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Q. My creatinine level is 0. 98. Is it normal? | Hello doctor, My creatinine blood level is 0.98. It is normal. My age is 27, weight is 88. My urine output has also reduced. | Hi. I have reviewed your health query and can understand your concerns. Your creatinine levels are not abnormal in this laboratory result (attachment removed to protect patient identity). The results are from a reliable laboratory and show you have well within the normal range of creatinine levels. No issues diagnosed based on the lab results. But clinical correlation is also important here. You complained reduced urine output. There are a lot of reasons for that. The first thing you need to take care of is your daily fluid intake amount. If that is not up to the mark, improve that first. Take more vegetables and fruits and avoid meats and chicken. No fried and fast foods or junk calories. Avoid soft drinks. As far as your medication is concerned, Singulair has no side effect that may have affected your urine output. It is a safe medication to be taken for many reasons. If this does not help, please consult a local physician with the advantage of physical examination and proper evaluation. If needed, he may also refer you to a kidney doctor. |
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Hello doctor, My creatinine blood level is 0.98. It is normal. My age is 27, weight is 88. My urine output has also reduced. [/INST] Hi. I have reviewed your health query and can understand your concerns. Your creatinine levels are not abnormal in this laboratory result (attachment removed to protect patient identity). The results are from a reliable laboratory and show you have well within the normal range of creatinine levels. No issues diagnosed based on the lab results. But clinical correlation is also important here. You complained reduced urine output. There are a lot of reasons for that. The first thing you need to take care of is your daily fluid intake amount. If that is not up to the mark, improve that first. Take more vegetables and fruits and avoid meats and chicken. No fried and fast foods or junk calories. Avoid soft drinks. As far as your medication is concerned, Singulair has no side effect that may have affected your urine output. It is a safe medication to be taken for many reasons. If this does not help, please consult a local physician with the advantage of physical examination and proper evaluation. If needed, he may also refer you to a kidney doctor. |
Q. I have increased urinary frequency and thirst with HIIT exercise. Please help. | Hello doctor, The frequency of urination and thirst has increased from the last two to three days all of a sudden. Sometimes it is two to three times even in an hour. I am a 29-year-old male. I regularly do HIIT exercises two times a day. | Hello. As you described the complaints, you seemed convinced that it is due to HIIT (high-intensity interval training) only. But there could be many more factors associated with it. To know the cause and prescribing further treatment I need to evaluate your case better. How much is your daily fluid intake approximately and what is your regular dietary routine for your HIIT? Since when you are doing HIIT? Do you feel heat in the sole? Any difficulty in urination? Any symptoms of headache or any other condition? Let me know in the follow up about the above questions. |
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Hello doctor, The frequency of urination and thirst has increased from the last two to three days all of a sudden. Sometimes it is two to three times even in an hour. I am a 29-year-old male. I regularly do HIIT exercises two times a day. [/INST] Hello. As you described the complaints, you seemed convinced that it is due to HIIT (high-intensity interval training) only. But there could be many more factors associated with it. To know the cause and prescribing further treatment I need to evaluate your case better. How much is your daily fluid intake approximately and what is your regular dietary routine for your HIIT? Since when you are doing HIIT? Do you feel heat in the sole? Any difficulty in urination? Any symptoms of headache or any other condition? Let me know in the follow up about the above questions. |
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. Kindly tell me whether the cramps I am experiencing are due to ALS or MND. | Hello doctor, I am a 29-year-old male and in need of some reassurance over my serious health anxiety re MND (ALS). I am not normally anxious or depressed, married with a young daughter and a wife who is pregnant. It stared with an entire all day leg ache (left leg). Two days later my arm started to fell weird, tingles and biceps hurt. Since then (three weeks ago now) I have had the following symptoms. Numb or tingle fingers, feeling of weakness (but not actually weak), pain in hands, feeling of stiffness in fingers, lots of muscle twitches across body but mainly legs, feet, hands and arms, cramp type feeling in both big toes and calf muscles (not full on cramp), nausea and dull headache, dry throat, lump in front feeling, and a scratchy throat feeling. I keep looking for atrophy, though nobody thinks I have that. A sore skin feeling across my lower ribs and upper back like sunburn but without the burn, fatigue. I have seen three GP's. All three have said they think I am fine, they do not have worries and one said I do not have MND. I have had a complete blood test which had come back as normal. At my third GP appointment, I was tested for strength and reflexes. She could find nothing clinically wrong, no weakness but did mention some quite brisk reflexes but they were symmetrical. Is this normal? a referal was made, she said she does not think it is MND or anything bad basically. I was diagnosed with health anxiety two weeks ago and I am currently taking each day 50 mg Sertraline. Can you please confirm that the symptoms I mentioned are not MND or ALS related? That the twitches are nothing to worry about using your expertise? Confirm that the brisk reflexes on both sides (symmetrical) are nothing to worry about. That the type of cramp I am experiencing is not related to ALS or MND using your experience. | Hello. Your symptoms are not typical of ALS (amyotrophic lateral sclerosis). You should know that at your age ALS is a very exceptional diagnosis. But there are also a lot of other conditions that may mimic this clinical situation. For this reason, I would recommend performing some tests. Complete blood count for anemia, blood electrolytes for possible imbalances, thyroid hormone levels for thyroid dysfunction, vitamin D levels and vitamin B12 levels for a possible deficiency, nerve conduction studies would help exclude ALS and calm your anxiety. |
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Hello doctor, I am a 29-year-old male and in need of some reassurance over my serious health anxiety re MND (ALS). I am not normally anxious or depressed, married with a young daughter and a wife who is pregnant. It stared with an entire all day leg ache (left leg). Two days later my arm started to fell weird, tingles and biceps hurt. Since then (three weeks ago now) I have had the following symptoms. Numb or tingle fingers, feeling of weakness (but not actually weak), pain in hands, feeling of stiffness in fingers, lots of muscle twitches across body but mainly legs, feet, hands and arms, cramp type feeling in both big toes and calf muscles (not full on cramp), nausea and dull headache, dry throat, lump in front feeling, and a scratchy throat feeling. I keep looking for atrophy, though nobody thinks I have that. A sore skin feeling across my lower ribs and upper back like sunburn but without the burn, fatigue. I have seen three GP's. All three have said they think I am fine, they do not have worries and one said I do not have MND. I have had a complete blood test which had come back as normal. At my third GP appointment, I was tested for strength and reflexes. She could find nothing clinically wrong, no weakness but did mention some quite brisk reflexes but they were symmetrical. Is this normal? a referal was made, she said she does not think it is MND or anything bad basically. I was diagnosed with health anxiety two weeks ago and I am currently taking each day 50 mg Sertraline. Can you please confirm that the symptoms I mentioned are not MND or ALS related? That the twitches are nothing to worry about using your expertise? Confirm that the brisk reflexes on both sides (symmetrical) are nothing to worry about. That the type of cramp I am experiencing is not related to ALS or MND using your experience. [/INST] Hello. Your symptoms are not typical of ALS (amyotrophic lateral sclerosis). You should know that at your age ALS is a very exceptional diagnosis. But there are also a lot of other conditions that may mimic this clinical situation. For this reason, I would recommend performing some tests. Complete blood count for anemia, blood electrolytes for possible imbalances, thyroid hormone levels for thyroid dysfunction, vitamin D levels and vitamin B12 levels for a possible deficiency, nerve conduction studies would help exclude ALS and calm your anxiety. |
Q. I have acute pain and inflammation behind the neck and shoulder. Please help. | Hello doctor, I have acute pain and inflammation behind the neck and shoulder. Tingling pain in the left-hand finger and pain in the middle back and sometimes lower back. I am male, 27 years old. | Hi. I think you must be suffering from cervical spondylitis with radiculopathy. This must have arose due to long time sitting posture or carrying a backpack. I suggest hot fomentation by hot water bag for 10 minutes with three sessions per day. Then, apply some local pain relief gel mildly. Approach a physiotherapist if the pain does not subside under three days. No exercises or driving to be undertaken. If needed, MRI. |
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Hello doctor, I have acute pain and inflammation behind the neck and shoulder. Tingling pain in the left-hand finger and pain in the middle back and sometimes lower back. I am male, 27 years old. [/INST] Hi. I think you must be suffering from cervical spondylitis with radiculopathy. This must have arose due to long time sitting posture or carrying a backpack. I suggest hot fomentation by hot water bag for 10 minutes with three sessions per day. Then, apply some local pain relief gel mildly. Approach a physiotherapist if the pain does not subside under three days. No exercises or driving to be undertaken. If needed, MRI. |
Q. Why do I get fever, cold, and cough during ovulation? | Hello doctor, During the ovulation time every month, I get a fever, cold, cough. What is the remedy? | Hi. I have reviewed your query and can well understand how worried you are about this issue. And you are not alone in this respect. Most of the females come to their physician with the same complaint. I usually describe it as a naturalization phenomenon and it happens due to hormonal changes that take place just before and after ovulation. It is to prepare the body for ovulation and (if the female conceive) for the oncoming pregnancy. If symptoms are bearable, avoid taking any medications. If moderate, you may take Acetaminophen for symptomatic relief (as needed). If severe, take Ibuprofen 800 mg as needed. Your OBGYN physician may also assist you in this regard and if needed she may go for your physical examination and some investigations. |
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Hello doctor, During the ovulation time every month, I get a fever, cold, cough. What is the remedy? [/INST] Hi. I have reviewed your query and can well understand how worried you are about this issue. And you are not alone in this respect. Most of the females come to their physician with the same complaint. I usually describe it as a naturalization phenomenon and it happens due to hormonal changes that take place just before and after ovulation. It is to prepare the body for ovulation and (if the female conceive) for the oncoming pregnancy. If symptoms are bearable, avoid taking any medications. If moderate, you may take Acetaminophen for symptomatic relief (as needed). If severe, take Ibuprofen 800 mg as needed. Your OBGYN physician may also assist you in this regard and if needed she may go for your physical examination and some investigations. |
Q. How can I whiten yellow teeth? | Hello doctor, I have teeth of yellowish color. How can I whiten it? | Hi. It may be due to calculus deposit on the tooth surface. Please visit your dentist for scaling and if you get any further deposits even after scaling, you must go for polishing your tooth to get a white surface. Stains and calculus. Oral gingivitis. Oral prophylactic treatment (scaling). 1. Use mouthwash. 2. Brush twice a day. 3. Gargle mouth after every meal. |
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Hello doctor, I have teeth of yellowish color. How can I whiten it? [/INST] Hi. It may be due to calculus deposit on the tooth surface. Please visit your dentist for scaling and if you get any further deposits even after scaling, you must go for polishing your tooth to get a white surface. Stains and calculus. Oral gingivitis. Oral prophylactic treatment (scaling). 1. Use mouthwash. 2. Brush twice a day. 3. Gargle mouth after every meal. |
Q. Why are there inflamed nasal swellings and ear plugs? | Hello doctor, I apologize for the long message, but I am a concerned mom. I have two sons (ages 3 and 5) and both of them and I have been experiencing chronic sinus or ear issues for the past several months. Their pediatrician has referred us to ENT since she does not know what it is. Both boys (and myself) have inflamed nasal swellings that block the nasal passages. We all have deviated septums. My 3-year-old has dog and cat allergy and is prescribed Nasocort and Zyrtec daily which are ineffective. The 5-year-old tested negative for all allergies. We use top line air purifiers throughout the house but are still experiencing severe symptoms. The boys had tonsillectomies, adenoidectomies tubes last year due to scale 4 with obstructive tonsils or adenoids. Nightly I have extracted sticky, firm clumps from behind the nasal swellings that only appear after massaging sinuses. They do not drain out on their own. Both boys ears are totally blocked. And my 5-year-old had dark brown fluid with strong foul odor leak out of one ear the other night. Both have recently been on Azithromycin (3 day doses of 5 ml per day) but symptoms have not improved. Not sure if any of the following are related, but all occured around the time symptoms began. My dad was at our house with a severe bronchial and sinus related illness and and also diagnosed with candida. We had also just been swimming in a lake. We live directly across from a large scale construction project that produces lots of dust that began around same time. My youngest had a recent staphylococcal infection on his arm treated topically with muciprocin. Any clues about what this could be and if it requires more immediate action vs. wait for ENT appointment? | Hi. Do not stop Zyrtec (Cetirizine) and nasal corticosteroid spray. The polluted environment around you can harm your children badly. I think that the black plug inside your son's ear is a fungal infection. You need a topical antifungal drop for five days, then the ENT specialist will wash it off, vacuum it. There is a great possibility that all of you have caught an infection from the old grandfather. I recommend immunotherapy for your children if the medical treatment does not help. I also advise you to send nasal smears for laboratory investigation (culture and sensitivity). |
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Hello doctor, I apologize for the long message, but I am a concerned mom. I have two sons (ages 3 and 5) and both of them and I have been experiencing chronic sinus or ear issues for the past several months. Their pediatrician has referred us to ENT since she does not know what it is. Both boys (and myself) have inflamed nasal swellings that block the nasal passages. We all have deviated septums. My 3-year-old has dog and cat allergy and is prescribed Nasocort and Zyrtec daily which are ineffective. The 5-year-old tested negative for all allergies. We use top line air purifiers throughout the house but are still experiencing severe symptoms. The boys had tonsillectomies, adenoidectomies tubes last year due to scale 4 with obstructive tonsils or adenoids. Nightly I have extracted sticky, firm clumps from behind the nasal swellings that only appear after massaging sinuses. They do not drain out on their own. Both boys ears are totally blocked. And my 5-year-old had dark brown fluid with strong foul odor leak out of one ear the other night. Both have recently been on Azithromycin (3 day doses of 5 ml per day) but symptoms have not improved. Not sure if any of the following are related, but all occured around the time symptoms began. My dad was at our house with a severe bronchial and sinus related illness and and also diagnosed with candida. We had also just been swimming in a lake. We live directly across from a large scale construction project that produces lots of dust that began around same time. My youngest had a recent staphylococcal infection on his arm treated topically with muciprocin. Any clues about what this could be and if it requires more immediate action vs. wait for ENT appointment? [/INST] Hi. Do not stop Zyrtec (Cetirizine) and nasal corticosteroid spray. The polluted environment around you can harm your children badly. I think that the black plug inside your son's ear is a fungal infection. You need a topical antifungal drop for five days, then the ENT specialist will wash it off, vacuum it. There is a great possibility that all of you have caught an infection from the old grandfather. I recommend immunotherapy for your children if the medical treatment does not help. I also advise you to send nasal smears for laboratory investigation (culture and sensitivity). |
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. What are the symptoms of frontotemporal dementia? | Hello doctor, My mother has recently received a diagnosis of frontotemporal dementia. Here is a history of her: She had what we believed to be a nervous breakdown four years back. This was after a year of stress from a pending court case. After this breakdown, she displayed some psychotic symptoms. Would constantly go to the toilet to wash her hands. Had obsessive thoughts that were very strong. She was placed on an antipsychotic, sleeping aid Zoplicone and Lithium. After a month, she was stabilized and came home. The obsessive thinking continued but not so much in the form of compulsions. Over the next four years, she was quite up and down and tried to take her life a few times. One becoming close and ended up in an intensive scar. She had taken a large amount of Lithium and was taken off this and antipsychotics. After recovery, she became extremely maniac but obsessions disappeared and then went into a depression where the obsessions started again. Then she displayed some psychotic thinking around my father not to be trusted and would send her back to the initial mental hospital. We then managed to have her admitted to an OCD center. In here she very quickly declined and became very delusional. They then decided to test her for biological causes. They conducted neuropsychological testing and diagnosed the FTD. I have done a lot of reading on this condition and really have not noticed the majority of the symptoms and the way she is displaying in this institution is very similar to the previous occasion four years ago. She also had an MRI done 1.5 years ago due to some seizures and they did not find any issues on the frontal or temporal lobes. These findings were not reviewed by the neurologist that recently diagnosed the FTP. He was also unable to access any information from her first admission. Does this warrant a secondary opinion. | Hi. I read carefully your question and would explain that fronto-temporal diagnosis is a very challenging diagnosis, which is determined by the neuro-psychological tests and the progression of the disease. Sometimes, the radiological findings are not typical of this disorder, so I am not very surprised to learn that her MRI findings are not compatible with the diagnosis. Did she perform any MRI four years back? Some changes between the two MRI would help determine the diagnosis. Does she have memory problems or speech problems? Anyway, you should know that sometimes the first signs in frontotemporal dementia are just depression or psychosis. Memory problems or speech problems come next (in the next years). So, if there is a progression of the disease, the diagnosis of FTD would be more probable. Does she have any family history for dementia? If her symptoms are completely reversible from antidepressants or antipsychotic therapy, the diagnosis of FTD would not stand. So, there is not too much to be done, besides treat her symptoms and wait to see for possible further progression. Genetic test for FTD can be done too. |
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Hello doctor, My mother has recently received a diagnosis of frontotemporal dementia. Here is a history of her: She had what we believed to be a nervous breakdown four years back. This was after a year of stress from a pending court case. After this breakdown, she displayed some psychotic symptoms. Would constantly go to the toilet to wash her hands. Had obsessive thoughts that were very strong. She was placed on an antipsychotic, sleeping aid Zoplicone and Lithium. After a month, she was stabilized and came home. The obsessive thinking continued but not so much in the form of compulsions. Over the next four years, she was quite up and down and tried to take her life a few times. One becoming close and ended up in an intensive scar. She had taken a large amount of Lithium and was taken off this and antipsychotics. After recovery, she became extremely maniac but obsessions disappeared and then went into a depression where the obsessions started again. Then she displayed some psychotic thinking around my father not to be trusted and would send her back to the initial mental hospital. We then managed to have her admitted to an OCD center. In here she very quickly declined and became very delusional. They then decided to test her for biological causes. They conducted neuropsychological testing and diagnosed the FTD. I have done a lot of reading on this condition and really have not noticed the majority of the symptoms and the way she is displaying in this institution is very similar to the previous occasion four years ago. She also had an MRI done 1.5 years ago due to some seizures and they did not find any issues on the frontal or temporal lobes. These findings were not reviewed by the neurologist that recently diagnosed the FTP. He was also unable to access any information from her first admission. Does this warrant a secondary opinion. [/INST] Hi. I read carefully your question and would explain that fronto-temporal diagnosis is a very challenging diagnosis, which is determined by the neuro-psychological tests and the progression of the disease. Sometimes, the radiological findings are not typical of this disorder, so I am not very surprised to learn that her MRI findings are not compatible with the diagnosis. Did she perform any MRI four years back? Some changes between the two MRI would help determine the diagnosis. Does she have memory problems or speech problems? Anyway, you should know that sometimes the first signs in frontotemporal dementia are just depression or psychosis. Memory problems or speech problems come next (in the next years). So, if there is a progression of the disease, the diagnosis of FTD would be more probable. Does she have any family history for dementia? If her symptoms are completely reversible from antidepressants or antipsychotic therapy, the diagnosis of FTD would not stand. So, there is not too much to be done, besides treat her symptoms and wait to see for possible further progression. Genetic test for FTD can be done too. |
Q. Can ear pricking cause ear pain and hearing loss? | Hello doctor, I am suffering from severe ear pain in my left ear. Today is the third day and I cannot hear properly. It resulted due to pricking my ear. | Hi. After reading what your complaints are, I think two possibilities are there which can lead to the symptoms you are perceiving. It could be that you already had an underlying infection of the middle ear which can lead to an earache and pricking was incidental or that fiddling with ear may have lead to infection of the external ear canal which could lead to symptoms. I would like to know if you had a common cold and running nose or pharyngitis before an earache and decreased hearing appeared. Is there any discharge from the ear? Does moving your pinna cause any pain? In either cases, you need an antibiotic and analgesics. If you had any history of cold, you need decongestants as well. URTI (upper respiratory tract infection). 1. AOM (acute otitis media). 2. Otitis externa. |
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Hello doctor, I am suffering from severe ear pain in my left ear. Today is the third day and I cannot hear properly. It resulted due to pricking my ear. [/INST] Hi. After reading what your complaints are, I think two possibilities are there which can lead to the symptoms you are perceiving. It could be that you already had an underlying infection of the middle ear which can lead to an earache and pricking was incidental or that fiddling with ear may have lead to infection of the external ear canal which could lead to symptoms. I would like to know if you had a common cold and running nose or pharyngitis before an earache and decreased hearing appeared. Is there any discharge from the ear? Does moving your pinna cause any pain? In either cases, you need an antibiotic and analgesics. If you had any history of cold, you need decongestants as well. URTI (upper respiratory tract infection). 1. AOM (acute otitis media). 2. Otitis externa. |
Q. Why am I having gum bleeding for a month? | Hi doctor,I am facing gum bleeding for a month. No pain or any other symptoms. | Hi. There can be several reasons for gum bleeding. 1. Calculus from poor oral hygiene. 2. Hard brushing. 3. Any ulcer in gums. 4. Vitamin C deficiency. 5. Blood pressure least likely in your case. 6. Infections of the oral cavity. 7. Psychiatric apprehensions. Gingivitis. 1. Tablet Ordent (Ofloxacin and Ornidazole) BD for seven days. 2. Mouthwash Hexidine 0.1 % for 15 days. 3. After that, go to a nearby hospital and get scaling done. 1. Six months scaling. 2. Soft brushing. |
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Hi doctor,I am facing gum bleeding for a month. No pain or any other symptoms. [/INST] Hi. There can be several reasons for gum bleeding. 1. Calculus from poor oral hygiene. 2. Hard brushing. 3. Any ulcer in gums. 4. Vitamin C deficiency. 5. Blood pressure least likely in your case. 6. Infections of the oral cavity. 7. Psychiatric apprehensions. Gingivitis. 1. Tablet Ordent (Ofloxacin and Ornidazole) BD for seven days. 2. Mouthwash Hexidine 0.1 % for 15 days. 3. After that, go to a nearby hospital and get scaling done. 1. Six months scaling. 2. Soft brushing. |
Q. My baby shows strange infantile spasms. Please guide me. | Hi doctor, My son is 14 weeks old now. When he was 12 weeks old, I noticed some strange movements in him. It was like infantile spasms. I consulted a doctor with a video taken. I took him along with me. The doctor told me that it looks normal. Still, I see some strange movements. I am not able to say whether they are regular baby movements or not. They look suspicious to me. So I showed a couple of more videos to the doctor during his check-ups, and the doctor disagrees and refuses to get an EEG. I am worried. Please help. | Hi. I have reviewed your uploaded video carefully (attachment removed to protect patient identity). These movements do not look like spasms. They are related to a normal reflex of the children. From the other hand, spasms also cause extension in the neck. It is not seen in the video. You should know that having epileptic seizures along with infantile spasms are a part of a progressive encephalopathy, and they have a progressive worsening. If these movements become frequent, I would recommend consulting a neuropediatrician and performing EEG (electroencephalography). |
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Hi doctor, My son is 14 weeks old now. When he was 12 weeks old, I noticed some strange movements in him. It was like infantile spasms. I consulted a doctor with a video taken. I took him along with me. The doctor told me that it looks normal. Still, I see some strange movements. I am not able to say whether they are regular baby movements or not. They look suspicious to me. So I showed a couple of more videos to the doctor during his check-ups, and the doctor disagrees and refuses to get an EEG. I am worried. Please help. [/INST] Hi. I have reviewed your uploaded video carefully (attachment removed to protect patient identity). These movements do not look like spasms. They are related to a normal reflex of the children. From the other hand, spasms also cause extension in the neck. It is not seen in the video. You should know that having epileptic seizures along with infantile spasms are a part of a progressive encephalopathy, and they have a progressive worsening. If these movements become frequent, I would recommend consulting a neuropediatrician and performing EEG (electroencephalography). |
Q. Am I feeling lethargic due to Fluvoxamine? | Hello doctor, I have been on Fluvoxamine 100 mg CR for the last two months for health anxiety issues. Thoughts are controlled and sleep is fine. The mood is generally fine. But feeling very tired and lethargic a lot. Want to know if this is the effect of Fluvoxamine and if the change of SSRI will help to restore energy. | Hello. Yes, you are right, Fluvoxamine has a side effect of increased sedation. Because of sedation person feels lethargy. You can do this thing that if Fluvoxamine is causing sedation, you can shift the medicine to night time, just before sleeping. This would sort out your problem. If this does not sort out your problem, you can have a trail of another SSRI Sertraline which is a safer option in the heart disease patients as you already tried Escitalopram and Paroxetine. |
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Hello doctor, I have been on Fluvoxamine 100 mg CR for the last two months for health anxiety issues. Thoughts are controlled and sleep is fine. The mood is generally fine. But feeling very tired and lethargic a lot. Want to know if this is the effect of Fluvoxamine and if the change of SSRI will help to restore energy. [/INST] Hello. Yes, you are right, Fluvoxamine has a side effect of increased sedation. Because of sedation person feels lethargy. You can do this thing that if Fluvoxamine is causing sedation, you can shift the medicine to night time, just before sleeping. This would sort out your problem. If this does not sort out your problem, you can have a trail of another SSRI Sertraline which is a safer option in the heart disease patients as you already tried Escitalopram and Paroxetine. |
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 Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. Is it fine to take double dose of Norgeston to control bleeding? | Hello doctor, I am a 35-year-old woman and I have been prescribed the POP contraceptive pill and not the combined due to occasional migraines. I also have varicose veins. I have had very frequent bleeding apart from the periods and am now on the third brand called Norgeston which has not helped to stop the bleeding. I have heard that taking a double dose for a month can help to contain the bleeding. Is that fine to do? | Hi. I have some additional questions for you: 1. How long have you been taking these POP (Progestin-only pills) contraceptive pills? If you just started to take the POP pills and your body is adapting to them, maybe increasing the dosage is an option but if you have been for more than three months with POP pills, I do not think you will get any improvement increasing the dosage. 2. I understand you have had these bleedings with all the three brand names. And what is the reason you had to change brand names? Which kind of secondary effects did you have? Names of the other pills you tried? 3. When you say bleeding, do you mean red blood like period or brownish spotting? Every day? Or randomly? This kind of bleeding or spotting may be due to many different reasons like the most likely reason is (as you suggested) that you are taking a low dose of Progesterone and if you increase the dosage (two pills a day for two weeks) probably you will get to control it. But we must have other reasons into account, such as a possible early pregnancy (and in this case we are talking about a thread of miscarriage). Please, have a urine pregnancy test done. Sometimes, (no need to worry, but need to verify) it is a polyp or a small fibroid inside the uterine cavity that may not respond to the hormonal control. In this case, my advice is to go to your Gynecologist, because she or he needs to do a vaginal scan to verify the uterine cavity. Sometimes it is another hormonal problem not related to your cycle (thyroid). That may produce this bleeding and if you doublé the Progesterone dosage, you will not get to reduce the bleeding. |
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Hello doctor, I am a 35-year-old woman and I have been prescribed the POP contraceptive pill and not the combined due to occasional migraines. I also have varicose veins. I have had very frequent bleeding apart from the periods and am now on the third brand called Norgeston which has not helped to stop the bleeding. I have heard that taking a double dose for a month can help to contain the bleeding. Is that fine to do? [/INST] Hi. I have some additional questions for you: 1. How long have you been taking these POP (Progestin-only pills) contraceptive pills? If you just started to take the POP pills and your body is adapting to them, maybe increasing the dosage is an option but if you have been for more than three months with POP pills, I do not think you will get any improvement increasing the dosage. 2. I understand you have had these bleedings with all the three brand names. And what is the reason you had to change brand names? Which kind of secondary effects did you have? Names of the other pills you tried? 3. When you say bleeding, do you mean red blood like period or brownish spotting? Every day? Or randomly? This kind of bleeding or spotting may be due to many different reasons like the most likely reason is (as you suggested) that you are taking a low dose of Progesterone and if you increase the dosage (two pills a day for two weeks) probably you will get to control it. But we must have other reasons into account, such as a possible early pregnancy (and in this case we are talking about a thread of miscarriage). Please, have a urine pregnancy test done. Sometimes, (no need to worry, but need to verify) it is a polyp or a small fibroid inside the uterine cavity that may not respond to the hormonal control. In this case, my advice is to go to your Gynecologist, because she or he needs to do a vaginal scan to verify the uterine cavity. Sometimes it is another hormonal problem not related to your cycle (thyroid). That may produce this bleeding and if you doublé the Progesterone dosage, you will not get to reduce the bleeding. |
Q. What medicine can be used for recurrent tinea infection? | Hello doctor, I suffered from ringworm (tinea corporis) long back. I used Itraconazole 100 mg for two weeks. Now the same has appeared on buttocks. For this, what medicine needs to be used? If I use these tablets, will it cause any other side effects? The problem is like round shaped and it is spreading. This is the problem. Please suggest me medication. | Hi. I have gone through your complaints and reviewed the attached photographs (attachment removed to protect patient identity). You are having tinea which is a superficial fungal infection of the skin. I would recommend you to take oral and topical antifungal medicines. I would recommend you to take capsule Itraconazole (capsule Onitraz) 100 mg twice daily and apply Luliconazole cream (Lulifin) cream on the affected areas once daily for four weeks. For itching, take tablet Levocetirizine 5 mg once or twice daily depending on the intensity of itching. These medicines will not cause any side effects. These are prescription drugs and should be taken under the supervision of the doctor. Also, keep the area dry and clean, wear loose-fitting cotton clothes, stay in the cool airy environment and avoid sharing of soaps and towel. |
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Hello doctor, I suffered from ringworm (tinea corporis) long back. I used Itraconazole 100 mg for two weeks. Now the same has appeared on buttocks. For this, what medicine needs to be used? If I use these tablets, will it cause any other side effects? The problem is like round shaped and it is spreading. This is the problem. Please suggest me medication. [/INST] Hi. I have gone through your complaints and reviewed the attached photographs (attachment removed to protect patient identity). You are having tinea which is a superficial fungal infection of the skin. I would recommend you to take oral and topical antifungal medicines. I would recommend you to take capsule Itraconazole (capsule Onitraz) 100 mg twice daily and apply Luliconazole cream (Lulifin) cream on the affected areas once daily for four weeks. For itching, take tablet Levocetirizine 5 mg once or twice daily depending on the intensity of itching. These medicines will not cause any side effects. These are prescription drugs and should be taken under the supervision of the doctor. Also, keep the area dry and clean, wear loose-fitting cotton clothes, stay in the cool airy environment and avoid sharing of soaps and towel. |
Q. What are the procedures followed to reduce weight? | Hi doctor, I am 21 years old. I want to reduce my weight soon. My height is 5 feet, and my weight is 74 kilograms. What are the procedures followed to reduce weight? | Hi. A simple formula is followed to reduce weight. You should eat foods with reduced calories. You should take fewer calories when compared to the calories burned through the exercise. Do a workout for 45 minutes every day. You should have a good sleep for seven to eight hours a day. Stop eating junk foods. Avoid drinking alcohol if you have the habit. Take a handful of nuts every day. Avoid having stress. |
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Hi doctor, I am 21 years old. I want to reduce my weight soon. My height is 5 feet, and my weight is 74 kilograms. What are the procedures followed to reduce weight? [/INST] Hi. A simple formula is followed to reduce weight. You should eat foods with reduced calories. You should take fewer calories when compared to the calories burned through the exercise. Do a workout for 45 minutes every day. You should have a good sleep for seven to eight hours a day. Stop eating junk foods. Avoid drinking alcohol if you have the habit. Take a handful of nuts every day. Avoid having stress. |
Q. How to get relief from diarrhea that present for a year? | Hi doctor, I am suffering from diarrhea for the past one year. I consulted a doctor, and I did an endoscopy, colonoscopy, and biopsy. I got to know about chronic ileitis and chronic duodenitis. The doctor gave me VSL#3, Doxil 100, and Folvite tablets. I am taking these medicines for 15 days. But I do not have any relief. I am worried. Please help me. | Hi. I have gone through the attachment (attachment removed to protect patient identity). You had done endoscopy and colonoscopy for diarrhea. If there are no features of inflammatory bowel disease and if the biopsy report does not show features of gluten enteropathy, then there can be a possibility of having irritable bowel syndrome. You do not have chronic diarrhea because chronic diarrhea is always associated with weight loss and malnutrition. I would suggest you take Rifaximin 200 mg twice daily and revert me after a week. |
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Hi doctor, I am suffering from diarrhea for the past one year. I consulted a doctor, and I did an endoscopy, colonoscopy, and biopsy. I got to know about chronic ileitis and chronic duodenitis. The doctor gave me VSL#3, Doxil 100, and Folvite tablets. I am taking these medicines for 15 days. But I do not have any relief. I am worried. Please help me. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). You had done endoscopy and colonoscopy for diarrhea. If there are no features of inflammatory bowel disease and if the biopsy report does not show features of gluten enteropathy, then there can be a possibility of having irritable bowel syndrome. You do not have chronic diarrhea because chronic diarrhea is always associated with weight loss and malnutrition. I would suggest you take Rifaximin 200 mg twice daily and revert me after a week. |
Q. Even though my heart reports are normal, I have chest pain along with GERD. Please advice. | Hi doctor, I have chest pain for the past 15 days. I also have upper back pain along with it. My ECG and echocardiogram reports are usual. My troponin tests are normal. I had a negative result for the treadmill test. Before three years, my CT angiography was negative. I have GERD. But I do not have chest burn. Please advice. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Your reports related to heart problem are normal. The symptoms you have now can be due to GERD (gastroesophageal reflux disease). You can take Pan IT (Itopride with Pantoprazole) one capsule before breakfast for four weeks. You can take a rest after lunch and dinner. Avoid taking spicy and fried fatty foods. Take foods in small quantity frequently. Revert me after four weeks. If your BMI (body mass index) is 32, then try to achieve it around 25 within six months. You can get some relief. |
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Hi doctor, I have chest pain for the past 15 days. I also have upper back pain along with it. My ECG and echocardiogram reports are usual. My troponin tests are normal. I had a negative result for the treadmill test. Before three years, my CT angiography was negative. I have GERD. But I do not have chest burn. Please advice. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Your reports related to heart problem are normal. The symptoms you have now can be due to GERD (gastroesophageal reflux disease). You can take Pan IT (Itopride with Pantoprazole) one capsule before breakfast for four weeks. You can take a rest after lunch and dinner. Avoid taking spicy and fried fatty foods. Take foods in small quantity frequently. Revert me after four weeks. If your BMI (body mass index) is 32, then try to achieve it around 25 within six months. You can get some relief. |
Q. I took contraceptive pill after unprotected sex. Will I get pregnant? | Hello doctor, Last week, one night, I had unprotected sex twice with my fiance. The next night, I took Escapelle on a full stomach. After two days, I was experiencing cramps and I had noticed a white discharge with a mild scent. This carried on until today. After each meal, I felt extremely nauseous, emotional and tired. Now, I have started spotting and I am feeling extremely nauseous followed by cramps. Is it possible that I could be pregnant even though I took the pill? This is the fifth time I am using Escapelle within seven months. | Hi. The morning after pills are large dose Progesterone and they can cause irregularity or delay of periods. You have been taking it too frequently and it is not advisable. You should better use condoms as they protect not only against pregnancy but also prevent sexually transmitted diseases. The chances of getting pregnant are less in your case but still, you should go for a pregnancy test after two weeks. |
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Hello doctor, Last week, one night, I had unprotected sex twice with my fiance. The next night, I took Escapelle on a full stomach. After two days, I was experiencing cramps and I had noticed a white discharge with a mild scent. This carried on until today. After each meal, I felt extremely nauseous, emotional and tired. Now, I have started spotting and I am feeling extremely nauseous followed by cramps. Is it possible that I could be pregnant even though I took the pill? This is the fifth time I am using Escapelle within seven months. [/INST] Hi. The morning after pills are large dose Progesterone and they can cause irregularity or delay of periods. You have been taking it too frequently and it is not advisable. You should better use condoms as they protect not only against pregnancy but also prevent sexually transmitted diseases. The chances of getting pregnant are less in your case but still, you should go for a pregnancy test after two weeks. |
Q. Why am I feeling depressed and tired with low self-esteem? | Hello doctor, I am very depressed. I am so tired of being tired and fatigue all the time. I have low self-esteem because I am over-weight but I love life. I love my family, my kids, my husband. They love me. I cannot get a job to help pay bills. No one is calling me back. I am so depressed and down every day all day. | Hi. As you are suffering from depression, you need the help of a psychiatrist. In such condition, SSRI such as Fluoxetine and psychotherapy are helpful. Also, regular exercise is very important as it helps in both hypertension and depression. Also, ask your physician to review anti-hypertensive drug (attachment removed to protect patient identity) as it may be a side effect of these drugs. Thyroid function test, blood sugar. Depression. SSRI. Regular exercise. |
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Hello doctor, I am very depressed. I am so tired of being tired and fatigue all the time. I have low self-esteem because I am over-weight but I love life. I love my family, my kids, my husband. They love me. I cannot get a job to help pay bills. No one is calling me back. I am so depressed and down every day all day. [/INST] Hi. As you are suffering from depression, you need the help of a psychiatrist. In such condition, SSRI such as Fluoxetine and psychotherapy are helpful. Also, regular exercise is very important as it helps in both hypertension and depression. Also, ask your physician to review anti-hypertensive drug (attachment removed to protect patient identity) as it may be a side effect of these drugs. Thyroid function test, blood sugar. Depression. SSRI. Regular exercise. |
Q. I have irregular period due to PCOD. Please advise. | Hi doctor, I am 24 years old. From quite a long time my periods have been irregular. The pattern is oligo and hypomenorrhea. I got tested and found subclinical hypothyroidism taking 25 micrograms Thyroxin. Also, PCOD profile was done which was normal except LH was at the higher range. USG showed PCOD like picture but not proper. There were few cysts. Weight is normal. Progesterone withdrawal is normal. What next should I do? Kindly help. | Hi. PCOD (polycystic ovarian disease) may not always present with classic symptoms. Your condition is suggestive of PCOD. Just exercises daily. Do not gain weight. Cut down on carbohydrates. Also, daily Vitamin D 400 IU can be of some help. Otherwise, you have to take birth control pills which are basically hormones to regularize your cycles. Also, if you have long-standing PCOD or oligo or hypomenorrhea, you should be vigilant about the ill effects of excess estrogen in your body. Consult a doctor in person. |
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Hi doctor, I am 24 years old. From quite a long time my periods have been irregular. The pattern is oligo and hypomenorrhea. I got tested and found subclinical hypothyroidism taking 25 micrograms Thyroxin. Also, PCOD profile was done which was normal except LH was at the higher range. USG showed PCOD like picture but not proper. There were few cysts. Weight is normal. Progesterone withdrawal is normal. What next should I do? Kindly help. [/INST] Hi. PCOD (polycystic ovarian disease) may not always present with classic symptoms. Your condition is suggestive of PCOD. Just exercises daily. Do not gain weight. Cut down on carbohydrates. Also, daily Vitamin D 400 IU can be of some help. Otherwise, you have to take birth control pills which are basically hormones to regularize your cycles. Also, if you have long-standing PCOD or oligo or hypomenorrhea, you should be vigilant about the ill effects of excess estrogen in your body. Consult a doctor in person. |
Q. I have a wavering mind and over imagination. Why? | Hello doctor, My problem is I have a wavering mind and am overimagining everything. If I am watching some negative scenes in movies or shows, I am imagining as if it is happening to me in my real life and am scared that it will surely happen in my life also. I am imagining myself as a bad girl and am crying and convincing myself that am not. For two days, I will behave like this. Then, I will self-motivate myself. Then once again, I will start imagining. I want my old me. I am not myself nowadays. I feel like committing suicide. I want to come out of this problem. I want to be happy with my boyfriend, my family and I want to be successful. I am a good girl but scared to come out of my home. I am very much scared tat I will go wrong. I do not have self-confidence and I do not believe me at all. Please help me to solve this problem. | Hello. You have intrusive thoughts and these are resulting in distress. The intrusive thoughts are unwanted dominating thoughts which result in significant distress. The thoughts on seeing some negative scene that you are bad or imagining yourself in such situations are part of anxiety. If these are resulting in distress and you are not able to function properly then please visit a psychiatrist for help. Please do not delay the treatment because this might complicate into anxiety or obsessive-compulsive thoughts. Take care. |
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Hello doctor, My problem is I have a wavering mind and am overimagining everything. If I am watching some negative scenes in movies or shows, I am imagining as if it is happening to me in my real life and am scared that it will surely happen in my life also. I am imagining myself as a bad girl and am crying and convincing myself that am not. For two days, I will behave like this. Then, I will self-motivate myself. Then once again, I will start imagining. I want my old me. I am not myself nowadays. I feel like committing suicide. I want to come out of this problem. I want to be happy with my boyfriend, my family and I want to be successful. I am a good girl but scared to come out of my home. I am very much scared tat I will go wrong. I do not have self-confidence and I do not believe me at all. Please help me to solve this problem. [/INST] Hello. You have intrusive thoughts and these are resulting in distress. The intrusive thoughts are unwanted dominating thoughts which result in significant distress. The thoughts on seeing some negative scene that you are bad or imagining yourself in such situations are part of anxiety. If these are resulting in distress and you are not able to function properly then please visit a psychiatrist for help. Please do not delay the treatment because this might complicate into anxiety or obsessive-compulsive thoughts. Take care. |
Q. Please suggest the natural ways to get pregnant. | Hi doctor, My marriage life has passed four months. But my partner has not got pregnant. Please suggest a natural way to cure the problem. | Hi. Many factors cause an effect in pregnancy. Please mention about your partner's menstrual history and history of any other disease or diabetes or thyroid. She needs a complete examination done by a gynecologist so that she can tell whether everything is normal or not. If everything is normal then, try between 11th to 15th day of the menstrual cycle. Ovulation usually occurs during these days. If there is any problem, then treat the problem first and then try for pregnancy. Pregnancy also depends on you. The semen analysis report shows less active sperms than usual (attachment removed to protect patient identity). So you need some treatment. |
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Hi doctor, My marriage life has passed four months. But my partner has not got pregnant. Please suggest a natural way to cure the problem. [/INST] Hi. Many factors cause an effect in pregnancy. Please mention about your partner's menstrual history and history of any other disease or diabetes or thyroid. She needs a complete examination done by a gynecologist so that she can tell whether everything is normal or not. If everything is normal then, try between 11th to 15th day of the menstrual cycle. Ovulation usually occurs during these days. If there is any problem, then treat the problem first and then try for pregnancy. Pregnancy also depends on you. The semen analysis report shows less active sperms than usual (attachment removed to protect patient identity). So you need some treatment. |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Kindly tell me the treatment for pimples. | Hello doctor, I have developed many pimple marks on my face. My face mostly remains oily. Pimples still appear on my face at the age of 22. | Hi. Can you please upload a few pictures if possible to advice proper treatment? |
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Hello doctor, I have developed many pimple marks on my face. My face mostly remains oily. Pimples still appear on my face at the age of 22. [/INST] Hi. Can you please upload a few pictures if possible to advice proper treatment? |
Q. Semen and urine are yellow colored. Is it fine? | Hi doctor, I am 22 years old. I am getting a yellow urine since last 4 to 5 months. What could be the reason and also my semen color is yellow. Can you help me with this? Is it because of masturbation? | Hi. Yellow urine is usually due to less water intake, sweating, vitamin pills or certain foods or food color. Yellow semen is seen when you masturbate or have intercourse after a break of a few days. In both cases, there is no cause to worry if there are no other symptoms. This has no relation to masturbation. If you have persistently yellow urine or yellow eyes, contact your doctor. Take care. |
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Hi doctor, I am 22 years old. I am getting a yellow urine since last 4 to 5 months. What could be the reason and also my semen color is yellow. Can you help me with this? Is it because of masturbation? [/INST] Hi. Yellow urine is usually due to less water intake, sweating, vitamin pills or certain foods or food color. Yellow semen is seen when you masturbate or have intercourse after a break of a few days. In both cases, there is no cause to worry if there are no other symptoms. This has no relation to masturbation. If you have persistently yellow urine or yellow eyes, contact your doctor. Take care. |
Q. I am having sperm discharge while urinating. Is it normal? | Hello doctor, I feel back pain on my left side and sometimes sperm discharging when I pee. I have taken many kinds of medicine like Jivan Porush. Now going to use Confido. Can you suggest me some good medicine? I am 24, 5'8", weight 50 kg. | Hi. As you mentioned in your complaints that you have left side back pain. In this concern, I would like to say that it may be due to constipation, colitis, injuries in the backbone, renal stone, etc. It can be managed. Sperm discharge issue occurs while defecation or other times also. Are you married or unmarried? Because it is common in unmarried people. You can take Manasmitra Vati one tablet, Shilapravang one tablet, Ashwagandha capsules one capsule twice a day with warm milk after meals. Avoid spicy and fried junk foods, avoid cold drinks soft drinks ice-cream, etc. Avoid smoking and drinking if you have these habits. Eat fibrous foods and fruit as well as leafy greens vegetables. Do regular kapalbhati and suryanamaskara. |
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Hello doctor, I feel back pain on my left side and sometimes sperm discharging when I pee. I have taken many kinds of medicine like Jivan Porush. Now going to use Confido. Can you suggest me some good medicine? I am 24, 5'8", weight 50 kg. [/INST] Hi. As you mentioned in your complaints that you have left side back pain. In this concern, I would like to say that it may be due to constipation, colitis, injuries in the backbone, renal stone, etc. It can be managed. Sperm discharge issue occurs while defecation or other times also. Are you married or unmarried? Because it is common in unmarried people. You can take Manasmitra Vati one tablet, Shilapravang one tablet, Ashwagandha capsules one capsule twice a day with warm milk after meals. Avoid spicy and fried junk foods, avoid cold drinks soft drinks ice-cream, etc. Avoid smoking and drinking if you have these habits. Eat fibrous foods and fruit as well as leafy greens vegetables. Do regular kapalbhati and suryanamaskara. |
Q. I have severe pain in legs and hips. Kindly advise. | Hello doctor, I have been having strong aches in my legs and hips for some time now (probably a few years, on and off) not just when exercising but also when standing. Sometimes, this becomes so painful that I cannot stand. The pain feels like a constant ache in the inner of my legs. When this pain happens I often also have swelling and poor circulation in my legs. I live a healthy lifestyle (exercise 5 to 7 times a week, normal cholesterol, healthy weight). So, I do not know what could be causing this. I am an 18-year-old female, and I weigh around 55 kg. Leg issues also run in my family, with my mother and grandparents having lots of varicose veins and edema. Does anyone know what this could potentially be and any sort of treatment that may help me? | Hi. This might be growing pains which all kids have until 18 to 20 years as bones unite by 20 years. Also, we are up and about every day on our legs so the pain might increase. You can keep your legs in a tub of warm water for 2 to 3 minutes for two sessions per day. This might be a temporary treatment as this kind of pain will vanish slowly by 20 years. Let me know if you find any result in seven days. Coming to your mom and grandparents issue of varicose veins, there is no known treatment medically. Laser surgery is the only option. Use of varicose stockings while standing would help. |
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Hello doctor, I have been having strong aches in my legs and hips for some time now (probably a few years, on and off) not just when exercising but also when standing. Sometimes, this becomes so painful that I cannot stand. The pain feels like a constant ache in the inner of my legs. When this pain happens I often also have swelling and poor circulation in my legs. I live a healthy lifestyle (exercise 5 to 7 times a week, normal cholesterol, healthy weight). So, I do not know what could be causing this. I am an 18-year-old female, and I weigh around 55 kg. Leg issues also run in my family, with my mother and grandparents having lots of varicose veins and edema. Does anyone know what this could potentially be and any sort of treatment that may help me? [/INST] Hi. This might be growing pains which all kids have until 18 to 20 years as bones unite by 20 years. Also, we are up and about every day on our legs so the pain might increase. You can keep your legs in a tub of warm water for 2 to 3 minutes for two sessions per day. This might be a temporary treatment as this kind of pain will vanish slowly by 20 years. Let me know if you find any result in seven days. Coming to your mom and grandparents issue of varicose veins, there is no known treatment medically. Laser surgery is the only option. Use of varicose stockings while standing would help. |
Q. I am having itching and white discharge from eye. Please help. | Hello doctor, I have an eye problem, eye itching, irritating eye, white thread discharge, and facing these problems for the past one year. | Hi. As per your symptoms, I could understand that you are suffering from allergic conjunctivitis. It is a common problem in people with allergies of nose and lungs. I would prescribe Olopatadine eye drops, one drop four times a day. Artificial eye drops one drop four times a day for two weeks to my patients. If the symptoms do not resolve, I would prescribe Loteprednol eye drops under close monitoring of intraocular pressure. I advise frequent follow-ups if Loteprednol is prescribed because it has some side effects. Also, consultation with ENT specialist is recommended to rule out allergies of nose and sinuses. |
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Hello doctor, I have an eye problem, eye itching, irritating eye, white thread discharge, and facing these problems for the past one year. [/INST] Hi. As per your symptoms, I could understand that you are suffering from allergic conjunctivitis. It is a common problem in people with allergies of nose and lungs. I would prescribe Olopatadine eye drops, one drop four times a day. Artificial eye drops one drop four times a day for two weeks to my patients. If the symptoms do not resolve, I would prescribe Loteprednol eye drops under close monitoring of intraocular pressure. I advise frequent follow-ups if Loteprednol is prescribed because it has some side effects. Also, consultation with ENT specialist is recommended to rule out allergies of nose and sinuses. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. Will rabies virus survive outside host if exposed to sunlight? | Hello doctor, Can rabies virus survive outside host on grass or leaves if it is exposed to sunlight? | Hi. Usually, UV rays of the sun are known to kill the virus. So usually they do not survive outside the body when exposed to the sunlight. |
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Hello doctor, Can rabies virus survive outside host on grass or leaves if it is exposed to sunlight? [/INST] Hi. Usually, UV rays of the sun are known to kill the virus. So usually they do not survive outside the body when exposed to the sunlight. |
Q. Is it normal to have numbness in tongue and jaw after wisdom tooth extraction? | Hello doctor, My lower right side impacted wisdom tooth has been extracted a week back. Till now my half tongue and jawline of the right side are numb or I am not feeling hot or cold at that side. I am so much worried. Is that normal or is it a concern of worrying? I am panicking for getting sense in my tongue back. Please advice. | Hello. If the tongue feels numb even after a day, then you may have a condition called paresthesia. It occurs when the injection injures the nerves. and such numbness can remain for a week or two, sometimes even for a month. But it will go away as the nerves heal slowly. Take capsule Becosules (Vitamin B1 and B2) once daily for 15 days. But it is better if you go back to your dentist to show him first. |
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Hello doctor, My lower right side impacted wisdom tooth has been extracted a week back. Till now my half tongue and jawline of the right side are numb or I am not feeling hot or cold at that side. I am so much worried. Is that normal or is it a concern of worrying? I am panicking for getting sense in my tongue back. Please advice. [/INST] Hello. If the tongue feels numb even after a day, then you may have a condition called paresthesia. It occurs when the injection injures the nerves. and such numbness can remain for a week or two, sometimes even for a month. But it will go away as the nerves heal slowly. Take capsule Becosules (Vitamin B1 and B2) once daily for 15 days. But it is better if you go back to your dentist to show him first. |
Q. Is it possible to conceive naturally with issues in left fallopian tube? | Hi doctor, Recently, I have gone for all relevant test for checking infertility. My AMH and thyroid report are both normal. My HSG report is showing issues about the left tube. I am attaching my report kindly review and let me know if I can conceive naturally or next what should I do? | Hello. The HSG (hysterosalpingogram) report (attachment removed to protect patient identity) shows that there is a left sided cornual block of the left fallopian tube but the right is patent, so pregnancy is possible, but that would depend on the ovarian side which ovulates. The chance would be high if the right ovary ovulates and not left. Though there is a possibility of an intraperitoneal transfer, but it is rare. So, the next best step shall be to opt for hysteroscopic tubal canalization and an opening of the block which shall increase your chances of conception. |
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Hi doctor, Recently, I have gone for all relevant test for checking infertility. My AMH and thyroid report are both normal. My HSG report is showing issues about the left tube. I am attaching my report kindly review and let me know if I can conceive naturally or next what should I do? [/INST] Hello. The HSG (hysterosalpingogram) report (attachment removed to protect patient identity) shows that there is a left sided cornual block of the left fallopian tube but the right is patent, so pregnancy is possible, but that would depend on the ovarian side which ovulates. The chance would be high if the right ovary ovulates and not left. Though there is a possibility of an intraperitoneal transfer, but it is rare. So, the next best step shall be to opt for hysteroscopic tubal canalization and an opening of the block which shall increase your chances of conception. |
Q. What is the treatment for benign prostate hyperplasia? | Hi doctor, My father is 55 years old. Recently, he had done an ultrasound scan where the technician thought that there is an enlargement of the prostate and then he checked my father's prostate. He asked my father to urinate to check for urine retention. He checked my father, and there was no urine retention. He did not say anything afterward. Can it be a malignancy? Please suggest. | Hi. Benign prostate hyperplasia is a common problem that happens due to increasing age. Symptoms usually start with difficulty in urinating, repeated nighttime urination, and narrow stream. These symptoms can be managed with oral drugs. USG is not a test to detect malignancy, as it will recognize only the enlargement. There can be few signs like invasion or hypoechoic lesion that can point to malignancy. In such cases, we advise for PSA testing and prostate examination followed by a biopsy. Having PSA (prostate specific antigen) at high levels can point towards malignancy. You can do a PSA testing if there is a suspicion seen on USG. If it is normal and there are no symptoms seen, then there is no need to worry. |
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Hi doctor, My father is 55 years old. Recently, he had done an ultrasound scan where the technician thought that there is an enlargement of the prostate and then he checked my father's prostate. He asked my father to urinate to check for urine retention. He checked my father, and there was no urine retention. He did not say anything afterward. Can it be a malignancy? Please suggest. [/INST] Hi. Benign prostate hyperplasia is a common problem that happens due to increasing age. Symptoms usually start with difficulty in urinating, repeated nighttime urination, and narrow stream. These symptoms can be managed with oral drugs. USG is not a test to detect malignancy, as it will recognize only the enlargement. There can be few signs like invasion or hypoechoic lesion that can point to malignancy. In such cases, we advise for PSA testing and prostate examination followed by a biopsy. Having PSA (prostate specific antigen) at high levels can point towards malignancy. You can do a PSA testing if there is a suspicion seen on USG. If it is normal and there are no symptoms seen, then there is no need to worry. |
Q. How to control recurrence of chocolate cyst in ovary using ayurvedic medicine? | Hi doctor, I have undergone cystectomy in my left ovary to remove a chocolate cyst of 9 cm. It was done before two years. After that, I got conceived, and my baby boy is five months old now. I got my first period after three months of delivery, and I experienced mild pain in my left lower abdomen. I am experiencing mild constant lower abdomen pain. I have done an ultrasound and found the existence of the cyst with a size of 3 cm. As I was feeding my baby, I was told to wait for the baby to reach six months. I am worried about the cyst growth. I am looking for solutions to stop them growing. Please help. | Hi. Ovarian cysts are commonly known as PCOD. A cyst is a form of an immature ovum. It occurs due to hormonal imbalance, and it causes irregular menstruation. In this concern, some ayurvedic medicines taken along with yoga practices are beneficial. You need to have a regular check-up of your thyroid profile and USG abdomen. You can take the following medicines to prevent the further growth of cyst and to regulate the periods. Take Hyponid charak two tablets twice a day with warm water after meals. Take Kanchanara Guggulu (Kanchanara with Varuna) two tablets twice a day with warm water after meals. You can consume M2 tone syrup (Ashoka with Ashwagandha) 10 ml twice a day after meals. You can take Arogyavardhini Vati (Shuddha Guggulu with Shilajit) one tablet twice a day with warm water after meals. Do regular yoga like kapalbhati, Mandukasana and Ardhamatsyendrasana, Pranayama like anuloma vilom, Nadi sodhan and bhramari. These are very effective. Avoid eating spicy and fried junk foods. Drink plenty of water. Eat fibrous foods and fruits as well as green leafy vegetables. Do these things and provide your valuable feedback after a month. |
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Hi doctor, I have undergone cystectomy in my left ovary to remove a chocolate cyst of 9 cm. It was done before two years. After that, I got conceived, and my baby boy is five months old now. I got my first period after three months of delivery, and I experienced mild pain in my left lower abdomen. I am experiencing mild constant lower abdomen pain. I have done an ultrasound and found the existence of the cyst with a size of 3 cm. As I was feeding my baby, I was told to wait for the baby to reach six months. I am worried about the cyst growth. I am looking for solutions to stop them growing. Please help. [/INST] Hi. Ovarian cysts are commonly known as PCOD. A cyst is a form of an immature ovum. It occurs due to hormonal imbalance, and it causes irregular menstruation. In this concern, some ayurvedic medicines taken along with yoga practices are beneficial. You need to have a regular check-up of your thyroid profile and USG abdomen. You can take the following medicines to prevent the further growth of cyst and to regulate the periods. Take Hyponid charak two tablets twice a day with warm water after meals. Take Kanchanara Guggulu (Kanchanara with Varuna) two tablets twice a day with warm water after meals. You can consume M2 tone syrup (Ashoka with Ashwagandha) 10 ml twice a day after meals. You can take Arogyavardhini Vati (Shuddha Guggulu with Shilajit) one tablet twice a day with warm water after meals. Do regular yoga like kapalbhati, Mandukasana and Ardhamatsyendrasana, Pranayama like anuloma vilom, Nadi sodhan and bhramari. These are very effective. Avoid eating spicy and fried junk foods. Drink plenty of water. Eat fibrous foods and fruits as well as green leafy vegetables. Do these things and provide your valuable feedback after a month. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. How to proceed with the blood cancer treatment for my 8-year-old son? | Hello sir... My son is 8and half years old.. from his birth he has cold cough problem that we took cbc in that it came normal but wbc use to have 22300 from birth till 3 months back, and after that he s unable to walk and got severe fever and cold and shiverish and he cant able to walk and i consult with doctor who s a child specialist he said me to take a cbc and i gone through cbc test. In that wbc shows 58000 Doctor said me to take scan and i done scan in that it shows he has a plural effusion fluids in that they send for fluid test but the trst reports are not yet came but the doctor started treatment for chemotherapy by saying he has a blood cancer ... They took bone marrow biopsy in that it shows negative... My doubt is to ask u about sir s...... doing chemotherapy done before fluid report came s right or not... Report not yet came but cbc everyday took is rapidly increasing... And still fluid test not yet came.. now doctor sayin that they have to do bone marrow transplant i have a younger kids age under 3 doctor saying that siblings match in blood test will have to be a donor for the oerson affected... U pls give me a suggestion and help me from this ols sir or madam | Dear, Your son may have leukemia and there are so many types of lukemia. Just with CBC leukemia cannot be confirmed. And there are multiple tests that has to be done. Fluid tests may not show positive results in a single test. It may be repeated. They must have done flow cytometry and thta will give you better idea regarding the condition. Is he having fever or any other complaints? sore those? Bone marrow transplantation will be done only after subtyping leukemia. Chemotherapy will be usually started after knowing diagnosis but if child is sick enough or if it is not going to affect the test result, they may start chemo early and wait for the test results. Hope it's useful. let me know with some more details. I would like to give my opinion. |
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Hello sir... My son is 8and half years old.. from his birth he has cold cough problem that we took cbc in that it came normal but wbc use to have 22300 from birth till 3 months back, and after that he s unable to walk and got severe fever and cold and shiverish and he cant able to walk and i consult with doctor who s a child specialist he said me to take a cbc and i gone through cbc test. In that wbc shows 58000 Doctor said me to take scan and i done scan in that it shows he has a plural effusion fluids in that they send for fluid test but the trst reports are not yet came but the doctor started treatment for chemotherapy by saying he has a blood cancer ... They took bone marrow biopsy in that it shows negative... My doubt is to ask u about sir s...... doing chemotherapy done before fluid report came s right or not... Report not yet came but cbc everyday took is rapidly increasing... And still fluid test not yet came.. now doctor sayin that they have to do bone marrow transplant i have a younger kids age under 3 doctor saying that siblings match in blood test will have to be a donor for the oerson affected... U pls give me a suggestion and help me from this ols sir or madam [/INST] Dear, Your son may have leukemia and there are so many types of lukemia. Just with CBC leukemia cannot be confirmed. And there are multiple tests that has to be done. Fluid tests may not show positive results in a single test. It may be repeated. They must have done flow cytometry and thta will give you better idea regarding the condition. Is he having fever or any other complaints? sore those? Bone marrow transplantation will be done only after subtyping leukemia. Chemotherapy will be usually started after knowing diagnosis but if child is sick enough or if it is not going to affect the test result, they may start chemo early and wait for the test results. Hope it's useful. let me know with some more details. I would like to give my opinion. |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. How to treat the swelling due to infected tooth and sinus? | Hi doctor, I have got a decayed tooth at the upper backside region. Now, I have got a sinus infection. Can I consult a dentist soon? | Hi. I can understand your concern. You may need to take antibiotics if the sinus infection is present with a swelling. You may need to drain it soon. You have to consult a dentist soon. In case, if you have any other issue, please upload a picture of it. I want to confirm it whether it is a pericoronitis or pulpitis with sinus involvement. Take tablet Augmentin 625 mg (Amoxicillin with Clavulanic acid) twice daily for a week. Take tablet Aceclofenac twice a day for a week. Keyword - Antibiotic for sinus infection |
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Hi doctor, I have got a decayed tooth at the upper backside region. Now, I have got a sinus infection. Can I consult a dentist soon? [/INST] Hi. I can understand your concern. You may need to take antibiotics if the sinus infection is present with a swelling. You may need to drain it soon. You have to consult a dentist soon. In case, if you have any other issue, please upload a picture of it. I want to confirm it whether it is a pericoronitis or pulpitis with sinus involvement. Take tablet Augmentin 625 mg (Amoxicillin with Clavulanic acid) twice daily for a week. Take tablet Aceclofenac twice a day for a week. Keyword - Antibiotic for sinus infection |
Q. When I sit and look into the computer screen, I experience severe back pain. Please help. | Hello doctor, I am a 23 year old male. I am having pain in the upper back. When I sit on the chair in office the pain starts and it reduces when I stand, stretch or walk. I work for nine hours, from morning 11 to evening 8. I do not have any previous injuries or accidents. Eight days ago, I felt pain in the upper right back just below the shoulder. Then, the pain shifted to the upper middle back. When I sit and look into the computer screen, it pains more. When I look up, I feel relief. Give me your advice. | Hi. You have given an excellent description of a common problem in persons who have a desk-based job. The condition you are experiencing is due to poor posture. Stretching and looking away from your constant position is helpful as you have also figured out. Get up and move around after every half an hour. Keep the top of your computer screen at your eye level while sitting with your back supported in the chair. You can do intermittent stretches of your neck and shoulder muscles. Practice isometric and range of motion exercises of the neck which will help you a lot. Take painkillers and apply an anti-inflammatory gel locally for immediate relief. Do not take the painkillers for a long time. If you follow these instructions, these will help you recover in a few days. If the pain persists, investigations may be required. Consult an orthopaedician online if the pain persists --> |
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Hello doctor, I am a 23 year old male. I am having pain in the upper back. When I sit on the chair in office the pain starts and it reduces when I stand, stretch or walk. I work for nine hours, from morning 11 to evening 8. I do not have any previous injuries or accidents. Eight days ago, I felt pain in the upper right back just below the shoulder. Then, the pain shifted to the upper middle back. When I sit and look into the computer screen, it pains more. When I look up, I feel relief. Give me your advice. [/INST] Hi. You have given an excellent description of a common problem in persons who have a desk-based job. The condition you are experiencing is due to poor posture. Stretching and looking away from your constant position is helpful as you have also figured out. Get up and move around after every half an hour. Keep the top of your computer screen at your eye level while sitting with your back supported in the chair. You can do intermittent stretches of your neck and shoulder muscles. Practice isometric and range of motion exercises of the neck which will help you a lot. Take painkillers and apply an anti-inflammatory gel locally for immediate relief. Do not take the painkillers for a long time. If you follow these instructions, these will help you recover in a few days. If the pain persists, investigations may be required. Consult an orthopaedician online if the pain persists --> |
Q. Will exercise or diet help me in normal delivery? | Hello doctor, I am in the 25th week of pregnancy. I want a normal delivery. Will exercise or diet help me in normal delivery? | Hi. The following aid in normal delivery: This can be predicted only when you cross 37 weeks. You can have a normal diet and regular antenatal exercises till then. Yoga also helps, but you are too early in pregnancy to predict the same. For further follow up consult a gynaecologist online --> |
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Hello doctor, I am in the 25th week of pregnancy. I want a normal delivery. Will exercise or diet help me in normal delivery? [/INST] Hi. The following aid in normal delivery: This can be predicted only when you cross 37 weeks. You can have a normal diet and regular antenatal exercises till then. Yoga also helps, but you are too early in pregnancy to predict the same. For further follow up consult a gynaecologist online --> |
Q. Why do I have swollen eyelids during pregnancy? | Hi doctor, I suffer from swollen eyelids. I am five weeks pregnant. My eyelids are dry. There is a burning sensation present around the skin of the eyelids. I also have itching over it. I went to a doctor. They gave me a steroid cream. But my gynecologist advised me to use it for a week. I have tried using everything including eyedrops, eyelid cleaner, lotions, and tea tree oil. But nothing has helped me. Is it due to pregnancy? Please suggest. | Hi. Swollen eyelids occur due to the retention of water during pregnancy. It will get resolved after the delivery. You have itching when the overlying skin is stretched and when it becomes dry from outside. Apply moisturizer regularly. Avoid going out in the sun. Start using Olopatadine eye drops twice daily. Pinch the nasal end of the eye after instilling the drops so that the drops can stay in the eyes and it prevents the drops from going into the nose. |
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Hi doctor, I suffer from swollen eyelids. I am five weeks pregnant. My eyelids are dry. There is a burning sensation present around the skin of the eyelids. I also have itching over it. I went to a doctor. They gave me a steroid cream. But my gynecologist advised me to use it for a week. I have tried using everything including eyedrops, eyelid cleaner, lotions, and tea tree oil. But nothing has helped me. Is it due to pregnancy? Please suggest. [/INST] Hi. Swollen eyelids occur due to the retention of water during pregnancy. It will get resolved after the delivery. You have itching when the overlying skin is stretched and when it becomes dry from outside. Apply moisturizer regularly. Avoid going out in the sun. Start using Olopatadine eye drops twice daily. Pinch the nasal end of the eye after instilling the drops so that the drops can stay in the eyes and it prevents the drops from going into the nose. |
Q. Is it possible to gain weight because of medicines taken for irregular periods? | Hi doctor, I am 25 years old, with PCOD diagnosed three years back. At the start, I took medicine for six months, then my period started becoming normal, with one week late or early. My weight reduced from 68 to 57 kg. Now, the problem is I got conceived three years back. Then I got an abortion at six weeks of my pregnancy as we both husband and wife were not ready for a baby at that time. It was medical abortion, and the thing is after having the complete dose first time, bleeding was not much. So, I took the medicine again within the second day of the first time. After that, I gradualy started gaining weight, headache, back pain, lower abdominal pain, etc. At present days, I am havng periods once in two months, food craving, lazynes, can lay whole day at bed doning nothing, sudden lower abdominal pain, back pain, head ache, mood swing. And my weight has reached to 72 kg. What can I do? Is it the side effect of the medicine? | Hi. How are you doing? All these effects are due to PCOD. No medicine will cause this, at this young age of 25 years. Your laziness as you mentioned is creating all the problem. PCOD (polycystic ovaries), this is a congenital condition, I mean it is a genetically programmed, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate, have you seen obese men developing breast and in young obese girls, who develop periods at a younger age? They all have high levels of estrogen hormone or female hormone). In your body too, when fat, which is a store for tomorrow, is more than normal, this is converted to a hormone which tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle stimulating hormone) as the name suggests stimulates follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain gets confused and follicle growth stops early at a smaller follicle size and will not rupture. Next scan you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months and later heavy periods with clots and fleshy masses, or spotting on and off. Thyroid abnormality and prolactin problem indirectly. You develop that extra-pad of fat around the mid-segment of the body, especially waist, thighs and breast, no fat beyond elbow and knees. Excessive body hair growth, hair fall, a dark shade over lower half of face, acne, oily face skin, the black skin over the back of the neck, inner thighs and under-surface of the breast. May have a family history of diabetes, especially the father or his family. This will not allow ovulation to occur at the time and so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your weight has to be: Weight (in kg) = height (in cm)-100. Your expected weight is 61 to 65 kg. Once you reduce weight to normal range, you will not need any medicine to get periods or to get pregnant and pregnancy will be healthy. To reduce weight, no fasting, no junk food or fast foods or red meat, reduce snacks between meals. Have low calories food, high proteins. Regular exercise (especially for the waist and hip area), aerobics , yoga, brisk walking (swing your hands well), try to reduce 2 to 4 kg per month. Do not hurry on weight reduction, it will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes. |
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Hi doctor, I am 25 years old, with PCOD diagnosed three years back. At the start, I took medicine for six months, then my period started becoming normal, with one week late or early. My weight reduced from 68 to 57 kg. Now, the problem is I got conceived three years back. Then I got an abortion at six weeks of my pregnancy as we both husband and wife were not ready for a baby at that time. It was medical abortion, and the thing is after having the complete dose first time, bleeding was not much. So, I took the medicine again within the second day of the first time. After that, I gradualy started gaining weight, headache, back pain, lower abdominal pain, etc. At present days, I am havng periods once in two months, food craving, lazynes, can lay whole day at bed doning nothing, sudden lower abdominal pain, back pain, head ache, mood swing. And my weight has reached to 72 kg. What can I do? Is it the side effect of the medicine? [/INST] Hi. How are you doing? All these effects are due to PCOD. No medicine will cause this, at this young age of 25 years. Your laziness as you mentioned is creating all the problem. PCOD (polycystic ovaries), this is a congenital condition, I mean it is a genetically programmed, you get it from your parents. When you suddenly put on weight, this cholesterol is converted into estrogen hormone (if I may simulate, have you seen obese men developing breast and in young obese girls, who develop periods at a younger age? They all have high levels of estrogen hormone or female hormone). In your body too, when fat, which is a store for tomorrow, is more than normal, this is converted to a hormone which tips the balance between FSH (from the brain) and the ovarian hormone. FSH (follicle stimulating hormone) as the name suggests stimulates follicle from the ovary, but once the follicle is big enough to ovulate, the FSH is suppressed by the same estrogen hormone from the ovary. But when the same estrogen hormone is coming from fat, the brain gets confused and follicle growth stops early at a smaller follicle size and will not rupture. Next scan you will see all these follicles as polycystic ovaries. This is usually associated with obesity, irregular cycles, no periods for a few months and later heavy periods with clots and fleshy masses, or spotting on and off. Thyroid abnormality and prolactin problem indirectly. You develop that extra-pad of fat around the mid-segment of the body, especially waist, thighs and breast, no fat beyond elbow and knees. Excessive body hair growth, hair fall, a dark shade over lower half of face, acne, oily face skin, the black skin over the back of the neck, inner thighs and under-surface of the breast. May have a family history of diabetes, especially the father or his family. This will not allow ovulation to occur at the time and so you cannot get pregnant, till treated. It also increases your chances of early pregnancy abortions. But this has a solution. Your weight has to be: Weight (in kg) = height (in cm)-100. Your expected weight is 61 to 65 kg. Once you reduce weight to normal range, you will not need any medicine to get periods or to get pregnant and pregnancy will be healthy. To reduce weight, no fasting, no junk food or fast foods or red meat, reduce snacks between meals. Have low calories food, high proteins. Regular exercise (especially for the waist and hip area), aerobics , yoga, brisk walking (swing your hands well), try to reduce 2 to 4 kg per month. Do not hurry on weight reduction, it will be difficult to maintain. As soon as you reduce at least 5 kg, you will see changes. |
Q. What is the reason for itching between thighs and genital organ? | Hello doctor, I have high itching between thighs and genital organ. | Hello. I have gone through your query and I have noted your concern. You seem to have a fungal infection, that is tinea cruris. I suggest oral Fluconazole 150 mg tablet, once a week for four weeks. Topically, you may use Luliconazole 1 % cream, twice daily. I also suggest you take a tablet of Cetirizine for symptomatic relief from itching. |
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Hello doctor, I have high itching between thighs and genital organ. [/INST] Hello. I have gone through your query and I have noted your concern. You seem to have a fungal infection, that is tinea cruris. I suggest oral Fluconazole 150 mg tablet, once a week for four weeks. Topically, you may use Luliconazole 1 % cream, twice daily. I also suggest you take a tablet of Cetirizine for symptomatic relief from itching. |
Q. What are the ways to reduce weight in a breastfeeding mother? | Hello doctor,Recently, I have given birth to a child. She is now 4 months old, due to which I have gained post pregnancy weight. Previously, I was 67 kg, 5.3 feet, but after delivery, my weight is 85. I want to reduce it. My problem is, as I have undergone C-section, I have to limit my exercise and I am breastfeeding too, due to which I feel hungry very much. So, what I should follow to reduce weight? I have joined the gym, but I am restricted to light cardio for a few days (walking and cycling). Can you suggest some good diet to reduce weight while breastfeeding too so that also help in reducing weight and also maintained my milk supply, as I am worried that cutting food can slow down my milk supply? | Hi. It is good that you are feeding. The best thing about it is that it will help to reduce your weight with right eating pattern. Decide your meals to 6 to 7 meal pattern. Make sure you take good fruits and vegetables. Increase your water content. This will help to increase your metabolism. Early morning take a cup of green tea. |
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Hello doctor,Recently, I have given birth to a child. She is now 4 months old, due to which I have gained post pregnancy weight. Previously, I was 67 kg, 5.3 feet, but after delivery, my weight is 85. I want to reduce it. My problem is, as I have undergone C-section, I have to limit my exercise and I am breastfeeding too, due to which I feel hungry very much. So, what I should follow to reduce weight? I have joined the gym, but I am restricted to light cardio for a few days (walking and cycling). Can you suggest some good diet to reduce weight while breastfeeding too so that also help in reducing weight and also maintained my milk supply, as I am worried that cutting food can slow down my milk supply? [/INST] Hi. It is good that you are feeding. The best thing about it is that it will help to reduce your weight with right eating pattern. Decide your meals to 6 to 7 meal pattern. Make sure you take good fruits and vegetables. Increase your water content. This will help to increase your metabolism. Early morning take a cup of green tea. |
Q. IS it possible to have infertility problems because of miscarriage? | Hello doctor, Can a miscarriage cause infertility problems? I had a miscarriage two years back. I was given Iron supplements to take for a month. I was given Gulf Ferrous Sulphate compound tablets and Gulf Folic Acid 5 mg. I stopped taking them because they were making me sick. I felt like I was gonna pass out when I took them. I felt bloated and constipated. So I went to the pharmacy to buy my Iron supplements. I bought Ferofol 24 mg. Used it for about four months, and then I started feeling sick, feeling weak, nausea, leg pains, chest pains, feeling out of breath and had constant headaches. Woke up one day with severe chest pain, went to the hospital. I was diagnosed with iron deficiency anemia. I was put on a six months treatment. The doctor said I must not fall pregnant until I finish my treatment. I was also given contraceptives but I never used them. The doctor said the Iron supplements I was using had a small dose for someone who has anemia. Hence, my Iron levels dropped whilst taking them. I have been trying for a baby for the past few months. We have been using cycle tracker to track my most fertile days. But we do not seem to be winning. I have been having irregular periods. Two weeks before my periods, I was feeling pregnancy symptoms. I was feeling tired, had constant headaches, felt nausea, and lightheadedness. I thought either my iron levels were low or I was pregnant. Went to see a GP, took a pregnancy test that came out negative, but my pressure was high. Later, I had light red spotting for two days, then on the second, I started what appeared to be a normal period. Four days into my period,I passed out a big clot that appeared like a product. Before I passed out a big clot, I had severe cramps similar to the ones I had when I had a miscarriage. It felt like something was tearing inside, pressing against my uterus, also had back pain. After I passed out a clot, we saw a gynecologist. He said it is normal for blood to clot especially if it was late for a couple of days. I had an ultrasound, the gynecologist said everything was fine except my left vein was a bit swollen. He asked if I was peeing more than usual. I said yes and that I had difficulties sleeping on my sides and that my urine had bubbles and it was bright yellow. He said it could be a kidney infection. They gave me antibiotics and a drip. I have not got my period yet for this month. I do not know when it is gonna come. Am I not ovulating? Can a miscarriage cause infertility problems or is it the Iron supplements I am taking? I want to have a baby. What could be causing my period delays? | Hi. How are you doing? Miscarriage is not a usual reason for infertility, but anemia is definitely a cause. From your history I presume that the bleeding of periods is quite heavy, that could be the reason for anemia. If blood smear shows an iron deficiency anemia and you are feeling weakness with gastritis, you need to know the severity of anemia, by doing a Hb % and PCV (packed cell volume). If Hb is less than 8 g/dl, then it is better to have an iron sucrose infusion, based on the calculation. If anemia is severe, your gut wall will be edematous and iron absorption from tablets will be poor. In anemia, you will have anovulatory cycles (when you are anemic body will conserve energy and hormonal balance is lost, it will save blood by delaying periods). So, that is the reason for irregular periods, when the delay of periods occur, the inner lining of the uterus thickens and as it drops out, the pain due to dilatation of cervix will occur. Pain will be relieved as soon as the clot or the mass falls out. As long as you have anovulatory cycles, to maintain a good Hb, you will need Iron tablets, Vitamin B complex, Proteins, these three components are ingredients of hemoglobin. So to have a good fertility outcome, have anemia workup done and get it fully corrected with parenteral treatment. Kindly see if the following checklist of investigations is done: Husband- Semen analysis at least two, done four weeks apart preferably in an infertility center (examination done by andrologist), blood sugars. Wife- Blood sugars, thyroid profile. Ultrasound scans to evaluate uterus, ovaries, and adnexa. Confirm tubal patency, most important- Tube is the connection between uterus and ovaries (the bridge where sperm meets the egg and forms a baby). This is in the size of hair follicle and cannot be seen on scans. Being such a small opening, the tube can get blocked easily. So, check with HSG (X-ray with dye), or SSG (scan with dye) or laparoscopy. If all this is done and found normal, nothing can stop a pregnancy with God's will. All the best. |
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Hello doctor, Can a miscarriage cause infertility problems? I had a miscarriage two years back. I was given Iron supplements to take for a month. I was given Gulf Ferrous Sulphate compound tablets and Gulf Folic Acid 5 mg. I stopped taking them because they were making me sick. I felt like I was gonna pass out when I took them. I felt bloated and constipated. So I went to the pharmacy to buy my Iron supplements. I bought Ferofol 24 mg. Used it for about four months, and then I started feeling sick, feeling weak, nausea, leg pains, chest pains, feeling out of breath and had constant headaches. Woke up one day with severe chest pain, went to the hospital. I was diagnosed with iron deficiency anemia. I was put on a six months treatment. The doctor said I must not fall pregnant until I finish my treatment. I was also given contraceptives but I never used them. The doctor said the Iron supplements I was using had a small dose for someone who has anemia. Hence, my Iron levels dropped whilst taking them. I have been trying for a baby for the past few months. We have been using cycle tracker to track my most fertile days. But we do not seem to be winning. I have been having irregular periods. Two weeks before my periods, I was feeling pregnancy symptoms. I was feeling tired, had constant headaches, felt nausea, and lightheadedness. I thought either my iron levels were low or I was pregnant. Went to see a GP, took a pregnancy test that came out negative, but my pressure was high. Later, I had light red spotting for two days, then on the second, I started what appeared to be a normal period. Four days into my period,I passed out a big clot that appeared like a product. Before I passed out a big clot, I had severe cramps similar to the ones I had when I had a miscarriage. It felt like something was tearing inside, pressing against my uterus, also had back pain. After I passed out a clot, we saw a gynecologist. He said it is normal for blood to clot especially if it was late for a couple of days. I had an ultrasound, the gynecologist said everything was fine except my left vein was a bit swollen. He asked if I was peeing more than usual. I said yes and that I had difficulties sleeping on my sides and that my urine had bubbles and it was bright yellow. He said it could be a kidney infection. They gave me antibiotics and a drip. I have not got my period yet for this month. I do not know when it is gonna come. Am I not ovulating? Can a miscarriage cause infertility problems or is it the Iron supplements I am taking? I want to have a baby. What could be causing my period delays? [/INST] Hi. How are you doing? Miscarriage is not a usual reason for infertility, but anemia is definitely a cause. From your history I presume that the bleeding of periods is quite heavy, that could be the reason for anemia. If blood smear shows an iron deficiency anemia and you are feeling weakness with gastritis, you need to know the severity of anemia, by doing a Hb % and PCV (packed cell volume). If Hb is less than 8 g/dl, then it is better to have an iron sucrose infusion, based on the calculation. If anemia is severe, your gut wall will be edematous and iron absorption from tablets will be poor. In anemia, you will have anovulatory cycles (when you are anemic body will conserve energy and hormonal balance is lost, it will save blood by delaying periods). So, that is the reason for irregular periods, when the delay of periods occur, the inner lining of the uterus thickens and as it drops out, the pain due to dilatation of cervix will occur. Pain will be relieved as soon as the clot or the mass falls out. As long as you have anovulatory cycles, to maintain a good Hb, you will need Iron tablets, Vitamin B complex, Proteins, these three components are ingredients of hemoglobin. So to have a good fertility outcome, have anemia workup done and get it fully corrected with parenteral treatment. Kindly see if the following checklist of investigations is done: Husband- Semen analysis at least two, done four weeks apart preferably in an infertility center (examination done by andrologist), blood sugars. Wife- Blood sugars, thyroid profile. Ultrasound scans to evaluate uterus, ovaries, and adnexa. Confirm tubal patency, most important- Tube is the connection between uterus and ovaries (the bridge where sperm meets the egg and forms a baby). This is in the size of hair follicle and cannot be seen on scans. Being such a small opening, the tube can get blocked easily. So, check with HSG (X-ray with dye), or SSG (scan with dye) or laparoscopy. If all this is done and found normal, nothing can stop a pregnancy with God's will. All the best. |
Q. What is the reason for high fever during evening alone? | Hello doctor, My father is having a fever for the last five days, every evening about 102°F. Please check his reports and in the attachment and consult whatever we can do. Please give a brief description of his state. | Hello. It seems that your father has a bacterial infection. Antibiotic therapy is necessary to improve his situation. His lungs are clear and his heart is fine too, besides a small amount of pericardial fluid, which could be caused by inflammation. Further tests may be needed like a blood bacterial culture, a urine analysis, etc. |
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Hello doctor, My father is having a fever for the last five days, every evening about 102°F. Please check his reports and in the attachment and consult whatever we can do. Please give a brief description of his state. [/INST] Hello. It seems that your father has a bacterial infection. Antibiotic therapy is necessary to improve his situation. His lungs are clear and his heart is fine too, besides a small amount of pericardial fluid, which could be caused by inflammation. Further tests may be needed like a blood bacterial culture, a urine analysis, etc. |
Q. I suffer from gastric problem, stomach pain and headache. Please help. | Hi doctor, I am 47 years old. I have a gastric problem, stomach pain, and headache. Please help. | Hi. As per your clinical history, please do an endoscopy and ultrasound abdomen to know the exact status of your GI (gastrointestinal) tract. Regarding medications, you can take Clarithromycin, Metronidazole, and Pantoprazole. You can have lifestyle modifications. Try to avoid drinking alcohol, smoking and having painkillers. Wash your hand before eating anything. Try to reduce your stress. Take vitamin B complex tablets regularly. Try to eat small meals and avoid taking spicy, and fried fatty foods. |
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Hi doctor, I am 47 years old. I have a gastric problem, stomach pain, and headache. Please help. [/INST] Hi. As per your clinical history, please do an endoscopy and ultrasound abdomen to know the exact status of your GI (gastrointestinal) tract. Regarding medications, you can take Clarithromycin, Metronidazole, and Pantoprazole. You can have lifestyle modifications. Try to avoid drinking alcohol, smoking and having painkillers. Wash your hand before eating anything. Try to reduce your stress. Take vitamin B complex tablets regularly. Try to eat small meals and avoid taking spicy, and fried fatty foods. |
Q. I had four miscarriages due to amniotic fluid leakage. Is cervical stitch necessary? | Hello doctor, I have a query regarding my current pregnancy. I had a miscarriage last year at my 16th week due to amniotic fluid leakage, the doctor could not tell the reason for it. And now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26.9 mm and I really did not want to do it considering the risks. I will have another scan at 18 weeks to check the size again. But I am really worried as I had four miscarriages and I do not wanna lose this too. Currently, I am taking Aspirin and Progesterone. Could you please kindly advise me on this? | Hello, Welcome to iclinq.com. Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is 25 mm, so no point in waiting. Also, add weekly intramuscular Hydroxyprogesterone caproate injection 500 mg would quiesten the uterus without contractions until 32 weeks and it helps. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc. Short cervix. Cervical stitch. Strict rest, avoid sitting positions, as it increases the pressure over internal os. When necessary. |
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Hello doctor, I have a query regarding my current pregnancy. I had a miscarriage last year at my 16th week due to amniotic fluid leakage, the doctor could not tell the reason for it. And now I am pregnant again with 16 weeks too and this time my doctor suggested me to consider cervical suture as my cervix size is 26.9 mm and I really did not want to do it considering the risks. I will have another scan at 18 weeks to check the size again. But I am really worried as I had four miscarriages and I do not wanna lose this too. Currently, I am taking Aspirin and Progesterone. Could you please kindly advise me on this? [/INST] Hello, Welcome to iclinq.com. Do not think twice. It is better you get a cervical stitch done. Considering your history and present cervical length, it would be better if you go for cervical suture. Obviously, as the gestation increases the cervical length would shorten up more. The cut off is 25 mm, so no point in waiting. Also, add weekly intramuscular Hydroxyprogesterone caproate injection 500 mg would quiesten the uterus without contractions until 32 weeks and it helps. Another thing is strict rest, avoid any strain like constipation, cough, sneeze, strenuous exercises, etc. Short cervix. Cervical stitch. Strict rest, avoid sitting positions, as it increases the pressure over internal os. When necessary. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. How to control blood sugar levels post pregnancy? | Hi doctor, My partner has PCOD. She got conceived before a year and delivered baby boy of three kilograms. But her blood sugar was slightly high before we planned a pregnancy. She started taking Metformin 500 mg after she became pregnant and continued Metformin 500 mg throughout pregnancy. Her sugar profile was healthy throughout the pregnancy with Metformin. Now after pregnancy, she is taking Metformin 500 mg at night before dinner. Now her FBS and PPBS (post lunch) sugar are regular. But PPBS (post-dinner) has got risen to 145 mg/dL and 165 mg/dL. The doctor advised her to take Metformin one tablet before dinner for six weeks after delivery. The doctor advised her to stop the drug when the sugar level comes under control. But her PPBS (post-dinner) is at a higher range. What can be done? Earlier we thought that it was due to PCOD. But now we are tensed whether she has developed full-fledged diabetes. Please guide us for the further course of management. | Hi. Women who have polycystic ovary syndrome (PCOS) have a higher risk of developing type 2 diabetes. They are diagnosed at an earlier age with this condition. It is a state of insulin resistance. In post-pregnancy, she can have high blood sugar values, especially in post-meal up to six weeks and even up to 12 weeks. If she has a family history of diabetes type 2, she is at high risk of developing it too. In hormone imbalance state, the risk doubles. At this point, I would recommend taking Metformin 500 mg twice daily at least for three months. She should take a healthy diet with low starch and high protein. Doing exercise can also help to lose weight. Diet and exercise help a lot. Monitor blood sugar levels weekly thrice in the fasting period in the morning before breakfast, in post lunch and post-dinner or before bedtime. Keep a track while taking Metformin and the doctor can adjust the medicine. Diet and exercise can reverse the condition, or it can push it to ten years forwards. |
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Hi doctor, My partner has PCOD. She got conceived before a year and delivered baby boy of three kilograms. But her blood sugar was slightly high before we planned a pregnancy. She started taking Metformin 500 mg after she became pregnant and continued Metformin 500 mg throughout pregnancy. Her sugar profile was healthy throughout the pregnancy with Metformin. Now after pregnancy, she is taking Metformin 500 mg at night before dinner. Now her FBS and PPBS (post lunch) sugar are regular. But PPBS (post-dinner) has got risen to 145 mg/dL and 165 mg/dL. The doctor advised her to take Metformin one tablet before dinner for six weeks after delivery. The doctor advised her to stop the drug when the sugar level comes under control. But her PPBS (post-dinner) is at a higher range. What can be done? Earlier we thought that it was due to PCOD. But now we are tensed whether she has developed full-fledged diabetes. Please guide us for the further course of management. [/INST] Hi. Women who have polycystic ovary syndrome (PCOS) have a higher risk of developing type 2 diabetes. They are diagnosed at an earlier age with this condition. It is a state of insulin resistance. In post-pregnancy, she can have high blood sugar values, especially in post-meal up to six weeks and even up to 12 weeks. If she has a family history of diabetes type 2, she is at high risk of developing it too. In hormone imbalance state, the risk doubles. At this point, I would recommend taking Metformin 500 mg twice daily at least for three months. She should take a healthy diet with low starch and high protein. Doing exercise can also help to lose weight. Diet and exercise help a lot. Monitor blood sugar levels weekly thrice in the fasting period in the morning before breakfast, in post lunch and post-dinner or before bedtime. Keep a track while taking Metformin and the doctor can adjust the medicine. Diet and exercise can reverse the condition, or it can push it to ten years forwards. |
Q. Why is there a persistent hike in blood pressure? | Hi doctor, My father is 69 years old. His blood pressure remains high for about six months. His blood pressure is between 180 by 90 mmHg and 200 by 110 mmHg. It is staying consistent for the past six months. He is a nonsmoker and takes multiple medications for blood pressure. He has blood pressure for 20 years. He is healthy. His kidneys are well. The doctor has increased his dosage. Please help us. | Hi. It occurs due to age-related hardening of vessels called as arteriosclerosis. This hardening is not reversible, and so he has a high BP. He should be taking medicine throughout his life. He should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. He should have a low salt diet and monitor his blood pressure regularly thrice a day for one week and then once or twice a week. If the BP is persistently more than 140 by 90 mmHg, then his medicines are needed to be hiked up. Regular exercise like brisk walking can help him. He can do walking according to his capacity for at least 30 minutes a day and five days a week. Do a test for lipid profile and sugar once. |
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Hi doctor, My father is 69 years old. His blood pressure remains high for about six months. His blood pressure is between 180 by 90 mmHg and 200 by 110 mmHg. It is staying consistent for the past six months. He is a nonsmoker and takes multiple medications for blood pressure. He has blood pressure for 20 years. He is healthy. His kidneys are well. The doctor has increased his dosage. Please help us. [/INST] Hi. It occurs due to age-related hardening of vessels called as arteriosclerosis. This hardening is not reversible, and so he has a high BP. He should be taking medicine throughout his life. He should have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. He should have a low salt diet and monitor his blood pressure regularly thrice a day for one week and then once or twice a week. If the BP is persistently more than 140 by 90 mmHg, then his medicines are needed to be hiked up. Regular exercise like brisk walking can help him. He can do walking according to his capacity for at least 30 minutes a day and five days a week. Do a test for lipid profile and sugar once. |
Q. What is the reason for high vitamin B12 levels? | Hello doctor, I am 41 years old and just had lab work done and all tests came back great other than B12 which was 1243. But RBC, WBC, and everything were perfect. Is this a huge concern? | Hello. Your vitamin B12 level is slightly high. In such cases, hematological profile, liver, and kidney profile have to be checked. I want to check your full CBC and peripheral smear examination report as well. So, kindly upload it so that I can comment on that. Kindly provide me one important history about B12 supplements intake. If you had taken the B12 supplement before the test then that also can simply elevate your B12. It is not a huge concern usually. Vitamin B12 is water soluble vitamin and it can be excreted through urine usually. After checking your reports, I will comment further. |
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Hello doctor, I am 41 years old and just had lab work done and all tests came back great other than B12 which was 1243. But RBC, WBC, and everything were perfect. Is this a huge concern? [/INST] Hello. Your vitamin B12 level is slightly high. In such cases, hematological profile, liver, and kidney profile have to be checked. I want to check your full CBC and peripheral smear examination report as well. So, kindly upload it so that I can comment on that. Kindly provide me one important history about B12 supplements intake. If you had taken the B12 supplement before the test then that also can simply elevate your B12. It is not a huge concern usually. Vitamin B12 is water soluble vitamin and it can be excreted through urine usually. After checking your reports, I will comment further. |
Q. Can deviated nasal septum cause difficulty in breathing? | Hello doctor, I have a deviated nasal septum on the right side of my nose. I also have difficulty in breathing although I have deviated right side septum but still, I face breathing problems in the left side. I also sometimes feel pain on my face but my major problem is that if I use nasal sprays, I get well for 1 or 2 hours but then again I have breathing problems. I am also unable to understand if I have a right side deviated septum. So, why do I have difficulty in breathing from the left side and also if my left nose gets open my right side closes and if right opens left closes? Kindly help me, please. | Hello. Having read through your query, I can understand your concern. Patients with DNS can have nasal obstruction on both sides. First, because the septum can deviate in an S-shape giving rise to obstruction on both sides. Second, on the side opposite to DNS, there may be enlargement of another structure called Inferior turbinate secondary to DNS. This is called paradoxical obstruction. Third, excessive use of sprays can lead to mucosal atrophy or thinning and a subjective feeling of an obstruction. You may share your CT to guide me further. You should go for surgery. It is a minor procedure that can be done even under local anesthesia. |
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Hello doctor, I have a deviated nasal septum on the right side of my nose. I also have difficulty in breathing although I have deviated right side septum but still, I face breathing problems in the left side. I also sometimes feel pain on my face but my major problem is that if I use nasal sprays, I get well for 1 or 2 hours but then again I have breathing problems. I am also unable to understand if I have a right side deviated septum. So, why do I have difficulty in breathing from the left side and also if my left nose gets open my right side closes and if right opens left closes? Kindly help me, please. [/INST] Hello. Having read through your query, I can understand your concern. Patients with DNS can have nasal obstruction on both sides. First, because the septum can deviate in an S-shape giving rise to obstruction on both sides. Second, on the side opposite to DNS, there may be enlargement of another structure called Inferior turbinate secondary to DNS. This is called paradoxical obstruction. Third, excessive use of sprays can lead to mucosal atrophy or thinning and a subjective feeling of an obstruction. You may share your CT to guide me further. You should go for surgery. It is a minor procedure that can be done even under local anesthesia. |
Q. Is there any link between wisdom tooth and brain? Can I get it removed? | Hello doctor, I have pain in my upper wisdom teeth for the past one year. I had visited a dentist for a check-up. He did X-ray of my teeth and told me that food stuck between molar teeth and wisdom teeth is causing pain. So he advised me to remove wisdom teeth and filling process. But I am scared that upper teeth have a connection with brain and eyes. So, the process of teeth removal can harm my eyes and brain. Please advise me what I can do. If I do not remove my teeth, then what will be its side effect? | Hi. I have gone through your question. I can understand your concern. This is a misconception that there is a direct connection between wisdom teeth to brain and eyes. There is no such relationship between the two. Wisdom teeth are vestigial and do not function if your other teeth are in good position. If you get it removed, there will be no problem to your eyes or brain. Let me know if there is severe pain or swelling so that I can prescribe medication for same. |
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Hello doctor, I have pain in my upper wisdom teeth for the past one year. I had visited a dentist for a check-up. He did X-ray of my teeth and told me that food stuck between molar teeth and wisdom teeth is causing pain. So he advised me to remove wisdom teeth and filling process. But I am scared that upper teeth have a connection with brain and eyes. So, the process of teeth removal can harm my eyes and brain. Please advise me what I can do. If I do not remove my teeth, then what will be its side effect? [/INST] Hi. I have gone through your question. I can understand your concern. This is a misconception that there is a direct connection between wisdom teeth to brain and eyes. There is no such relationship between the two. Wisdom teeth are vestigial and do not function if your other teeth are in good position. If you get it removed, there will be no problem to your eyes or brain. Let me know if there is severe pain or swelling so that I can prescribe medication for same. |
Q. I have tooth pain with swollen gums for the past 3 days. Please suggest solution. | Hello doctor, I have been experiencing tooth pain and mild gum swelling for the last two to three days. It is paining a lot and I am unable to eat food too. Kindly suggest remedies. I am consuming Rajnigandha (pan masala) for the last two years, have reduced the consumption since pain is there. | Hello. I suggest some medicines, but please stop the consumption of Rajnigandha immediately. Do not take spicy and hot food. Take tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) twice daily, Hexigel ointment (for topical application) all medicine for three days. If you have any drug allergy history or allergy please consult your physician before taking medicine. Follow up after three days. |
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Hello doctor, I have been experiencing tooth pain and mild gum swelling for the last two to three days. It is paining a lot and I am unable to eat food too. Kindly suggest remedies. I am consuming Rajnigandha (pan masala) for the last two years, have reduced the consumption since pain is there. [/INST] Hello. I suggest some medicines, but please stop the consumption of Rajnigandha immediately. Do not take spicy and hot food. Take tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) twice daily, Hexigel ointment (for topical application) all medicine for three days. If you have any drug allergy history or allergy please consult your physician before taking medicine. Follow up after three days. |
Q. Can polycythemia vera be related to cancer? | Hello doctor,I am a female, 50 years old and want to know whether polycythemia vera is related to cancer or not. I have taken JAK2 mutation test which is negative. What is this test for? I have erythromelalgia blood disorder. Is all this connected to cancer? I want to understand this test and doubts. Can you let me know? | Hello. Polycythemia vera is not exactly cancer. It comes under the group of diseases called myeloproliferative disorders. Basically, it is an uncontrolled proliferation of your blood cells. In polycythemia vera, your red blood cells increase in an uncontrolled way. Usually patient present with incidentally detected high hemoglobin or hematocrit on blood tests. It can cause a headache, blurring vision, pruritis, painful extremities. One characteristics finding is aquagenic pruritis that is itching induced while bathing with hot water. It is confirmed by doing JAK2 mutation and erythropoietin levels. About 90 to 95 % of cases of PV show this mutation. All these symptoms can be seen with secondary polycythemia which can be caused by many causes. Like tumors secreting erythropoietin (EPO), smoking, heart disease, abnormal hemoglobin. So if your EPO value is high, secondary causes need to be ruled out. As you have mentioned your reports (attachment removed to protect patient identity), fit the diagnosis of polycythemia. But JAK2 is negative. I would advise you to get EPO values, and if they are high, a detailed search for secondary causes should be done before labeling diagnosis as polycythemia vera or primary polycythemia. As JAK2 is negative, polycythemia cases are very rare. Till then, you can take antiplatelet and periodic phlebotomy to maintain a hematocrit of 42 or below. |
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Hello doctor,I am a female, 50 years old and want to know whether polycythemia vera is related to cancer or not. I have taken JAK2 mutation test which is negative. What is this test for? I have erythromelalgia blood disorder. Is all this connected to cancer? I want to understand this test and doubts. Can you let me know? [/INST] Hello. Polycythemia vera is not exactly cancer. It comes under the group of diseases called myeloproliferative disorders. Basically, it is an uncontrolled proliferation of your blood cells. In polycythemia vera, your red blood cells increase in an uncontrolled way. Usually patient present with incidentally detected high hemoglobin or hematocrit on blood tests. It can cause a headache, blurring vision, pruritis, painful extremities. One characteristics finding is aquagenic pruritis that is itching induced while bathing with hot water. It is confirmed by doing JAK2 mutation and erythropoietin levels. About 90 to 95 % of cases of PV show this mutation. All these symptoms can be seen with secondary polycythemia which can be caused by many causes. Like tumors secreting erythropoietin (EPO), smoking, heart disease, abnormal hemoglobin. So if your EPO value is high, secondary causes need to be ruled out. As you have mentioned your reports (attachment removed to protect patient identity), fit the diagnosis of polycythemia. But JAK2 is negative. I would advise you to get EPO values, and if they are high, a detailed search for secondary causes should be done before labeling diagnosis as polycythemia vera or primary polycythemia. As JAK2 is negative, polycythemia cases are very rare. Till then, you can take antiplatelet and periodic phlebotomy to maintain a hematocrit of 42 or below. |
Q. Is surgery necessary for ovarian cyst? | Hello doctor, I have a right ovarian cyst of 4 cm and left adnexal heterogeneous shadow of 6 cm. What is to be done? Is there anything to worry about? Does it require an operation on an urgent basis? I am unmarried but not virgin and have a regular conjugal life with a single partner. Do I need to stop being intimate? And my weight is 62 kg and height is 5’4’’. | Hi. It is not an emergency as the right ovarian cyst is not more than 5 cm. You do a regular ultrasound to measure the cyst size. If it goes more than 5 cm that we have to operate it. There is no relationship of it with your relationship or virginity. |
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Hello doctor, I have a right ovarian cyst of 4 cm and left adnexal heterogeneous shadow of 6 cm. What is to be done? Is there anything to worry about? Does it require an operation on an urgent basis? I am unmarried but not virgin and have a regular conjugal life with a single partner. Do I need to stop being intimate? And my weight is 62 kg and height is 5’4’’. [/INST] Hi. It is not an emergency as the right ovarian cyst is not more than 5 cm. You do a regular ultrasound to measure the cyst size. If it goes more than 5 cm that we have to operate it. There is no relationship of it with your relationship or virginity. |
Q. What is the reason for having a habit of crying frequently without a reason? | Hi doctor, I am crying frequently without reason. What is the cause? Why do I cry frequently without a specific reason or trigger? How can we stop them? How to treat the problem? | Hi. Crying frequently without a trigger is always associated with psychological issues. For physical causes, it can be a chronic pain from a chronic inflammatory condition like rheumatoid arthritis, osteoarthritis, or physical weakness from a debilitating disease like cancer. There is some psychological or mental component associated with physical factors for causing this problem. It depends upon the individual's self-control and mental strength to stop the problem. Counseling can also help. It is better to get help from a psychiatrist when it gets worse or when it is affecting the daily routine. |
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Hi doctor, I am crying frequently without reason. What is the cause? Why do I cry frequently without a specific reason or trigger? How can we stop them? How to treat the problem? [/INST] Hi. Crying frequently without a trigger is always associated with psychological issues. For physical causes, it can be a chronic pain from a chronic inflammatory condition like rheumatoid arthritis, osteoarthritis, or physical weakness from a debilitating disease like cancer. There is some psychological or mental component associated with physical factors for causing this problem. It depends upon the individual's self-control and mental strength to stop the problem. Counseling can also help. It is better to get help from a psychiatrist when it gets worse or when it is affecting the daily routine. |
Q. What are the toxic substances we handle every day? How do they affect our health? | Hi doctor, Please explain about the things that are toxic to humans in their day to day life. How do they affect the health? Please advise. | Hi. Detergents contain hazardous chemicals that irritate the skin and cause eczema. Some individuals who are prone to allergy, also get contact dermatitis. They also cause damage to the mucosal lining of the gastrointestinal tract when they are ingested. Detergents contain phenol. The skin absorbs them quickly, and they result in a renal and hepatic dysfunction for a long term. Perfumes or body sprays contain hazardous compounds. When they are inhaled, they irritate the delicate mucosal surfaces of the respiratory tract, and they result in asthma and allergic rhinitis in some individuals. Certain compounds in perfumes can also cause a headache. Processed foods like sausages are harmful to the digestive system, and when they are ingested for an extended period, they result in colon cancer. Processed meats are said to be carcinogenic. Canned food also contain chemicals that are carcinogenic. Canned foods which are rich in fructose also cause hepatotoxicity. Foods rich in trans fat predispose to atherosclerosis. Air fresheners that contain artificial fragrance can irritate the eyes and cause inflammation. It can also cause asthma due to chronic inhalation of phthalates present in these compounds. These hazardous fumes when readily inhaled cause lung parenchymal diseases in the long term. Some may affect the reproductive functions also. |
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Hi doctor, Please explain about the things that are toxic to humans in their day to day life. How do they affect the health? Please advise. [/INST] Hi. Detergents contain hazardous chemicals that irritate the skin and cause eczema. Some individuals who are prone to allergy, also get contact dermatitis. They also cause damage to the mucosal lining of the gastrointestinal tract when they are ingested. Detergents contain phenol. The skin absorbs them quickly, and they result in a renal and hepatic dysfunction for a long term. Perfumes or body sprays contain hazardous compounds. When they are inhaled, they irritate the delicate mucosal surfaces of the respiratory tract, and they result in asthma and allergic rhinitis in some individuals. Certain compounds in perfumes can also cause a headache. Processed foods like sausages are harmful to the digestive system, and when they are ingested for an extended period, they result in colon cancer. Processed meats are said to be carcinogenic. Canned food also contain chemicals that are carcinogenic. Canned foods which are rich in fructose also cause hepatotoxicity. Foods rich in trans fat predispose to atherosclerosis. Air fresheners that contain artificial fragrance can irritate the eyes and cause inflammation. It can also cause asthma due to chronic inhalation of phthalates present in these compounds. These hazardous fumes when readily inhaled cause lung parenchymal diseases in the long term. Some may affect the reproductive functions also. |
Q. How can we manage the changes that happen during menopause? | Hi doctor, How can we manage the symptom changes that happen during menopause? Please say about the natural remedies used to handle them. Please explain about the lifestyle changes, foods, and exercise that needs to be changed during menopause. How does it work for menopausal women having hot flashes, dryness and mood changes? Please suggest. | Hi. The following remedies can be tried. It has been effective in varying proportions. When having mood swings, irritability, and depression, try to do exercise daily like jogging, running or walking. It is very effective. Yoga and meditation or deep breathing exercise can also help to control these symptoms. Avoid drinking coffee and tea. Avoid taking sugary foods and fatty foods. Occasional body massage can also be helpful. When having hot flushes, try to drink plenty of water preferably cool water. Avoid taking hot beverages and stimulants like tea and coffee. Wear loose clothes. Avoid having a warm bath. Herbs such as soy and black cohosh have been used to control hot flushes. Phytoestrogen containing food can also be used to control hot flushes. Try to read books before bedtime when having insomnia. Listen to calming music before going to bed. Do yoga or meditation daily. |
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Hi doctor, How can we manage the symptom changes that happen during menopause? Please say about the natural remedies used to handle them. Please explain about the lifestyle changes, foods, and exercise that needs to be changed during menopause. How does it work for menopausal women having hot flashes, dryness and mood changes? Please suggest. [/INST] Hi. The following remedies can be tried. It has been effective in varying proportions. When having mood swings, irritability, and depression, try to do exercise daily like jogging, running or walking. It is very effective. Yoga and meditation or deep breathing exercise can also help to control these symptoms. Avoid drinking coffee and tea. Avoid taking sugary foods and fatty foods. Occasional body massage can also be helpful. When having hot flushes, try to drink plenty of water preferably cool water. Avoid taking hot beverages and stimulants like tea and coffee. Wear loose clothes. Avoid having a warm bath. Herbs such as soy and black cohosh have been used to control hot flushes. Phytoestrogen containing food can also be used to control hot flushes. Try to read books before bedtime when having insomnia. Listen to calming music before going to bed. Do yoga or meditation daily. |
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. While ejaculating or urinating, I feel incomplete. Why? | Hi doctor, I am a 24-year-old male. I have been having trouble urinating. Whenever I urinate I feel like there is a blockage that is preventing all the urine coming out at once. This requires me to wait for a long time and continue pushing the urine out and then at the end I am using my fingers to squeeze the urethra to get out the last. Even after all of that, there continues to be some dribbling of droplets. Also, sometimes after masturbating, I end up having to go every five minutes 5-10 times to let out a few more drops until it is all emptied out. This is something I have been struggling with for quite a while. I showed my doctor and he assigned an antibiotics course that did not make a difference. I suspect it has something to do with semen blocking the flow of urine but I am not sure and cannot find anything related on google. Any advice on this would be appreciated. | Hi. Semen blocking the way cannot happen so this much thing is clear. Secondly, for how long you are having urinary symptoms you mention? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Does your poor flow of urine settles or become somewhat better when you strain during micturation? I think it can be a stricture disease. Do you have any history of diabetes or hypertension or any medication taken? Which antibiotics did you take? Any history of catheterization or trauma to the penile region? |
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Hi doctor, I am a 24-year-old male. I have been having trouble urinating. Whenever I urinate I feel like there is a blockage that is preventing all the urine coming out at once. This requires me to wait for a long time and continue pushing the urine out and then at the end I am using my fingers to squeeze the urethra to get out the last. Even after all of that, there continues to be some dribbling of droplets. Also, sometimes after masturbating, I end up having to go every five minutes 5-10 times to let out a few more drops until it is all emptied out. This is something I have been struggling with for quite a while. I showed my doctor and he assigned an antibiotics course that did not make a difference. I suspect it has something to do with semen blocking the flow of urine but I am not sure and cannot find anything related on google. Any advice on this would be appreciated. [/INST] Hi. Semen blocking the way cannot happen so this much thing is clear. Secondly, for how long you are having urinary symptoms you mention? Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Does your poor flow of urine settles or become somewhat better when you strain during micturation? I think it can be a stricture disease. Do you have any history of diabetes or hypertension or any medication taken? Which antibiotics did you take? Any history of catheterization or trauma to the penile region? |
Q. Can I take Cetirizine and Paracetamol for fever? | Hi doctor, When I have the fever, can I take Cetirizine in the morning and then Paracetamol in the afternoon? | Hi. You mentioned that you have the fever. You can use Paracetamol. You can take it up to three times a day and can stop if your temperature comes down. Now, coming to Cetirizine, it is used for allergy, cold, etc. If you are having a flu type of fever, that is, fever with the cold or itchy throat, then yes you can use it along with the Paracetamol. I suggest you take both the medicines together. You can use Levocetirizine, which avoids sleepiness. Hence, you can be focused in your work. Consult your specialist doctor, discuss with him or her and take medicine with their consent. For further queries consult a general practitioner online --> |
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Hi doctor, When I have the fever, can I take Cetirizine in the morning and then Paracetamol in the afternoon? [/INST] Hi. You mentioned that you have the fever. You can use Paracetamol. You can take it up to three times a day and can stop if your temperature comes down. Now, coming to Cetirizine, it is used for allergy, cold, etc. If you are having a flu type of fever, that is, fever with the cold or itchy throat, then yes you can use it along with the Paracetamol. I suggest you take both the medicines together. You can use Levocetirizine, which avoids sleepiness. Hence, you can be focused in your work. Consult your specialist doctor, discuss with him or her and take medicine with their consent. For further queries consult a general practitioner online --> |
Q. Is it good to take beer while breastfeeding? | Hi doctor, Is it right to take a beer while breastfeeding? Is it different from other forms of alcohol? | Hi. It is not healthy to take an alcoholic beverage during pregnancy or breastfeeding. It has a lot of adverse effects on the baby. You can have a light drink immediately after nursing the baby. Wait for at least three to four hours before nursing the baby again. Breastfeeding mothers should stay away from alcoholic beverages always. |
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Hi doctor, Is it right to take a beer while breastfeeding? Is it different from other forms of alcohol? [/INST] Hi. It is not healthy to take an alcoholic beverage during pregnancy or breastfeeding. It has a lot of adverse effects on the baby. You can have a light drink immediately after nursing the baby. Wait for at least three to four hours before nursing the baby again. Breastfeeding mothers should stay away from alcoholic beverages always. |
Q. I had a massive heart attack 15 years ago. Now, I have right sided chest pain. Please help. | Hello doctor, I had a massive heart attack 15 years ago. I am 54 years old now with a height of 173 cm and weight 64 kg. Within two weeks, angioplasty was done for me in LAD (left anterior descending) coronary artery. After four years, I had undergone bypass surgery for four vessels. Every year, during the medical check-up, my TMT result was showing negative. This year also my TMT is negative and the report is as follows: Total exercise period was 12 minutes and achieved 88 % of maximum predicted heart rate with a calculated workload of 14.30 METs. There was no significant respiratory symptom related to exercise. The exercise was terminated due to fatigue and the achievement of target heart rate. The resting blood pressure and response to exercise were normal. Resting ECG was normal. Exercise ECG: ST depression during exercise 4 stage, ST level was -0.90 mm in V5. Maximum HR is 88 %. Maximum workload 14.30 METs and the conclusion is good exercise capacity and negative TMT. My other reports are EF as per echocardiogram is 55 %. Blood sugar and cholesterol reports are normal. My current medication is as follows. Tablet Nikoran 5 mg twice a day, tablet Tenolol 12.5 mg once a day at night, tablet Rosuvastatin 10 mg once in a day and tablet Clavix 75 mg once in a day. My problem is that I am getting pain and heaviness on the right side of my chest since 10 years after bypass surgery. Because of this, I am feeling shortness of breath and heaviness in the chest while walking. I consulted a heart specialist and gastroenterologist. Sonography, CT scan reports for chest and abdomen are normal. Colonoscopy and endoscopy reports are normal. During barium x-ray, reflux was detected. The gastroenterologist has prescribed me anti-reflux tablet Nexpro Fast 40 mg, which I have been taking since five years. I am very strict about consuming less oil, less fat and less sugar in my diet. My problem has come down but not got eliminated. One physician has advised me to go for angiography to rule out the right side pain and heaviness problem. But my cardiologist is not suggesting an angiography because of negative TMT report and said a right side chest problem is not related to the heart. What is your opinion? Could you please advise me what can I do now? What is the solution for this? | Hi. I read through your entire case history. You are lucky that you have a good cardiac output. Your EF (ejection fraction) is all right and as per your stress test, there is nothing going in opposite and your heart is still doing well. Frankly speaking, heaviness on the right side of the chest is not at all related to cardiac issues. In my personal experience, I have seen many patients who feel pain in the chest or heaviness after CABG (coronary artery bypass grafting) or bypass or open heart surgery. The reason being opening of the chest during surgery. I am sure after checking your stress exercise and ECG, your heart is doing well. There is no ischemic zone responsible for your problem. This heaviness has nothing to do with your heart. Whenever we open the chest for surgery, we advise for chest physiotherapy. This is related to the bony cage of the chest and soon after some exercise or physiotherapy, you will be relieved from your problem. This is not a rare problem, because if once the chest is opened surgically, then the person has to suffer some kind of problems like heaviness of chest or pain in the chest or chest discomfort. Continue your regular medications. For further follow up consult a cardiologist online --> |
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Hello doctor, I had a massive heart attack 15 years ago. I am 54 years old now with a height of 173 cm and weight 64 kg. Within two weeks, angioplasty was done for me in LAD (left anterior descending) coronary artery. After four years, I had undergone bypass surgery for four vessels. Every year, during the medical check-up, my TMT result was showing negative. This year also my TMT is negative and the report is as follows: Total exercise period was 12 minutes and achieved 88 % of maximum predicted heart rate with a calculated workload of 14.30 METs. There was no significant respiratory symptom related to exercise. The exercise was terminated due to fatigue and the achievement of target heart rate. The resting blood pressure and response to exercise were normal. Resting ECG was normal. Exercise ECG: ST depression during exercise 4 stage, ST level was -0.90 mm in V5. Maximum HR is 88 %. Maximum workload 14.30 METs and the conclusion is good exercise capacity and negative TMT. My other reports are EF as per echocardiogram is 55 %. Blood sugar and cholesterol reports are normal. My current medication is as follows. Tablet Nikoran 5 mg twice a day, tablet Tenolol 12.5 mg once a day at night, tablet Rosuvastatin 10 mg once in a day and tablet Clavix 75 mg once in a day. My problem is that I am getting pain and heaviness on the right side of my chest since 10 years after bypass surgery. Because of this, I am feeling shortness of breath and heaviness in the chest while walking. I consulted a heart specialist and gastroenterologist. Sonography, CT scan reports for chest and abdomen are normal. Colonoscopy and endoscopy reports are normal. During barium x-ray, reflux was detected. The gastroenterologist has prescribed me anti-reflux tablet Nexpro Fast 40 mg, which I have been taking since five years. I am very strict about consuming less oil, less fat and less sugar in my diet. My problem has come down but not got eliminated. One physician has advised me to go for angiography to rule out the right side pain and heaviness problem. But my cardiologist is not suggesting an angiography because of negative TMT report and said a right side chest problem is not related to the heart. What is your opinion? Could you please advise me what can I do now? What is the solution for this? [/INST] Hi. I read through your entire case history. You are lucky that you have a good cardiac output. Your EF (ejection fraction) is all right and as per your stress test, there is nothing going in opposite and your heart is still doing well. Frankly speaking, heaviness on the right side of the chest is not at all related to cardiac issues. In my personal experience, I have seen many patients who feel pain in the chest or heaviness after CABG (coronary artery bypass grafting) or bypass or open heart surgery. The reason being opening of the chest during surgery. I am sure after checking your stress exercise and ECG, your heart is doing well. There is no ischemic zone responsible for your problem. This heaviness has nothing to do with your heart. Whenever we open the chest for surgery, we advise for chest physiotherapy. This is related to the bony cage of the chest and soon after some exercise or physiotherapy, you will be relieved from your problem. This is not a rare problem, because if once the chest is opened surgically, then the person has to suffer some kind of problems like heaviness of chest or pain in the chest or chest discomfort. Continue your regular medications. For further follow up consult a cardiologist online --> |
Q. I weigh 100 Kg. Can I conceive? | Hello doctor, I am 24 years old. My weight is 100 kg and height is 158 cm. I have attached my laboratory reports. I am presently taking Metformin 500 mg twice a day and Eltroxin 1000 mcg tablets. I stopped taking the tablets two days before the test was done. Can I conceive with this weight? | Hello. Considering you are obese, hypothyroid and still on supplementation, it indicates that serum insulin levels are high (attachment removed to protect patient identity). Hypothyroidism and anovulation could be a concern and you may be experiencing irregular menses. You need to get a follicular study done for a cycle to check if your ovaries are producing quality follicles and if they are ovulating by midcycle or not. This can be achieved by transvaginal ultrasound. I hope PCOD has already been ruled out, which can further deter your chances of fertility. You should reduce your weight and aim at 70 kg, else you may always try assisted techniques of ovulation induction if there is any problem with ovulation. For further information consult a family physician online --> |
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Hello doctor, I am 24 years old. My weight is 100 kg and height is 158 cm. I have attached my laboratory reports. I am presently taking Metformin 500 mg twice a day and Eltroxin 1000 mcg tablets. I stopped taking the tablets two days before the test was done. Can I conceive with this weight? [/INST] Hello. Considering you are obese, hypothyroid and still on supplementation, it indicates that serum insulin levels are high (attachment removed to protect patient identity). Hypothyroidism and anovulation could be a concern and you may be experiencing irregular menses. You need to get a follicular study done for a cycle to check if your ovaries are producing quality follicles and if they are ovulating by midcycle or not. This can be achieved by transvaginal ultrasound. I hope PCOD has already been ruled out, which can further deter your chances of fertility. You should reduce your weight and aim at 70 kg, else you may always try assisted techniques of ovulation induction if there is any problem with ovulation. For further information consult a family physician online --> |
Q. Why does pregnancy trigger sinus problem in some women? | Hi doctor, Please explain the relationship between a sinus problem and pregnancy. Does sinus infection be a reliable sign of pregnancy? Why does pregnancy trigger sinus issues in some women? | Hi. A lot of women have an increase in sinus congestion during pregnancy. It happens due to the increased level of estrogen during pregnancy which tends to cause vasodilation generally. Hence, they have improved blood flow through the nasal and sinus passages. It leads to symptoms such as runny or blocked nasal passages, congested sinuses, and even sinusitis. It is not a reliable sign of early pregnancy. This symptom comes along with other symptoms to indicate pregnancy. Some women who tend to have sinusitis may not be able to tell it. Women who are not usually prone to sinusitis may have it as a positive sign of pregnancy with few other symptoms. |
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Hi doctor, Please explain the relationship between a sinus problem and pregnancy. Does sinus infection be a reliable sign of pregnancy? Why does pregnancy trigger sinus issues in some women? [/INST] Hi. A lot of women have an increase in sinus congestion during pregnancy. It happens due to the increased level of estrogen during pregnancy which tends to cause vasodilation generally. Hence, they have improved blood flow through the nasal and sinus passages. It leads to symptoms such as runny or blocked nasal passages, congested sinuses, and even sinusitis. It is not a reliable sign of early pregnancy. This symptom comes along with other symptoms to indicate pregnancy. Some women who tend to have sinusitis may not be able to tell it. Women who are not usually prone to sinusitis may have it as a positive sign of pregnancy with few other symptoms. |
Q. How to get relief from back pain? | Hi doctor, I have back pain for the past three days. I do not know the reason behind it. I usually sit in front of a laptop for 10 hours daily. I have the pain while sitting or standing or when I bend. I do not have it when I sleep at night on the floor. Please help. | Hi. Back pain comes from fatigued muscles. Your back muscle gets relaxed at night. So you do not have the pain at night. Sitting for long hours can aggravate back pain. Poor posture while sitting can also lead to back pain. Do back extension exercise, and sit only for 25 to 30 minutes on the chair. Sit in a chair which is having lumbar support. Take NSAIDS (non-steroidal anti-inflammatory drugs) for a few days. |
<s>[INST]
Hi doctor, I have back pain for the past three days. I do not know the reason behind it. I usually sit in front of a laptop for 10 hours daily. I have the pain while sitting or standing or when I bend. I do not have it when I sleep at night on the floor. Please help. [/INST] Hi. Back pain comes from fatigued muscles. Your back muscle gets relaxed at night. So you do not have the pain at night. Sitting for long hours can aggravate back pain. Poor posture while sitting can also lead to back pain. Do back extension exercise, and sit only for 25 to 30 minutes on the chair. Sit in a chair which is having lumbar support. Take NSAIDS (non-steroidal anti-inflammatory drugs) for a few days. |
Q. How can premature ejaculation and mild erection be cured? | Hello doctor, I am suffering from premature ejaculation and very mild erection. Recently, I was under medication for a kidney stone and consumed Veltum 0.4 for about a month. | Hi. For premature ejaculation and erectile dysfunction, you can take tablet Tadaza (Dapoxetine, Tadalafil) (10/30). Tablet has to be taken one hour before the act and should not be taken more than one in a day. Along with this, please try to indulge in foreplay and enjoy the act with your partner. There are some more things I would like to know. Do you have any problems urinating? Does your penis tighten during morning time as you wake up? If you have problems related to the above two questions, please visit a urologist, otherwise, you can continue with the above treatment. |
<s>[INST]
Hello doctor, I am suffering from premature ejaculation and very mild erection. Recently, I was under medication for a kidney stone and consumed Veltum 0.4 for about a month. [/INST] Hi. For premature ejaculation and erectile dysfunction, you can take tablet Tadaza (Dapoxetine, Tadalafil) (10/30). Tablet has to be taken one hour before the act and should not be taken more than one in a day. Along with this, please try to indulge in foreplay and enjoy the act with your partner. There are some more things I would like to know. Do you have any problems urinating? Does your penis tighten during morning time as you wake up? If you have problems related to the above two questions, please visit a urologist, otherwise, you can continue with the above treatment. |
Q. Kindly advice regarding management of depression. | Hello doctor, I am a student and I feel so depressed nowadays. I cannot bear a bit of stress and I have to watch motivational videos every now and then. I am suffering from a lot of mental pain. I cannot stay happy and I also have exam fear. I cannot sleep when it is exam coming in a few days. My hands start shaking and feel so depressed and tensed. What can I do to be happy and tension free? Please help me. | Hi. You seem to be suffering from anxiety and depression. This is a common problem in the general population. I would advise you to seek professional help. It does not seem to be getting better, instead, it is worsening. Do not be alone, share your feelings with some close friends or family members, make a schedule. If nothing seems to be helping, you can always connect with me. I would be happy to help you. |
<s>[INST]
Hello doctor, I am a student and I feel so depressed nowadays. I cannot bear a bit of stress and I have to watch motivational videos every now and then. I am suffering from a lot of mental pain. I cannot stay happy and I also have exam fear. I cannot sleep when it is exam coming in a few days. My hands start shaking and feel so depressed and tensed. What can I do to be happy and tension free? Please help me. [/INST] Hi. You seem to be suffering from anxiety and depression. This is a common problem in the general population. I would advise you to seek professional help. It does not seem to be getting better, instead, it is worsening. Do not be alone, share your feelings with some close friends or family members, make a schedule. If nothing seems to be helping, you can always connect with me. I would be happy to help you. |
Q. What causes IBS? How to manage it? | Hi doctor, Please explain about the causes of the IBS. How can it be managed? Please advice. | Hi. The exact cause of irritable bowel syndrome (IBS) is not known. The other causes are stress, anxiety, hormone changes, genetic factors, and infections such as salmonella. Treatment depends on the cause. We can do a blood test, hormonal test, coproculture, thyroid function test, colonoscopy, and test for celiac disease to identify the cause. After seeing the results, proper treatment can be planned. Stop taking caffeine and alcohol. Avoid eating fatty foods. Eat a fiber diet. It helps to get relief from constipation. |
<s>[INST]
Hi doctor, Please explain about the causes of the IBS. How can it be managed? Please advice. [/INST] Hi. The exact cause of irritable bowel syndrome (IBS) is not known. The other causes are stress, anxiety, hormone changes, genetic factors, and infections such as salmonella. Treatment depends on the cause. We can do a blood test, hormonal test, coproculture, thyroid function test, colonoscopy, and test for celiac disease to identify the cause. After seeing the results, proper treatment can be planned. Stop taking caffeine and alcohol. Avoid eating fatty foods. Eat a fiber diet. It helps to get relief from constipation. |
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