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Description stringlengths 1 1.5k	Patient stringlengths 1 17.7k	Doctor stringlengths 2 11.4k	text stringlengths 77 18.8k
Q. What is the reason for loose motions in a newborn?	Hi doctor, My baby is 8 days old and he has loose motion. I gave him Enfamil formula but after the feed, the motion per day was 6 to 7 times. I am really worried about him.	Hello. Bowel habits of infants are as different as the infants themselves. Some babies go several times a day, while others go every few days or even less frequently. Also, breastfed babies usually poop more frequently than those who are formula fed. Finally, a baby’s stooling habits will change as their digestive system matures and their diet changes. Nothing to worry but if you observe sudden change, that is, he poops more than usual and passes looser, more watery stools than usual, then it is probably diarrhea. Please consult your pediatrician. Take care.	<s>[INST] Hi doctor, My baby is 8 days old and he has loose motion. I gave him Enfamil formula but after the feed, the motion per day was 6 to 7 times. I am really worried about him. [/INST] Hello. Bowel habits of infants are as different as the infants themselves. Some babies go several times a day, while others go every few days or even less frequently. Also, breastfed babies usually poop more frequently than those who are formula fed. Finally, a baby’s stooling habits will change as their digestive system matures and their diet changes. Nothing to worry but if you observe sudden change, that is, he poops more than usual and passes looser, more watery stools than usual, then it is probably diarrhea. Please consult your pediatrician. Take care.
Q. I did HIV RNA PCR quantitative test at 69 days, which was negative. Am I risk-free?	Hi Doctor, I had done antibody for HIV1 &2 Rapid Screening Test at 63 days which was negative and then I did HIV RNA Realtime PCR Quantitative test at 69 days which was also negative “Target Not Detected”. I heard PCR is very sensitive and conclusive. Is that true at 70 days as well? Should I be concerned or am I risk free? Although I am having diarrea from a few days. Thank you	Hi welcome to icliniq. As the test are negative at 69 days , so you are free from HIV infection and need not to repeat the test. PCR test is usually not used routinely . Antigen antibody test can detect almost all cases after 4 weeks. If you can tell me about thest rapid test for HIV 1and 2 you have done then I can give more detail ? which generation test you have tested, was it 4th generation test ? 4th generation test can pick up more than 95 percent case at 4 weeks , and you have tested after 69 days and the results are negative. So just relax. Thanks and regards.	<s>[INST] Hi Doctor, I had done antibody for HIV1 &2 Rapid Screening Test at 63 days which was negative and then I did HIV RNA Realtime PCR Quantitative test at 69 days which was also negative “Target Not Detected”. I heard PCR is very sensitive and conclusive. Is that true at 70 days as well? Should I be concerned or am I risk free? Although I am having diarrea from a few days. Thank you [/INST] Hi welcome to icliniq. As the test are negative at 69 days , so you are free from HIV infection and need not to repeat the test. PCR test is usually not used routinely . Antigen antibody test can detect almost all cases after 4 weeks. If you can tell me about thest rapid test for HIV 1and 2 you have done then I can give more detail ? which generation test you have tested, was it 4th generation test ? 4th generation test can pick up more than 95 percent case at 4 weeks , and you have tested after 69 days and the results are negative. So just relax. Thanks and regards.
Q. How long should my husband and I wait to try for a baby if we did cocaine?	Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.	Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?	Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?	Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.	Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.	Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->	<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?	Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?	Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->	<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Q. Why do periods get delayed after first time sex?	Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?	Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->	<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
Q. Kindly tell the homeopathic medicine to prevent dengue fever.	Hello doctor, My son is 6 years old and weighs 24.4 kg. He develops common cold quite often. I am also worried as dengue is spreading around my community and I would like to give him some medication which is preventive in nature. I would like to know what is the best medicine regime for my son to prevent dengue.	Hello. Eupatorium mother tincture is definitely a good choice of preventive remedy for dengue. You may give him 5 to 7 drops of this remedy mixed in half a cup of water once a day as a preventive medicine. If he has milder symptoms of fever or body ache then it can be taken twice a day. Gelsemium 200cc is another good remedy for dengue if he gets dull and drowsy during the fever. This remedy can be given twice a day for five days or until feels better. Kindly consider a general preventive measure for dengue like immediately consult a doctor for milder symptoms like fever. Take plenty of water, fluids and rest, rest under the bed net while you have a fever. Eat healthy and nutritious food. I am sure if you follow above steps he will less likely contract dengue. Just give him Eupatorium mother tincture as a preventive remedy for a week. Kindly let me know if you have any questions.	<s>[INST] Hello doctor, My son is 6 years old and weighs 24.4 kg. He develops common cold quite often. I am also worried as dengue is spreading around my community and I would like to give him some medication which is preventive in nature. I would like to know what is the best medicine regime for my son to prevent dengue. [/INST] Hello. Eupatorium mother tincture is definitely a good choice of preventive remedy for dengue. You may give him 5 to 7 drops of this remedy mixed in half a cup of water once a day as a preventive medicine. If he has milder symptoms of fever or body ache then it can be taken twice a day. Gelsemium 200cc is another good remedy for dengue if he gets dull and drowsy during the fever. This remedy can be given twice a day for five days or until feels better. Kindly consider a general preventive measure for dengue like immediately consult a doctor for milder symptoms like fever. Take plenty of water, fluids and rest, rest under the bed net while you have a fever. Eat healthy and nutritious food. I am sure if you follow above steps he will less likely contract dengue. Just give him Eupatorium mother tincture as a preventive remedy for a week. Kindly let me know if you have any questions.
Q. There is a hike in heart rate and weakness in legs after a walk. Why?	Hi doctor, I am 27 years old male. I am a hypertensive patient, and I am taking Metosartan 50 in the morning. The blood pressure is under control. Recently, I started to have a walk in the morning. For a few days, I walked quickly for 15 minutes. After a few days, my heart rate got increased, and I felt weakness in my leg after having a walking for five to seven minutes. I did my ECG and ECHO recently. The results were completely normal. Please suggest.	Hi. It seems that you do not have stamina and endurance. Your muscles get tired due to the lack of stretch exercise. You need to start stretch exercise and cardio to gain more energy and endurance. I have gone through the attachment (attachment removed to protect patient identity). With normal investigations, your heart is working regularly. Your body muscles are causing the problem. It is mandatory for you to do body stretching exercise and cardio exercise on a daily basis.	<s>[INST] Hi doctor, I am 27 years old male. I am a hypertensive patient, and I am taking Metosartan 50 in the morning. The blood pressure is under control. Recently, I started to have a walk in the morning. For a few days, I walked quickly for 15 minutes. After a few days, my heart rate got increased, and I felt weakness in my leg after having a walking for five to seven minutes. I did my ECG and ECHO recently. The results were completely normal. Please suggest. [/INST] Hi. It seems that you do not have stamina and endurance. Your muscles get tired due to the lack of stretch exercise. You need to start stretch exercise and cardio to gain more energy and endurance. I have gone through the attachment (attachment removed to protect patient identity). With normal investigations, your heart is working regularly. Your body muscles are causing the problem. It is mandatory for you to do body stretching exercise and cardio exercise on a daily basis.
Q. I have lost 5 kg in one year. What is the problem behind it?	Hi doctor, I have lost 5 kg in one year. I also have hair loss. I do not know the problem behind it. Please help me.	Keyword - Unexplained weight loss Hi. You are having a weight loss of five kilograms in one year. It can be due to anxiety, over-exercise, and due to less food intake than a requirement. You can rule out such common cause if it is present. If this is not the issue, then investigate with serum TSH (thyroid stimulating hormone) estimation to rule out hyperthyroid. You can do test for HIV using Elisa, and fourth generation testing if it is suspected. You can do a chest X-ray to rule out any lung problem if it is present. Any chronic infection can also lead to weight loss. So provide your history if it is present. You can consult a physician for a physical examination.	<s>[INST] Hi doctor, I have lost 5 kg in one year. I also have hair loss. I do not know the problem behind it. Please help me. [/INST] Keyword - Unexplained weight loss Hi. You are having a weight loss of five kilograms in one year. It can be due to anxiety, over-exercise, and due to less food intake than a requirement. You can rule out such common cause if it is present. If this is not the issue, then investigate with serum TSH (thyroid stimulating hormone) estimation to rule out hyperthyroid. You can do test for HIV using Elisa, and fourth generation testing if it is suspected. You can do a chest X-ray to rule out any lung problem if it is present. Any chronic infection can also lead to weight loss. So provide your history if it is present. You can consult a physician for a physical examination.
Q. I have rash and flaking of genital skin. How to treat them?	Hi doctor, I have an itchy skin rash, and I have flaking of skin in the genital area. I have this problem for many years. Now, it got severe. How to treat them?	Hi. Please send some photographs taken in natural light and taken from different distances. Please mention about the affected areas.	<s>[INST] Hi doctor, I have an itchy skin rash, and I have flaking of skin in the genital area. I have this problem for many years. Now, it got severe. How to treat them? [/INST] Hi. Please send some photographs taken in natural light and taken from different distances. Please mention about the affected areas.
Q. How to manage stomach pain, cramping and diarrhea?	Hi doctor, My partner and I have symptoms of stomach pain, cramping and diarrhea for two days now. It got started after we had a meal. Please help us.	Hi. You have acute gastroenteritis as a result of food poisoning. Mostly, it is self-limiting within a few days. But we have to rule out other severe conditions like typhoid. Please mention whether you have any skin rash or bloody diarrhea. Drink plenty of water to prevent dehydration. Take Buscopan tablet (Hyoscine butyl bromide) for every six hours. You can take Imodium 4 mg (Loperamide) tablet after each motion of diarrhea. It will help to stop diarrhea.	<s>[INST] Hi doctor, My partner and I have symptoms of stomach pain, cramping and diarrhea for two days now. It got started after we had a meal. Please help us. [/INST] Hi. You have acute gastroenteritis as a result of food poisoning. Mostly, it is self-limiting within a few days. But we have to rule out other severe conditions like typhoid. Please mention whether you have any skin rash or bloody diarrhea. Drink plenty of water to prevent dehydration. Take Buscopan tablet (Hyoscine butyl bromide) for every six hours. You can take Imodium 4 mg (Loperamide) tablet after each motion of diarrhea. It will help to stop diarrhea.
Q. How to prevent a tooth decay and explain about the toxic things we use everyday?	Hi doctor, How can we prevent tooth decay? Please explain about the toxic things that we use every day and say a few words regarding healing tonics.	Hi. Follow these steps to prevent tooth decay. Brush your teeth twice a day. Floss your teeth after each meal. Avoid eating sugary foods. Avoid having a tartar build up in the teeth. Avoid using artificial teeth whiteners. Take a vitamin-rich diet. The toxic things that we touch every day are detergents, dishwashing liquids, petrol, mobile devices, and laptops, body sprays, and perfumes, plastic containers, money (high germ content), and nonstick pans. Healing tonics are polluted with various kinds of pathogenic organisms. They transmit diseases such as leptospirosis, typhoid, and schistosomiasis.	<s>[INST] Hi doctor, How can we prevent tooth decay? Please explain about the toxic things that we use every day and say a few words regarding healing tonics. [/INST] Hi. Follow these steps to prevent tooth decay. Brush your teeth twice a day. Floss your teeth after each meal. Avoid eating sugary foods. Avoid having a tartar build up in the teeth. Avoid using artificial teeth whiteners. Take a vitamin-rich diet. The toxic things that we touch every day are detergents, dishwashing liquids, petrol, mobile devices, and laptops, body sprays, and perfumes, plastic containers, money (high germ content), and nonstick pans. Healing tonics are polluted with various kinds of pathogenic organisms. They transmit diseases such as leptospirosis, typhoid, and schistosomiasis.
Q. Is it safe to do strength training for osteoporosis?	Hi doctor, Is it safe to do strength training for osteoporosis? Does strength training improve the bone mineral density? What type of exercise or movement are good for osteoporosis? Which one has to be avoided, and why? What are the signs and symptoms seen in osteoporosis? When it has to be diagnosed in everyone?	Hi. Strength training is not safe, and it is highly recommended in osteoporosis. It helps to increase the bone mineral density. Do workouts that keep the spine straight such as squatting. Try to strengthen your back muscles. Have workouts on your hip and spine. Do cardio exercise along with these workouts. Have a regular walking. You have to avoid activity that involves the bending of the spine. Avoid doing the heavy lifting. Osteoporosis has to be screened in persons who reach menopause, persons having a history of fracture frequently after 40 years of age and persons with family history. Individuals having back pain, pain in the knee joint, and having fractures frequently has to be screened for osteoporosis. It has to be tested for men above 60 years of age and women above 45 years of age.	<s>[INST] Hi doctor, Is it safe to do strength training for osteoporosis? Does strength training improve the bone mineral density? What type of exercise or movement are good for osteoporosis? Which one has to be avoided, and why? What are the signs and symptoms seen in osteoporosis? When it has to be diagnosed in everyone? [/INST] Hi. Strength training is not safe, and it is highly recommended in osteoporosis. It helps to increase the bone mineral density. Do workouts that keep the spine straight such as squatting. Try to strengthen your back muscles. Have workouts on your hip and spine. Do cardio exercise along with these workouts. Have a regular walking. You have to avoid activity that involves the bending of the spine. Avoid doing the heavy lifting. Osteoporosis has to be screened in persons who reach menopause, persons having a history of fracture frequently after 40 years of age and persons with family history. Individuals having back pain, pain in the knee joint, and having fractures frequently has to be screened for osteoporosis. It has to be tested for men above 60 years of age and women above 45 years of age.
Q. Does lightning crotch during pregnancy affect the baby?	Hi doctor, The lightning crotch is a pain that shoots to the pelvis during pregnancy. Does it affect the baby during pregnancy?	Hi. No, the pain is felt only by the mother, and it does not affect the baby. As the baby grows, the gravid uterus puts pressure on the lower limbs and nerves causing shooting pain. The baby is always comfortable, and it is well protected within the uterus.	<s>[INST] Hi doctor, The lightning crotch is a pain that shoots to the pelvis during pregnancy. Does it affect the baby during pregnancy? [/INST] Hi. No, the pain is felt only by the mother, and it does not affect the baby. As the baby grows, the gravid uterus puts pressure on the lower limbs and nerves causing shooting pain. The baby is always comfortable, and it is well protected within the uterus.
Q. Kindly explain about raw water and how is it different from other types of water.	Hello doctor, What is raw water and how is it different from the tap, spring, and other types of water? What are the perceived benefits and dangers of drinking raw water? When did this fad start? Have you ever seen a patient getting sick by drinking raw water?	Hi. Raw water consumption has become quite a thing recently, particularly in certain parts of the united states and among people depending on or advocating alternative or herbal medicine. It is unprocessed and totally natural water so it is high in salt contents and other constituents that prevent or slow down cellular aging, however this is just theoretical with no published results. It differs from filtered water and spring water in its high salt contents and silica and lacking chlorine and fluoride which are usually found in processed water. Also, the main difference is that it contains many pathogenic organisms ranging from bacteria to parasites causing various diseases and serious infections some of which are life-threatening. Namely, typhoid and paratyphoid fever, leptospirosis, shigellosis, schistosomiasis, cholera, amoebiasis, etc. I have heard of many cases of raw water making people sick. Cases of typhoid, amoebiasis, and cholera which are water borne diseases are quite prevalent in some areas.	<s>[INST] Hello doctor, What is raw water and how is it different from the tap, spring, and other types of water? What are the perceived benefits and dangers of drinking raw water? When did this fad start? Have you ever seen a patient getting sick by drinking raw water? [/INST] Hi. Raw water consumption has become quite a thing recently, particularly in certain parts of the united states and among people depending on or advocating alternative or herbal medicine. It is unprocessed and totally natural water so it is high in salt contents and other constituents that prevent or slow down cellular aging, however this is just theoretical with no published results. It differs from filtered water and spring water in its high salt contents and silica and lacking chlorine and fluoride which are usually found in processed water. Also, the main difference is that it contains many pathogenic organisms ranging from bacteria to parasites causing various diseases and serious infections some of which are life-threatening. Namely, typhoid and paratyphoid fever, leptospirosis, shigellosis, schistosomiasis, cholera, amoebiasis, etc. I have heard of many cases of raw water making people sick. Cases of typhoid, amoebiasis, and cholera which are water borne diseases are quite prevalent in some areas.
Q. Will standing bare-foot on rat's blood cause rabies?	Hello doctor, I stood on a rat's blood that my assistant killed about half an hour after the incident. It was hit on the head so I presume there was some saliva in the blood, I was obviously bare-footed and have no open sores on my feet but do have cracked heels. Is there any way I could have contracted rabies if the animal had been rabid?	Hi. I understand that you are worried but the chances of you contracting rabies from a pool of blood while may or may not have saliva of a bat which might or might not have been rabid are quite slim. However, if your heels are cracked enough to have caused an opening in the skin then I think you could get a rabies vaccine course, just to be on the safe side assuming that the bat was stray. Do not be scared as the sole is far away from the brain so, in the unlikely case of the virus being there, it is still not too late to get the vaccine.	<s>[INST] Hello doctor, I stood on a rat's blood that my assistant killed about half an hour after the incident. It was hit on the head so I presume there was some saliva in the blood, I was obviously bare-footed and have no open sores on my feet but do have cracked heels. Is there any way I could have contracted rabies if the animal had been rabid? [/INST] Hi. I understand that you are worried but the chances of you contracting rabies from a pool of blood while may or may not have saliva of a bat which might or might not have been rabid are quite slim. However, if your heels are cracked enough to have caused an opening in the skin then I think you could get a rabies vaccine course, just to be on the safe side assuming that the bat was stray. Do not be scared as the sole is far away from the brain so, in the unlikely case of the virus being there, it is still not too late to get the vaccine.
Q. How long should my husband and I wait to try for a baby if we did cocaine?	Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.	Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?	Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?	Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.	Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.	Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->	<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?	Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?	Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->	<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Q. Why do periods get delayed after first time sex?	Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?	Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->	<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
Q. I am facing erection problem for the past few months without underlying issues. Why?	Hi doctor, I am a 40-year-old male. I am married with two kids. I have been experiencing erection problems for the past eight months. I am able to get erection most of the time but it doest last until intercourse. My morning erections have disappeared. I have no diabetic history, no blood pressure nor high cholesterol, or other medical conditions. My desire is lower than before. I used to have a very good and active sex life with my partner until last year. Please advice.	Hi. I have some questions from my side. Do partial erection occurs only during intercourse or during masturbation? Are you able to insert during intercourse or that is also not possible? Do you have any history of diabetes or hypertension? Are you a smoker or alcoholic?	<s>[INST] Hi doctor, I am a 40-year-old male. I am married with two kids. I have been experiencing erection problems for the past eight months. I am able to get erection most of the time but it doest last until intercourse. My morning erections have disappeared. I have no diabetic history, no blood pressure nor high cholesterol, or other medical conditions. My desire is lower than before. I used to have a very good and active sex life with my partner until last year. Please advice. [/INST] Hi. I have some questions from my side. Do partial erection occurs only during intercourse or during masturbation? Are you able to insert during intercourse or that is also not possible? Do you have any history of diabetes or hypertension? Are you a smoker or alcoholic?
Q. Can one have sex after a heart attack?	Hello doctor, Can you have sex after a heart attack?	Hello. This is a very common question among heart attack patients. I would explain that there is not a specific time to return to your sexual life after a heart attack. It depends on the individual basis of physical activity. It is usually recommended to start sexual intercourse when the patient is also able to perform a moderate physical activity (climbing a pair of stairs, walking 100 meters, etc.). An exercise cardiac stress test can be performed, just to be sure that the patient can afford to perform a moderate physical activity.	<s>[INST] Hello doctor, Can you have sex after a heart attack? [/INST] Hello. This is a very common question among heart attack patients. I would explain that there is not a specific time to return to your sexual life after a heart attack. It depends on the individual basis of physical activity. It is usually recommended to start sexual intercourse when the patient is also able to perform a moderate physical activity (climbing a pair of stairs, walking 100 meters, etc.). An exercise cardiac stress test can be performed, just to be sure that the patient can afford to perform a moderate physical activity.
Q. Kindly tell me how HIT exercise boosts the mood.	Hello doctor, How HIT exercise can boost your mood?	Hi. I am sure a lot of people are aware of the neurotransmitter serotonin which is directly linked to mood changes. A decrease in the amount of serotonin in the body can lead to depression and low mood. When talking about exercise to boost your mood, it is thereby wise to focus on the ones that raise your blood serotonin levels significantly. Running and yoga are the best ways to do that and if you cannot or unable to do either of these, you can try jogging or brisk walking, particularly in the early morning and preferably with surrounding greenery. Bicycling, one can take this up simply as a means of transport too and boost one's mood. Stretch exercises, treadmill if you want to keep to the gym. Any of these can be done multiple times a day in short bursts, and prove to be significantly effective according to various studies.	<s>[INST] Hello doctor, How HIT exercise can boost your mood? [/INST] Hi. I am sure a lot of people are aware of the neurotransmitter serotonin which is directly linked to mood changes. A decrease in the amount of serotonin in the body can lead to depression and low mood. When talking about exercise to boost your mood, it is thereby wise to focus on the ones that raise your blood serotonin levels significantly. Running and yoga are the best ways to do that and if you cannot or unable to do either of these, you can try jogging or brisk walking, particularly in the early morning and preferably with surrounding greenery. Bicycling, one can take this up simply as a means of transport too and boost one's mood. Stretch exercises, treadmill if you want to keep to the gym. Any of these can be done multiple times a day in short bursts, and prove to be significantly effective according to various studies.
Q. Will my abdominal pain after cholecystectomy throw me into SVT?	Hello doctor, I am 29 years old male, 5'7", 235 lbs. I am suffering from SVT, degenerative disc L4 to S1, ulcerative colitis. Have undergone appendectomy (more than 10 years ago), tonsillectomy (more than 10 years ago), cholecystectomy (three years back). Medicines I am taking are Lopressor 50 mg twice daily, Norco 10 mg (as needed), Bentyl 20 mg. For the last three days, I have been having severe abdominal pain. Similar pain as when I had gallbladder attacks. Started out as come and go thing. But all day has been constant. I had also been vomiting. At least six times today. Not able to keep any medicines down or food or liquids. For the last few hours now I have been having episodes of SVT. Not lasting longer than 20 minutes and the maximum rate was 210. However, I have been able to vagal down each time. I am currently at the normal rate but my BP is high (176/110). Can my abdominal pain throw me into SVT? I have not had an episode like this in quite a while. Usually well controlled. Mostly my concern is with the abdominal pain as this is very painful and becoming intolerable.	Hi. Your symptoms are most likely a classic case of post cholesystectomy syndrome which occurs roughly after two years post cholecystectomy, like your case. This can be dealt with by dietary modification like fat-restricted diet and oral ursodeoxycholic acid if there are persisting stones. An abdominal ultrasound can identify it. Hepatitis could also be a possibility so do not take Aspirin or any NSAIDs. Antispasmodics can help with the pain. As for SVT (supraventricular tachycardia), anything can set off an attack like stress, exertion. So, in your case, the severity of the pain could be causing it. You need to get both your heart rate and blood pressure down as soon as possible. You might need injection Adenosine. Take an antispasmodic for the right quadrant pain. I understand all these medications require a prescription. Upper abdominal ultrasound. Acute hepatitis. Postcholecystectomy syndrome with supraventricular tachycardia. Prescription drugs like a beta blocker or Adenosine, antispasmodic for pain relief, Ursodeoxycholic acid if microlithiasis. Avoid fatty food.	<s>[INST] Hello doctor, I am 29 years old male, 5'7", 235 lbs. I am suffering from SVT, degenerative disc L4 to S1, ulcerative colitis. Have undergone appendectomy (more than 10 years ago), tonsillectomy (more than 10 years ago), cholecystectomy (three years back). Medicines I am taking are Lopressor 50 mg twice daily, Norco 10 mg (as needed), Bentyl 20 mg. For the last three days, I have been having severe abdominal pain. Similar pain as when I had gallbladder attacks. Started out as come and go thing. But all day has been constant. I had also been vomiting. At least six times today. Not able to keep any medicines down or food or liquids. For the last few hours now I have been having episodes of SVT. Not lasting longer than 20 minutes and the maximum rate was 210. However, I have been able to vagal down each time. I am currently at the normal rate but my BP is high (176/110). Can my abdominal pain throw me into SVT? I have not had an episode like this in quite a while. Usually well controlled. Mostly my concern is with the abdominal pain as this is very painful and becoming intolerable. [/INST] Hi. Your symptoms are most likely a classic case of post cholesystectomy syndrome which occurs roughly after two years post cholecystectomy, like your case. This can be dealt with by dietary modification like fat-restricted diet and oral ursodeoxycholic acid if there are persisting stones. An abdominal ultrasound can identify it. Hepatitis could also be a possibility so do not take Aspirin or any NSAIDs. Antispasmodics can help with the pain. As for SVT (supraventricular tachycardia), anything can set off an attack like stress, exertion. So, in your case, the severity of the pain could be causing it. You need to get both your heart rate and blood pressure down as soon as possible. You might need injection Adenosine. Take an antispasmodic for the right quadrant pain. I understand all these medications require a prescription. Upper abdominal ultrasound. Acute hepatitis. Postcholecystectomy syndrome with supraventricular tachycardia. Prescription drugs like a beta blocker or Adenosine, antispasmodic for pain relief, Ursodeoxycholic acid if microlithiasis. Avoid fatty food.
Q. White tongue and blisters in the throat three months after sex. Is it serious?	Hello doctor, I had sex about three months ago but the body has been feeling strange lately. My partner is negative. This is how my symptoms started. It was one day in school two months back where I just could not sit down because of my lower back pain and would go away about two days later and notice everytime I get out of the bed, I would have back pain in the spine area. I would say after that started going on, about two weeks later my tongue and fever popped up on my lip and form a white clear blister popped out and noticed my tongue got white and all my lymph nodes started to swell. The next day I felt my arms burn on and off and the right side of my groin throbbing but you can see it swollen there. I went to the first aid and they said it is an upper yeast infection and then I went to another and they said it could be cancer or HIV symptoms because of the white tongue and blisters in my throat. So I panicked and went to the hospital and they ran for HIV and it came back negative. I have to include that I took an OraQuick test for HIV and it came back negative. She came and told me that I had a viral infection and to drink plenty of water. Now, today I went to the health department for a full STD test of everthing for that as well. However, my result was fine and I had night sweats when I started taking medicine. And now that some of my lymph nodes are there on my left side of my neck and armpit, and the right side of my groin is throbbing but does not appear to be swollen. My mouth is tingling because of HSV1 and my finger are throbbing or jumpy but painless and sometimes become stiff.	Hello. First of all, you have to acknowledge that your STD tests and HIV OraQuick are negative so that there is nothing serious. You are 26 and if the whitish lesions were not there prior to sex then we can rule out cancer too. You are not in a high-risk age and cancerous lesion does not appear all of sudden. HIV has been ruled out already. The test came negative and your partner is safe too. The enlarged lymph nodes could occur even in candida infection too. Rest of the symptoms you have could be explained by active febrile illness most likely viral. You should get your CBC or complete hemogram done again. This will help in finding out infection. Continue to take anti inflammatory drugs for symptomatic relief. Tingling could be partially due to anxiety.	<s>[INST] Hello doctor, I had sex about three months ago but the body has been feeling strange lately. My partner is negative. This is how my symptoms started. It was one day in school two months back where I just could not sit down because of my lower back pain and would go away about two days later and notice everytime I get out of the bed, I would have back pain in the spine area. I would say after that started going on, about two weeks later my tongue and fever popped up on my lip and form a white clear blister popped out and noticed my tongue got white and all my lymph nodes started to swell. The next day I felt my arms burn on and off and the right side of my groin throbbing but you can see it swollen there. I went to the first aid and they said it is an upper yeast infection and then I went to another and they said it could be cancer or HIV symptoms because of the white tongue and blisters in my throat. So I panicked and went to the hospital and they ran for HIV and it came back negative. I have to include that I took an OraQuick test for HIV and it came back negative. She came and told me that I had a viral infection and to drink plenty of water. Now, today I went to the health department for a full STD test of everthing for that as well. However, my result was fine and I had night sweats when I started taking medicine. And now that some of my lymph nodes are there on my left side of my neck and armpit, and the right side of my groin is throbbing but does not appear to be swollen. My mouth is tingling because of HSV1 and my finger are throbbing or jumpy but painless and sometimes become stiff. [/INST] Hello. First of all, you have to acknowledge that your STD tests and HIV OraQuick are negative so that there is nothing serious. You are 26 and if the whitish lesions were not there prior to sex then we can rule out cancer too. You are not in a high-risk age and cancerous lesion does not appear all of sudden. HIV has been ruled out already. The test came negative and your partner is safe too. The enlarged lymph nodes could occur even in candida infection too. Rest of the symptoms you have could be explained by active febrile illness most likely viral. You should get your CBC or complete hemogram done again. This will help in finding out infection. Continue to take anti inflammatory drugs for symptomatic relief. Tingling could be partially due to anxiety.
Q. Kindly tell me whether my abdomen ultrasound shows prostatic cyst.	Hello doctor, I am turning 40 in a few days. For the past two months, I have been having gas or burning sensation, etc. Three weeks ago, I noticed some black specs but could not tell whether it was blood, so went to a local gastro clinic. We did a series of test endoscopy, abdominal ultrasound, blood test, stool test. All were normal. However, while doing the abdominal ultrasound, there was an observation on the prostate. Prostate was normal in size and echotexture. Tiny cyst measuring 3X2 mm seen in the midline. No free fluid noted. The overall impression is abdomen: no sonological abnormality detected, pelvis: tiny midline prostate cyst. I just wanted to know what can I do about the prostate cyst observation.	Hi. The prostatic cyst is a fluid-filled bubble in the prostate which is usually harmless and present since birth but becomes detectable in adulthood. You should not worry about it. If you have urinary problems, you can contact again.	<s>[INST] Hello doctor, I am turning 40 in a few days. For the past two months, I have been having gas or burning sensation, etc. Three weeks ago, I noticed some black specs but could not tell whether it was blood, so went to a local gastro clinic. We did a series of test endoscopy, abdominal ultrasound, blood test, stool test. All were normal. However, while doing the abdominal ultrasound, there was an observation on the prostate. Prostate was normal in size and echotexture. Tiny cyst measuring 3X2 mm seen in the midline. No free fluid noted. The overall impression is abdomen: no sonological abnormality detected, pelvis: tiny midline prostate cyst. I just wanted to know what can I do about the prostate cyst observation. [/INST] Hi. The prostatic cyst is a fluid-filled bubble in the prostate which is usually harmless and present since birth but becomes detectable in adulthood. You should not worry about it. If you have urinary problems, you can contact again.
Q. Does using laptops for a longer duration make the eyes small?	Hi doctor, My eyes have become smaller over the years. It did not happen all of a sudden. They have become smaller for a few years. I use the laptop for more than 10 hours a day. Does the problem occur due to increased use of a computer? Do I need to wear anti-glare or blue cut lenses? I am taking tablets for the thyroid problem for the past four years.	Hi. You can share a close picture of your eyes. You might have drooping of eyelids which is known as ptosis. It gives an appearance of eyes getting smaller. When you are using a computer regularly, kindly follow these instructions. Display of your screen should have a good resolution. The height of the screen should be below the eye level. Move your eyes from the screen for every 20 minutes and gaze at an object as far as possible for 20 seconds and then get back to work. Blink your eyes for at least 15 to 20 times per minute. Whenever you click the mouse, try to blink. Take a break for every 45 minutes. Instill refresh tears eye drop to the eyes for four to six times a day. When your eyes feel tired, light your room. The light should come from behind your head, and it should not be in front of you.	<s>[INST] Hi doctor, My eyes have become smaller over the years. It did not happen all of a sudden. They have become smaller for a few years. I use the laptop for more than 10 hours a day. Does the problem occur due to increased use of a computer? Do I need to wear anti-glare or blue cut lenses? I am taking tablets for the thyroid problem for the past four years. [/INST] Hi. You can share a close picture of your eyes. You might have drooping of eyelids which is known as ptosis. It gives an appearance of eyes getting smaller. When you are using a computer regularly, kindly follow these instructions. Display of your screen should have a good resolution. The height of the screen should be below the eye level. Move your eyes from the screen for every 20 minutes and gaze at an object as far as possible for 20 seconds and then get back to work. Blink your eyes for at least 15 to 20 times per minute. Whenever you click the mouse, try to blink. Take a break for every 45 minutes. Instill refresh tears eye drop to the eyes for four to six times a day. When your eyes feel tired, light your room. The light should come from behind your head, and it should not be in front of you.
Q. My external vagina is itchy during pregnancy without bumps, discharge or pain. Why?	Hi doctor, I am pregnant. My exterior vagina is itchy. It is itchy in the clitoral hood. I do not have bumps, discharge, and pain. I had a vaginal checkup, and all the STD testing was done at the beginning of the pregnancy. The results came fine.	Hi. From your history, I can see you are slightly overweight. It increases your body sweat, and pregnancy increases the body secretions. Usually, the areas around the vagina are wet with sweat, sebaceous gland secretions and due to the water, we use locally. These factors allow the growth of fungus locally. These result in causing these symptoms. Use cotton undergarments. Use local wash like V wash (Lactic acid with Tea tree oil) locally twice a day. Apply local ointment like Candid B (Beclomethasone with Clotrimazole) twice a day for one week. Do not use undergarments at bedtime.	<s>[INST] Hi doctor, I am pregnant. My exterior vagina is itchy. It is itchy in the clitoral hood. I do not have bumps, discharge, and pain. I had a vaginal checkup, and all the STD testing was done at the beginning of the pregnancy. The results came fine. [/INST] Hi. From your history, I can see you are slightly overweight. It increases your body sweat, and pregnancy increases the body secretions. Usually, the areas around the vagina are wet with sweat, sebaceous gland secretions and due to the water, we use locally. These factors allow the growth of fungus locally. These result in causing these symptoms. Use cotton undergarments. Use local wash like V wash (Lactic acid with Tea tree oil) locally twice a day. Apply local ointment like Candid B (Beclomethasone with Clotrimazole) twice a day for one week. Do not use undergarments at bedtime.
Q. I have severe pain in the left leg after lifting a heavy object. Please help.	Hi doctor, I have a diagnosis of disc herniation. I have done an MRI. I have severe pain in the left leg. I have this problem for the past two months. It got started before four months when I lifted a heavy box. I have a sharp pain. After two months, it became normal. After a month, it came back suddenly. I have sent you the photos of the disc.	Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, you have a large paracentral disc prolapse on the left side. I cannot say about the level involved as you have not sent a sagittal section. If you have the symptoms matching with the level of the disc, then you have to wait for at least six weeks for the disc to have a shrinkage. If there is no improvement or if you are having motor weakness or bowel or bladder disturbance, then these are the indicators for the surgery rather than having a conservative treatment. A decision to have surgery should be taken by yourself along with the advice of the clinical examiner.	<s>[INST] Hi doctor, I have a diagnosis of disc herniation. I have done an MRI. I have severe pain in the left leg. I have this problem for the past two months. It got started before four months when I lifted a heavy box. I have a sharp pain. After two months, it became normal. After a month, it came back suddenly. I have sent you the photos of the disc. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Yes, you have a large paracentral disc prolapse on the left side. I cannot say about the level involved as you have not sent a sagittal section. If you have the symptoms matching with the level of the disc, then you have to wait for at least six weeks for the disc to have a shrinkage. If there is no improvement or if you are having motor weakness or bowel or bladder disturbance, then these are the indicators for the surgery rather than having a conservative treatment. A decision to have surgery should be taken by yourself along with the advice of the clinical examiner.
Q. Does using Noctiva nasal spray reduce the sodium levels in the body?	Hi doctor, I had a bladder leakage at night. I tested my urine. It was fine. I do not have urine leakage during the daytime. I had this problem before five months. My urologist gave me Nocitva nose spray. I have read that using Noctiva can lower the sodium present in the body. I tested my sodium level before eight months. It was 142 mEq/L. Do I need to check my sodium level now? Please suggest.	Hi. Yes, using Noctiva nasal spray (Desmopressin acetate) can cause a decrease in sodium levels in the blood. The risk is small, and it usually happens within the first month. Then your body starts coping with it. Generally, we measure the sodium levels just before starting the drug, a week after starting the medication and a month after taking the drug. If we find the levels in a stable condition, then we repeat them once in six months. In your case, as you have started the medication, I would advise you to get a sodium level now and a couple of weeks later. If they are normal, then you can get it done for every six months. It is just a precaution to monitor these levels, as the actual risk of developing low sodium levels is less than 10 %.	<s>[INST] Hi doctor, I had a bladder leakage at night. I tested my urine. It was fine. I do not have urine leakage during the daytime. I had this problem before five months. My urologist gave me Nocitva nose spray. I have read that using Noctiva can lower the sodium present in the body. I tested my sodium level before eight months. It was 142 mEq/L. Do I need to check my sodium level now? Please suggest. [/INST] Hi. Yes, using Noctiva nasal spray (Desmopressin acetate) can cause a decrease in sodium levels in the blood. The risk is small, and it usually happens within the first month. Then your body starts coping with it. Generally, we measure the sodium levels just before starting the drug, a week after starting the medication and a month after taking the drug. If we find the levels in a stable condition, then we repeat them once in six months. In your case, as you have started the medication, I would advise you to get a sodium level now and a couple of weeks later. If they are normal, then you can get it done for every six months. It is just a precaution to monitor these levels, as the actual risk of developing low sodium levels is less than 10 %.
Q. What is the skin tag connecting via side of my vulva skin?	Hello doctor,I am 22 years old and I have two children. No health issues. Around four months ago, I had sharp stabbing pains in my pelvic area, foul odor discharge, irregular bleeding, yellow or brown vaginal discharge. I am in my second year of being on the contraception implant Nexplanon. Due to my age, the local doctor could not help and said I needed to go to a sexual health clinic so I did. They said I had BV (bacterial vaginosis) and gave me antibiotics. I still have bad smelly discharge even four months later. But my main concern is I was going to the toilet and as I wiped I felt a lump in the middle of my vulva. I asked my husband to have a look he said it looks like a skin tag. It is connected via the side of my vulva skin and around that area is different shades of color and it slightly hangs.	Hi. Do you have any other medical health issue or have been on medications? It is better to have a complete check and treatment if any health issue you have. Regarding discharge, it should be checked in the laboratory by sending a high vaginal swab to check which organism is causing smell and irritation. So, for vaginal discharge, you should have a high vaginal swab and its report needs to be checked here or with a local gynecologist doctor or even you can discuss with infectious control to get specific treatment, if needed. After collection of the swab, have tablet Metronidazole 400 mg eight hourly and tablet Doxycycline 100 mg 12 hourly for 14 days. After swab result, it might be possible that you need specific treatment as well or need to investigate and treat your partner as well. For lump at the vulva, it would be better if you would send me a picture of the issue. If it is lump hanging or coming out or seems to move out at coughing, the pressure or at abdominal stress, then it could be prolapse like cystocele, at rectum rectocele or urethrocele might be due to tissue weakness or increased intraabdominal pressure or difficult delivery. The skin over it could be different due to local friction even could be inflamed and bleed as well. If just small skin tags are hanging, those could be warts that is the infection actually. Any local cyst or abscess could be likely related to Bartholin gland that also needs to be treated. It is better to have one local examination at the time of collection of swab by the gynecologist. The skin tags or skin scrapping could be sent if it is wart like thing to confirm causative organism. In case of lump that could be cystocele, rectocele or urethrocele, and needs to be graded as in some cases, it needs exercises, vaginal pessary or even more advancd surgery. Have a strict hygiene. Wear soft comfortable undergarments. Use condoms to prevent transmission of sexually transmitted infection. Sitz bath can be tried. Avoid local cosmetics. Use a soft blade to clean hair.	<s>[INST] Hello doctor,I am 22 years old and I have two children. No health issues. Around four months ago, I had sharp stabbing pains in my pelvic area, foul odor discharge, irregular bleeding, yellow or brown vaginal discharge. I am in my second year of being on the contraception implant Nexplanon. Due to my age, the local doctor could not help and said I needed to go to a sexual health clinic so I did. They said I had BV (bacterial vaginosis) and gave me antibiotics. I still have bad smelly discharge even four months later. But my main concern is I was going to the toilet and as I wiped I felt a lump in the middle of my vulva. I asked my husband to have a look he said it looks like a skin tag. It is connected via the side of my vulva skin and around that area is different shades of color and it slightly hangs. [/INST] Hi. Do you have any other medical health issue or have been on medications? It is better to have a complete check and treatment if any health issue you have. Regarding discharge, it should be checked in the laboratory by sending a high vaginal swab to check which organism is causing smell and irritation. So, for vaginal discharge, you should have a high vaginal swab and its report needs to be checked here or with a local gynecologist doctor or even you can discuss with infectious control to get specific treatment, if needed. After collection of the swab, have tablet Metronidazole 400 mg eight hourly and tablet Doxycycline 100 mg 12 hourly for 14 days. After swab result, it might be possible that you need specific treatment as well or need to investigate and treat your partner as well. For lump at the vulva, it would be better if you would send me a picture of the issue. If it is lump hanging or coming out or seems to move out at coughing, the pressure or at abdominal stress, then it could be prolapse like cystocele, at rectum rectocele or urethrocele might be due to tissue weakness or increased intraabdominal pressure or difficult delivery. The skin over it could be different due to local friction even could be inflamed and bleed as well. If just small skin tags are hanging, those could be warts that is the infection actually. Any local cyst or abscess could be likely related to Bartholin gland that also needs to be treated. It is better to have one local examination at the time of collection of swab by the gynecologist. The skin tags or skin scrapping could be sent if it is wart like thing to confirm causative organism. In case of lump that could be cystocele, rectocele or urethrocele, and needs to be graded as in some cases, it needs exercises, vaginal pessary or even more advancd surgery. Have a strict hygiene. Wear soft comfortable undergarments. Use condoms to prevent transmission of sexually transmitted infection. Sitz bath can be tried. Avoid local cosmetics. Use a soft blade to clean hair.
Q. I feel tightness in the right side of my body. Why?	Hello doctor, The right part of my body feels tighter that the left. I feel pain in my right calf and thigh when I wear trousers and in my right underarm when I wear a shirt. What can I do to solve this?	Hi. I understand your concern. I need to know more about your symptoms. When and how does it start? Is it increasing day by day or it is the same? Is it associated with any pain or muscle ache? Is it aggravated by activity? Are there any diurnal variations? Is there any back pain or neck pain? Any numbness or loss of sensation? How about urination? Any history of trauma or headache? The most common cause of stiffness on one side of the body is muscle rigidity, also known as muscle tension, which can result in muscle pain. It is characterized by the inability of the muscles to relax normally. We are worried about unilateral stiffness. It could be due to spinal cord or brain-related conditions such as minor stroke or multiple sclerosis, spine injury, etc. For the same you need evaluation, I suggest you should consult your physician. Symptomatic relief includes physiotherapy, isometric exercise, and stretching will help. You also can use hot fomentation or massage to relax your limbs. I hope this helps.	<s>[INST] Hello doctor, The right part of my body feels tighter that the left. I feel pain in my right calf and thigh when I wear trousers and in my right underarm when I wear a shirt. What can I do to solve this? [/INST] Hi. I understand your concern. I need to know more about your symptoms. When and how does it start? Is it increasing day by day or it is the same? Is it associated with any pain or muscle ache? Is it aggravated by activity? Are there any diurnal variations? Is there any back pain or neck pain? Any numbness or loss of sensation? How about urination? Any history of trauma or headache? The most common cause of stiffness on one side of the body is muscle rigidity, also known as muscle tension, which can result in muscle pain. It is characterized by the inability of the muscles to relax normally. We are worried about unilateral stiffness. It could be due to spinal cord or brain-related conditions such as minor stroke or multiple sclerosis, spine injury, etc. For the same you need evaluation, I suggest you should consult your physician. Symptomatic relief includes physiotherapy, isometric exercise, and stretching will help. You also can use hot fomentation or massage to relax your limbs. I hope this helps.
Q. How long should my husband and I wait to try for a baby if we did cocaine?	Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.	Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?	Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?	Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->	<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.	Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.	Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->	<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?	Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?	Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->	<s>[INST] Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
Q. Why do periods get delayed after first time sex?	Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?	Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->	<s>[INST] Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
Q. Can hemoglobin A2 level 4. 3 indicate a carrier of beta-thalassemia?	Hello doctor, I was just wondering for a second opinion on some results which I have received being 8+4 weeks pregnant. My FBC was normal but my hemoglobin A2 Level is 4.3 and it says the normal range is 1.5 to 3.6. But I just wanted to know if this definitely means I am a carrier of beta-thalassemia.	Hi. Your attached CBC report shows normal hemoglobin and MCV with RBC count is also within range (attachment removed to protect patient identity). I have calculated Mentzer index as well which is also not in favor of thalassemia minor. Moreover, in the report, also it has been mentioned that referral to higher laboratory needed for confirmation. So, your chance of having thalassemia minor is less. I suggest you investigate with Hb electrophoresis by HPLC method to exclusively rule out thalassemia minor in a different laboratory.	<s>[INST] Hello doctor, I was just wondering for a second opinion on some results which I have received being 8+4 weeks pregnant. My FBC was normal but my hemoglobin A2 Level is 4.3 and it says the normal range is 1.5 to 3.6. But I just wanted to know if this definitely means I am a carrier of beta-thalassemia. [/INST] Hi. Your attached CBC report shows normal hemoglobin and MCV with RBC count is also within range (attachment removed to protect patient identity). I have calculated Mentzer index as well which is also not in favor of thalassemia minor. Moreover, in the report, also it has been mentioned that referral to higher laboratory needed for confirmation. So, your chance of having thalassemia minor is less. I suggest you investigate with Hb electrophoresis by HPLC method to exclusively rule out thalassemia minor in a different laboratory.