through your query. Can you please confirm how old you are? You have mentioned your age to be 41 years. I am asking because 41 years is pretty early to develop prostate enlargement, although not impossible, it is definitely very rare to develop significant enlargement to cause symptoms at your age. That said it is possible to have some low-grade prostate infection that can possibly cause your symptoms. To find out, a prostate examination and urine analysis are necessary to confirm. Also, an ultrasound scan to measure the size of the prostate gland and a uroflowmetry to ascertain the speed of the urinary flow will give a complete picture. If it is due to prostate enlargement, then simple daily medication should be effective if you have had symptoms only for a short duration. |
Q. Can congenital hypothyroidism lead to brain development issues? | Hello doctor, My girl is 10 months old. Her growth and development are very slow. The test showed elevated TSH level 164.23. Diagnosed with congenital hypothyroidism. I am also hypothyroid but I have been taking my medication Eltroxin 25 mcg properly from the two years. Then why this happened to my daughter? Her development and weight throughout the pregnancy period were normal. Are there any chances of mental retardation or brain damage because hypothyroidism is diagnosed at age of 10 months? At the time of birth, she was healthy. No newborn screening was done by the hospital. Her birth weight was 3 kg 400 gm now she weighs only 5 kg 800 gm. Will she have to take medication throughout life? | Hello. I just read your query about your daughter's congenital hypothyroidism. I am sorry and I can empathize with you but at the same time, I would like to say that timely diagnosis in an infant for congenital hypothyroidism is very essential and your daughter was diagnosed early on before any damage occurred in the sense for growth and brain development. Congenital hypothyroidism occurs due to an inborn error of metabolism and can be manifested anytime after birth. Yes, there should have been an at birth screening. Your hypothyroidism has only a transient effect to the developing fetus if you are already on treatment. Her weight is increasing so that is a good sign. As long as she is on treatment and at the correct dose then the child can grow normally without any brain development issues. These are the things which happen when the child goes undiagnosed. So please be positive. Your prime responsibility now should be at watching her growth and development. Just monitor the following signs at all times. Decreased activity, large anterior fontanelle, poor feeding, and weight gain, small stature or poor growth, jaundice, decreased stooling or constipation, hypotonia, hoarse cry. T4 (total or free T4) and TSH should be repeated 4 to 6 weeks after initiation of therapy, then every 1 to 3 months during the first year of life and every 2 to 4 months during the second and third years. |
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Hello doctor, My girl is 10 months old. Her growth and development are very slow. The test showed elevated TSH level 164.23. Diagnosed with congenital hypothyroidism. I am also hypothyroid but I have been taking my medication Eltroxin 25 mcg properly from the two years. Then why this happened to my daughter? Her development and weight throughout the pregnancy period were normal. Are there any chances of mental retardation or brain damage because hypothyroidism is diagnosed at age of 10 months? At the time of birth, she was healthy. No newborn screening was done by the hospital. Her birth weight was 3 kg 400 gm now she weighs only 5 kg 800 gm. Will she have to take medication throughout life? [/INST] Hello. I just read your query about your daughter's congenital hypothyroidism. I am sorry and I can empathize with you but at the same time, I would like to say that timely diagnosis in an infant for congenital hypothyroidism is very essential and your daughter was diagnosed early on before any damage occurred in the sense for growth and brain development. Congenital hypothyroidism occurs due to an inborn error of metabolism and can be manifested anytime after birth. Yes, there should have been an at birth screening. Your hypothyroidism has only a transient effect to the developing fetus if you are already on treatment. Her weight is increasing so that is a good sign. As long as she is on treatment and at the correct dose then the child can grow normally without any brain development issues. These are the things which happen when the child goes undiagnosed. So please be positive. Your prime responsibility now should be at watching her growth and development. Just monitor the following signs at all times. Decreased activity, large anterior fontanelle, poor feeding, and weight gain, small stature or poor growth, jaundice, decreased stooling or constipation, hypotonia, hoarse cry. T4 (total or free T4) and TSH should be repeated 4 to 6 weeks after initiation of therapy, then every 1 to 3 months during the first year of life and every 2 to 4 months during the second and third years. |
Q. Why am I unable to lose weight in spite of working out hard? | Hello doctor, I am 27 years old female, weight 88.5 kg having a thyroid. I am not losing weight inspite of working out five days a week. This is making me frustrated. I really need help. I cannot see myself so stressed after working so hard. I have attached my medical reports here. | Hello. We went through your post, your main issue is excess weight. Weight reduction has two important components and both are necessary, and that are consuming fewer calories and burning more calories. If you are doing only one, nothing is going to happen. I would suggest you take only vegetarian diet that too low quantities and with minimal oil. You can add Orlistat 120 mg with each major meal like lunch and dinner. That will help further in accelerating weight loss. However, what you eat as your food is very important. |
<s>[INST]
Hello doctor, I am 27 years old female, weight 88.5 kg having a thyroid. I am not losing weight inspite of working out five days a week. This is making me frustrated. I really need help. I cannot see myself so stressed after working so hard. I have attached my medical reports here. [/INST] Hello. We went through your post, your main issue is excess weight. Weight reduction has two important components and both are necessary, and that are consuming fewer calories and burning more calories. If you are doing only one, nothing is going to happen. I would suggest you take only vegetarian diet that too low quantities and with minimal oil. You can add Orlistat 120 mg with each major meal like lunch and dinner. That will help further in accelerating weight loss. However, what you eat as your food is very important. |
Q. What is the treatment for chronic migraine? | Hello doctor, My age is 30 and unmarried. I suffer from a migraine for the past 16 years. At least one time per week, duration of more than 10 hours. | Hello. Noted you are having migraine problem many times. So, if you are having repeated migraine headache problem then prophylactic treatment for a migraine can be started. For prophylaxis Amitryptiline, Beta blocker, Topiramate, etc., drugs are available and one of them can be prescribed. Try to avoid loud noise and more sunlight exposure. Peppermint or flaxseed oil topical application can be beneficial. During an acute attack of a migraine, Rizatriptan 5 mg tablet can be taken. |
<s>[INST]
Hello doctor, My age is 30 and unmarried. I suffer from a migraine for the past 16 years. At least one time per week, duration of more than 10 hours. [/INST] Hello. Noted you are having migraine problem many times. So, if you are having repeated migraine headache problem then prophylactic treatment for a migraine can be started. For prophylaxis Amitryptiline, Beta blocker, Topiramate, etc., drugs are available and one of them can be prescribed. Try to avoid loud noise and more sunlight exposure. Peppermint or flaxseed oil topical application can be beneficial. During an acute attack of a migraine, Rizatriptan 5 mg tablet can be taken. |
Q. Patient has heartburn after waking up at midnight. Why? | Hello doctor, My father's age is 49 years. He feels burning in the chest after waking up at midnight. Waking up is normal as routine. | Hi. Your father can have a duodenal ulcer with acid reflux. I suggest Rabeprazole 20 mg OD for one to two weeks for that. Meanwhile, avoid gastric irritants like excess spicy foods, excess tea, coffee, stress, smoking, etc. Cooked oatmeal help in the soothing of the stomach. Include curd in your diet. If no improvement, then USG abdomen or endoscopy like investigation can be planned. |
<s>[INST]
Hello doctor, My father's age is 49 years. He feels burning in the chest after waking up at midnight. Waking up is normal as routine. [/INST] Hi. Your father can have a duodenal ulcer with acid reflux. I suggest Rabeprazole 20 mg OD for one to two weeks for that. Meanwhile, avoid gastric irritants like excess spicy foods, excess tea, coffee, stress, smoking, etc. Cooked oatmeal help in the soothing of the stomach. Include curd in your diet. If no improvement, then USG abdomen or endoscopy like investigation can be planned. |
Q. How to cure cough with fever and night sweating? | Hi doctor, I have a cough and common cold for the past one week. After three days, I also had a fever, and I had sweating at night time. Please help me. | Hi. According to your complaints and history, I would recommend you start taking Antipyretics and Antitussive soon. If you do not have any recovery from a cough within a week, then you can do a sputum test and chest X-ray for further management. You can consult a general practitioner for a physical examination and start to have medications soon. Please monitor your weight too and notify it to your GP (general practitioner) if there is any change. Try to cover your mouth while coughing and stay in a well-ventilated area. Avoid going inside crowded places until you recover. |
<s>[INST]
Hi doctor, I have a cough and common cold for the past one week. After three days, I also had a fever, and I had sweating at night time. Please help me. [/INST] Hi. According to your complaints and history, I would recommend you start taking Antipyretics and Antitussive soon. If you do not have any recovery from a cough within a week, then you can do a sputum test and chest X-ray for further management. You can consult a general practitioner for a physical examination and start to have medications soon. Please monitor your weight too and notify it to your GP (general practitioner) if there is any change. Try to cover your mouth while coughing and stay in a well-ventilated area. Avoid going inside crowded places until you recover. |
Q. I have mixed emotions and unable to concentrate on my work. What can I do? | Hi doctor, I have mixed emotions. Sometimes I am overwhelmed with emotions. But sometimes I am entirely emotionless. I am unable to concentrate on my studies as I am extremely drained mentally. Nothing is making me feel better. If I feel better for some time, at the end of the day, I feel completely numb. I am sleeping a lot nowadays. I am unable to do my work. Please help me. | Hi. I have gone through your problem, and I can understand your concern. It can be due to mood disorder and depression. You need to consult a psychiatrist soon as depression can present with a sleep problem, a decrease in energy, numbness, unable to concentrate on work, and low mood. In such situations, taking SSRI (selective serotonin reuptake inhibitor) can help you. |
<s>[INST]
Hi doctor, I have mixed emotions. Sometimes I am overwhelmed with emotions. But sometimes I am entirely emotionless. I am unable to concentrate on my studies as I am extremely drained mentally. Nothing is making me feel better. If I feel better for some time, at the end of the day, I feel completely numb. I am sleeping a lot nowadays. I am unable to do my work. Please help me. [/INST] Hi. I have gone through your problem, and I can understand your concern. It can be due to mood disorder and depression. You need to consult a psychiatrist soon as depression can present with a sleep problem, a decrease in energy, numbness, unable to concentrate on work, and low mood. In such situations, taking SSRI (selective serotonin reuptake inhibitor) can help you. |
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