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Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I had irritation around the anal area. Why? | Hi doctor, I am a 39-year-old male. I had irritation around the anal area before a week. Please suggest. | Hi. It will be easy for me to help you if you upload a picture of it. |
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Hi doctor, I am a 39-year-old male. I had irritation around the anal area before a week. Please suggest. [/INST] Hi. It will be easy for me to help you if you upload a picture of it. |
Q. Can a collarbone fracture heal by itself or need surgery? | Hi doctor, I fell from a bike and suffered a right collarbone fracture. It has been three weeks and bone still seems to be moving. My hand is in a sling and I am also wearing the brace. 2 to 3 days back started noticing bone tenting towards the skin. Will the fracture heal by itself or will I need surgery? | Hello. Treatment for clavicle fracture depends on the fracture configuration and displacements. If it is tenting the skin over it or shortening of more than 2 cm, it is an indication for surgical treatment. Surgery means we open the fracture site and reduce the fragments and fix it with plate and screws. Please send X-ray picture and the clinical photo of your collar region. |
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Hi doctor, I fell from a bike and suffered a right collarbone fracture. It has been three weeks and bone still seems to be moving. My hand is in a sling and I am also wearing the brace. 2 to 3 days back started noticing bone tenting towards the skin. Will the fracture heal by itself or will I need surgery? [/INST] Hello. Treatment for clavicle fracture depends on the fracture configuration and displacements. If it is tenting the skin over it or shortening of more than 2 cm, it is an indication for surgical treatment. Surgery means we open the fracture site and reduce the fragments and fix it with plate and screws. Please send X-ray picture and the clinical photo of your collar region. |
Q. Is high hemoglobin level indicative of some disease? | Hello doctor, I am so worried. I had a blood test and my hemoglobin is 16 g/dl (9.9 mmol/l) and hematocrit is 46 PTC. I am female, 39, and healthy. My white blood cells, platelets, and thrombocytes are in normal middle range. Is a bit high hemoglobin sign of some sickness? What to do next? | Hi, Welcome back to icliniq.com. So, actually, your hemoglobin level is borderline high and not low. So, you are not having anemia. You are probably thinking about polycythemia. But as your hemoglobin is not much elevated and your total WBC count with platelet count are within range, no need to worry. In the female, normal hemoglobin range is between 13 to 16. I suggest you investigate with serum erythropoietin just to be sure if it is within range. Excess non-vegetarian diet also can lead to high hemoglobin level. Sometimes, if the investigation is done in the dehydration stage, then also such finding can occur. You can revert back with serum EPO (erythropoietin) report to guide you further. |
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Hello doctor, I am so worried. I had a blood test and my hemoglobin is 16 g/dl (9.9 mmol/l) and hematocrit is 46 PTC. I am female, 39, and healthy. My white blood cells, platelets, and thrombocytes are in normal middle range. Is a bit high hemoglobin sign of some sickness? What to do next? [/INST] Hi, Welcome back to icliniq.com. So, actually, your hemoglobin level is borderline high and not low. So, you are not having anemia. You are probably thinking about polycythemia. But as your hemoglobin is not much elevated and your total WBC count with platelet count are within range, no need to worry. In the female, normal hemoglobin range is between 13 to 16. I suggest you investigate with serum erythropoietin just to be sure if it is within range. Excess non-vegetarian diet also can lead to high hemoglobin level. Sometimes, if the investigation is done in the dehydration stage, then also such finding can occur. You can revert back with serum EPO (erythropoietin) report to guide you further. |
Q. How to manage a discolored tooth after a dental trauma? | Hi doctor, Around a month ago, I had a dental trauma on my lower three incisors. The teeth have moved slightly from their original position. My dentist has advised me for a root canal for all the three teeth. Now before two days, he started the process, and one of my teeth has turned black. What can I do now? | Hi. I can understand your concern. I feel that the dentist has to stabilize your teeth first if they are mobile. It can be done by splinting. RCT (root canal treatment) is usually done to the teeth if the trauma has involved the pulp. Discoloration or pink teeth usually occurs in injury. If the RCT is done, place a crown over the treated tooth, and the discoloration will go off definitely. I can guide you better if you send the photograph of the teeth with an X-ray. |
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Hi doctor, Around a month ago, I had a dental trauma on my lower three incisors. The teeth have moved slightly from their original position. My dentist has advised me for a root canal for all the three teeth. Now before two days, he started the process, and one of my teeth has turned black. What can I do now? [/INST] Hi. I can understand your concern. I feel that the dentist has to stabilize your teeth first if they are mobile. It can be done by splinting. RCT (root canal treatment) is usually done to the teeth if the trauma has involved the pulp. Discoloration or pink teeth usually occurs in injury. If the RCT is done, place a crown over the treated tooth, and the discoloration will go off definitely. I can guide you better if you send the photograph of the teeth with an X-ray. |
Q. Will taking Lonopin cause any complication in a pregnant HIV patient? | Hello doctor, My sister is 6 months 20 days pregnant with ART. She is having premature ovarian dysfunction. She was on Lonopin 40 mg with Ecosprin tablets. She had undergone two time ART procedure. All her reports were fine, but the fetus had no pulsations. So, she underwent two times for abortion. Now this time everything is fine, and her doctor advised to stop Lonopin. He said nothing to be worried about and no need to take an injection. Do you think she needs to take these injections and if she takes these injections full time, can it bring some complications? | Hello. No, she should not stop low molecular weight injection and instead take a good brand either Enoxaparin or LMWX and tablet Ecosprin 150 mg, as her previous history is such that we should not ignore it. If not taken, then she is at high risk for early development of high BP, slow growth of the baby, water level around the baby remains low and some time bleeding can occur during pregnancy. So you have to be very careful. |
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Hello doctor, My sister is 6 months 20 days pregnant with ART. She is having premature ovarian dysfunction. She was on Lonopin 40 mg with Ecosprin tablets. She had undergone two time ART procedure. All her reports were fine, but the fetus had no pulsations. So, she underwent two times for abortion. Now this time everything is fine, and her doctor advised to stop Lonopin. He said nothing to be worried about and no need to take an injection. Do you think she needs to take these injections and if she takes these injections full time, can it bring some complications? [/INST] Hello. No, she should not stop low molecular weight injection and instead take a good brand either Enoxaparin or LMWX and tablet Ecosprin 150 mg, as her previous history is such that we should not ignore it. If not taken, then she is at high risk for early development of high BP, slow growth of the baby, water level around the baby remains low and some time bleeding can occur during pregnancy. So you have to be very careful. |
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? | Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. | Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help. |
Q. Why am I having itchy throat and stuffy nose after allogenic bone marrow transplant? | Hello doctor, I am an 18-year-old girl. I have been a patient of beta thalassemia major. Recently allogenic bone marrow transplant was conducted (70 days since transplant). Before this, I had no history of any allergy or rash or another disease other than thalassemia. Recently, I have felt itchy throat-stuffy nose only on one side of the nose that is open and closes when I lie down. Moreover, due to an itch, there is a cough. No nasal drippings. | Hi. Your symptoms are suggestive of upper respiratory tract infection, possibly allergic inflammation. I suggest you investigate with CBC for primary work up. Meanwhile, a decongestant can be prescribed for your symptoms. You can drink warm water that helps in the soothing throat. Salt added lukewarm water gargle can be beneficial. Avoid the intake of excess spicy foods. |
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Hello doctor, I am an 18-year-old girl. I have been a patient of beta thalassemia major. Recently allogenic bone marrow transplant was conducted (70 days since transplant). Before this, I had no history of any allergy or rash or another disease other than thalassemia. Recently, I have felt itchy throat-stuffy nose only on one side of the nose that is open and closes when I lie down. Moreover, due to an itch, there is a cough. No nasal drippings. [/INST] Hi. Your symptoms are suggestive of upper respiratory tract infection, possibly allergic inflammation. I suggest you investigate with CBC for primary work up. Meanwhile, a decongestant can be prescribed for your symptoms. You can drink warm water that helps in the soothing throat. Salt added lukewarm water gargle can be beneficial. Avoid the intake of excess spicy foods. |
Q. Does frequent eye flashes mean retinal tear? | Hello doctor,I sometimes see flashes or running light in my eyes since last one and a half year. They come once in 3 to 4 months. I can see only flashes for 10 minutes, after then my vision is back to normal. I consulted a doctor around a month back she even checked my retina and vision both were fine and gave no medicine. After that, four days ago, it happened again. So, I consulted a new doctor. He prescribed Toba DM and Flur eye drops. I am 18 years old boy, 5’4", weight 45 kg. I am fearing about whether it is a retinal tear. | Hi. Flashes are seen in retinal tears, but they are also seen in various other conditions. It is great that you have got your retina evaluated. But in the prescription (attachment removed to protect patient identity), there is nothing mentioned which requires Toba DM or Flur for management. I would recommend that you discuss with your doctor why those medications have been started or you stop using them immediately. Long-term use of steroid drops may lead to high intraocular pressure and damage to vision due to glaucoma. Take care. |
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Hello doctor,I sometimes see flashes or running light in my eyes since last one and a half year. They come once in 3 to 4 months. I can see only flashes for 10 minutes, after then my vision is back to normal. I consulted a doctor around a month back she even checked my retina and vision both were fine and gave no medicine. After that, four days ago, it happened again. So, I consulted a new doctor. He prescribed Toba DM and Flur eye drops. I am 18 years old boy, 5’4", weight 45 kg. I am fearing about whether it is a retinal tear. [/INST] Hi. Flashes are seen in retinal tears, but they are also seen in various other conditions. It is great that you have got your retina evaluated. But in the prescription (attachment removed to protect patient identity), there is nothing mentioned which requires Toba DM or Flur for management. I would recommend that you discuss with your doctor why those medications have been started or you stop using them immediately. Long-term use of steroid drops may lead to high intraocular pressure and damage to vision due to glaucoma. Take care. |
Q. Is it normal to get brown discharge just before periods? | Hi doctor, I am 22 years old. I have to get my periods this week. But I am getting black or brown discharge. Is this normal? | Hi. It is known as irregular shedding. It is caused due to stress-induced hormonal imbalances during a cycle. You have to do an ultrasound pelvis to check endometrial thickness. If the endometrial thickness is less than 8 mm, then you can have a progesterone deficiency. It needs to be evaluated soon. |
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Hi doctor, I am 22 years old. I have to get my periods this week. But I am getting black or brown discharge. Is this normal? [/INST] Hi. It is known as irregular shedding. It is caused due to stress-induced hormonal imbalances during a cycle. You have to do an ultrasound pelvis to check endometrial thickness. If the endometrial thickness is less than 8 mm, then you can have a progesterone deficiency. It needs to be evaluated soon. |
Q. Do I need an injection for a dog bite? | Hi doctor, I am 18 years old. I was playing with my friend's dog yesterday. By mistake, the dog's teeth touched my hand, and a little drop of blood came out. Do I did need an injection? | Hi. If your friend has done a vaccination to the dog, then there is no problem. Keep the bitten site clean, wash with warm water and soap. Apply Oxygenated water and Betadine (Povidone Iodine) locally. You can take them over the counter, and there is no need for a prescription. As you are 18 years old, and if still, you are getting your scheduled vaccines, then there is no need for getting another Tetani injection. |
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Hi doctor, I am 18 years old. I was playing with my friend's dog yesterday. By mistake, the dog's teeth touched my hand, and a little drop of blood came out. Do I did need an injection? [/INST] Hi. If your friend has done a vaccination to the dog, then there is no problem. Keep the bitten site clean, wash with warm water and soap. Apply Oxygenated water and Betadine (Povidone Iodine) locally. You can take them over the counter, and there is no need for a prescription. As you are 18 years old, and if still, you are getting your scheduled vaccines, then there is no need for getting another Tetani injection. |
Q. Is it safe to take Sysron to stop prolonged period? | Hi doctor, I am on my period for one month. I have consulted a doctor, suggested me to take Traptic for three days, yet the flow did not stop. Then, she gave another tablet Sysron for 20 days. Is it is safe to take? I am married women. | Hi. First get ultrasound gynecology done to know the endometrial thickness. If it is less than 5 to 6 mm, then this medicine, Sysron (Norethisterone) will not stop the bleeding, but instead, you need to take combination oral contraceptive pills to stabilize the lining. If the lining is quite thick then, Sysron will work. Also, get your thyroid profile and S prolactin, fasting blood sugar and fasting insulin, on empty stomach done. |
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Hi doctor, I am on my period for one month. I have consulted a doctor, suggested me to take Traptic for three days, yet the flow did not stop. Then, she gave another tablet Sysron for 20 days. Is it is safe to take? I am married women. [/INST] Hi. First get ultrasound gynecology done to know the endometrial thickness. If it is less than 5 to 6 mm, then this medicine, Sysron (Norethisterone) will not stop the bleeding, but instead, you need to take combination oral contraceptive pills to stabilize the lining. If the lining is quite thick then, Sysron will work. Also, get your thyroid profile and S prolactin, fasting blood sugar and fasting insulin, on empty stomach done. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? | Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. | Hi. For further doubts consult a sexologist online --> |
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I have blisters on my finger, nipples and around my eyes. Why? | Hi doctor, I have a blister on my finger, nipples, and around my eyes. I have a problem in my immune system for about a week. I have eczema. I am taking Triamcinolone ointment. | Hi. I have gone through the query (attachment removed to protect patient identity). Your eczema is in active form now due to the depressed immune status. Please mix Hydrocortisone and Clotrimazole cream in equal amount and apply it over the lesions for two times a day. Take tablet Cetirizine 10 mg at night. Avoid using Dettol or other antiseptics. |
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Hi doctor, I have a blister on my finger, nipples, and around my eyes. I have a problem in my immune system for about a week. I have eczema. I am taking Triamcinolone ointment. [/INST] Hi. I have gone through the query (attachment removed to protect patient identity). Your eczema is in active form now due to the depressed immune status. Please mix Hydrocortisone and Clotrimazole cream in equal amount and apply it over the lesions for two times a day. Take tablet Cetirizine 10 mg at night. Avoid using Dettol or other antiseptics. |
Q. Are antibiotics necessary to cure wisdom tooth infection? | Hello doctor, My wisdom tooth may be infected, the side of my face is numb and swollen. Are antibiotics necessary for its cure? | Hi. I have gone through your question. I can understand your concern. As per your history, it seems to me that you are having acute pericoronitis. You need to take antibiotics like tablet Nigox OZ (Ofloxacin and Ornidazole) twice a day for five days. Tablet Lyser D (Diclofenac 50 mg plus Serratiopeptidase 10 mg) twice daily. Before taking medication, if you can write to me about your medical or drug history. So that it can be safe. |
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Hello doctor, My wisdom tooth may be infected, the side of my face is numb and swollen. Are antibiotics necessary for its cure? [/INST] Hi. I have gone through your question. I can understand your concern. As per your history, it seems to me that you are having acute pericoronitis. You need to take antibiotics like tablet Nigox OZ (Ofloxacin and Ornidazole) twice a day for five days. Tablet Lyser D (Diclofenac 50 mg plus Serratiopeptidase 10 mg) twice daily. Before taking medication, if you can write to me about your medical or drug history. So that it can be safe. |
Q. Why am I having tender breasts and breathlessness after unprotected sex? | Hi doctor, I am 25 years old. I had unprotected intercourse with my fiance 20 days back. He withdrew before ejaculation, still, I took Unwanted 72 after three hours to prevent pregnancy meanwhile. Next day, I got a vaginal fungal infection for which I took Candid V6 for six days (symptoms are relieved now, still I get ocassional vaginal itching). Now after nine days, my breasts feel tender and areola portion is little swollen. I feel a little bit fatigued and breathless also. What can be this due to? Is this PMS? Are there any chances of pregnancy? Can antifungal tablet reduce the efficacy of the pill? What can be done meanwhile? I do not want to get pregnant at this time as we are not ready yet. | Hi. As your cycle length is 27 days, and you had unprotected intercourse on day 8 or 9 of your cycle and that was the most fertile period of your cycle. So, do not worry, wait till your next periods. If they occur in time, then no pregnancy but in your case, the chances of pregnancy are more. If pregnancy occurs, then after an ultasound, if it is in the uterus, then medicines are there for an abortion. |
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Hi doctor, I am 25 years old. I had unprotected intercourse with my fiance 20 days back. He withdrew before ejaculation, still, I took Unwanted 72 after three hours to prevent pregnancy meanwhile. Next day, I got a vaginal fungal infection for which I took Candid V6 for six days (symptoms are relieved now, still I get ocassional vaginal itching). Now after nine days, my breasts feel tender and areola portion is little swollen. I feel a little bit fatigued and breathless also. What can be this due to? Is this PMS? Are there any chances of pregnancy? Can antifungal tablet reduce the efficacy of the pill? What can be done meanwhile? I do not want to get pregnant at this time as we are not ready yet. [/INST] Hi. As your cycle length is 27 days, and you had unprotected intercourse on day 8 or 9 of your cycle and that was the most fertile period of your cycle. So, do not worry, wait till your next periods. If they occur in time, then no pregnancy but in your case, the chances of pregnancy are more. If pregnancy occurs, then after an ultasound, if it is in the uterus, then medicines are there for an abortion. |
Q. Kindly tell the treatment for acid reflux due to Vitamin B12 intake. | Hello doctor, My question is as follows. I have low B12 tested at blood laboratory. I have been taking B12 for over three years off and on as directed by my doctor (sublingual). Now every time I take B12 with food or without the acid reflux is so very bad. I have to some times take medication to calm the acid reflux. Is there anything I can do? | Hi. I understand all your concerns. Acid reflux is one of the adverse effects of taking Vitamin B12 supplements. I suggest that you test the vitamin B12 level as you have already taken supplements for three years. In case of mild deficiency, I suggest that you take foods rich in Vitamin B12 like clams and liver and stop the supplements. For acid problems, I suggest antacids like Maalox (Calcium carbonate) after meals. |
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Hello doctor, My question is as follows. I have low B12 tested at blood laboratory. I have been taking B12 for over three years off and on as directed by my doctor (sublingual). Now every time I take B12 with food or without the acid reflux is so very bad. I have to some times take medication to calm the acid reflux. Is there anything I can do? [/INST] Hi. I understand all your concerns. Acid reflux is one of the adverse effects of taking Vitamin B12 supplements. I suggest that you test the vitamin B12 level as you have already taken supplements for three years. In case of mild deficiency, I suggest that you take foods rich in Vitamin B12 like clams and liver and stop the supplements. For acid problems, I suggest antacids like Maalox (Calcium carbonate) after meals. |
Q. My partner is not getting relief from the cough for a few days. Please help. | Hi doctor, My partner is 53 years old. She is suffering from a severe cough for a few days. Though she has the problem for a long time, it always becomes fine after some days. But this time she is not getting relief. She visited a doctor, and several tests were done. Currently, she is taking Periflox, Dioplus, Primcal 500, Livoprim-M, and Doxofon. I need your advice. Please help. | Hi. I have gone through the reports (attachment removed to protect patient identity). These symptoms are caused due to the nodule present in the lungs. It could be benign and harmless. But at this age, every nodule must be observed if there are symptoms especially. The nodule must be observed by repeated X-rays and CT scan to see whether there is a change or increase in size. If it seems to be suspicious, a biopsy may be required. Please get the following investigations done. So that, we can proceed with the treatment. Do sputum for AFB (acid-fast bacilli) and microscopy, and tuberculin test. Please send me the results of the tests. |
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Hi doctor, My partner is 53 years old. She is suffering from a severe cough for a few days. Though she has the problem for a long time, it always becomes fine after some days. But this time she is not getting relief. She visited a doctor, and several tests were done. Currently, she is taking Periflox, Dioplus, Primcal 500, Livoprim-M, and Doxofon. I need your advice. Please help. [/INST] Hi. I have gone through the reports (attachment removed to protect patient identity). These symptoms are caused due to the nodule present in the lungs. It could be benign and harmless. But at this age, every nodule must be observed if there are symptoms especially. The nodule must be observed by repeated X-rays and CT scan to see whether there is a change or increase in size. If it seems to be suspicious, a biopsy may be required. Please get the following investigations done. So that, we can proceed with the treatment. Do sputum for AFB (acid-fast bacilli) and microscopy, and tuberculin test. Please send me the results of the tests. |
Q. Kindly advise to improve sexual relationship between working couples. | Hello doctor, I and my husband are both unable to have a proper conjugal relation. Both of us are working professional. I am outside for my work from 9 AM to 7 PM. My husband is outside from 10.30 AM to 9.30 PM for work. My husband mostly prefers sex in the midnight like after 11.30 PM whereas I prefer sex in the morning and cannot stay awake till late in the night due to which we are unable to copulate. Kindly help us find a solution. | Hello. The solution is plain simple. You both must reach a mutual decision and then work accordingly. You can give it a go between 10 to 11 PM when you both are at home. Or it can be like sometimes at midnight and sometimes in the morning. Best is to make it a random thing whenever both feel like doing it, go for it instead of specifying a particular time for it. Besides weekends and holidays are the times to freshen up the things. |
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Hello doctor, I and my husband are both unable to have a proper conjugal relation. Both of us are working professional. I am outside for my work from 9 AM to 7 PM. My husband is outside from 10.30 AM to 9.30 PM for work. My husband mostly prefers sex in the midnight like after 11.30 PM whereas I prefer sex in the morning and cannot stay awake till late in the night due to which we are unable to copulate. Kindly help us find a solution. [/INST] Hello. The solution is plain simple. You both must reach a mutual decision and then work accordingly. You can give it a go between 10 to 11 PM when you both are at home. Or it can be like sometimes at midnight and sometimes in the morning. Best is to make it a random thing whenever both feel like doing it, go for it instead of specifying a particular time for it. Besides weekends and holidays are the times to freshen up the things. |
Q. HBV DNA level got lowered in seven months. Kindly help. | Hello doctor, My husband had his blood test taken six months back and his HPV DNA level was 777 IU/ml. We went back for another blood test seven months later and it went down to 267 IU/ml. Is this good or bad? He has no scarring or damage to his liver and is not on any medications. He only found out he had hepatitis B a year back. | Hi. I think you mean HBV DNA rather than HPV. I would want to know about the ALT level of the patient as well as HBeAg and anti-HBe. After that, the exact phase of hepatitis B could be identified. |
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Hello doctor, My husband had his blood test taken six months back and his HPV DNA level was 777 IU/ml. We went back for another blood test seven months later and it went down to 267 IU/ml. Is this good or bad? He has no scarring or damage to his liver and is not on any medications. He only found out he had hepatitis B a year back. [/INST] Hi. I think you mean HBV DNA rather than HPV. I would want to know about the ALT level of the patient as well as HBeAg and anti-HBe. After that, the exact phase of hepatitis B could be identified. |
Q. What are the available options to treat acne scars? | Hi doctor, I have acne scars. What are the treatments followed to make the acne scars go away? | Hi. Acne scar treatment depends on the type of scar. Boxcar scar is a superficial one. It can be treated with microdermabrasion combined with peel, and dermaroller. Ice pick scar is a small deep scar. It can be treated with TCA CROSS (Trichloro Acetic Acid chemical reconstruction of skin scars) procedure. Rolling scar needs subcision (minor surgical procedure) and fractional Co2 laser. Hypertrophic scar requires treatment using an intralesional injection of Triamcinolone acetonide to flatten it. Please attach your clinical picture soon so that I can guide you further. |
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Hi doctor, I have acne scars. What are the treatments followed to make the acne scars go away? [/INST] Hi. Acne scar treatment depends on the type of scar. Boxcar scar is a superficial one. It can be treated with microdermabrasion combined with peel, and dermaroller. Ice pick scar is a small deep scar. It can be treated with TCA CROSS (Trichloro Acetic Acid chemical reconstruction of skin scars) procedure. Rolling scar needs subcision (minor surgical procedure) and fractional Co2 laser. Hypertrophic scar requires treatment using an intralesional injection of Triamcinolone acetonide to flatten it. Please attach your clinical picture soon so that I can guide you further. |
Q. Kindly tell me whether surgery is needed for anal fissure. | Hello doctor, I am feeling severe pain when I pass stool. Also, have a couple of blood veins flowing out in the anus. I visited a hospital, the doctor said I had cut which is called fissure. Should I go for surgery? But I do not want to. Is there any way that with medication or any other way it can be cured? | Hello. I have gone through your complaints. Looks like you have a fissure in the anus. You need to understand one thing. It is not going to heal unless you stop straining while passing stools. As it is a wound at the passage it causes your anal sphincter to go into contraction in pain further causing you to strain and it becomes a cycle. You need a high fiber diet. You can supplement with psyllium husk powder. Also, there is a procedure where dilatation of the anal canal is done to help relax the anal sphincter to facilitate wound healing thus avoiding surgery. |
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Hello doctor, I am feeling severe pain when I pass stool. Also, have a couple of blood veins flowing out in the anus. I visited a hospital, the doctor said I had cut which is called fissure. Should I go for surgery? But I do not want to. Is there any way that with medication or any other way it can be cured? [/INST] Hello. I have gone through your complaints. Looks like you have a fissure in the anus. You need to understand one thing. It is not going to heal unless you stop straining while passing stools. As it is a wound at the passage it causes your anal sphincter to go into contraction in pain further causing you to strain and it becomes a cycle. You need a high fiber diet. You can supplement with psyllium husk powder. Also, there is a procedure where dilatation of the anal canal is done to help relax the anal sphincter to facilitate wound healing thus avoiding surgery. |
Q. What is the reason for orange discharge after periods? | Hi doctor, I had bleeding between periods. I went to doctor she put me on Yasmine tablet for four months, after that my periods were heavy and again bleeding between periods. Then I went through DNC and reports said I have polyps. So my doctor put me on Duphaston-M for four months. I started reducing weight and I reduced my weight around 7 kg. But again some orange type of discharge is coming from the 14th day of last periods. Please advise me something. | Hi. Nice to hear that you have lost 7 kg, but you still have not reached the target weight, which is 52 to 57 kg. If you still have bleeding in spite of being on the hormone pills, then some other cause should be thought of. Possibilities are: Hope a pelvis examination has been done, to rule out any local infection on cervix and area surrounding uterus. A cervical polyp has to be ruled out. They produce midcycle bleeding. Hope a pelvic scan has been done to rule out uterine fibroid or polyps. D and C is no diagnosis or treatment. Thyroid profile and serum prolactin hormone checked. Hope you are not diabetic and blood sugar levels are checked. Hope pelvic infection has been ruled out. If so both you and your partner have to be treated. Hope your partner is not diabetic, he can transmit some infection which can present as bleeding like this. |
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Hi doctor, I had bleeding between periods. I went to doctor she put me on Yasmine tablet for four months, after that my periods were heavy and again bleeding between periods. Then I went through DNC and reports said I have polyps. So my doctor put me on Duphaston-M for four months. I started reducing weight and I reduced my weight around 7 kg. But again some orange type of discharge is coming from the 14th day of last periods. Please advise me something. [/INST] Hi. Nice to hear that you have lost 7 kg, but you still have not reached the target weight, which is 52 to 57 kg. If you still have bleeding in spite of being on the hormone pills, then some other cause should be thought of. Possibilities are: Hope a pelvis examination has been done, to rule out any local infection on cervix and area surrounding uterus. A cervical polyp has to be ruled out. They produce midcycle bleeding. Hope a pelvic scan has been done to rule out uterine fibroid or polyps. D and C is no diagnosis or treatment. Thyroid profile and serum prolactin hormone checked. Hope you are not diabetic and blood sugar levels are checked. Hope pelvic infection has been ruled out. If so both you and your partner have to be treated. Hope your partner is not diabetic, he can transmit some infection which can present as bleeding like this. |
Q. My tracheostomized sister needs frequent suctioning due to breathing difficulty. Is it an emergency? | My sister is tracheostomized and bedridden after her fourth surgery done for foramen magnum meningioma. She has drooling and now saliva is coming out under the tracheostomy plate. She asks for frequent suctioning as she feels difficulty breathing . Her saturation is above 90 after suctioning. Since it is lockdown we are worried to take her to hospital. Is this an emergency? | Hi! If the patient is tracheostomised and if your really SURE that the secretions from the tracheostomy tube is saliva, then there is a possibilty of developing a fistula(an abnormal connection) between the food pipe(Oesophagus) and the trachea called as tracheosophageal fistula. In such a condition we first need to heal the fistula and it can be done by following below mentioned advice 1. There would be a cuff inflator pipe through which air can be inflated and deflated in and out from the cuff. Even though the inflated cuff prevents faulty aspiration of fluids from the mouth while swallowing, it can also create a necrosis around the trachea thus causing the oesophagus to get connected to it. You to need to suction the tube and deflate the cuff every 2 hrs for 15mins so that this raw surface connecting the two heals and saliva from the tube stops coming. 2. For few days, the patient might be stopped orally and a ryles tube might have to be inserted to feed the patient. Repeated swallowing can again infect the area and might lead to leak of food also through the tube. ( you can go to the emergency of any hospital to get this tube inserted in case its not there!) I hope this answers your query. You can consult me for any further clarifications. Warm regards! |
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My sister is tracheostomized and bedridden after her fourth surgery done for foramen magnum meningioma. She has drooling and now saliva is coming out under the tracheostomy plate. She asks for frequent suctioning as she feels difficulty breathing . Her saturation is above 90 after suctioning. Since it is lockdown we are worried to take her to hospital. Is this an emergency? [/INST] Hi! If the patient is tracheostomised and if your really SURE that the secretions from the tracheostomy tube is saliva, then there is a possibilty of developing a fistula(an abnormal connection) between the food pipe(Oesophagus) and the trachea called as tracheosophageal fistula. In such a condition we first need to heal the fistula and it can be done by following below mentioned advice 1. There would be a cuff inflator pipe through which air can be inflated and deflated in and out from the cuff. Even though the inflated cuff prevents faulty aspiration of fluids from the mouth while swallowing, it can also create a necrosis around the trachea thus causing the oesophagus to get connected to it. You to need to suction the tube and deflate the cuff every 2 hrs for 15mins so that this raw surface connecting the two heals and saliva from the tube stops coming. 2. For few days, the patient might be stopped orally and a ryles tube might have to be inserted to feed the patient. Repeated swallowing can again infect the area and might lead to leak of food also through the tube. ( you can go to the emergency of any hospital to get this tube inserted in case its not there!) I hope this answers your query. You can consult me for any further clarifications. Warm 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 --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I am having mouth ulcers after protected sex. Why? | Hello doctor, I had a protected sex with a sex worker two years back. Tested for almost everything, all are negative. But I am having severe mouth ulcers. Also had neuropathy kind of thing after two months of exposure. Had a DNA PCR test also which was negative. Kindly suggest. | Hello. Do not worry much. I have seen your blood reports (attachment removed to protect patient identity), which states that you are negative for HIV, HCV, syphilis, herpes and other sexually transmitted diseases. As you are explaining, you have a recurrent mouth ulcer and neuropathy like sensation can be explained by mineral, vitamins deficiency, crohns diseases, anemia or any local cause. As u have been tested for all but did not see your complete blood count report and we do not want to miss common cause for that. Kindly follow following instructions. Do CBC, LFT, RFT, AEC, vitamin B12 test. Take tablet Vitamin B complex, crush in water and make mouth gargle 3 to 4 times a day. Tablet Supradyn (multivitamin) twice in a day. Stop smoking, chewing tobacco, hot tea, if you are taking. Use mouth jelly for local applications. Orajel (Benzocaine) ointment for mouth ulcer. |
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Hello doctor, I had a protected sex with a sex worker two years back. Tested for almost everything, all are negative. But I am having severe mouth ulcers. Also had neuropathy kind of thing after two months of exposure. Had a DNA PCR test also which was negative. Kindly suggest. [/INST] Hello. Do not worry much. I have seen your blood reports (attachment removed to protect patient identity), which states that you are negative for HIV, HCV, syphilis, herpes and other sexually transmitted diseases. As you are explaining, you have a recurrent mouth ulcer and neuropathy like sensation can be explained by mineral, vitamins deficiency, crohns diseases, anemia or any local cause. As u have been tested for all but did not see your complete blood count report and we do not want to miss common cause for that. Kindly follow following instructions. Do CBC, LFT, RFT, AEC, vitamin B12 test. Take tablet Vitamin B complex, crush in water and make mouth gargle 3 to 4 times a day. Tablet Supradyn (multivitamin) twice in a day. Stop smoking, chewing tobacco, hot tea, if you are taking. Use mouth jelly for local applications. Orajel (Benzocaine) ointment for mouth ulcer. |
Q. Why am I having white thick vaginal discharge and stomach pain? | Hello doctor, I have white runny thick discharge with strong odor and itching, stomach makes weird noises and sometimes quick pain in lower stomach. Also thick white stuff under clit hood. | Hi. I saw the clinical picture (attachment removed to protect patient identity). Features are consistent with vaginal candidiasis. Thick curdy white discharge, itching are the classical symptoms of candidiasis. You need intravaginal anti-fungal medicine. Vaginal Clotrimazole gel, also oral antifungal tablets. Meet your Gynecologist for further evaluation and to rule out pelvic inflammatory disease because you are saying, you also have abdominal pain and heavy periods. |
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Hello doctor, I have white runny thick discharge with strong odor and itching, stomach makes weird noises and sometimes quick pain in lower stomach. Also thick white stuff under clit hood. [/INST] Hi. I saw the clinical picture (attachment removed to protect patient identity). Features are consistent with vaginal candidiasis. Thick curdy white discharge, itching are the classical symptoms of candidiasis. You need intravaginal anti-fungal medicine. Vaginal Clotrimazole gel, also oral antifungal tablets. Meet your Gynecologist for further evaluation and to rule out pelvic inflammatory disease because you are saying, you also have abdominal pain and heavy periods. |
Q. What can be done to cure itching on groin and penis? | Hello doctor, I have an itching problem on my groin to the penis region for the last two years. I did not consult a doctor till now. I use Tyza tablet and a cream. Then I used coconut oil. I am using Quadridem since last week. Starting two days I felt relaxed but now there is no effect. I usually wear underwear. And wear formal clothes and jeans. At the time of more sweating seems like many pimples type on that infected area. It spread to hips also. I want a permanent solution to this problem. | Hi. It is tinea corporis (fungal infection). Still, you are using Tyza (Terbinafine) tablet? Dose once or twice daily? |
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Hello doctor, I have an itching problem on my groin to the penis region for the last two years. I did not consult a doctor till now. I use Tyza tablet and a cream. Then I used coconut oil. I am using Quadridem since last week. Starting two days I felt relaxed but now there is no effect. I usually wear underwear. And wear formal clothes and jeans. At the time of more sweating seems like many pimples type on that infected area. It spread to hips also. I want a permanent solution to this problem. [/INST] Hi. It is tinea corporis (fungal infection). Still, you are using Tyza (Terbinafine) tablet? Dose once or twice daily? |
Q. What can be done to get rid of mouth smell? | Hello doctor, I want to get rid of mouth smell. Please recommend a good remedy. | Hi. Do not worry. Do these things. Maintain good oral hygiene by brushing twice daily. Rinse mouth after eating food. Before sleep, rinse mouth always. Avoid onions, garlic, if these are the cause in your case. If you have constipation or stomach problem, use fibers and vegetables in the diet and reduce consumption of meat-based products. If you have a stomach problem, acidity, avoid citrus acid-causing foods. Use milk in the diet. For acidity, you need to consult a physician, if present in your case. Avoid or stop smoking. No drug or habit can clear it than stopping smoking. Try a mouthwash Chlorohexidine for 15 days. If you have stains, calculus, on teeth, get scaling done and do it every six months. If you have any problem in kidney, intestines, diabetes, then get it corrected. |
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Hello doctor, I want to get rid of mouth smell. Please recommend a good remedy. [/INST] Hi. Do not worry. Do these things. Maintain good oral hygiene by brushing twice daily. Rinse mouth after eating food. Before sleep, rinse mouth always. Avoid onions, garlic, if these are the cause in your case. If you have constipation or stomach problem, use fibers and vegetables in the diet and reduce consumption of meat-based products. If you have a stomach problem, acidity, avoid citrus acid-causing foods. Use milk in the diet. For acidity, you need to consult a physician, if present in your case. Avoid or stop smoking. No drug or habit can clear it than stopping smoking. Try a mouthwash Chlorohexidine for 15 days. If you have stains, calculus, on teeth, get scaling done and do it every six months. If you have any problem in kidney, intestines, diabetes, then get it corrected. |
Q. My son is having nasal blockage and fever. How to cure him? | Hi doctor, My son is six years old. He has nasal blockage for the past two weeks. Now, he has developed a fever. His throat and tonsils are swollen. We took him to a doctor. The doctor prescribed him Benadryl 5 ml and Crocin DS 7.5 ml. He has not given any antibiotics. Is it fine? Please suggest. | Hi. Do not worry. You can give Augmentin DDS syrup 5.4 GM by 30 ml (Amoxicillin with Clavulanic acid) twice a day for five days along with the above-given medications. |
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Hi doctor, My son is six years old. He has nasal blockage for the past two weeks. Now, he has developed a fever. His throat and tonsils are swollen. We took him to a doctor. The doctor prescribed him Benadryl 5 ml and Crocin DS 7.5 ml. He has not given any antibiotics. Is it fine? Please suggest. [/INST] Hi. Do not worry. You can give Augmentin DDS syrup 5.4 GM by 30 ml (Amoxicillin with Clavulanic acid) twice a day for five days along with the above-given medications. |
Q. My wife has diabetes and is pregnant now. Will insulin injection cause any harm to my baby? | Hi doctor, My wife is 38 years old. She had an abortion in 2012 around her six months of pregnancy due to the defects of diabetics. From that time onwards she has not taken any treatment for diabetics. As per her report, pregnancy starts from 18th February. We have started Insulin Eglucent three times and Levemir sleeping time as per doctor's advice. Is there any problem to the baby or my wife? We are strictly following the diet and taking insulin with regular blood check-up (four times daily). | Hi. From your history, I gather that you have been taking insulin from early pregnancy and closely following it. If your blood sugar levels are well controlled with diet, exercise, and insulin, then there is nothing to worry about. There is no specific and extra chance for the baby to have any anomalies. Baby will have all the features of a normal pregnancy. The pregnancy complications rate is same as any other normal pregnancy. You do not need to worry. You can have an NT (Nuchal translucency) ultrasound scan at 11-14 weeks, Quadruple marker at 15-17 weeks, anomaly scan at 19 weeks, and fetal echocardiogram at 22-24 weeks. This is just for your satisfaction. For every lady with diabetes or previous history so, is tested with this. Do not worry your wife and baby are both doing fine. I hope this helps. |
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Hi doctor, My wife is 38 years old. She had an abortion in 2012 around her six months of pregnancy due to the defects of diabetics. From that time onwards she has not taken any treatment for diabetics. As per her report, pregnancy starts from 18th February. We have started Insulin Eglucent three times and Levemir sleeping time as per doctor's advice. Is there any problem to the baby or my wife? We are strictly following the diet and taking insulin with regular blood check-up (four times daily). [/INST] Hi. From your history, I gather that you have been taking insulin from early pregnancy and closely following it. If your blood sugar levels are well controlled with diet, exercise, and insulin, then there is nothing to worry about. There is no specific and extra chance for the baby to have any anomalies. Baby will have all the features of a normal pregnancy. The pregnancy complications rate is same as any other normal pregnancy. You do not need to worry. You can have an NT (Nuchal translucency) ultrasound scan at 11-14 weeks, Quadruple marker at 15-17 weeks, anomaly scan at 19 weeks, and fetal echocardiogram at 22-24 weeks. This is just for your satisfaction. For every lady with diabetes or previous history so, is tested with this. Do not worry your wife and baby are both doing fine. I hope this helps. |
Q. My younger brother is about to get married. His sperm count is nil. Please help. | Hi doctor, My younger brother is about to get married. He has a problem of "dry ejaculation" which disables him to masturbate. It seems like his body does not produce any semen at all. He has the sexual pleasure just like normal people, the only problem is that he does not have any semen. He visited a few doctors and they ran a few tests on him like sperm count. The tests were quite disappointing as there was no sperm at all. Some doctors said that he has to undergo a biopsy of the testis tissue to make sure the organ is healthy and then look for other causes of the problem. But my brother is afraid of this biopsy because he thinks that this biopsy can hurt his testis forever. Is there any solution to his problem? How can he overcome this issue? Is biopsy the only solution to his problem? Is it safe to go for the biopsy? | Hello. First of all, I would like to tell you that biopsy is completely safe. It hurts very minimally, only like an intravenous injection. During a biopsy, a small piece of tissue (from the testis) is taken for examination and there is no risk of damaging his testis forever. The biopsy of the testis is one of the options out of many tests which have to be done before complete diagnosis. Nil production of semen is more likely due to blockage of ejaculatory duct. Before going for biopsy of the testis, he should go for checking the patency of ejaculatory duct. If they have already checked this in the tests which were conducted earlier, then he can go for the biopsy. Consult a urologist online for further clarifications --> |
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Hi doctor, My younger brother is about to get married. He has a problem of "dry ejaculation" which disables him to masturbate. It seems like his body does not produce any semen at all. He has the sexual pleasure just like normal people, the only problem is that he does not have any semen. He visited a few doctors and they ran a few tests on him like sperm count. The tests were quite disappointing as there was no sperm at all. Some doctors said that he has to undergo a biopsy of the testis tissue to make sure the organ is healthy and then look for other causes of the problem. But my brother is afraid of this biopsy because he thinks that this biopsy can hurt his testis forever. Is there any solution to his problem? How can he overcome this issue? Is biopsy the only solution to his problem? Is it safe to go for the biopsy? [/INST] Hello. First of all, I would like to tell you that biopsy is completely safe. It hurts very minimally, only like an intravenous injection. During a biopsy, a small piece of tissue (from the testis) is taken for examination and there is no risk of damaging his testis forever. The biopsy of the testis is one of the options out of many tests which have to be done before complete diagnosis. Nil production of semen is more likely due to blockage of ejaculatory duct. Before going for biopsy of the testis, he should go for checking the patency of ejaculatory duct. If they have already checked this in the tests which were conducted earlier, then he can go for the biopsy. Consult a urologist online for further clarifications --> |
Q. What is the reason for having frequent throat infection? | Hi doctor, My partner gets throat infection for every 15 days. As soon as he gets the infection, he also gets running nose. As it progresses, there is ear pain, chest congestion, and chest pain. He is not taking antibiotics or any other medicines for this problem. Please suggest. | Hi. Collect the running fluids and do sugar estimation. Remember that the test has to be done soon after collecting the liquid. Otherwise, it will not be accurate. Next, get a sinus CT scan done to rule out the causative reason for having recurrent throat infections. Please send a picture of the throat to see whether there is any tonsillar hypertrophy. Meanwhile, start taking Septillin tablets to improve immunity. When there is no throat infection, give him amla (gooseberry) to eat. He can also have an allergy to pollens. So, he can develop an allergy. It can manifest as throat irritation, runny nose, and itching. You can do some tests to check allergy and follow some precautions to stay away from allergy. Revert me with more details so that I can guide you further. |
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Hi doctor, My partner gets throat infection for every 15 days. As soon as he gets the infection, he also gets running nose. As it progresses, there is ear pain, chest congestion, and chest pain. He is not taking antibiotics or any other medicines for this problem. Please suggest. [/INST] Hi. Collect the running fluids and do sugar estimation. Remember that the test has to be done soon after collecting the liquid. Otherwise, it will not be accurate. Next, get a sinus CT scan done to rule out the causative reason for having recurrent throat infections. Please send a picture of the throat to see whether there is any tonsillar hypertrophy. Meanwhile, start taking Septillin tablets to improve immunity. When there is no throat infection, give him amla (gooseberry) to eat. He can also have an allergy to pollens. So, he can develop an allergy. It can manifest as throat irritation, runny nose, and itching. You can do some tests to check allergy and follow some precautions to stay away from allergy. Revert me with more details so that I can guide you further. |
Q. Can I breast feed during chickenpox? Is that safe for the baby? | Hi doctor, I am 22 years old, and I am a mother of four months old baby. Recently, I have got infected with chicken pox. Does breast milk transfer chicken pox to the baby? Do I need to take special care of my baby? Can I do breastfeeding now? Does it affect my child? Please help. | Hi. A mother who contracts chickenpox can do breastfeeding. Any vesicles present on the breast should be covered to minimize the risk of transmission. There is no evidence shown the presence of the varicella-zoster virus (Chickenpox) in breastmilk. Hence breastfeeding is safe. Breast milk does not transfer chickenpox to the baby. The doctor may prescribe Acyclovir 800 mg five times a day if you are seen within 24 hours of rash onset. It reduces the time to have full crusting of lesions and reduces the number of lesions. Acyclovir can be taken during breastfeeding. It is safe to take. Keep your nails short to minimize the damage from scratching. |
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Hi doctor, I am 22 years old, and I am a mother of four months old baby. Recently, I have got infected with chicken pox. Does breast milk transfer chicken pox to the baby? Do I need to take special care of my baby? Can I do breastfeeding now? Does it affect my child? Please help. [/INST] Hi. A mother who contracts chickenpox can do breastfeeding. Any vesicles present on the breast should be covered to minimize the risk of transmission. There is no evidence shown the presence of the varicella-zoster virus (Chickenpox) in breastmilk. Hence breastfeeding is safe. Breast milk does not transfer chickenpox to the baby. The doctor may prescribe Acyclovir 800 mg five times a day if you are seen within 24 hours of rash onset. It reduces the time to have full crusting of lesions and reduces the number of lesions. Acyclovir can be taken during breastfeeding. It is safe to take. Keep your nails short to minimize the damage from scratching. |
Q. Is PEP effective after a risk exposure? | Hi doctor, Is PEP effective after a risk exposure? | Hi. It is not 100 % protective against HIV. But it significantly reduces the chances by over 80 %. Please mention about the mode of exposure. |
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Hi doctor, Is PEP effective after a risk exposure? [/INST] Hi. It is not 100 % protective against HIV. But it significantly reduces the chances by over 80 %. Please mention about the mode of exposure. |
Q. My eyes and the entire area around my pupil have become red. Why? | Hi doctor, I am a 48-year-old male. My eyes and the entire area around my pupil have become red. They are hurting me a lot. I went to a doctor, and I was diagnosed with conjunctivitis. I was given Erythromycin ointment to get relief, and I am not feeling better. The area around my eyes is swollen. I am sensitive to light, and it hurts me a lot when I strain them. I do not have this problem before. I am not hypertensive, and I am not diabetic. | Hi. I have gone through the images (attachment removed to protect patient identity). You have infective conjunctivitis. Erythromycin eye ointment is an antibiotic ointment that helps to get relief from this condition. But it will take some time. I cannot say whether it is viral or bacterial. If it is viral, the disease will get relieved in 10 to 15 days. You should do cold compresses three to four times a day in both the eyes. You should not touch household items too much as it can spread to other members of the family. |
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Hi doctor, I am a 48-year-old male. My eyes and the entire area around my pupil have become red. They are hurting me a lot. I went to a doctor, and I was diagnosed with conjunctivitis. I was given Erythromycin ointment to get relief, and I am not feeling better. The area around my eyes is swollen. I am sensitive to light, and it hurts me a lot when I strain them. I do not have this problem before. I am not hypertensive, and I am not diabetic. [/INST] Hi. I have gone through the images (attachment removed to protect patient identity). You have infective conjunctivitis. Erythromycin eye ointment is an antibiotic ointment that helps to get relief from this condition. But it will take some time. I cannot say whether it is viral or bacterial. If it is viral, the disease will get relieved in 10 to 15 days. You should do cold compresses three to four times a day in both the eyes. You should not touch household items too much as it can spread to other members of the family. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I am not able to sit properly due to piles and anal itching. Please suggest medicines. | for piles , am using himalaya tablets .daily 2 tablets...but cant able sit properly due to anal itching ......please give me a medicine | Hello. I have reviewed your history. The medication you are on is bascically ayervedic, which sometime may help and sometime not. I would give you some treatment but I want that you should be examined in person by a local general surgeon , if any need of surgical removal of this. Because if pile remain for so long could lead to significant pain and trouble in daily life style. At moment take following treatment. Let me know in one week time if symptoms improve . I have written all generic drugs, which could be purchased at local store. |
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for piles , am using himalaya tablets .daily 2 tablets...but cant able sit properly due to anal itching ......please give me a medicine [/INST] Hello. I have reviewed your history. The medication you are on is bascically ayervedic, which sometime may help and sometime not. I would give you some treatment but I want that you should be examined in person by a local general surgeon , if any need of surgical removal of this. Because if pile remain for so long could lead to significant pain and trouble in daily life style. At moment take following treatment. Let me know in one week time if symptoms improve . I have written all generic drugs, which could be purchased at local store. |
Q. Can Nitroglycerin patch prolong life of an elderly person? | Hello doctor, My 96-year-old mother is getting to where she only eats breakfast. She has hearing loss and is blind. Does the Nitroglycerin patch she is using will prolong her life? She is miserable and ready to go. She is sleeping a lot and had three seizures two weeks back. She has refused to go to the hospital. | Hello. As you mentioned, your mother has deafness and blindness, you did not mention why she is using Nitrogen glycerine patches. It is only useful when the patient is suffering from heart disease with recurrent anginal chest pain (heart attack), but it is used to reduce BP also. It is for symptomatic uses, related only with the condition, cannot use without indication. If you will give me details about her diabetic or hypertension status and current BP, pulse rate, then I can help you in a better way. |
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Hello doctor, My 96-year-old mother is getting to where she only eats breakfast. She has hearing loss and is blind. Does the Nitroglycerin patch she is using will prolong her life? She is miserable and ready to go. She is sleeping a lot and had three seizures two weeks back. She has refused to go to the hospital. [/INST] Hello. As you mentioned, your mother has deafness and blindness, you did not mention why she is using Nitrogen glycerine patches. It is only useful when the patient is suffering from heart disease with recurrent anginal chest pain (heart attack), but it is used to reduce BP also. It is for symptomatic uses, related only with the condition, cannot use without indication. If you will give me details about her diabetic or hypertension status and current BP, pulse rate, then I can help you in a better way. |
Q. Which medicine can be used to reduce fatty liver? | Hello doctor, I am a hypertensive and diabetic, FBS 100 to 110, PPBS 120 to 130, HbA1c 5.3 (last measured), taking Glyciphage 1 gm, Telmisartan 40, and Amlodipine 5 mg. Clinical BP 150/100, just after clinic 125/78, at home 115/75. Fatty liver II, prostrate 25 CC (no problem urinating, no burning sensation, etc.,), lipids are under control. I would like to know how to reduce the fatty liver condition from II to I. Is any medicine available? I had suffered from hepatitis two times during childhood at 7 and 10 years of age. No smoking and drinking at all. No pain in the abdomen. The problem faced now are that for the past few days, I am suffering from excessive gas, bloating, and discomfort in the neck and food pipe, as if some air is trapped which is expelled as burps at times and relieved after I took PudinHara and Raciper plus (given to my wife when she was suffering from IBS). No difficulty swallowing food. But a light pain in the neck which is relieved with flushing out the air. Please advise for medication. I had experienced this condition in the past also say 2 to 3 years back and that time it was good using Omez for few days. I am having microalbuminuria sometimes. It is below (UACR values). | Hi. For the treatment of fatty liver, first of all, I need to know your liver function test. If you have your recent LFT report please attach it. If not done yet, please get it done and write back to me. |
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Hello doctor, I am a hypertensive and diabetic, FBS 100 to 110, PPBS 120 to 130, HbA1c 5.3 (last measured), taking Glyciphage 1 gm, Telmisartan 40, and Amlodipine 5 mg. Clinical BP 150/100, just after clinic 125/78, at home 115/75. Fatty liver II, prostrate 25 CC (no problem urinating, no burning sensation, etc.,), lipids are under control. I would like to know how to reduce the fatty liver condition from II to I. Is any medicine available? I had suffered from hepatitis two times during childhood at 7 and 10 years of age. No smoking and drinking at all. No pain in the abdomen. The problem faced now are that for the past few days, I am suffering from excessive gas, bloating, and discomfort in the neck and food pipe, as if some air is trapped which is expelled as burps at times and relieved after I took PudinHara and Raciper plus (given to my wife when she was suffering from IBS). No difficulty swallowing food. But a light pain in the neck which is relieved with flushing out the air. Please advise for medication. I had experienced this condition in the past also say 2 to 3 years back and that time it was good using Omez for few days. I am having microalbuminuria sometimes. It is below (UACR values). [/INST] Hi. For the treatment of fatty liver, first of all, I need to know your liver function test. If you have your recent LFT report please attach it. If not done yet, please get it done and write back to me. |
Q. When will my penile infection recover? | Hello doctor,I am a male, 33 years old, height is 164 cm, weight is 56 kg. I am suffering from infection (red patches and irritation) on glans and shaft of the penis since 18 to 20 days. No pain and burning sensation while urinating. When I clean the glans and shaft using soft cotton cloth, 1 or 2 drops of blood is observed. I have taken Fluconazole 150 mg (one tablet after seven days, total of two tablets), Moxikind-CV 625 twice a day for five days. Cetirizine (one tablet per day) and applied Surfaz SN cream (Betamethasone (0.025 % w/w), Clotrimazole (1 % w/w), Neomycin (0.5 % w/w)) on the glans and shaft since 10 days. But this has not helped much, redness is increasing. I stopped applying Surfaz SN cream. Presently, I am using coconut oil which is providing some relief. How much time will it take to fully recover? Are the medication appropriate? Please advice. | Hi. I saw the clinical picture (attachment removed to protect patient identity). I see a large erosion on the glans (tip of the penis). I can list a few possibilities like herpes, candidal balanoposthitis, Zoon's balanitis, erythroplasia of Queyrat. Is this for two weeks only? Did it start as blisters or water-filled bubble? Is it painful? Itchy? or absolutely no symptoms? Is this happening for the first time? Any history of unprotected sexual intercourse? If yes, how many days back? Surfaz SN is a potent steroid cream, not safe to use for genital skin for infection. Was this prescribed by a doctor? |
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Hello doctor,I am a male, 33 years old, height is 164 cm, weight is 56 kg. I am suffering from infection (red patches and irritation) on glans and shaft of the penis since 18 to 20 days. No pain and burning sensation while urinating. When I clean the glans and shaft using soft cotton cloth, 1 or 2 drops of blood is observed. I have taken Fluconazole 150 mg (one tablet after seven days, total of two tablets), Moxikind-CV 625 twice a day for five days. Cetirizine (one tablet per day) and applied Surfaz SN cream (Betamethasone (0.025 % w/w), Clotrimazole (1 % w/w), Neomycin (0.5 % w/w)) on the glans and shaft since 10 days. But this has not helped much, redness is increasing. I stopped applying Surfaz SN cream. Presently, I am using coconut oil which is providing some relief. How much time will it take to fully recover? Are the medication appropriate? Please advice. [/INST] Hi. I saw the clinical picture (attachment removed to protect patient identity). I see a large erosion on the glans (tip of the penis). I can list a few possibilities like herpes, candidal balanoposthitis, Zoon's balanitis, erythroplasia of Queyrat. Is this for two weeks only? Did it start as blisters or water-filled bubble? Is it painful? Itchy? or absolutely no symptoms? Is this happening for the first time? Any history of unprotected sexual intercourse? If yes, how many days back? Surfaz SN is a potent steroid cream, not safe to use for genital skin for infection. Was this prescribed by a doctor? |
Q. How can long showers impact health? | Hello doctor, What are some ways long showers might impact your health? Please explain why that happens. Do you recommend people take showers of a certain length or temperature? What is ideal? | Hello. Research has shown that keeping the temperature below 110-degreeFahrenheit is beneficial to health. Slightly cold water is also good for your health as it boosts the immune system but not too cold. Water that is cold can harbor many pathogens like legionellae and others. Water too hot is bad for the epidermis as it damges the natural oils of the skin and predisposes a person to eczema and other skin conditions. Taking a bath in temperatures around 110-deg Fahrenheit can significantly hydrate the cells of the body and also maintain the natural texture of your skin. As for duration, too much time in the water is not recommended. An average of 20 minutes in temperatures around 110-degree Fahrenheit is good. In the case of children or the elderly, observe caution with high temperatures. |
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Hello doctor, What are some ways long showers might impact your health? Please explain why that happens. Do you recommend people take showers of a certain length or temperature? What is ideal? [/INST] Hello. Research has shown that keeping the temperature below 110-degreeFahrenheit is beneficial to health. Slightly cold water is also good for your health as it boosts the immune system but not too cold. Water that is cold can harbor many pathogens like legionellae and others. Water too hot is bad for the epidermis as it damges the natural oils of the skin and predisposes a person to eczema and other skin conditions. Taking a bath in temperatures around 110-deg Fahrenheit can significantly hydrate the cells of the body and also maintain the natural texture of your skin. As for duration, too much time in the water is not recommended. An average of 20 minutes in temperatures around 110-degree Fahrenheit is good. In the case of children or the elderly, observe caution with high temperatures. |
Q. I am not getting erection easily and it lasts for short time. Please help. | Hello doctor, I did not get an erection that easily and am not able to hold it for long also. I did not last longer than three minutes. | Hi. You need to get yourself evaluated to find the cause of this. If any problem detected, then proceed further accordingly. However, in your age group most common cause is psychological in nature. In such situations, the erectile dysfunction is managed by a drug like Sildenafil or Tadalafil and behavior method called Master and Johnson technique. You can google this technique and can start practicing it. Regarding premature ejaculation, three minutes is not abnormal per se, and you can increase the time by practicing a few techniques like start-stop technique or squeeze technique or coitus interruption technique. It is quite difficult to explain here but you can google them or can watch video on the internet. |
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Hello doctor, I did not get an erection that easily and am not able to hold it for long also. I did not last longer than three minutes. [/INST] Hi. You need to get yourself evaluated to find the cause of this. If any problem detected, then proceed further accordingly. However, in your age group most common cause is psychological in nature. In such situations, the erectile dysfunction is managed by a drug like Sildenafil or Tadalafil and behavior method called Master and Johnson technique. You can google this technique and can start practicing it. Regarding premature ejaculation, three minutes is not abnormal per se, and you can increase the time by practicing a few techniques like start-stop technique or squeeze technique or coitus interruption technique. It is quite difficult to explain here but you can google them or can watch video on the internet. |
Q. Is it normal to have cold sweats and high temperature after a flu injection? | Hello doctor, I had my flu injection a week back. And ever since I have been really ill. I have had cold sweats and very high temperature. I have not eaten anything as I am sick. I am drinking plenty but still in bed and have no strength. I have had this flu injection every year but have never felt like this. | Hello. Usually, the flu vaccine is very safe and no adverse effects occur in most of the patients. But unfortunately, your symptoms suggest side effects of the flu shot. It can be managed according to a predominant presentation. You can be prescribed Ibuprofen for pain and fever relief. If rash or congestion associated, then decongestant can be prescribed. Avoid the intake of excess spicy foods. Drink lots of water and electrolyte powder to maintain hydration and electrolytes balance. You should consult your physician once for examination. |
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Hello doctor, I had my flu injection a week back. And ever since I have been really ill. I have had cold sweats and very high temperature. I have not eaten anything as I am sick. I am drinking plenty but still in bed and have no strength. I have had this flu injection every year but have never felt like this. [/INST] Hello. Usually, the flu vaccine is very safe and no adverse effects occur in most of the patients. But unfortunately, your symptoms suggest side effects of the flu shot. It can be managed according to a predominant presentation. You can be prescribed Ibuprofen for pain and fever relief. If rash or congestion associated, then decongestant can be prescribed. Avoid the intake of excess spicy foods. Drink lots of water and electrolyte powder to maintain hydration and electrolytes balance. You should consult your physician once for examination. |
Q. My semen analysis shows sperm agglutination. How to correct my fertility issue? | Hi doctor, I got married before two years. We are planning for a baby now. I smoke five to seven cigarettes in a day. I did sperm analysis before preparing for a baby and found that my sperm agglutination is positive (head to head). My sperm count is 42 million. I have more sluggish progressive sperm than active sperm. My doctor told me that the condition is incurable. Please tell me whether it is curable or not. Please help me. | Hi. Treating male infertility is difficult. But I would not diagnose you as infertile as there should be a consistent attempt for having conception. Quit the habit of smoking and drinking alcohol. Avoid wearing underwears all the time as heat can also cause infertility. Losing weight can also be helpful. Have natural intercourse with your partner. Try to have sex between 10th to 20th day of the cycle. It is the best period to have conception. Take vitamin E tablet 400 mg once daily for two to three months. |
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Hi doctor, I got married before two years. We are planning for a baby now. I smoke five to seven cigarettes in a day. I did sperm analysis before preparing for a baby and found that my sperm agglutination is positive (head to head). My sperm count is 42 million. I have more sluggish progressive sperm than active sperm. My doctor told me that the condition is incurable. Please tell me whether it is curable or not. Please help me. [/INST] Hi. Treating male infertility is difficult. But I would not diagnose you as infertile as there should be a consistent attempt for having conception. Quit the habit of smoking and drinking alcohol. Avoid wearing underwears all the time as heat can also cause infertility. Losing weight can also be helpful. Have natural intercourse with your partner. Try to have sex between 10th to 20th day of the cycle. It is the best period to have conception. Take vitamin E tablet 400 mg once daily for two to three months. |
Q. What are the criterias to know if a baby is getting the right amount of milk? | Hi doctor, How to know if a baby is getting the right amount of milk? | Hi. The ways to know if the baby is getting an adequate amount of feed are as follows. The baby sleeps well for two hours post an adequate feed. Baby passes 6 to 8 times urine. Baby has a weight gain of 25 to 30 gm per day. These are the three main points determining the adequacy of the feed in babies. |
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Hi doctor, How to know if a baby is getting the right amount of milk? [/INST] Hi. The ways to know if the baby is getting an adequate amount of feed are as follows. The baby sleeps well for two hours post an adequate feed. Baby passes 6 to 8 times urine. Baby has a weight gain of 25 to 30 gm per day. These are the three main points determining the adequacy of the feed in babies. |
Q. Will monospot test give accurate results for infectious mononucleosis? | Hello doctor, My test is positive for infectious mononucleosis. But my EBV IgM is negative. How accurate Monospot test is? One week abdominal pain and severe throat pain were there. | Hello. Monospot test has high sensitivity but it is not so accurate. It can come positive in other infections like rubella, CMV (cytomegalovirus), HIV, toxoplasmosis, and other diseases like SLE. So, if EBV IgM is negative then chances of it being infectious mononucleosis is low. EBV infection causing mononucleosis is usually self-limited and last for 3 to 4 weeks. |
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Hello doctor, My test is positive for infectious mononucleosis. But my EBV IgM is negative. How accurate Monospot test is? One week abdominal pain and severe throat pain were there. [/INST] Hello. Monospot test has high sensitivity but it is not so accurate. It can come positive in other infections like rubella, CMV (cytomegalovirus), HIV, toxoplasmosis, and other diseases like SLE. So, if EBV IgM is negative then chances of it being infectious mononucleosis is low. EBV infection causing mononucleosis is usually self-limited and last for 3 to 4 weeks. |
Q. My son is breathing through mouth and not nose. What can I do for it? | Hi doctor, My son is eight years old. From birth to till now, my son is taking Penicillin for the ear and throat infections. He cannot breathe through the nose. He uses mouth for breathing for years. What can I do now? Please suggest. | Hi. You son is suffering from upper airway obstruction. It causes him to breathe through the mouth. It could be a result of allergies or inflammation of adenoids behind the nose. It can be cured by steroid sprays. It is just a part of the treatment. If there is some other form of inflammation of adenoids, then he needs removal of adenoids. If your son becomes unresponsive at any stage, then he needs surgery. Mouth breathing can also lead to a complex problem such as adenoid facies. |
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Hi doctor, My son is eight years old. From birth to till now, my son is taking Penicillin for the ear and throat infections. He cannot breathe through the nose. He uses mouth for breathing for years. What can I do now? Please suggest. [/INST] Hi. You son is suffering from upper airway obstruction. It causes him to breathe through the mouth. It could be a result of allergies or inflammation of adenoids behind the nose. It can be cured by steroid sprays. It is just a part of the treatment. If there is some other form of inflammation of adenoids, then he needs removal of adenoids. If your son becomes unresponsive at any stage, then he needs surgery. Mouth breathing can also lead to a complex problem such as adenoid facies. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My 6 year old daughter has two skin tag like bumps on her skin. What could it be? | Hello doctor, My 6 year old daughter has two skin tag like bumps on her skin near the underwear line. She has had them for several months now and not getting bigger in size. It has been of the same size since it appeared. She does not have any pain or itching. She does not complain about them. But, I noticed another small one starting to appear. I think it is high time I should get her treated for this problem. Please help. | Hello. I read through your child's problem. This may be due to molluscum contagiosum, if central umbilication (a depression similar to that of navel present at the center of any lesion) is present in each lesion and a white body is present inside the bump or these might be warts (if soft, pinkish, irregular, fleshy and without any umbilication). Both these conditions are viral infections. Both of them can spread and form new lesions. In both the conditions, new lesions keep appearing. These lesions can be removed by different options like cauterization and cryotherapy. Warts can also be treated with topical lotion like Podowart (Podophyllum resin, Benzoin, and Aloes solution) under the supervision of the doctor. Molluscum can be treated by enucleating the white body from inside. Consult a dermatologist online for further follow up and treatment --> |
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Hello doctor, My 6 year old daughter has two skin tag like bumps on her skin near the underwear line. She has had them for several months now and not getting bigger in size. It has been of the same size since it appeared. She does not have any pain or itching. She does not complain about them. But, I noticed another small one starting to appear. I think it is high time I should get her treated for this problem. Please help. [/INST] Hello. I read through your child's problem. This may be due to molluscum contagiosum, if central umbilication (a depression similar to that of navel present at the center of any lesion) is present in each lesion and a white body is present inside the bump or these might be warts (if soft, pinkish, irregular, fleshy and without any umbilication). Both these conditions are viral infections. Both of them can spread and form new lesions. In both the conditions, new lesions keep appearing. These lesions can be removed by different options like cauterization and cryotherapy. Warts can also be treated with topical lotion like Podowart (Podophyllum resin, Benzoin, and Aloes solution) under the supervision of the doctor. Molluscum can be treated by enucleating the white body from inside. Consult a dermatologist online for further follow up and treatment --> |
Q. I have keratoconus. Do I have other options apart from spectacles? | Hello doctor, I have an eye disorder (keratoconus). I would like to know whether I can continue wearing soft lens. The hard lens/RGP lens provides a lot of discomfort. Do I have other options apart from glasses? | Hi. Keratoconus is a degenerative eye disorder. This causes corneal thinning and leads to a conical shaped cornea. Soft lenses can be used, the silicone lens with hydrogel based ones in particular. Though RGP (rigid gas permeable) lens are preferred for better vision outcomes, a combination of soft and rigid lenses are also available. If this option fails, then go in for surgical options like microwave thermokeratoplasty. |
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Hello doctor, I have an eye disorder (keratoconus). I would like to know whether I can continue wearing soft lens. The hard lens/RGP lens provides a lot of discomfort. Do I have other options apart from glasses? [/INST] Hi. Keratoconus is a degenerative eye disorder. This causes corneal thinning and leads to a conical shaped cornea. Soft lenses can be used, the silicone lens with hydrogel based ones in particular. Though RGP (rigid gas permeable) lens are preferred for better vision outcomes, a combination of soft and rigid lenses are also available. If this option fails, then go in for surgical options like microwave thermokeratoplasty. |
Q. I had a serious breakup with my girlfriend. I feel lonely. What do I do? | Hi doctor, One year ago, I had a serious breakup with my girlfriend. It was a relationship of five years. Even today, I am not able to forget her. I keep thinking about her. I am not able to concentrate on anything. I feel lonely. What do I do? | Hi. Relationship issues need to be settled down before it starts disturbing you. You have to fully understand what it will lead to and how it will affect your life in the long run. When you get into any relationship for more than a year, you start associating and sharing your feelings with that person, which is quite obvious. In any breakup, the reason for the breakup is very important to deal with. You have not mentioned it here. If you had mentioned, it would have been even more helpful in suggestions. Suggestions: Consult a psychiatrist online --> |
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Hi doctor, One year ago, I had a serious breakup with my girlfriend. It was a relationship of five years. Even today, I am not able to forget her. I keep thinking about her. I am not able to concentrate on anything. I feel lonely. What do I do? [/INST] Hi. Relationship issues need to be settled down before it starts disturbing you. You have to fully understand what it will lead to and how it will affect your life in the long run. When you get into any relationship for more than a year, you start associating and sharing your feelings with that person, which is quite obvious. In any breakup, the reason for the breakup is very important to deal with. You have not mentioned it here. If you had mentioned, it would have been even more helpful in suggestions. Suggestions: Consult a psychiatrist online --> |
Q. Kindly explain MRI taken for abnormal prolactin level. | Hello doctor, I had abnormal prolactin level and I did MRI. They found enlarged heterogeneous pituitary gland with two areas of heterogeneity. One measuring 5 mm on the left and one on the right measuring almost 8 mm. They are indeterminate but certainly could represent the microadenomas given clinical symptoms. Known postsurgical changes with encephalomalacia and volume loss in the right temporal lobe are also there. | Hello. Indeed you are having a pituitary microadenoma as the size is less than 10 mm. And recurrence rate is 10 to 50 % after surgical removal. So, medical therapy is preferred such as Dopamine agonist Bromocriptine. The patients resistant to Bromocriptine are given Cabergoline. A transsphenoidal approach is considered as a surgical approach but the medical approach is preferred as it has been recurrent. Consider surgically only if the tumor grows and shows pressure symptoms. A continuous endocrinological follow up should be considered. Diet and daily activity changes are normally not needed or related to microadenoma patients but as your BMI is 26, it is considered as overweight. So you should lose your weight to avoid other health problems. |
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Hello doctor, I had abnormal prolactin level and I did MRI. They found enlarged heterogeneous pituitary gland with two areas of heterogeneity. One measuring 5 mm on the left and one on the right measuring almost 8 mm. They are indeterminate but certainly could represent the microadenomas given clinical symptoms. Known postsurgical changes with encephalomalacia and volume loss in the right temporal lobe are also there. [/INST] Hello. Indeed you are having a pituitary microadenoma as the size is less than 10 mm. And recurrence rate is 10 to 50 % after surgical removal. So, medical therapy is preferred such as Dopamine agonist Bromocriptine. The patients resistant to Bromocriptine are given Cabergoline. A transsphenoidal approach is considered as a surgical approach but the medical approach is preferred as it has been recurrent. Consider surgically only if the tumor grows and shows pressure symptoms. A continuous endocrinological follow up should be considered. Diet and daily activity changes are normally not needed or related to microadenoma patients but as your BMI is 26, it is considered as overweight. So you should lose your weight to avoid other health problems. |
Q. I had an I-pill yesterday. Can I have another I-pill today? | Hello doctor, I had unsafe sex yesterday and took I-pill in half an hour to avoid pregnancy. Today, I had sex again. Should I take another pill? | Hi. No, you need not take another pill. It works within 72 hours of sex. Hence, your second sexual act is also covered. Wait for the bleeding to start. Avoid further sex till bleeding occurs. Suppose you have intercourse, use barrier contraception like condom and not another pill. |
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Hello doctor, I had unsafe sex yesterday and took I-pill in half an hour to avoid pregnancy. Today, I had sex again. Should I take another pill? [/INST] Hi. No, you need not take another pill. It works within 72 hours of sex. Hence, your second sexual act is also covered. Wait for the bleeding to start. Avoid further sex till bleeding occurs. Suppose you have intercourse, use barrier contraception like condom and not another pill. |
Q. Is it dangerous to have high levels of creatinine and BUN in hypertension patient? | Hello doctor, I am a 52-year-old male. My recent labs show elevated levels of BUN and creatinine. I have hypertension and it is controlled by medication. I am a weight trainer and boxer. I have followed a high protein diet over the years. My lab repot shows: eGFR - 71. BUN - 27. Creatinine - 1.32. My fluid intake has been down with my irregular schedule since the pandemic. I have increased my water intake now 64 plus oz of water a day and I have stopped taking any protein supplements. | Hello, Welcome to icliniq.com. I would like to know which medicines you take for hypertension? I would like to know, whether you have done any urine examination? Rest eGFR (glomerular filtration rate) of 71 is within normal range for you, if urine examination is normal. I would advise you to decrease the protein intake and avoid protein supplements. You take water as much so that urine daily passed is around 1.5 liters. You should avoid any nephrotoxic drugs (painkillers, herbal medicines). If a urine examination was not done previously, I would advise you to undergo one routine urine examination and one ultrasound of kidneys. |
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Hello doctor, I am a 52-year-old male. My recent labs show elevated levels of BUN and creatinine. I have hypertension and it is controlled by medication. I am a weight trainer and boxer. I have followed a high protein diet over the years. My lab repot shows: eGFR - 71. BUN - 27. Creatinine - 1.32. My fluid intake has been down with my irregular schedule since the pandemic. I have increased my water intake now 64 plus oz of water a day and I have stopped taking any protein supplements. [/INST] Hello, Welcome to icliniq.com. I would like to know which medicines you take for hypertension? I would like to know, whether you have done any urine examination? Rest eGFR (glomerular filtration rate) of 71 is within normal range for you, if urine examination is normal. I would advise you to decrease the protein intake and avoid protein supplements. You take water as much so that urine daily passed is around 1.5 liters. You should avoid any nephrotoxic drugs (painkillers, herbal medicines). If a urine examination was not done previously, I would advise you to undergo one routine urine examination and one ultrasound of kidneys. |
Q. What is the reason for burning sensation and pain before sneezing? | Hello doctor, I am 38 years old, male. Whenever I am about to get multiple sneezes just before I get burning and intense pain inside my nose and sinuses. Especially if am around the kitchen or anywhere in the house, especially if frying is happening in kitchen. My sneeze smells bad most of the time. What is the treatment? | Hi. It is clear that you have allergic rhinitis, especially for indoor substances as fried oil and maybe carpets or anything else at home. You need to use intranasal corticosteroid spray once daily as Avamys (Fluticasone furoate) spray. But for the bad smell, I need to know if you have a sputum coming out after sneezing and if it is present, what is its color? |
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Hello doctor, I am 38 years old, male. Whenever I am about to get multiple sneezes just before I get burning and intense pain inside my nose and sinuses. Especially if am around the kitchen or anywhere in the house, especially if frying is happening in kitchen. My sneeze smells bad most of the time. What is the treatment? [/INST] Hi. It is clear that you have allergic rhinitis, especially for indoor substances as fried oil and maybe carpets or anything else at home. You need to use intranasal corticosteroid spray once daily as Avamys (Fluticasone furoate) spray. But for the bad smell, I need to know if you have a sputum coming out after sneezing and if it is present, what is its color? |
Q. How can I shrink my uterine fibroid naturally? | Hi doctor, I have 6 x 7 x 8 cm myoma. It causes heavy and prolonged periods. How can I shrink my fibroid naturally? I do not want surgery. Please help me. | Keyword: Uterine fibroid Hi. Animal foods are estrogenic so that a vegan diet can be followed. Avoid eating meat, alcohol, coffee, chocolate, sugar, hot sauces and spicy foods, fried and fatty foods, processed food to reduce inflammation. Try to take liver cleansing foods such as beetroots, carrots, artichokes, lemon, parsnips, and dandelion greens. Try to take magnesium-rich foods and turmeric in your diet. Take juices of carrot, spinach, cucumber, and lemon juice in warm water. Take Turska or Turska's revised formula. Take 40 drops in a small amount of warm water three times a day between the meals. Apply natural progesterone cream two times a day on the skin. Take Omega 3 (high potency) 3000 to 6000 mg with food in divided doses daily. Try to take iron-rich foods and elemental Magnesium per day. |
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Hi doctor, I have 6 x 7 x 8 cm myoma. It causes heavy and prolonged periods. How can I shrink my fibroid naturally? I do not want surgery. Please help me. [/INST] Keyword: Uterine fibroid Hi. Animal foods are estrogenic so that a vegan diet can be followed. Avoid eating meat, alcohol, coffee, chocolate, sugar, hot sauces and spicy foods, fried and fatty foods, processed food to reduce inflammation. Try to take liver cleansing foods such as beetroots, carrots, artichokes, lemon, parsnips, and dandelion greens. Try to take magnesium-rich foods and turmeric in your diet. Take juices of carrot, spinach, cucumber, and lemon juice in warm water. Take Turska or Turska's revised formula. Take 40 drops in a small amount of warm water three times a day between the meals. Apply natural progesterone cream two times a day on the skin. Take Omega 3 (high potency) 3000 to 6000 mg with food in divided doses daily. Try to take iron-rich foods and elemental Magnesium per day. |
Q. My HIV test reports came nonreactive. Still, is there any chance for HIV infection? | Hi doctor, I had a partner. I have not done sex with her. But I have kissed her. I do not have any symptoms till 80 days. But my fear and anxiety got increased. So after ten days, I did a tridot test. It came nonreactive. After ten days, I had a problem of having frequent urination and itching. So I consulted a doctor. He asked me to do a urine test, and the results came normal (with pus cells of three to six). Again, after ten days, I did a card test for HIV, VDRL for syphilis and HBsAg. All the results came nonreactive. After a few days, I got sores inside my lips. So I was planning to take IgG test for HSV. Is tridot test taken for HIV is reliable? Is there any chance to get gonorrhea and chlamydia after 100 days? Is IgG test is reliable after four months? Please advise. | Hi. Tridot test for HIV is reliable. There is something called window period in HIV. It usually ranges from two to three months where the test for HIV will be negative. In such cases, the test has to be repeated. Since you have done the test after three months, this test should be conclusive. VDRL (venereal disease research laboratory test) and HBsAg test (hepatitis B surface antigen test) are reliable. If they are negative, it means that you do not have an infection. Gonorrhea symptoms will start within two to five days of contact, and chlamydia comes within 10 to 14 days of contact. The chances of having gonorrhea and chlamydia after three months are minimal. For Herpes, you have to take both IgG and IgM antibodies test. IgG antibody indicates past infection, and IgM antibodies indicate present infection. If you have blisters, then IgM will be positive. If IgG alone is positive, it suggests about the past infection. I explain about pus cells also. Pus cells are polymorphonuclear leukocytes and neutrophils. There should be more than ten pus cells in the urine per high power field for the urine test to be positive. Having three to six pus cells are not of much significance. It should be more than 10 to be worried. |
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Hi doctor, I had a partner. I have not done sex with her. But I have kissed her. I do not have any symptoms till 80 days. But my fear and anxiety got increased. So after ten days, I did a tridot test. It came nonreactive. After ten days, I had a problem of having frequent urination and itching. So I consulted a doctor. He asked me to do a urine test, and the results came normal (with pus cells of three to six). Again, after ten days, I did a card test for HIV, VDRL for syphilis and HBsAg. All the results came nonreactive. After a few days, I got sores inside my lips. So I was planning to take IgG test for HSV. Is tridot test taken for HIV is reliable? Is there any chance to get gonorrhea and chlamydia after 100 days? Is IgG test is reliable after four months? Please advise. [/INST] Hi. Tridot test for HIV is reliable. There is something called window period in HIV. It usually ranges from two to three months where the test for HIV will be negative. In such cases, the test has to be repeated. Since you have done the test after three months, this test should be conclusive. VDRL (venereal disease research laboratory test) and HBsAg test (hepatitis B surface antigen test) are reliable. If they are negative, it means that you do not have an infection. Gonorrhea symptoms will start within two to five days of contact, and chlamydia comes within 10 to 14 days of contact. The chances of having gonorrhea and chlamydia after three months are minimal. For Herpes, you have to take both IgG and IgM antibodies test. IgG antibody indicates past infection, and IgM antibodies indicate present infection. If you have blisters, then IgM will be positive. If IgG alone is positive, it suggests about the past infection. I explain about pus cells also. Pus cells are polymorphonuclear leukocytes and neutrophils. There should be more than ten pus cells in the urine per high power field for the urine test to be positive. Having three to six pus cells are not of much significance. It should be more than 10 to be worried. |
Q. Why do I have low energy and weakness in my body? | Hi doctor, I have low energy for a few days now. I have done a blood test, and I have a ferritin level of 10 ng/mL. After taking supplements, my ferritin got increased to 16 ng/mL. But, still, I suffer from weakness. My doctor advised me to have an iron infusion to raise my levels. I still have low energy, and it is affecting my daily life. Can I take an infusion now? Can it help me? Please suggest. | Hi. It also depends on the level of hemoglobin. There are no additional benefits seen while having an infusion. It gives a rapid rise in hemoglobin. If you have responded to oral treatment, then it is not necessary. Please send your blood reports soon. If everything is fine, then do a thyroid test. |
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Hi doctor, I have low energy for a few days now. I have done a blood test, and I have a ferritin level of 10 ng/mL. After taking supplements, my ferritin got increased to 16 ng/mL. But, still, I suffer from weakness. My doctor advised me to have an iron infusion to raise my levels. I still have low energy, and it is affecting my daily life. Can I take an infusion now? Can it help me? Please suggest. [/INST] Hi. It also depends on the level of hemoglobin. There are no additional benefits seen while having an infusion. It gives a rapid rise in hemoglobin. If you have responded to oral treatment, then it is not necessary. Please send your blood reports soon. If everything is fine, then do a thyroid test. |
Q. How to cure allergic rhinitis when having high TSH and hemoglobin level? | Hi doctor, I am suffering from allergies rhinitis. My TSH level is high, and my hemoglobin level is high. How to cure it? | Hi. For allergic rhinitis, you can take Fexofenadine for getting relief from congestion. If you have a repeated history of allergic rhinitis, then allergic testing can be done. An alteration in TSH can be seen due to inflammation. You have to redo your TSH (thyroid stimulating hormone) after the inflammation subsides. I have gone through the attachment (attachment removed to protect patient identity). Additionally, your CBC (complete blood count) shows a high level of hemoglobin and high level of RBC (red blood cells) and HCT (hematocrit). So it can be secondary polycythemia. Sometimes, dehydration leads to these problems. For that, you need to maintain hydration and repeat CBC after one week. If still, if it remains high, then investigate with EPO (erythropoietin) estimation for further work up. |
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Hi doctor, I am suffering from allergies rhinitis. My TSH level is high, and my hemoglobin level is high. How to cure it? [/INST] Hi. For allergic rhinitis, you can take Fexofenadine for getting relief from congestion. If you have a repeated history of allergic rhinitis, then allergic testing can be done. An alteration in TSH can be seen due to inflammation. You have to redo your TSH (thyroid stimulating hormone) after the inflammation subsides. I have gone through the attachment (attachment removed to protect patient identity). Additionally, your CBC (complete blood count) shows a high level of hemoglobin and high level of RBC (red blood cells) and HCT (hematocrit). So it can be secondary polycythemia. Sometimes, dehydration leads to these problems. For that, you need to maintain hydration and repeat CBC after one week. If still, if it remains high, then investigate with EPO (erythropoietin) estimation for further work up. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. My father lose his conscious when he holds back his sneeze. What to do? | Hello doctor, My father is 54 years old. He has a very heavy sneeze. When he sneezes he holds it back and he loses consciousness. I tell him not to hold it back but he is physically not able to let it go alone. Is there anything I can do to help him or anything he should do and are there any dangers in his life? | Hi. First, we need to find out what is the cause of recurrent sneezing. If you look into the physiology, sneeze is a protective reflex often in response to something irritative and offensive which the body wants to push out in order to prevent it from reaching the lungs and thereby into the circulation. Most commonly it is dust, but can be attributed to other irritative substances such as animal fur, pollens, smoke, fumes, etc. What can be done? 1. Prevention of entry of irritative substances is the key and plays a major role in preventing allergic responses. This can be effectively done by wearing an n95 mask most times even while indoors. 2. In addition, a combination of antihistaminic and steroidal spray containing Azelastine and Fluticasone two puffs two times a day does wonder. 3. Holding a sneeze inside can be lethal, as it is high pressure reflux and by holding the sneeze, reverse pressure can be created which has no where else to go but above to the cranium thereby an increase in intracranial pressure causing a vessel to rupture resulting in a stroke. This is a far possibility, but in elderly individuals, it can happen and is lethal. Secondly, an increase in intrathoracic pressure can also stimulate the vagus nerve resulting in vasovagal syncope causing a brief loss of consciousness. It is very important that these measures are followed in order to prevent any untoward incident. I hope this helps. |
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Hello doctor, My father is 54 years old. He has a very heavy sneeze. When he sneezes he holds it back and he loses consciousness. I tell him not to hold it back but he is physically not able to let it go alone. Is there anything I can do to help him or anything he should do and are there any dangers in his life? [/INST] Hi. First, we need to find out what is the cause of recurrent sneezing. If you look into the physiology, sneeze is a protective reflex often in response to something irritative and offensive which the body wants to push out in order to prevent it from reaching the lungs and thereby into the circulation. Most commonly it is dust, but can be attributed to other irritative substances such as animal fur, pollens, smoke, fumes, etc. What can be done? 1. Prevention of entry of irritative substances is the key and plays a major role in preventing allergic responses. This can be effectively done by wearing an n95 mask most times even while indoors. 2. In addition, a combination of antihistaminic and steroidal spray containing Azelastine and Fluticasone two puffs two times a day does wonder. 3. Holding a sneeze inside can be lethal, as it is high pressure reflux and by holding the sneeze, reverse pressure can be created which has no where else to go but above to the cranium thereby an increase in intracranial pressure causing a vessel to rupture resulting in a stroke. This is a far possibility, but in elderly individuals, it can happen and is lethal. Secondly, an increase in intrathoracic pressure can also stimulate the vagus nerve resulting in vasovagal syncope causing a brief loss of consciousness. It is very important that these measures are followed in order to prevent any untoward incident. I hope this helps. |
Q. Kindly advise treatment for constipation. | Hello doctor, I am suffering from constipation. I cannot get fresh at one time. It may take around 2 or 3 times. | Hello. Please follow like this. Increase your fiber intake. Adding fiber to your diet increases the weight of your stool and speeds its passage through your intestines. Slowly begin to eat more fresh fruits and vegetables each day. Choose whole-grain bread and cereals. Do exercise most days of the week. Physical activity increases muscle activity in your intestines. Try to fit in exercise most days of the week. Do not ignore the urge to have a bowel movement. Take your time in the bathroom, allowing yourself enough time to have a bowel movement without distractions and without feeling rushed. Do take one laxative at bedtime (Cremaffin Plus) 15 ml with one cup of milk and drink plenty of fluids (greater than 3 liters per day). |
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Hello doctor, I am suffering from constipation. I cannot get fresh at one time. It may take around 2 or 3 times. [/INST] Hello. Please follow like this. Increase your fiber intake. Adding fiber to your diet increases the weight of your stool and speeds its passage through your intestines. Slowly begin to eat more fresh fruits and vegetables each day. Choose whole-grain bread and cereals. Do exercise most days of the week. Physical activity increases muscle activity in your intestines. Try to fit in exercise most days of the week. Do not ignore the urge to have a bowel movement. Take your time in the bathroom, allowing yourself enough time to have a bowel movement without distractions and without feeling rushed. Do take one laxative at bedtime (Cremaffin Plus) 15 ml with one cup of milk and drink plenty of fluids (greater than 3 liters per day). |
Q. Is my MRI for headache showing any critical issue? | Hello doctor, I have regular headaches and I have done a consultation with a doctor and he advised for MRI. Please check my reports and let me know the reports. Is there any critical issue? | Hi. Your MRI is grossly normal with some evidence of ethmoid and frontal sinus mucosal thickening suggestive of frontal and ethmoidal sinusitis. These can cause your symptoms of a headache and are probably due to chronic allergic rhinosinusitis. Furthermore, you might also have a migraine as you have been put on Sebilium. You can continue Cetirizine and use FluMist nasal spray (live attenuated influenza vaccine) in case you have a nasal blockage. |
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Hello doctor, I have regular headaches and I have done a consultation with a doctor and he advised for MRI. Please check my reports and let me know the reports. Is there any critical issue? [/INST] Hi. Your MRI is grossly normal with some evidence of ethmoid and frontal sinus mucosal thickening suggestive of frontal and ethmoidal sinusitis. These can cause your symptoms of a headache and are probably due to chronic allergic rhinosinusitis. Furthermore, you might also have a migraine as you have been put on Sebilium. You can continue Cetirizine and use FluMist nasal spray (live attenuated influenza vaccine) in case you have a nasal blockage. |
Q. There is lymph node enlargement under chin and groin in a child. Is it serious? | Hello doctor, My 2-year-old female child has mild lymph node enlargement under the chin and groin. She had a fever. Her weight is 8 kg. Peripheral smear showed mild degree aniso-poikilocytosis. Her hemoglobin is 12. She has a minimal fullness of renal pelvic calyceal system (USG). Is there anything to worry? Rest of all the tests are normal. | Hi. Recurrent fever with lymphadenopathy sometimes indicates chronic infection like tuberculosis. If ESR (erythrocyte sedimentation rate) is normal and the fever subsides, this may be a remote possibility. A mild fullness of pelvicalyceal system sometimes indicates mild obstruction lower in the urinary tract or incomplete evacuation of urine. I suggest you do a urine routine and culture test. If the consistency of the lymph node is soft, then it may be reactive due to the past infection. You already told that your child suffered from fever last month. So, these lymph nodes if less than 1 cm in size and soft in consistency and not attached to skin or underlying structure may indicate reactive etiology which is not harmful. But to be sure, you can do a Mantoux test. if that turns out to be positive, then there is a scope to worry. Reactive lymphadenopathy, UTI. Urine routine, culture, and sensitivity of urine, Mantoux test. Tuberculosis. |
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Hello doctor, My 2-year-old female child has mild lymph node enlargement under the chin and groin. She had a fever. Her weight is 8 kg. Peripheral smear showed mild degree aniso-poikilocytosis. Her hemoglobin is 12. She has a minimal fullness of renal pelvic calyceal system (USG). Is there anything to worry? Rest of all the tests are normal. [/INST] Hi. Recurrent fever with lymphadenopathy sometimes indicates chronic infection like tuberculosis. If ESR (erythrocyte sedimentation rate) is normal and the fever subsides, this may be a remote possibility. A mild fullness of pelvicalyceal system sometimes indicates mild obstruction lower in the urinary tract or incomplete evacuation of urine. I suggest you do a urine routine and culture test. If the consistency of the lymph node is soft, then it may be reactive due to the past infection. You already told that your child suffered from fever last month. So, these lymph nodes if less than 1 cm in size and soft in consistency and not attached to skin or underlying structure may indicate reactive etiology which is not harmful. But to be sure, you can do a Mantoux test. if that turns out to be positive, then there is a scope to worry. Reactive lymphadenopathy, UTI. Urine routine, culture, and sensitivity of urine, Mantoux test. Tuberculosis. |
Q. I have difficulty in concentrating on my work. What is the problem? | Hi doctor, I am 30 years old. I have a habit of smoking. For a few days, I am unable to concentrate on my work, and there is a decrease in my memory. Please help me. | Hi. There are some reasons to have these symptoms. They are fatigue, and emotional stress, poor sleep, and a poor diet can also make it hard to concentrate. Specific psychological and physical conditions cause difficulty in concentrating on work like attention deficit hyperactivity disorder (ADHD). The surrounding people and places also play a role in creating difficulty in concentrating on work. Try to prioritize your tasks. Eat healthy foods. Always have a touch with nature. Take some breaks during the day. Do one thing at a time. I suggest you visit a psychiatrist in case if there is no improvement. |
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Hi doctor, I am 30 years old. I have a habit of smoking. For a few days, I am unable to concentrate on my work, and there is a decrease in my memory. Please help me. [/INST] Hi. There are some reasons to have these symptoms. They are fatigue, and emotional stress, poor sleep, and a poor diet can also make it hard to concentrate. Specific psychological and physical conditions cause difficulty in concentrating on work like attention deficit hyperactivity disorder (ADHD). The surrounding people and places also play a role in creating difficulty in concentrating on work. Try to prioritize your tasks. Eat healthy foods. Always have a touch with nature. Take some breaks during the day. Do one thing at a time. I suggest you visit a psychiatrist in case if there is no improvement. |
Q. Postprandial glucose 200 despite diet control and exercise. What to do? | Hello doctor, I am a 32-year-old, male, 105 kg, 6 feet in height. Recently, I have been diagnosed with diabetes. I am not on any medication. I am strictly controlling food and doing regular aerobic exercises. My one hour postprandial BG is always around 200. | Hi. Please update your FBS (fasting blood sugar) and HbA1c (glycosylated hemoglobin). Anyway, your sugar values are high. So, you have to take the necessary precautions to prevent the progression of the disease. First is adequate exercise. Daily do aerobic exercise for at least 30 minutes, then comes diet control. Small frequent low carbohydrate meals. Avoid oily food. Increase amount of leafy vegetables. Reduce salt intake. It is better to add drugs like Metformin or SGLT2 inhibitors to reduce your sugar values. These drugs will help you to reduce your weight too. Check your lipid profile and thyroid status. |
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Hello doctor, I am a 32-year-old, male, 105 kg, 6 feet in height. Recently, I have been diagnosed with diabetes. I am not on any medication. I am strictly controlling food and doing regular aerobic exercises. My one hour postprandial BG is always around 200. [/INST] Hi. Please update your FBS (fasting blood sugar) and HbA1c (glycosylated hemoglobin). Anyway, your sugar values are high. So, you have to take the necessary precautions to prevent the progression of the disease. First is adequate exercise. Daily do aerobic exercise for at least 30 minutes, then comes diet control. Small frequent low carbohydrate meals. Avoid oily food. Increase amount of leafy vegetables. Reduce salt intake. It is better to add drugs like Metformin or SGLT2 inhibitors to reduce your sugar values. These drugs will help you to reduce your weight too. Check your lipid profile and thyroid status. |
Q. How to cure the fungal infection in my penis? | Hi doctor, I am 18 years old. I have a fungal infection in the groin area. It has got spread. It has affected my penis. Now I have an urge to urinate inside my penis. I want to get cured. Please suggest. | Hi. I suggest you consult your local dermatologist soon. I suggest you start with antifungal medications soon. Take capsule I-Win 100 mg (Itraconazole) twice daily after lunch and dinner for two weeks. Apply Eberwin cream (Eberconazole) over the affected area once daily after having a bath in the morning and once before going to bedtime for two weeks. Avoid rubbing with excessive soap. Trim your nails. Clean the affected area every time before applying the cream. Stop taking fast foods for two weeks. Revert me after two weeks for a change in prescription. Change your underwear twice a day. Wash your underwear in hot water and dry it in the sun. Do not continue these medicines indefinitely. They will harm you. They are supposed to be used only for the desired time. |
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Hi doctor, I am 18 years old. I have a fungal infection in the groin area. It has got spread. It has affected my penis. Now I have an urge to urinate inside my penis. I want to get cured. Please suggest. [/INST] Hi. I suggest you consult your local dermatologist soon. I suggest you start with antifungal medications soon. Take capsule I-Win 100 mg (Itraconazole) twice daily after lunch and dinner for two weeks. Apply Eberwin cream (Eberconazole) over the affected area once daily after having a bath in the morning and once before going to bedtime for two weeks. Avoid rubbing with excessive soap. Trim your nails. Clean the affected area every time before applying the cream. Stop taking fast foods for two weeks. Revert me after two weeks for a change in prescription. Change your underwear twice a day. Wash your underwear in hot water and dry it in the sun. Do not continue these medicines indefinitely. They will harm you. They are supposed to be used only for the desired time. |
Q. I have red spots all over the body with fever and pain behind the ears. Why? | Hi doctor, I am 49 years old female. I have red spots all over the body. I have pain in the thigh and back. I have a fever for the past two days. I have a pain behind my ears with a headache. I am unable to eat my food. I have slight coughing and slight swelling on my face. | Hi. It is most likely a viral fever. It is better to get a full blood count done to be on the safer side. Take plenty of fluid and rest. Do not take Aspirin or Ibuprofen or any other NSAID (nonsteroidal anti-inflammatory drugs) or painkillers. You can take Paracetamol three tablets in a day for fever. |
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Hi doctor, I am 49 years old female. I have red spots all over the body. I have pain in the thigh and back. I have a fever for the past two days. I have a pain behind my ears with a headache. I am unable to eat my food. I have slight coughing and slight swelling on my face. [/INST] Hi. It is most likely a viral fever. It is better to get a full blood count done to be on the safer side. Take plenty of fluid and rest. Do not take Aspirin or Ibuprofen or any other NSAID (nonsteroidal anti-inflammatory drugs) or painkillers. You can take Paracetamol three tablets in a day for fever. |
Q. Why do I get blood along with the cough? | Hi doctor, Whenever I get cold, I have blood coming along with a cough. I have this problem for the past one year. After drinking water and taking cough syrup, it becomes normal. I went to the doctor, and a chest X-ray was done. The result was normal. After a month, I had the same problem and went to the doctor. He suggested me to do an X-ray, sputum test and CT scan. I did all the tests, and the results came normal. Even today also, I had the same problem. I do not understand. Why do I have these symptoms when everything is normal? Please suggest. | Hi. Blood in sputum can occur due to different causes. We need to find the reason whether the blood comes from the nose or throat. It can also occur due to localized damage to the lungs called bronchiectasis. But it is usually seen in CT scan. Please send me the images of the chest X-ray and CT scan to guide you further. |
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Hi doctor, Whenever I get cold, I have blood coming along with a cough. I have this problem for the past one year. After drinking water and taking cough syrup, it becomes normal. I went to the doctor, and a chest X-ray was done. The result was normal. After a month, I had the same problem and went to the doctor. He suggested me to do an X-ray, sputum test and CT scan. I did all the tests, and the results came normal. Even today also, I had the same problem. I do not understand. Why do I have these symptoms when everything is normal? Please suggest. [/INST] Hi. Blood in sputum can occur due to different causes. We need to find the reason whether the blood comes from the nose or throat. It can also occur due to localized damage to the lungs called bronchiectasis. But it is usually seen in CT scan. Please send me the images of the chest X-ray and CT scan to guide you further. |
Q. Kindly tell me about the cut in the mouth of a patient with lichen planus. | Hi doctor, I have been diagnosed with oral lichen planus a year back and now I can feel a small cut like thing in mouth again. Can you help me up to diagnose if this is a normal cut or some other thing. I am 30 years old male. | Hello. The cut you are referring to seems to be due to cheek bite (attachment removed to protect patient identity). I need to know if there is any pain in the cut or pain on taking any specific food or liquid. I need to know when where you diagnosed with lichen planus. And have you been taking any medicine for that? The whiteness around the cut seems the keratinization that usually occurs due to the cell growth around the cut and that is normal. I would advise you to maintain good oral hygiene and if you have pain, apply some analgesic ointment on the cut. I would also advise you to have a visit to your nearest dentist in order to rule out any other disorder. |
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Hi doctor, I have been diagnosed with oral lichen planus a year back and now I can feel a small cut like thing in mouth again. Can you help me up to diagnose if this is a normal cut or some other thing. I am 30 years old male. [/INST] Hello. The cut you are referring to seems to be due to cheek bite (attachment removed to protect patient identity). I need to know if there is any pain in the cut or pain on taking any specific food or liquid. I need to know when where you diagnosed with lichen planus. And have you been taking any medicine for that? The whiteness around the cut seems the keratinization that usually occurs due to the cell growth around the cut and that is normal. I would advise you to maintain good oral hygiene and if you have pain, apply some analgesic ointment on the cut. I would also advise you to have a visit to your nearest dentist in order to rule out any other disorder. |
Q. I have cough with white sputum. What is it? | Hi doctor, I am a healthy person. I have a cough with white sputum production. I do not have a fever. I have done sputum culture. The result showed a presence of Pseudomonas. Do I need an antibiotic? | Hi. If there is a presence of Pseudomonas, then there can be an infection. Since you have a productive cough, you may need to take antibiotics. Please repeat the sputum culture if possible. Also, get a chest X-ray and full blood count done. It could help you to identify the infection. |
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Hi doctor, I am a healthy person. I have a cough with white sputum production. I do not have a fever. I have done sputum culture. The result showed a presence of Pseudomonas. Do I need an antibiotic? [/INST] Hi. If there is a presence of Pseudomonas, then there can be an infection. Since you have a productive cough, you may need to take antibiotics. Please repeat the sputum culture if possible. Also, get a chest X-ray and full blood count done. It could help you to identify the infection. |
Q. I have two bumps in my vaginal area for the past two months. What could those be? | Hello doctor, I have two bumps near my vaginal region. One is on my thigh and the other is near my vagina. They are red outside with a white circle inside. What could this be? I am currently taking Doxycycline for acne. | Hello. Sorry, the images were not really very clear. (attachment removed to protect patient identity). I would like to know if there are any similar lesions anywhere else on any other parts of the body? Or if these lesions have any pain or itching? Are they the same as they appeared two months ago? Or their texture or locations keep changing? If there was any fever when you have these eruptions, and did these come out after shaving or waxing? But based on one lesion that I could make out, probably which was on the thigh, it appears like a folliculitis (infection in the hair follicle), which has gotten infected. You can apply Clindamycin gel or Doxycycline cream over these bumps if they have this yellow topping which indicates they got infected. If painful you can take some analgesics like Combiflam or Diclofenac. ? Folliculitis. Clindamycin gel or Doxycycline cream local application. Change undergarments frequently. Avoid excessive sweating in the affected area. Keep the area clean and dry. Avoid shaving or waxing in the affected area. |
<s>[INST]
Hello doctor, I have two bumps near my vaginal region. One is on my thigh and the other is near my vagina. They are red outside with a white circle inside. What could this be? I am currently taking Doxycycline for acne. [/INST] Hello. Sorry, the images were not really very clear. (attachment removed to protect patient identity). I would like to know if there are any similar lesions anywhere else on any other parts of the body? Or if these lesions have any pain or itching? Are they the same as they appeared two months ago? Or their texture or locations keep changing? If there was any fever when you have these eruptions, and did these come out after shaving or waxing? But based on one lesion that I could make out, probably which was on the thigh, it appears like a folliculitis (infection in the hair follicle), which has gotten infected. You can apply Clindamycin gel or Doxycycline cream over these bumps if they have this yellow topping which indicates they got infected. If painful you can take some analgesics like Combiflam or Diclofenac. ? Folliculitis. Clindamycin gel or Doxycycline cream local application. Change undergarments frequently. Avoid excessive sweating in the affected area. Keep the area clean and dry. Avoid shaving or waxing in the affected area. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<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 --> |
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