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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 always get headache when I study or work. Please help. | Hi doctor, I am 17 years old, and I always get a headache when I am studying or when I am using my mind at any work. So I am unable to study more. Please help me. | Hi. It can be a tension headache or a migraine. In a tension-type headache, the pain is in whole head, in a migraine, the pain is in one half of the head, with intolerance to light and noise. When having pain at night causing insomnia, pain that increases a lot with a cough or defecation, when having excessive drowsiness, alternations in walking, alteration in vision or mobility of arms and legs, and when having a rigid neck also needs attention. If you have these following symptoms, you have to consult a doctor soon. If you do not have any of these suspicious symptoms, then it can be a tension headache or a migraine. Both these problems can be treated with non-steroidal anti-inflammatory drugs. Take Ibuprofen 500 mg three times a day, Naproxen 500 mg three times a day and Diclofenac 50 mg three times a day. |
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Hi doctor, I am 17 years old, and I always get a headache when I am studying or when I am using my mind at any work. So I am unable to study more. Please help me. [/INST] Hi. It can be a tension headache or a migraine. In a tension-type headache, the pain is in whole head, in a migraine, the pain is in one half of the head, with intolerance to light and noise. When having pain at night causing insomnia, pain that increases a lot with a cough or defecation, when having excessive drowsiness, alternations in walking, alteration in vision or mobility of arms and legs, and when having a rigid neck also needs attention. If you have these following symptoms, you have to consult a doctor soon. If you do not have any of these suspicious symptoms, then it can be a tension headache or a migraine. Both these problems can be treated with non-steroidal anti-inflammatory drugs. Take Ibuprofen 500 mg three times a day, Naproxen 500 mg three times a day and Diclofenac 50 mg three times a day. |
Q. How to detect pregnancy after having an unprotected sex? | Hi doctor, I had unprotected sex with my partner, and I gave her I-pill within 50 hours. After five days, she got her periods. After a month, she got her periods again. But her breast and lower stomach size have got increased. I want to know whether she is pregnant or not. Please help me. | Hi. She has got periods twice after having unprotected intercourse. Her first period can be due to the withdrawal effect of drugs, and the second episode after a month can be a regular period. Change in breast size can occur during regular menstrual periods. But it is usually not noticeable. You have not mentioned whether there was an ejaculation done or not. So if you think that there is a change in size, I would advise you to do a urine pregnancy test for your partner. As it is more than eight weeks, it will detect pregnancy if it is there. |
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Hi doctor, I had unprotected sex with my partner, and I gave her I-pill within 50 hours. After five days, she got her periods. After a month, she got her periods again. But her breast and lower stomach size have got increased. I want to know whether she is pregnant or not. Please help me. [/INST] Hi. She has got periods twice after having unprotected intercourse. Her first period can be due to the withdrawal effect of drugs, and the second episode after a month can be a regular period. Change in breast size can occur during regular menstrual periods. But it is usually not noticeable. You have not mentioned whether there was an ejaculation done or not. So if you think that there is a change in size, I would advise you to do a urine pregnancy test for your partner. As it is more than eight weeks, it will detect pregnancy if it is there. |
Q. Why is there irritation in the stomach while eating and gas troubles? | Hello doctor, I am working in a software company. I have a gastric problem, stomach gets big and tight when gas occurs. Below are a few symptoms. When gas occurs, irritation in stomach above the belly button and just below rib bone (little right), releasing more gas when I go to the bathroom, if I eat anything spicy, irritation in the stomach at the time of eating, below right rib, no heartburn. I met a doctor, who gave Nexium 40 1-0-1 and Sucrafil 1-0-1. It was good for two hours after food, but later gas forms, feeling stomach has increased its size. So, met a Gastroenterologist, who checked and gave, Deltone 60 1-0-0 and Lafaxid 10 0-0-1. But the same issue, after eating food, nearly two hours later, gas forms, irritation at the point comes. At weekends, when I am at home, I used to eat biscuits, fruits often, so 90 % I do not get this gas problem. My weight has increased to 8 kg in the last six months. | Hi. You have to modify your diet and lifestyle. Try to avoid or reduce the amount of gas forming foods in your diet. Also, reduce excess spice and masalas. Add more of salads. Try short frequent feeds rather than heavy food or meals three times a day. Keep yourself well hydrated with two liters of water daily. Avoid carbonated drinks, excess coffee and alcohol if any. Have regular aerobic exercises. Follow these measures consistently for a month and see the response. Regarding medicines, Nexium (Esomeprazole) is a good choice. Can have for 2 to 3 days whenever you have excess symptoms. An endoscopy and ultrasound scan of the abdomen, if not done, is highly recommended. |
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Hello doctor, I am working in a software company. I have a gastric problem, stomach gets big and tight when gas occurs. Below are a few symptoms. When gas occurs, irritation in stomach above the belly button and just below rib bone (little right), releasing more gas when I go to the bathroom, if I eat anything spicy, irritation in the stomach at the time of eating, below right rib, no heartburn. I met a doctor, who gave Nexium 40 1-0-1 and Sucrafil 1-0-1. It was good for two hours after food, but later gas forms, feeling stomach has increased its size. So, met a Gastroenterologist, who checked and gave, Deltone 60 1-0-0 and Lafaxid 10 0-0-1. But the same issue, after eating food, nearly two hours later, gas forms, irritation at the point comes. At weekends, when I am at home, I used to eat biscuits, fruits often, so 90 % I do not get this gas problem. My weight has increased to 8 kg in the last six months. [/INST] Hi. You have to modify your diet and lifestyle. Try to avoid or reduce the amount of gas forming foods in your diet. Also, reduce excess spice and masalas. Add more of salads. Try short frequent feeds rather than heavy food or meals three times a day. Keep yourself well hydrated with two liters of water daily. Avoid carbonated drinks, excess coffee and alcohol if any. Have regular aerobic exercises. Follow these measures consistently for a month and see the response. Regarding medicines, Nexium (Esomeprazole) is a good choice. Can have for 2 to 3 days whenever you have excess symptoms. An endoscopy and ultrasound scan of the abdomen, if not done, is highly recommended. |
Q. Suffering from diarrhea after having spicy food. What to do? | Hi doctor, Three days back, I had food for dinner. The food was spicy. Next day, in the morning, I vomited it completely. I suffer from diarrhea for the past two days, and I feel tired. Please suggest me. | Hi. You are suffering from acute gastroenteritis. As you are feeling tired, you must take ORS (oral rehydration solution) after passing of each stool. Otherwise, you would become dehydrated. Take plenty of water and ORS. Avoid taking spicy foods. Avoid eating foods from outside. Take a healthy homemade meal. For vomiting, you must take antiemetics. You can take tablet Emistat 8 mg (Ondansetron) one tablet in the morning, afternoon and evening before having a meal for three days. Please say whether you have abdominal pain. You should not take medication on your own without consulting a doctor. Follow these instructions. If there is no improvement, then you can take an antibiotic. |
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Hi doctor, Three days back, I had food for dinner. The food was spicy. Next day, in the morning, I vomited it completely. I suffer from diarrhea for the past two days, and I feel tired. Please suggest me. [/INST] Hi. You are suffering from acute gastroenteritis. As you are feeling tired, you must take ORS (oral rehydration solution) after passing of each stool. Otherwise, you would become dehydrated. Take plenty of water and ORS. Avoid taking spicy foods. Avoid eating foods from outside. Take a healthy homemade meal. For vomiting, you must take antiemetics. You can take tablet Emistat 8 mg (Ondansetron) one tablet in the morning, afternoon and evening before having a meal for three days. Please say whether you have abdominal pain. You should not take medication on your own without consulting a doctor. Follow these instructions. If there is no improvement, then you can take an antibiotic. |
Q. Kindly let me know some exercises to strengthen abdominal muscles after hernia surgery. | Hello doctor, I underwent surgery for umbilical hernia. Kindly let me know some exercises to strengthen the abdominal muscles. | Hello. You must take complete rest for one week, and no exertion up to one month. After one month, you may get back to normal activities without restriction. It is advisable to start the routine work slowly and gradually. It is not advisable to do abdominal crunches after hernia surgery, even when fully recovered. There is a common misconception by patients that strengthening the abdominal muscles will help prevent a future hernia. But this is not true. The abdominal muscles have nothing to do with hernia. Hernia develops because of the weakness in the abdominal fascia. Fascia is the dense sheet that encases muscle and attaches muscle to bone. Fascia is rich in collagen. Exercise does not strengthen fascia but may weaken it. Consult a general practitioner online for further follow up --> |
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Hello doctor, I underwent surgery for umbilical hernia. Kindly let me know some exercises to strengthen the abdominal muscles. [/INST] Hello. You must take complete rest for one week, and no exertion up to one month. After one month, you may get back to normal activities without restriction. It is advisable to start the routine work slowly and gradually. It is not advisable to do abdominal crunches after hernia surgery, even when fully recovered. There is a common misconception by patients that strengthening the abdominal muscles will help prevent a future hernia. But this is not true. The abdominal muscles have nothing to do with hernia. Hernia develops because of the weakness in the abdominal fascia. Fascia is the dense sheet that encases muscle and attaches muscle to bone. Fascia is rich in collagen. Exercise does not strengthen fascia but may weaken it. Consult a general practitioner online for further follow up --> |
Q. Injection for knee pain cause relief only for sometime. Kindly suggest treatment for permanent relief. | Hi doctor, I am writing this on behalf of my mother. She is 60 years old and weighs about 86 kg. Her complaint is very extreme pain on the knee (left leg). This issue started one year ago and we consulted orthopedics who applied an injection on her knee after verifying an x-ray report and prescribed a couple of tablets. Doctor said it is a kind of arthritis. There was some relief after that visit. My mother again started facing the same problem since last month. Pain is so extreme from inside the knee that she cannot even move her left leg. Her right leg is fine. Kindly prescribe some relief and treatment plan. Please find the written X-ray reports for your understanding: X-ray both knee joints: - Marginal osteophytes are seen. - Tibial spines are prominent. - Mild reduction of the medial tibiofemoral joint. - Patellar sour is seen. - No loose bodies are seen in the joint cavities. - No soft tissue swelling is seen around the joints. Impression: Osteoarthritis. Note: She is not taking any medicine for the above issue for the past one year. However, she is taking tablets for anxiety, blood pressure, and diabetics. | Hello. Your x-rays show (attachment removed to protect patient identity), grade 2-3 arthritis (4 is worst) in both knees, however, the x-ray picture does not always match with the clinical symptom as is in your case. I will recommend that you take a course of anti-inflammatory tablets like Diclofenac 100 mg SR once a day after meals, Pantoprazole 40 mg before meals, tablet Ultracet (Paracetamol and Tramadol combination) maximum twice daily for pain. Apply Dynapar gel (Linolenic acid and Paracetamol) locally four to five times a day. Ice the knee 10-15 minutes when the spray is not applied that is there had to be a gap of 45 minutes between the ice and spray and vice versa. If you have access to physiotherapy then Tens (transcutaneous electrical nerve stimulation) therapy will help too. |
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Hi doctor, I am writing this on behalf of my mother. She is 60 years old and weighs about 86 kg. Her complaint is very extreme pain on the knee (left leg). This issue started one year ago and we consulted orthopedics who applied an injection on her knee after verifying an x-ray report and prescribed a couple of tablets. Doctor said it is a kind of arthritis. There was some relief after that visit. My mother again started facing the same problem since last month. Pain is so extreme from inside the knee that she cannot even move her left leg. Her right leg is fine. Kindly prescribe some relief and treatment plan. Please find the written X-ray reports for your understanding: X-ray both knee joints: - Marginal osteophytes are seen. - Tibial spines are prominent. - Mild reduction of the medial tibiofemoral joint. - Patellar sour is seen. - No loose bodies are seen in the joint cavities. - No soft tissue swelling is seen around the joints. Impression: Osteoarthritis. Note: She is not taking any medicine for the above issue for the past one year. However, she is taking tablets for anxiety, blood pressure, and diabetics. [/INST] Hello. Your x-rays show (attachment removed to protect patient identity), grade 2-3 arthritis (4 is worst) in both knees, however, the x-ray picture does not always match with the clinical symptom as is in your case. I will recommend that you take a course of anti-inflammatory tablets like Diclofenac 100 mg SR once a day after meals, Pantoprazole 40 mg before meals, tablet Ultracet (Paracetamol and Tramadol combination) maximum twice daily for pain. Apply Dynapar gel (Linolenic acid and Paracetamol) locally four to five times a day. Ice the knee 10-15 minutes when the spray is not applied that is there had to be a gap of 45 minutes between the ice and spray and vice versa. If you have access to physiotherapy then Tens (transcutaneous electrical nerve stimulation) therapy will help too. |
Q. Do eggs increase sperm count? | Hi doctor, Do eggs included in the diet increase the sperm count in men? If not, what medication should I take? | Hello. Egg is a rich source of protein. Protein is required for healthy sperm formation. Hence, it contributes indirectly to sperm formation. Green leafy vegetables are also rich in protein and they aid in semen formation. Apart from these, you can take capsule Absolut 3G once daily at bedtime for a month. Consult a sexologist online for more details --> |
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Hi doctor, Do eggs included in the diet increase the sperm count in men? If not, what medication should I take? [/INST] Hello. Egg is a rich source of protein. Protein is required for healthy sperm formation. Hence, it contributes indirectly to sperm formation. Green leafy vegetables are also rich in protein and they aid in semen formation. Apart from these, you can take capsule Absolut 3G once daily at bedtime for a month. Consult a sexologist online for more details --> |
Q. I cry almost every night and I am paranoid. Is there any chance that I have depression? | Hello doctor, I am a 14 year old boy. I usually live by routine, but whenever I find free time, I usually become very sad until I cry. This happens almost every night before I sleep. Yesterday night, I thought of going out with my friends, until one friend said he was going to watch a movie with his parents and the other friend said he was going to pack for a vacation. I got super paranoid thinking that they were hanging out behind my back and I ended up crying myself to sleep. I take no medication. Is there any chance that I have depression? | Hi. You have mentioned that you are experiencing low mood, crying spells, and paranoid thoughts. You are not in a depression. Teenagers might experience certain mood swings due to hormonal changes in the body. You are going through the same. With the mentioned symptoms, you cannot be diagnosed as having depression. The incident you quoted is related to your feelings of sadness and low self-esteem and might be due to loneliness. Suggestions to overcome this: For further follow up, consult a psychologist counsellor online --> |
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Hello doctor, I am a 14 year old boy. I usually live by routine, but whenever I find free time, I usually become very sad until I cry. This happens almost every night before I sleep. Yesterday night, I thought of going out with my friends, until one friend said he was going to watch a movie with his parents and the other friend said he was going to pack for a vacation. I got super paranoid thinking that they were hanging out behind my back and I ended up crying myself to sleep. I take no medication. Is there any chance that I have depression? [/INST] Hi. You have mentioned that you are experiencing low mood, crying spells, and paranoid thoughts. You are not in a depression. Teenagers might experience certain mood swings due to hormonal changes in the body. You are going through the same. With the mentioned symptoms, you cannot be diagnosed as having depression. The incident you quoted is related to your feelings of sadness and low self-esteem and might be due to loneliness. Suggestions to overcome this: For further follow up, consult a psychologist counsellor online --> |
Q. Will a dog scratch cause rabies? | Hello doctor, My dog scratched me with its claws. So, what should I do? | Hello. If your pet dog is vaccinated and if the attack was provoked and if there was no bleeding then you just need to observe the dog for ten days, and chances of contracting rabies are very little or nil. However, if there was any bleeding, the attack was unprovoked and if you do not know the vaccination status of the dog, you must get a full course of rabies vaccine along with tetanus immunoglobulin shot. |
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Hello doctor, My dog scratched me with its claws. So, what should I do? [/INST] Hello. If your pet dog is vaccinated and if the attack was provoked and if there was no bleeding then you just need to observe the dog for ten days, and chances of contracting rabies are very little or nil. However, if there was any bleeding, the attack was unprovoked and if you do not know the vaccination status of the dog, you must get a full course of rabies vaccine along with tetanus immunoglobulin shot. |
Q. Is it normal to observe weight loss while undergoing treatment for ovarian cysts? | Hello doctor, I am a 44-year-old woman. I am taking treatment for a cyst in the ovary and irregular cycle for the last four months. I am given Cabergoline tablets to be taken once in a week. My weight, in the beginning, was 71 kg. Today I checked weight to be 66 kg. I did nothing for weight loss except used two staircases of 10 steps each at the workplace. Being a teacher I am bound to use staircase more. Having done nothing I am confused about the reason for weight loss. | Hi. Everything is fine. Just because your cyst has disappeared as your hormonal level becomes normal and you keep exercising, so not to worry. Your weight was high just because of hormonal imbalance. Since you have taken treatment for that, your weight reduces. It is a good sign. Not to worry. Just have protein rich and fibre rich diet. Avoid fats. |
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Hello doctor, I am a 44-year-old woman. I am taking treatment for a cyst in the ovary and irregular cycle for the last four months. I am given Cabergoline tablets to be taken once in a week. My weight, in the beginning, was 71 kg. Today I checked weight to be 66 kg. I did nothing for weight loss except used two staircases of 10 steps each at the workplace. Being a teacher I am bound to use staircase more. Having done nothing I am confused about the reason for weight loss. [/INST] Hi. Everything is fine. Just because your cyst has disappeared as your hormonal level becomes normal and you keep exercising, so not to worry. Your weight was high just because of hormonal imbalance. Since you have taken treatment for that, your weight reduces. It is a good sign. Not to worry. Just have protein rich and fibre rich diet. Avoid fats. |
Q. What is the relation between gut health and depression? | Hello doctor, A lot has been said lately about the relationship between gut health and depression. How can I take care of gut in order to take care of my head? | Hello. There is definitely a positive relationship between the two and there is a medical explanation for that. Mental health issues like depression and anxiety tend to cause gut problems like hyperacidity, loss of appetite, nausea, constipation, and even mild diarrhea. Vice versa, gut problems like chronic diarrhea or loss of appetite with or without other symptoms may cause symptoms of anxiety depression, social anxiety, etc. In order to keep a healthy mind, the following measures can be taken to ensure a healthy gut. Drinking plenty of water, mainly warm water. Eating fibers and green vegetables to avoid constipation. Eating meat in measured amounts. Avoiding overeating and eating on time. All these measures and many more can give your gut and over whole body good shape which will, in turn, add to your self-confidence, stamina, feeling good about yourself, etc. Someone who has a happy healthy gut can prove to lead a productive life thus contributing to good self-esteem and confidence. Hence mental health symptoms like various types of anxiety or depression can be kept at bay. |
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Hello doctor, A lot has been said lately about the relationship between gut health and depression. How can I take care of gut in order to take care of my head? [/INST] Hello. There is definitely a positive relationship between the two and there is a medical explanation for that. Mental health issues like depression and anxiety tend to cause gut problems like hyperacidity, loss of appetite, nausea, constipation, and even mild diarrhea. Vice versa, gut problems like chronic diarrhea or loss of appetite with or without other symptoms may cause symptoms of anxiety depression, social anxiety, etc. In order to keep a healthy mind, the following measures can be taken to ensure a healthy gut. Drinking plenty of water, mainly warm water. Eating fibers and green vegetables to avoid constipation. Eating meat in measured amounts. Avoiding overeating and eating on time. All these measures and many more can give your gut and over whole body good shape which will, in turn, add to your self-confidence, stamina, feeling good about yourself, etc. Someone who has a happy healthy gut can prove to lead a productive life thus contributing to good self-esteem and confidence. Hence mental health symptoms like various types of anxiety or depression can be kept at bay. |
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. Can I get pregnant even on implant contraceptive while taking Carbamazepine? | Hello doctor, I took Carbamazepine 200 mg for the first (and last) time, at the beginning of this year and stopped right after experiencing some side effects from it. A month later, I discovered that this actually interacts with contraceptive implants, which I have been on for one year. Looking back, I have had unprotected sexual intercourse a day after taking Carbamazepine. I did get a period in January. I also took pregnancy tests in February and they all came back negative. I still feel anxious, though. Is there any chance that I am actually pregnant and I have been just having some bleeding? Also, has the effect of my implant been permanently affected due to Carbamazepine or not? | Hi. Why did you take Carbamezepine? Do you have epilepsy? |
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Hello doctor, I took Carbamazepine 200 mg for the first (and last) time, at the beginning of this year and stopped right after experiencing some side effects from it. A month later, I discovered that this actually interacts with contraceptive implants, which I have been on for one year. Looking back, I have had unprotected sexual intercourse a day after taking Carbamazepine. I did get a period in January. I also took pregnancy tests in February and they all came back negative. I still feel anxious, though. Is there any chance that I am actually pregnant and I have been just having some bleeding? Also, has the effect of my implant been permanently affected due to Carbamazepine or not? [/INST] Hi. Why did you take Carbamezepine? Do you have epilepsy? |
Q. I have liquid discharge coming from urethra. What is it? | Hi doctor, I am a 22-year-old boy. I am single. I have a liquid discharge coming from the urethra. I do not have blood present in the discharge, and I do not have pain. But I have the discharge when I wear tight pant or trouser. It happens every day when I work or when I am sitting on a chair. Sometimes I have the discharge after urination. Do I need to take any medicine? Please help. | Hi. The discharge is semen. It happens commonly in young men who are not sexually active. The body keeps producing semen, and when there is pelvic pressure or pressure on the perineum or when there are erotic thoughts, there is a spontaneous discharge. It can also occur during sleep. It will not harm your body. There is no need to take medicines. Usually, it gets decreased when a person becomes sexually active. |
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Hi doctor, I am a 22-year-old boy. I am single. I have a liquid discharge coming from the urethra. I do not have blood present in the discharge, and I do not have pain. But I have the discharge when I wear tight pant or trouser. It happens every day when I work or when I am sitting on a chair. Sometimes I have the discharge after urination. Do I need to take any medicine? Please help. [/INST] Hi. The discharge is semen. It happens commonly in young men who are not sexually active. The body keeps producing semen, and when there is pelvic pressure or pressure on the perineum or when there are erotic thoughts, there is a spontaneous discharge. It can also occur during sleep. It will not harm your body. There is no need to take medicines. Usually, it gets decreased when a person becomes sexually active. |
Q. I have low temperature. Is it a matter of concern? | Hello doctor, I am an 18-year-old female, approximately 5 feet, and weigh 115 pounds. I have not been feeling myself the past few days. So, this morning I checked my temperature and it was 97.5, and now it is 96.1. This worries me as my temperature normally stays around 98.9. I am feeling worse today but cannot pinpoint exactly what is wrong. I just generally feel bad. Is this something I should worry about? | Hello. If the core body temperature drops below 95 degrees Fahrenheit it is a potentially serious condition and immediate treatment must be sought. If you already feel unwell it would be a good idea to go to the ER now given the temperature is 96 or dropping. Also, keep yourself warm. If you have been cold lately, this could be a cause. If this often happens you might want to get your thyroid and adrenal hormones checked out. Exposure to cold weather. Keep yourself very warm and go to ER if temperature does not rise or continue to fall as soon as possible. Stay away from the cold. |
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Hello doctor, I am an 18-year-old female, approximately 5 feet, and weigh 115 pounds. I have not been feeling myself the past few days. So, this morning I checked my temperature and it was 97.5, and now it is 96.1. This worries me as my temperature normally stays around 98.9. I am feeling worse today but cannot pinpoint exactly what is wrong. I just generally feel bad. Is this something I should worry about? [/INST] Hello. If the core body temperature drops below 95 degrees Fahrenheit it is a potentially serious condition and immediate treatment must be sought. If you already feel unwell it would be a good idea to go to the ER now given the temperature is 96 or dropping. Also, keep yourself warm. If you have been cold lately, this could be a cause. If this often happens you might want to get your thyroid and adrenal hormones checked out. Exposure to cold weather. Keep yourself very warm and go to ER if temperature does not rise or continue to fall as soon as possible. Stay away from the cold. |
Q. What is the reason for swollen tonsil after tonsil stones removal? | Hello doctor, Two days ago, I removed my tonsil stones with a cotton swab at home. How long after the removal of the stones does the tonsil remain swollen? | Hello. Tonsil stone removal by self is often accompanied by tonsillitis or inflammation of tonsil. Swelling of the tonsils is occurring probably due to that. I suggest you gargle with lukewarm water with a pinch of salt twice daily. That will help you to reduce the swelling. If the swelling is not reduced even after 3 to 4 days, you can take antiinflammatory mouthwash containing Nimesulide. I suggest you refrain from removing stone by yourself. Because tonsillitis can be a very painful complication of that if you do not follow strict aseptic procedure. |
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Hello doctor, Two days ago, I removed my tonsil stones with a cotton swab at home. How long after the removal of the stones does the tonsil remain swollen? [/INST] Hello. Tonsil stone removal by self is often accompanied by tonsillitis or inflammation of tonsil. Swelling of the tonsils is occurring probably due to that. I suggest you gargle with lukewarm water with a pinch of salt twice daily. That will help you to reduce the swelling. If the swelling is not reduced even after 3 to 4 days, you can take antiinflammatory mouthwash containing Nimesulide. I suggest you refrain from removing stone by yourself. Because tonsillitis can be a very painful complication of that if you do not follow strict aseptic procedure. |
Q. My daughter is suffering from severe stomach pain. Could it be due to iron deficiency anemia? | Hi doctor, My daughter is 13 years old. She is having moderate to severe stomach pain for a year. We thought that it was related to constipation. After a few weeks, my daughter started to have a headache, feeling of dizziness, and shortness of breath. She had a habit of eating ice all the time. Her stomach pain got increased day by day. I took her to an urgent care. They did an iron deficiency panel. Can it be an iron deficiency anemia? Can I give her an iron supplement? Does her body is unable to convert iron to ferritin? Please help. | Hi. I have gone through the attached blood test results (attachment removed to protect patient identity). Your daughter's serum ferritin is low which reflects the low iron stores. Her hemoglobin is low. Her low ferritin levels support it. Her TIBC (total iron binding capacity) is high, and it is commonly seen in iron deficiency anemia. But her serum iron levels are not consistent with iron deficiency anemia. Her transferrin saturation of 66 % suggests an iron overload. A transferrin saturation of less than 20 % indicates iron deficiency, while transferrin saturation of more than 50 % suggests iron overload. Higher transferrin saturation values are found in high iron status, such as megaloblastic anemia, sideroblastic anemia, and iron overload status. She needs a detailed hematological workup, and she should avoid taking iron pills. You are correct in your thinking. Her iron is being absorbed, but it is not adequately processed and utilized by the body. The underlying cause is needed to be determined soon and treated accordingly. |
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Hi doctor, My daughter is 13 years old. She is having moderate to severe stomach pain for a year. We thought that it was related to constipation. After a few weeks, my daughter started to have a headache, feeling of dizziness, and shortness of breath. She had a habit of eating ice all the time. Her stomach pain got increased day by day. I took her to an urgent care. They did an iron deficiency panel. Can it be an iron deficiency anemia? Can I give her an iron supplement? Does her body is unable to convert iron to ferritin? Please help. [/INST] Hi. I have gone through the attached blood test results (attachment removed to protect patient identity). Your daughter's serum ferritin is low which reflects the low iron stores. Her hemoglobin is low. Her low ferritin levels support it. Her TIBC (total iron binding capacity) is high, and it is commonly seen in iron deficiency anemia. But her serum iron levels are not consistent with iron deficiency anemia. Her transferrin saturation of 66 % suggests an iron overload. A transferrin saturation of less than 20 % indicates iron deficiency, while transferrin saturation of more than 50 % suggests iron overload. Higher transferrin saturation values are found in high iron status, such as megaloblastic anemia, sideroblastic anemia, and iron overload status. She needs a detailed hematological workup, and she should avoid taking iron pills. You are correct in your thinking. Her iron is being absorbed, but it is not adequately processed and utilized by the body. The underlying cause is needed to be determined soon and treated accordingly. |
Q. I was diagnosed with fibromatosis of muscle after removing a fibromatosis from my thigh. Why? | Hi doctor, I was diagnosed with fibromatosis of muscle, ligament, and fascia after having a fibromatosis removed from my thigh. But the margins were not clear. I have been scheduled with a second surgery now. I am concerned about the diagnosis. The clinical history shows a soft tissue mass. The gross description shows a lobular yellow adipose tissue aggregating to 2.5 x 2.5 x 0.9 cm. The specimen was received in formalin, and it consists of two irregular friable portions of lobular yellow fatty tissue. Sections reveal a slight fibrous cut surface. I am attaching my laboratory reports. Please help. | Hi. I have gone through the reports (attachment removed to protect patient identity). Your report does not show a definite diagnosis. I am taking fibromatosis as the final diagnosis. Fibromatosis is also called as a desmoid tumor. It is a slow-growing disease. It has an uncontrolled proliferation of fibrous tissue in the body. It starts as a slight tightening of the skin, and it slows down the functions of the structures or organs it involves. It is treated by doing surgery. Some oral medications can keep them under control. |
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Hi doctor, I was diagnosed with fibromatosis of muscle, ligament, and fascia after having a fibromatosis removed from my thigh. But the margins were not clear. I have been scheduled with a second surgery now. I am concerned about the diagnosis. The clinical history shows a soft tissue mass. The gross description shows a lobular yellow adipose tissue aggregating to 2.5 x 2.5 x 0.9 cm. The specimen was received in formalin, and it consists of two irregular friable portions of lobular yellow fatty tissue. Sections reveal a slight fibrous cut surface. I am attaching my laboratory reports. Please help. [/INST] Hi. I have gone through the reports (attachment removed to protect patient identity). Your report does not show a definite diagnosis. I am taking fibromatosis as the final diagnosis. Fibromatosis is also called as a desmoid tumor. It is a slow-growing disease. It has an uncontrolled proliferation of fibrous tissue in the body. It starts as a slight tightening of the skin, and it slows down the functions of the structures or organs it involves. It is treated by doing surgery. Some oral medications can keep them under control. |
Q. I have nausea, headache, and excessive burping with cold hands and feet. Why? | Hello doctor,I have been suffering from nausea, headaches, and excessive burping. My hands and feet would get very cold whenever I have my attacks. I would have difficulty breathing. | Hi. You do seem to have a case of chronic gastritis due to Helicobacter pylori infection evident from the endoscopy report. You need prescription antibiotics to treat that given in the form of a regimen called triple therapy for 10 days to two weeks. This also contains antiulcerants which protect your gastric mucosa from stomach acid and will allow your ulcers to heal. Now, coming to the hands getting cold could be Raynaud's phenomenon that can be due to stress caused by the attack and difficulty in breathing may be due to the severe dyspepsia and heartburn that you may feel because of gastritis. If you take the triple therapy as per doctor's prescription you carry on the antiulcerant medication for two more weeks, your symptoms should improve significantly. Please let me know if your symptoms do not improve after taking triple therapy and antiulcerant for another two weeks. Avoid spicy food, going without food for several hours. Eat frequently. Avoid constipation. Avoid caffeine, alcohol, tea. |
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Hello doctor,I have been suffering from nausea, headaches, and excessive burping. My hands and feet would get very cold whenever I have my attacks. I would have difficulty breathing. [/INST] Hi. You do seem to have a case of chronic gastritis due to Helicobacter pylori infection evident from the endoscopy report. You need prescription antibiotics to treat that given in the form of a regimen called triple therapy for 10 days to two weeks. This also contains antiulcerants which protect your gastric mucosa from stomach acid and will allow your ulcers to heal. Now, coming to the hands getting cold could be Raynaud's phenomenon that can be due to stress caused by the attack and difficulty in breathing may be due to the severe dyspepsia and heartburn that you may feel because of gastritis. If you take the triple therapy as per doctor's prescription you carry on the antiulcerant medication for two more weeks, your symptoms should improve significantly. Please let me know if your symptoms do not improve after taking triple therapy and antiulcerant for another two weeks. Avoid spicy food, going without food for several hours. Eat frequently. Avoid constipation. Avoid caffeine, alcohol, tea. |
Q. I got tested for rubella thrice and received different results. What can be done now? | Hi doctor, I am a 32-year-old female. Recently, I got tested for rubella. I checked it in three places, and they showed different results. I am testing it as I am willing to get conceived. My first test result showed IgG of 6, and the other result showed IgG of 5. All the three results showed a negative IgM. When I was 11 years old, I got a vaccination for rubella twice. Please suggest. | Hi. I have gone through the attachment (attachment removed to protect patient identity). As per the laboratory reports, one thing is clear that you are not immune to rubella as the titers of IgG are below the required level. You are in a safer zone as you have appropriately vaccinated in childhood. In rare cases, due to numerous reasons, we do not develop complete immunity. Do not plan for pregnancy now. Get re-vaccinated again, check the titers and then think about conceiving. |
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Hi doctor, I am a 32-year-old female. Recently, I got tested for rubella. I checked it in three places, and they showed different results. I am testing it as I am willing to get conceived. My first test result showed IgG of 6, and the other result showed IgG of 5. All the three results showed a negative IgM. When I was 11 years old, I got a vaccination for rubella twice. Please suggest. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). As per the laboratory reports, one thing is clear that you are not immune to rubella as the titers of IgG are below the required level. You are in a safer zone as you have appropriately vaccinated in childhood. In rare cases, due to numerous reasons, we do not develop complete immunity. Do not plan for pregnancy now. Get re-vaccinated again, check the titers and then think about conceiving. |
Q. I have sharp pain in my vagina when I pee. Why? | Hi doctor, I am 16 years old female. I urge to pee quite often. I have a sharp pain in my vagina when I pee. I have the urge to pee frequently. But when I go to the toilet, I do not have the urge to pee. Is this due to UTI or STD? | Hi. These symptoms are common in both STD (sexually transmitted diseases) and UTI (urinary tract infections). If you do not have vaginal discharge or any history of unprotected sex, then UTI is the cause. You can confirm the diagnosis with the following tests. You can do urine microscopy and routine examination soon. You can do a vaginal swab for microscopy and culture. Drink plenty of water and keep the area dry and clean. If there is an infection, you can take antibiotics. |
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Hi doctor, I am 16 years old female. I urge to pee quite often. I have a sharp pain in my vagina when I pee. I have the urge to pee frequently. But when I go to the toilet, I do not have the urge to pee. Is this due to UTI or STD? [/INST] Hi. These symptoms are common in both STD (sexually transmitted diseases) and UTI (urinary tract infections). If you do not have vaginal discharge or any history of unprotected sex, then UTI is the cause. You can confirm the diagnosis with the following tests. You can do urine microscopy and routine examination soon. You can do a vaginal swab for microscopy and culture. Drink plenty of water and keep the area dry and clean. If there is an infection, you can take antibiotics. |
Q. My finger is swollen and I have poor blood circulation in my hands. What is the treatment? | Hi doctor, I have poor blood circulation, and my hands are affected. My finger is swollen, and it hurts me a lot. I have tried using hot water over it, and it has not helped me. What can I do now? I am taking Daflon. But it has not helped me. I have attached my picture. Please see the images of the same finger present in different hands. Please help me. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Please say about the duration of the swelling present in the finger. If the finger swelling is present for a few days, it can occur due to an infectious cause. If the finger swelling and pain occur due to cold exposure, then it can be a Raynaud's phenomenon. It is an autoimmune disease. As there is involvement of finger in one side, it can occur due to an autoimmune cause. Your blood circulation is poor. So, you can do an ultrasound color Doppler of the arterial system of your hand. In the case of vascular insufficiency, vasodilator drugs like Nifedipine can be taken first with low doses. You must exclude an infectious etiology. If there is a pus formation under your nailbed, an antibiotic can be taken. In case of severe pain, you can take Nonsteroidal anti-inflammatory medications like Aceclofenac plus after having food. |
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Hi doctor, I have poor blood circulation, and my hands are affected. My finger is swollen, and it hurts me a lot. I have tried using hot water over it, and it has not helped me. What can I do now? I am taking Daflon. But it has not helped me. I have attached my picture. Please see the images of the same finger present in different hands. Please help me. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Please say about the duration of the swelling present in the finger. If the finger swelling is present for a few days, it can occur due to an infectious cause. If the finger swelling and pain occur due to cold exposure, then it can be a Raynaud's phenomenon. It is an autoimmune disease. As there is involvement of finger in one side, it can occur due to an autoimmune cause. Your blood circulation is poor. So, you can do an ultrasound color Doppler of the arterial system of your hand. In the case of vascular insufficiency, vasodilator drugs like Nifedipine can be taken first with low doses. You must exclude an infectious etiology. If there is a pus formation under your nailbed, an antibiotic can be taken. In case of severe pain, you can take Nonsteroidal anti-inflammatory medications like Aceclofenac plus after having food. |
Q. What is the reason for fluctuating BP a year after heart attack? | Hello doctor, Last year my father had a heart attack and well it has been treated well. But after a year he feels his head to be spinning, weak, and has fluctuating blood pressure. Why is it so? | Hello. I would like to explain that the head spinning could be a sign of blood pressure fluctuations. Other possible causes to consider would be an inner ear disorder or low blood flow to the brain (vertebro-basilar insufficiency). For this reason, I would recommend consulting with his attending physician and performing some further tests. A cardiac ultrasound to examine his heart function, a Doppler ultrasound of the carotid and vertebral arteries to examine the blood flow to the brain, thyroid hormone levels, complete blood count for anemia, blood electrolytes, fasting glucose, kidney, and liver function tests. A head-up tilt test is necessary to investigate for orthostatic hypotension. |
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Hello doctor, Last year my father had a heart attack and well it has been treated well. But after a year he feels his head to be spinning, weak, and has fluctuating blood pressure. Why is it so? [/INST] Hello. I would like to explain that the head spinning could be a sign of blood pressure fluctuations. Other possible causes to consider would be an inner ear disorder or low blood flow to the brain (vertebro-basilar insufficiency). For this reason, I would recommend consulting with his attending physician and performing some further tests. A cardiac ultrasound to examine his heart function, a Doppler ultrasound of the carotid and vertebral arteries to examine the blood flow to the brain, thyroid hormone levels, complete blood count for anemia, blood electrolytes, fasting glucose, kidney, and liver function tests. A head-up tilt test is necessary to investigate for orthostatic hypotension. |
Q. I get little blood while spitting mucus. Why? | Hello doctor, I am a 39-year-old woman, non-smoker. Some times when I clear my throat I spit mucus with a little blood. I am not sick and I have no cough. What could it be? I consulted an ENT doctor before. | Hi. How many years do you smoke? Do you drink alcohol? What did the ENT doctor say about you? |
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Hello doctor, I am a 39-year-old woman, non-smoker. Some times when I clear my throat I spit mucus with a little blood. I am not sick and I have no cough. What could it be? I consulted an ENT doctor before. [/INST] Hi. How many years do you smoke? Do you drink alcohol? What did the ENT doctor say about you? |
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. Can a person with GERD get diarrhea and burps? | Hello doctor, My doctor, a long time ago, said that I have GERD. It is an acid reflux condition. I get really disgusting burps that taste like rotten eggs and I get diarrhea. That will go on for about three hours and then I throw up and I feel fine. I take acid reducers but I still end up getting it. I have also tried eating less and drinking more water instead of tea and coke. Can you tell me anything that I can do? | Hi. Yes, you are having GERD which is gastric esophageal reflux disease which means acid of your stomach along with food regurgitate into your food pipe known as the esophagus. There are many causes for that like being overweight, excess tea, coffee or cold drinks intake, excess alcohol, chocolate, fatty food, going to bed immediately after eating especially dinner. And certain food as you mentioned. First of all, you should avoid the food which causes these symptoms. Secondly, avoid coffee, cola, alcohol, chocolate, and fatty spicy food like burger, pizza, etc. Reduce your weight as you are over weight with 120 kg. Eat your dinner early with at least a gap of four hours between your dinner and going to bed. Place blocks under the head end of your bed so that your head end is elevated 30 degrees and food does not regurgitate into your food pipe. Along with that use following medications. Esomeprazole 40 mg, one before breakfast at least 30 minutes, syrup Gaviscon two tablespoons after meals three times a day, tablet Maxolon 10 mg, one tablet twice a day before meals 20 minutes. Use these medications for four weeks, then let me know. |
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Hello doctor, My doctor, a long time ago, said that I have GERD. It is an acid reflux condition. I get really disgusting burps that taste like rotten eggs and I get diarrhea. That will go on for about three hours and then I throw up and I feel fine. I take acid reducers but I still end up getting it. I have also tried eating less and drinking more water instead of tea and coke. Can you tell me anything that I can do? [/INST] Hi. Yes, you are having GERD which is gastric esophageal reflux disease which means acid of your stomach along with food regurgitate into your food pipe known as the esophagus. There are many causes for that like being overweight, excess tea, coffee or cold drinks intake, excess alcohol, chocolate, fatty food, going to bed immediately after eating especially dinner. And certain food as you mentioned. First of all, you should avoid the food which causes these symptoms. Secondly, avoid coffee, cola, alcohol, chocolate, and fatty spicy food like burger, pizza, etc. Reduce your weight as you are over weight with 120 kg. Eat your dinner early with at least a gap of four hours between your dinner and going to bed. Place blocks under the head end of your bed so that your head end is elevated 30 degrees and food does not regurgitate into your food pipe. Along with that use following medications. Esomeprazole 40 mg, one before breakfast at least 30 minutes, syrup Gaviscon two tablespoons after meals three times a day, tablet Maxolon 10 mg, one tablet twice a day before meals 20 minutes. Use these medications for four weeks, then let me know. |
Q. How to have a normal blood pressure at the age of 24? | Hi doctor, I am a 24-year-old male. My weight is 75 kilograms. I have a healthy diet. I have a habit of drinking alcohol once a month, and I do not have the habit of smoking. I checked my blood pressure, and it was 155 by 65 mmHg. Is it high? Please suggest. | Hi. You are slightly overweight. I suggest you reduce taking carbohydrates and fats in your diet. Your blood pressure is elevated. Still, a single elevated reading does not mean that you have hypertension. Taking repeated measurement for at least two to three times, and having your BP high at these measurements, may suggest that you are hypertensive. At your age, a normal BP should be below 120 by 80 mmHg. BP (blood pressure) is a dynamic parameter. It usually gets elevated after having an emotional upset, anxiety or physical exercise. Repeat your blood pressure measurement soon. Reduce taking salt in your diet. I also advise you do a blood test called lipid profile. An elevated cholesterol or triglyceride level can also cause high BP. |
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Hi doctor, I am a 24-year-old male. My weight is 75 kilograms. I have a healthy diet. I have a habit of drinking alcohol once a month, and I do not have the habit of smoking. I checked my blood pressure, and it was 155 by 65 mmHg. Is it high? Please suggest. [/INST] Hi. You are slightly overweight. I suggest you reduce taking carbohydrates and fats in your diet. Your blood pressure is elevated. Still, a single elevated reading does not mean that you have hypertension. Taking repeated measurement for at least two to three times, and having your BP high at these measurements, may suggest that you are hypertensive. At your age, a normal BP should be below 120 by 80 mmHg. BP (blood pressure) is a dynamic parameter. It usually gets elevated after having an emotional upset, anxiety or physical exercise. Repeat your blood pressure measurement soon. Reduce taking salt in your diet. I also advise you do a blood test called lipid profile. An elevated cholesterol or triglyceride level can also cause high BP. |
Q. How to treat the blood dots present in the skin? | Hi doctor, I have blood dots present under my skin. But it appears only in my arms. I have them on a different arm every morning. I do not have itching, and they are not raised. | Hi. I have gone through the attachment (attachment removed to protect patient identity). These are called petechiae. It can occur due to multiple causes. Please mention about the other clinical complaints you have. Please say about the recurrence of these blood dots and your drug history. Please report about the recent history of trauma. |
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Hi doctor, I have blood dots present under my skin. But it appears only in my arms. I have them on a different arm every morning. I do not have itching, and they are not raised. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). These are called petechiae. It can occur due to multiple causes. Please mention about the other clinical complaints you have. Please say about the recurrence of these blood dots and your drug history. Please report about the recent history of trauma. |
Q. Is it normal to have rapid heartbeat in a Wolf Parkinson white syndrome patient? | Hello doctor, I have wolf Parkinson white syndrome. I was admitted to a hospital last week and was discharged within one day. The doctor said that first, we can check through medicine, now sometimes I am feeling nervous and minute rapid heartbeat. | Hi. Wolf Parkinson white syndrome is caused by the presence of extra pathway of the heart electricity which causes parts of the heart to be excited before others and sometimes the connection between the normal pathway and the extra pathway cause what is called reentry cycle which causes an attack of tachycardia (rapid heart beats). Treatment options include medical and ablation. Medical: Propafenone 150 mg tablet every eight hours (control heartbeats). In severe cases ablation using a catheter is required. Beta blockers like Metalor is not suitable as it blocks the normal pathway and enhances the extra abnormal pathway. I recommend that you follow up and send me your ECG and echocardiography report in order to identify the type and severity of the arrhythmia. |
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Hello doctor, I have wolf Parkinson white syndrome. I was admitted to a hospital last week and was discharged within one day. The doctor said that first, we can check through medicine, now sometimes I am feeling nervous and minute rapid heartbeat. [/INST] Hi. Wolf Parkinson white syndrome is caused by the presence of extra pathway of the heart electricity which causes parts of the heart to be excited before others and sometimes the connection between the normal pathway and the extra pathway cause what is called reentry cycle which causes an attack of tachycardia (rapid heart beats). Treatment options include medical and ablation. Medical: Propafenone 150 mg tablet every eight hours (control heartbeats). In severe cases ablation using a catheter is required. Beta blockers like Metalor is not suitable as it blocks the normal pathway and enhances the extra abnormal pathway. I recommend that you follow up and send me your ECG and echocardiography report in order to identify the type and severity of the arrhythmia. |
Q. How to have a healthy life without anxiety? | Hi doctor, I am 21 years old. Last month, I was experiencing some ringing sounds in my ears, with dizziness. It triggered my health anxiety. I convinced myself that I have MS. Now after a month, my dizziness is gone. But I have new symptoms like joints making crackling sounds (especially in my hips and shoulders). My arms and calf muscles are tight sometimes, and they hurt a lot. My hips make a loud popping sound sometimes which I have never heard it before. If I swing my leg in a circular motion, it makes a loud pop. It causes my whole body to vibrate. I am panic, and I am afraid of going to the doctor. Currently, I am taking Magnesium 200 mg daily. | Hi. You are suffering from generalized anxiety disorder. Your joint symptoms may occur due to vitamin D deficiency. I suggest you do a blood vitamin D level and a complete blood count. Multiple sclerosis does not happen with joint symptoms. It is a disease though commonly seen in young females, often manifest with limb weakness and cramping in one of the limbs. Multiple sclerosis can present with vertigo in case of brainstem involvement. But, it seems to be a remote possibility in your case. I suggest you take an anxiolytic for your symptoms. If the vitamin D level is found to be low, you may need a vitamin D supplementation. |
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Hi doctor, I am 21 years old. Last month, I was experiencing some ringing sounds in my ears, with dizziness. It triggered my health anxiety. I convinced myself that I have MS. Now after a month, my dizziness is gone. But I have new symptoms like joints making crackling sounds (especially in my hips and shoulders). My arms and calf muscles are tight sometimes, and they hurt a lot. My hips make a loud popping sound sometimes which I have never heard it before. If I swing my leg in a circular motion, it makes a loud pop. It causes my whole body to vibrate. I am panic, and I am afraid of going to the doctor. Currently, I am taking Magnesium 200 mg daily. [/INST] Hi. You are suffering from generalized anxiety disorder. Your joint symptoms may occur due to vitamin D deficiency. I suggest you do a blood vitamin D level and a complete blood count. Multiple sclerosis does not happen with joint symptoms. It is a disease though commonly seen in young females, often manifest with limb weakness and cramping in one of the limbs. Multiple sclerosis can present with vertigo in case of brainstem involvement. But, it seems to be a remote possibility in your case. I suggest you take an anxiolytic for your symptoms. If the vitamin D level is found to be low, you may need a vitamin D supplementation. |
Q. What does abutment of the nerve root mean? | Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Q. Is it necessary to take Rhogam shot during pregnancy? | Hi doctor, My daughter is pregnant. She is O negative, and she has a Jka antigen. They want to give her a Rhogam shot this weekend. I know it is a blood product. Is it safe? | Hi. Rh incompatibility is a mismatch that occurs between the blood of the mother and the blood of the fetus. It happens when the mother is Rh-negative, and the fetus is Rh-positive. When Rh-negative blood is exposed to Rh-positive blood, the Rh-negative blood responds by producing antibodies. It attacks and destroys the Rh-positive blood cells. It leads to problems such as fetal anemia, which can cause a life-threatening condition known as hydrops fetalis, causing internal bleeding, heart and kidney failure, and shock. Rh immunoglobulin prevents the mother's immune system from attacking the baby’s blood. It is entirely safe, and it should be administered for the well being of the baby. |
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Hi doctor, My daughter is pregnant. She is O negative, and she has a Jka antigen. They want to give her a Rhogam shot this weekend. I know it is a blood product. Is it safe? [/INST] Hi. Rh incompatibility is a mismatch that occurs between the blood of the mother and the blood of the fetus. It happens when the mother is Rh-negative, and the fetus is Rh-positive. When Rh-negative blood is exposed to Rh-positive blood, the Rh-negative blood responds by producing antibodies. It attacks and destroys the Rh-positive blood cells. It leads to problems such as fetal anemia, which can cause a life-threatening condition known as hydrops fetalis, causing internal bleeding, heart and kidney failure, and shock. Rh immunoglobulin prevents the mother's immune system from attacking the baby’s blood. It is entirely safe, and it should be administered for the well being of the baby. |
Q. Can caffeine cause heart palpitations? | Hello doctor, How is it possible that I got heart palpitations from caffeine use (5.8 mg/kg a day)? Could it be that I also used Wellbutrin? | Hello. Yes, both these caffeine and Wellbutrin commonly causes palpitations. Even a lower dose of caffeine can cause palpitations and there is no as such dose relationship with respect to palpitations. It may lead to all your symptoms. Also, anxiety or stress is usually an additional factor which may cause or worsen the palpitations. Usually, palpitations like these are usually benign and non-life-threatening although they may be troublesome. Considering your comorbidities, it is better to evaluate these, not just due to palpitations but also as screening cardiac test, and to rule out the possibility of cardiac arrhythmia. So, you should have a baseline ECG especially during palpitations and may need 24 hours Holter monitoring if not able to get ECG during palpitations. Also, you may alternatively use mobile-based rhythm monitors like Alivecor Kardia or other monitors. Also, you should get one echo done to look for the status of heart and its valve. So, try to reduce caffeine consumption as much as possible and see the response. |
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Hello doctor, How is it possible that I got heart palpitations from caffeine use (5.8 mg/kg a day)? Could it be that I also used Wellbutrin? [/INST] Hello. Yes, both these caffeine and Wellbutrin commonly causes palpitations. Even a lower dose of caffeine can cause palpitations and there is no as such dose relationship with respect to palpitations. It may lead to all your symptoms. Also, anxiety or stress is usually an additional factor which may cause or worsen the palpitations. Usually, palpitations like these are usually benign and non-life-threatening although they may be troublesome. Considering your comorbidities, it is better to evaluate these, not just due to palpitations but also as screening cardiac test, and to rule out the possibility of cardiac arrhythmia. So, you should have a baseline ECG especially during palpitations and may need 24 hours Holter monitoring if not able to get ECG during palpitations. Also, you may alternatively use mobile-based rhythm monitors like Alivecor Kardia or other monitors. Also, you should get one echo done to look for the status of heart and its valve. So, try to reduce caffeine consumption as much as possible and see the response. |
Q. Is the mole on my back normal or related to melanoma? | Hello doctor, I have this mole on my back. I think it has been there for a while. My GP took one look at it and declared completely benign. I was wondering what sort of mole it is? Is it worrying? I used sunbeds frequently for about a year when I was younger. Never since. | Hi. Most likely it is a benign melanocytic nevus (attachment removed to protect patient identity). The worrying signs are a sudden change in colour, a sudden increase in size and shape. If you want to confirm whether it is benign or not, you can go for dermoscopy (noninvasive technique), skin biopsy. |
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Hello doctor, I have this mole on my back. I think it has been there for a while. My GP took one look at it and declared completely benign. I was wondering what sort of mole it is? Is it worrying? I used sunbeds frequently for about a year when I was younger. Never since. [/INST] Hi. Most likely it is a benign melanocytic nevus (attachment removed to protect patient identity). The worrying signs are a sudden change in colour, a sudden increase in size and shape. If you want to confirm whether it is benign or not, you can go for dermoscopy (noninvasive technique), skin biopsy. |
Q. How to reduce the symptoms affecting the mental health? | Hi doctor, I am a 36-year-old male. I suffer from severe fatigue, unexplained weight gain, headache, sleeplessness, cognitive dysfunction, with reduced sex drive for the past three years. I have a blurry vision too. I have gone to many doctors. But, I am not feeling healthy. My testosterone ranges from 176 ng/dL to 325 ng/dL. My endocrinologist says that there is nothing to worry. My estradiol and prolactin levels are normal. My free T4 was .54 ng/ dl, and TSH was 1.69 mIU/L. My memory has become worse, and my head is fully pressurized. I had an MRI, and there was nothing seen on it. I need some help, and I do not know what to do. Currently, I am taking Wellbutrin XL. | Hi. I have gone through the query and the test results thoroughly (attachment removed to protect patient identity). You have depression. Having depression with moderate to severe degrees result in having all these symptoms. So, it would be helpful to know if these symptoms preceded the development of depression or came along with it. A headache and firm pressure could be a side effect of Wellbutrin XL (Bupropion). Fatigue, weight gain, memory impairment, lack of sleep, loss of libido, and suicidal intentions are all symptoms of severe depression. Treat your depression problem first. You will see your symptoms reducing after taking adequate treatment for depression. I think you need to talk to your psychiatrist to readjust your dose and to add other drugs. If these symptoms came way before the onset of depression, then they are unrelated to it. I suggest you check your adrenal hormone levels like serum cortisol. Please let me know whether these symptoms developed before or after the depression. Also get the following investigations done. So that proper treatment can be initiated. |
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Hi doctor, I am a 36-year-old male. I suffer from severe fatigue, unexplained weight gain, headache, sleeplessness, cognitive dysfunction, with reduced sex drive for the past three years. I have a blurry vision too. I have gone to many doctors. But, I am not feeling healthy. My testosterone ranges from 176 ng/dL to 325 ng/dL. My endocrinologist says that there is nothing to worry. My estradiol and prolactin levels are normal. My free T4 was .54 ng/ dl, and TSH was 1.69 mIU/L. My memory has become worse, and my head is fully pressurized. I had an MRI, and there was nothing seen on it. I need some help, and I do not know what to do. Currently, I am taking Wellbutrin XL. [/INST] Hi. I have gone through the query and the test results thoroughly (attachment removed to protect patient identity). You have depression. Having depression with moderate to severe degrees result in having all these symptoms. So, it would be helpful to know if these symptoms preceded the development of depression or came along with it. A headache and firm pressure could be a side effect of Wellbutrin XL (Bupropion). Fatigue, weight gain, memory impairment, lack of sleep, loss of libido, and suicidal intentions are all symptoms of severe depression. Treat your depression problem first. You will see your symptoms reducing after taking adequate treatment for depression. I think you need to talk to your psychiatrist to readjust your dose and to add other drugs. If these symptoms came way before the onset of depression, then they are unrelated to it. I suggest you check your adrenal hormone levels like serum cortisol. Please let me know whether these symptoms developed before or after the depression. Also get the following investigations done. So that proper treatment can be initiated. |
Q. Am I at risk of STD if condom slips halfway? | Hello doctor, I had protected sex with someone whose status I do not know. I am kind of worried now. I did not ejaculate and the condom slipped half way during the session and pulled that back. Is that a matter of concern? Shall I go for any test? | Hello. I went through your post. Slipping of the condom makes it an unprotected sexual intercourse and there is a small 1 % risk of getting STD although non-ejaculation makes it a lesser risk. You can test after two weeks for syphils and HIV by doing FTA-ABS (fluorescent treponemal antibody absorption) and CMIA for HIV after two weeks to be on the safer side. However, as the risk is very minute, there is no need to worry. |
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Hello doctor, I had protected sex with someone whose status I do not know. I am kind of worried now. I did not ejaculate and the condom slipped half way during the session and pulled that back. Is that a matter of concern? Shall I go for any test? [/INST] Hello. I went through your post. Slipping of the condom makes it an unprotected sexual intercourse and there is a small 1 % risk of getting STD although non-ejaculation makes it a lesser risk. You can test after two weeks for syphils and HIV by doing FTA-ABS (fluorescent treponemal antibody absorption) and CMIA for HIV after two weeks to be on the safer side. However, as the risk is very minute, there is no need to worry. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Will Nano-Leo give permanent solution for erection problem? | Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. | Hi. For further doubts consult a sexologist online --> |
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online --> |
Q. I am having a non-itchy foot rash. Why? | Hello doctor, I have noticed some rash on my right feet. It is not itchy but very rough. I have been massaging for three months with ghee, olive oil, and coconut oil but it has not reduced a bit rather gone a little darker. I have very extremely dry feet. | Hi. Looking at the picture (attachment removed to protect patient identity). I can list a few possibilities. Asteatotic eczema, psoriasis, tinea pedis, allergic contact dermatitis. Is this picture taken after you have massaged with oil? Do you have it only on right foot? Any rash in-between the toes? Or on the sole? Left foot? Palms? Elbows? Knee? Did this start three months back? What is your age? |
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Hello doctor, I have noticed some rash on my right feet. It is not itchy but very rough. I have been massaging for three months with ghee, olive oil, and coconut oil but it has not reduced a bit rather gone a little darker. I have very extremely dry feet. [/INST] Hi. Looking at the picture (attachment removed to protect patient identity). I can list a few possibilities. Asteatotic eczema, psoriasis, tinea pedis, allergic contact dermatitis. Is this picture taken after you have massaged with oil? Do you have it only on right foot? Any rash in-between the toes? Or on the sole? Left foot? Palms? Elbows? Knee? Did this start three months back? What is your age? |
Q. Will having Fluoxetine with Venlafaxine lift depression? | Hello doctor, Will having 20 mg Fluoxetine added to my existing 375 mg of Venlafaxine help to lift my depression? I had recurring depression since 17 and have been on Venlafaxine for 12 years. | Hello. Venlafaxine is a very good anti-depressant. It has given you excellent results for 12 years but if the problem is increasing then there might be some issues like hormonal imbalance, psychosocial problems, substance abuse, etc. We need details on that. At times, addressing the issues will solve the problem. But if still persist instead of Fluoxetine I would like to add some other medicine. All psychiatrists may have different opinions. It may or may not help. |
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Hello doctor, Will having 20 mg Fluoxetine added to my existing 375 mg of Venlafaxine help to lift my depression? I had recurring depression since 17 and have been on Venlafaxine for 12 years. [/INST] Hello. Venlafaxine is a very good anti-depressant. It has given you excellent results for 12 years but if the problem is increasing then there might be some issues like hormonal imbalance, psychosocial problems, substance abuse, etc. We need details on that. At times, addressing the issues will solve the problem. But if still persist instead of Fluoxetine I would like to add some other medicine. All psychiatrists may have different opinions. It may or may not help. |
Q. My child struggles so hard to pass stools. Is there something she can be given to overcome this? | Hello doctor, I have a 2 year old female child who is struggling to have a bowel movement. She struggles and tenses up so hard to pass stools. Is there something that can be given to overcome this? | Hi. Your child has constipation. The common causes of constipation are anal fissure and dietary factors. If it has been for less than one month, start lactulose 7 mL twice a day for 15 days and revert with results. Give her high-fiber diet and plenty of fluids. Make your child sit in warm water for about 15 minutes daily, such that her hips and buttocks are inside the water (sitz bath). If constipation has been there for more than a month, get these blood tests done: |
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Hello doctor, I have a 2 year old female child who is struggling to have a bowel movement. She struggles and tenses up so hard to pass stools. Is there something that can be given to overcome this? [/INST] Hi. Your child has constipation. The common causes of constipation are anal fissure and dietary factors. If it has been for less than one month, start lactulose 7 mL twice a day for 15 days and revert with results. Give her high-fiber diet and plenty of fluids. Make your child sit in warm water for about 15 minutes daily, such that her hips and buttocks are inside the water (sitz bath). If constipation has been there for more than a month, get these blood tests done: |
Q. Why am I getting periods twice in a month? | Hello doctor, Why am I getting periods twice in a month? | Hi. This condition of getting periods more than once in a month is called polymenorrhea. There are so many causes of polymenorrhea. Most commonly it is caused due to hormonal disorders and due to fibroids. Consult a gynaecologist online to know about the investigations to be done to rule out the cause --> |
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Hello doctor, Why am I getting periods twice in a month? [/INST] Hi. This condition of getting periods more than once in a month is called polymenorrhea. There are so many causes of polymenorrhea. Most commonly it is caused due to hormonal disorders and due to fibroids. Consult a gynaecologist online to know about the investigations to be done to rule out the cause --> |
Q. I had an early period this month. Could I be pregnant or has my cycle just changed? | Hello doctor, My periods are usually 29 days apart. I had a period on the 5th this month. I was supposed to have the next period on the 2nd of next month. But, I started bleeding on 22nd itself. Could I be pregnant or has my cycle just changed? | Hi. In your regular 29 days cycle, your bleeding has started on the 17th day. This shows that you had an early menses this time. This condition is called polymenorrhea (menstruation occurring in intervals of 21 days or lesser than that). There could be various reasons for early menses including stress, sudden changes in lifestyle and eating habits. If the suspicion of pregnancy exists on your part, then do a urine hCG test (human chorionic gonadotropin) and revert with reports. |
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Hello doctor, My periods are usually 29 days apart. I had a period on the 5th this month. I was supposed to have the next period on the 2nd of next month. But, I started bleeding on 22nd itself. Could I be pregnant or has my cycle just changed? [/INST] Hi. In your regular 29 days cycle, your bleeding has started on the 17th day. This shows that you had an early menses this time. This condition is called polymenorrhea (menstruation occurring in intervals of 21 days or lesser than that). There could be various reasons for early menses including stress, sudden changes in lifestyle and eating habits. If the suspicion of pregnancy exists on your part, then do a urine hCG test (human chorionic gonadotropin) and revert with reports. |
Q. I felt lower back pain while lifting weight. Is it disc problem? | Hello doctor, I am a 25 year old male. My height is 177 cm, weight 63 kg. I have started workout since six months. I felt lower back pain while lifting weights. Is it a disc problem? | Hello. There are chances of disc prolapse if the following conditions are associated with the lower back pain: If these conditions are present, get an MRI scan done and revert back to an orthopaedician online --> |
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Hello doctor, I am a 25 year old male. My height is 177 cm, weight 63 kg. I have started workout since six months. I felt lower back pain while lifting weights. Is it a disc problem? [/INST] Hello. There are chances of disc prolapse if the following conditions are associated with the lower back pain: If these conditions are present, get an MRI scan done and revert back to an orthopaedician online --> |
Q. I have extreme pain in the root canal treated tooth. Will I lose my tooth? | Hi doctor, In root canal treatment, even after temporary filling, pain is still present. If something touches the tooth, there is extreme pain. Is it normal or do I need to get the tooth removed? | Hi. Root canal treatment involves three main steps namely: Temporary filling which you mean is just the superficial one. Pain may persist after the first two steps and before completion of the third step. The pain might be due to: The above-mentioned pain will disappear soon after the third step, once the remnants are removed and the infection subsides. As of now, do not bite on any hard food substance with the treated tooth. In case the pain remains even after the root canal filling is done, then re-root canal treatment might be needed after seeing the x-ray. There are various methods to save the tooth and hence you may not require extraction of the tooth. For follow up, kindly attach pictures of the treated tooth and also the pre and postoperative x-rays and consult a dentist online --> |
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Hi doctor, In root canal treatment, even after temporary filling, pain is still present. If something touches the tooth, there is extreme pain. Is it normal or do I need to get the tooth removed? [/INST] Hi. Root canal treatment involves three main steps namely: Temporary filling which you mean is just the superficial one. Pain may persist after the first two steps and before completion of the third step. The pain might be due to: The above-mentioned pain will disappear soon after the third step, once the remnants are removed and the infection subsides. As of now, do not bite on any hard food substance with the treated tooth. In case the pain remains even after the root canal filling is done, then re-root canal treatment might be needed after seeing the x-ray. There are various methods to save the tooth and hence you may not require extraction of the tooth. For follow up, kindly attach pictures of the treated tooth and also the pre and postoperative x-rays and consult a dentist online --> |
Q. Can urine be foamy due to any kidney issues? | Hi doctor, My father has suffered from a stroke 12 years back (left hemisensory infarct) and four years back has undergone CABG. He is also a diabetic for the past 27 years. Three days back he developed high fever 103.5 with stomach ache and chills. 650 or Meftal forte SOS for high fever. He is better now but during that time he noticed frothy urine so we got his urine microalbumin test done. The levels are a little high. Six months back they were within range. He has no other problem like swelling, etc. His BP is also under control. Also, his other parameters like creatinine, etc., done two weeks back are fine. Only his HbA1c is 7.8. My query is that since the tests were just the next day after fever can they be incorrect? Can the urine be foamy due to fever? Will better sugar control help to resolve this problem? When should we repeat this test again? His current medications are Mixtard Insulin 30/70 - 48 units morning, 13 units night, Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg 0-0-1, Metolar XR 25 1-0-0, Dynapress 0.4 0-0-1, Arreno 1-0-1, Ecosprin 75 1-0-0. | Hi. Yes, an acute infection is known to cause protein in the urine that can cause frothy urine. Moreover, urinary tract infection can also cause this. I would recommend you to get his urine test repeated after two weeks. A strict blood sugar and blood pressure control would control proteinuria. |
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Hi doctor, My father has suffered from a stroke 12 years back (left hemisensory infarct) and four years back has undergone CABG. He is also a diabetic for the past 27 years. Three days back he developed high fever 103.5 with stomach ache and chills. 650 or Meftal forte SOS for high fever. He is better now but during that time he noticed frothy urine so we got his urine microalbumin test done. The levels are a little high. Six months back they were within range. He has no other problem like swelling, etc. His BP is also under control. Also, his other parameters like creatinine, etc., done two weeks back are fine. Only his HbA1c is 7.8. My query is that since the tests were just the next day after fever can they be incorrect? Can the urine be foamy due to fever? Will better sugar control help to resolve this problem? When should we repeat this test again? His current medications are Mixtard Insulin 30/70 - 48 units morning, 13 units night, Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg 0-0-1, Metolar XR 25 1-0-0, Dynapress 0.4 0-0-1, Arreno 1-0-1, Ecosprin 75 1-0-0. [/INST] Hi. Yes, an acute infection is known to cause protein in the urine that can cause frothy urine. Moreover, urinary tract infection can also cause this. I would recommend you to get his urine test repeated after two weeks. A strict blood sugar and blood pressure control would control proteinuria. |
Q. Does patient suffering from mental health illness act like living in fantasy? | Hi doctor, This question is not about me. But it is about a family member that I truly love and want the best for him. For the past years, my brother has had a big crush on his manager. He would always talk about her when he would come home from work. He would talk about her constantly. Sometimes even saying that she also likes him and that he knows they are going to end up together. He had the biggest crush and still till this day talks about her. He lost his job a few months ago and started acting weird. His manager is a different race. So when he was home after he got fired, he would constantly be outside wanting to get tanner because he said thats the way she likes guys. To be tanned how his old manager's race is. He would sit outside every single day wanting to get sunburned. He did indeed. Then weeks went by and he told my mom that his mission of sitting down outside was over and that he will start going to walk instead. At this moment all he does is wake up and go walk anywhere and walk to different places for no reason. He constantly says that he is married already with his old manager and that he is moving to another city. He says the same thing every time. He leaves since the morning and walks everywhere and comes back till the night. He does not do drugs but has a past of doing drugs. He used to drink every weekend before he started doing all of this. He would drink coffe every day before work. And on weekends drink alot. I and my family are concerned about him. We do not know what is wrong with him. He does not do drugs. He drinks sometimes on weekends, not often anymore. He says he is married and that he makes a call to someone and they pay all his bills. He leaves every day and walks anywhere. He knows what he does, he is aware. But we do not understand why he thinks stuff that is not in fact true. He is living in a fantasy. | Hello. He has developed an attraction for his manager and there was no actual relationship and then he lost the job. Then he started developing the symptoms. He has developed firm belief that he is married to his manager. His behavior has changed suddenly, lost the job and he is running or going out for sunbath without any explainable cause. These are most likely occurring due to some psychotic disorder. This could be due to delusions resulted due to psychosis. This cannot be ignored. His urgent psychiatric consultation is advised. Drugs like Olanzapine, Risperidone, Quetiapine, etc., can be used to control his symptoms. |
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Hi doctor, This question is not about me. But it is about a family member that I truly love and want the best for him. For the past years, my brother has had a big crush on his manager. He would always talk about her when he would come home from work. He would talk about her constantly. Sometimes even saying that she also likes him and that he knows they are going to end up together. He had the biggest crush and still till this day talks about her. He lost his job a few months ago and started acting weird. His manager is a different race. So when he was home after he got fired, he would constantly be outside wanting to get tanner because he said thats the way she likes guys. To be tanned how his old manager's race is. He would sit outside every single day wanting to get sunburned. He did indeed. Then weeks went by and he told my mom that his mission of sitting down outside was over and that he will start going to walk instead. At this moment all he does is wake up and go walk anywhere and walk to different places for no reason. He constantly says that he is married already with his old manager and that he is moving to another city. He says the same thing every time. He leaves since the morning and walks everywhere and comes back till the night. He does not do drugs but has a past of doing drugs. He used to drink every weekend before he started doing all of this. He would drink coffe every day before work. And on weekends drink alot. I and my family are concerned about him. We do not know what is wrong with him. He does not do drugs. He drinks sometimes on weekends, not often anymore. He says he is married and that he makes a call to someone and they pay all his bills. He leaves every day and walks anywhere. He knows what he does, he is aware. But we do not understand why he thinks stuff that is not in fact true. He is living in a fantasy. [/INST] Hello. He has developed an attraction for his manager and there was no actual relationship and then he lost the job. Then he started developing the symptoms. He has developed firm belief that he is married to his manager. His behavior has changed suddenly, lost the job and he is running or going out for sunbath without any explainable cause. These are most likely occurring due to some psychotic disorder. This could be due to delusions resulted due to psychosis. This cannot be ignored. His urgent psychiatric consultation is advised. Drugs like Olanzapine, Risperidone, Quetiapine, etc., can be used to control his symptoms. |
Q. Will multiple fibroids and HBsAg cause premature rupture of membrane? | Hello doctor, I had premature rupture of membrane. I lost total amniotic fluid like a gushing flow, that time actually I was in the toilet for elimination. I have multiple fibroids, and HBsAg positive, but I do not know what is the reason for the fluid leak. The doctor said it is because of HBsAg. Please tell me what is the reason behind this. Termination has been done. Prescribed for myomectomy surgery. Can you tell my possibilities of pregnancy and precautions for next time? And one thing, my body temperature in both palm and the sole is high compared to others. I do not have any fever. | Hello. The leak can be due to many reasons. The most common is due to some contraction of the uterus and may be due to a weak membrane and or more baby movement, sudden irritation, and strong contraction, due to some infection and many more. If you have one pregnancy with fibroid then there can be a pregnancy with fibroid and you can also go for myomectomy and then pregnancy. The only thing you should do is to take more care and more rest next time. and take medicines regularly with a regular check-up. Only these things are in our hands. The temperature of the palm and sole, is mostly because of your body nature and not related to any other thing (individual variations). |
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Hello doctor, I had premature rupture of membrane. I lost total amniotic fluid like a gushing flow, that time actually I was in the toilet for elimination. I have multiple fibroids, and HBsAg positive, but I do not know what is the reason for the fluid leak. The doctor said it is because of HBsAg. Please tell me what is the reason behind this. Termination has been done. Prescribed for myomectomy surgery. Can you tell my possibilities of pregnancy and precautions for next time? And one thing, my body temperature in both palm and the sole is high compared to others. I do not have any fever. [/INST] Hello. The leak can be due to many reasons. The most common is due to some contraction of the uterus and may be due to a weak membrane and or more baby movement, sudden irritation, and strong contraction, due to some infection and many more. If you have one pregnancy with fibroid then there can be a pregnancy with fibroid and you can also go for myomectomy and then pregnancy. The only thing you should do is to take more care and more rest next time. and take medicines regularly with a regular check-up. Only these things are in our hands. The temperature of the palm and sole, is mostly because of your body nature and not related to any other thing (individual variations). |
Q. Every time I eat spicy food, I poop blood. Why? | Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Why is there increased sensitivity and pain during erection and sex? | Hi doctor, I have been having increased sensitivity and pain (6/10) at the head of my penis during an erection and sexual intercourse. No pain or discharge during urination. I am 48 years old. Medicines include Metformin HCl 500 mg, Atorvastatin 10 mg, Benazepril 10 mg. | Hi. Pain at the tip during erection can be due to: 1. Tight frenulum: this is skin fold at the tip on the lower side of the foreskin. This needs a frenuloplasty. 2. Partial phimosis: this prevents retraction of the foreskin during intercourse and may cause pain, especially seen in diabetics. It may require circumcision. 3. Peyronie's disease: hardening of penile tissue with pain on erection. This starts with pain and ends in hard plaque felt in penis near tip or shaft or base. 4. Rarely Raynaud's phenomenon. In this, there is also a pain in hands and toes, especially when exposed to cold. I think in your case since you have not mentioned about foreskin issues, it may be early Peyronie's disease. Taking small doses of Sildenafil or Tadalafil helps. You can take 5 mg of Tadalafil daily, provided you are not taking Nitrates. Some people can have mild body ache after initial doses. Take care. |
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Hi doctor, I have been having increased sensitivity and pain (6/10) at the head of my penis during an erection and sexual intercourse. No pain or discharge during urination. I am 48 years old. Medicines include Metformin HCl 500 mg, Atorvastatin 10 mg, Benazepril 10 mg. [/INST] Hi. Pain at the tip during erection can be due to: 1. Tight frenulum: this is skin fold at the tip on the lower side of the foreskin. This needs a frenuloplasty. 2. Partial phimosis: this prevents retraction of the foreskin during intercourse and may cause pain, especially seen in diabetics. It may require circumcision. 3. Peyronie's disease: hardening of penile tissue with pain on erection. This starts with pain and ends in hard plaque felt in penis near tip or shaft or base. 4. Rarely Raynaud's phenomenon. In this, there is also a pain in hands and toes, especially when exposed to cold. I think in your case since you have not mentioned about foreskin issues, it may be early Peyronie's disease. Taking small doses of Sildenafil or Tadalafil helps. You can take 5 mg of Tadalafil daily, provided you are not taking Nitrates. Some people can have mild body ache after initial doses. Take care. |
Q. What is the treatment for eye infection due to pythium? | Hello doctor, My husband has an eye infection for the past two months. The doctors diagnosed that it is a fungal infection pythium keratitis. This infection might be from crops. They said that there is no anti fungal for this type of fungus and asked to apply Itral eye drop hourly, Zaha four times a day, Homide two times a day. A corneal ulcer is created and a white like thing is in the cornea. Vision is blurred due to this. Could only identify the objects. He is under treatment for the past 30+ days. Do we have treatment for this? | Hi. In case the organism is pythium as you have said, it has been found that it does not respond to available antifungals. Previously patients have been managed by corneal transplant to remove the infected organ so that it does not affect inner parts of the eye. Your decision will depend on how well the infection is responding to the treatment being tried. If it is increasing despite all the medications, a corneal transplant may be the only way forward. Better to keep serial photographs of the eye for comparison and easy decision making. |
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Hello doctor, My husband has an eye infection for the past two months. The doctors diagnosed that it is a fungal infection pythium keratitis. This infection might be from crops. They said that there is no anti fungal for this type of fungus and asked to apply Itral eye drop hourly, Zaha four times a day, Homide two times a day. A corneal ulcer is created and a white like thing is in the cornea. Vision is blurred due to this. Could only identify the objects. He is under treatment for the past 30+ days. Do we have treatment for this? [/INST] Hi. In case the organism is pythium as you have said, it has been found that it does not respond to available antifungals. Previously patients have been managed by corneal transplant to remove the infected organ so that it does not affect inner parts of the eye. Your decision will depend on how well the infection is responding to the treatment being tried. If it is increasing despite all the medications, a corneal transplant may be the only way forward. Better to keep serial photographs of the eye for comparison and easy decision making. |
Q. What can be done for eye contact anxiety? | Hey doctor, I have been shy for as long as I remember. Not sure when I started suffering from social anxiety, I guess it built up slowly. Probably started in the middle of my teenage years. I am 32 now. I have been able to get through pretty good during the years. However, something really nasty started when I was about 27 to 28. Back then it was only sometimes, pretty rare at the start but now it is happening all the time, regardless of who I am interacting with, random people, family, and friends. What I am talking about is something I would describe as terror. So, it is not the everyday fear or anxiety I used to be able to deal with. It is fear as extreme as it gets. I am pretty sure I would not even react in this way if I met a bear in the wood. It happens upon eye contact. There is not really any time in between the eye contact and the arising of this terror, so it is not like I can do anything. My mind reacts with terror as soon as my eyes meet another person's eyes. It comes like a quick surge and then it settles so I can actually still communicate but those surges can still come back later in the conversation. However, these moments of terror are so nasty that I have started to avoid meeting anyone (I know, it does not make things better. But what to do? This is insane stuff going on (sometimes I get these attacks when I watch people in movies even). This thing has a bit of a domino effect as well because I see no hope anymore, am depressed and would rather not be alive at all, to be honest. If one is not able to enjoy another human's company, what is the point? I am interested to know what is going on with my mind. I wanna know what this is. More details about the presenting complaint: Already stated, current medications: None, past medications of the same issue: none, lab tests performed: none. | Hello. I understand that it can be extremely distressing for someone to feel the way you have been feeling. You seem to have a social anxiety disorder that has worsened lately. Sometimes it is common for social anxiety to run its own course, where it waxes and wanes and worsens during some life periods (hence the terror that you have described). It can also lead to depression because of the suffering involved. The good thing is now we know a lot about this disorder in terms of treatment. There are medications as well as therapy options like cognitive behavioral therapy which have been shown to be very effective in people with this disorder. I would encourage you to seek help from a qualified psychiatrist as soon as possible so that you feel better. |
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Hey doctor, I have been shy for as long as I remember. Not sure when I started suffering from social anxiety, I guess it built up slowly. Probably started in the middle of my teenage years. I am 32 now. I have been able to get through pretty good during the years. However, something really nasty started when I was about 27 to 28. Back then it was only sometimes, pretty rare at the start but now it is happening all the time, regardless of who I am interacting with, random people, family, and friends. What I am talking about is something I would describe as terror. So, it is not the everyday fear or anxiety I used to be able to deal with. It is fear as extreme as it gets. I am pretty sure I would not even react in this way if I met a bear in the wood. It happens upon eye contact. There is not really any time in between the eye contact and the arising of this terror, so it is not like I can do anything. My mind reacts with terror as soon as my eyes meet another person's eyes. It comes like a quick surge and then it settles so I can actually still communicate but those surges can still come back later in the conversation. However, these moments of terror are so nasty that I have started to avoid meeting anyone (I know, it does not make things better. But what to do? This is insane stuff going on (sometimes I get these attacks when I watch people in movies even). This thing has a bit of a domino effect as well because I see no hope anymore, am depressed and would rather not be alive at all, to be honest. If one is not able to enjoy another human's company, what is the point? I am interested to know what is going on with my mind. I wanna know what this is. More details about the presenting complaint: Already stated, current medications: None, past medications of the same issue: none, lab tests performed: none. [/INST] Hello. I understand that it can be extremely distressing for someone to feel the way you have been feeling. You seem to have a social anxiety disorder that has worsened lately. Sometimes it is common for social anxiety to run its own course, where it waxes and wanes and worsens during some life periods (hence the terror that you have described). It can also lead to depression because of the suffering involved. The good thing is now we know a lot about this disorder in terms of treatment. There are medications as well as therapy options like cognitive behavioral therapy which have been shown to be very effective in people with this disorder. I would encourage you to seek help from a qualified psychiatrist as soon as possible so that you feel better. |
Q. Kindly advise how to fall asleep at night. | Hello doctor, I am unable to sleep at night. I tried a lot but cannot sleep at all. It is after 5 AM that I feel like sleeping. Please help me to sleep at night. My age is 19 years. | Hello. At times, if a day or two we cannot sleep on time say 10 or 11 PM and suppose we sleep at 5 AM, then we will wake up after 6 to 7 hours, that is 11 or 12 PM in the afternoon. So, if this becomes a pattern in some days and our biological clock get adjusted with this new sleep and wake up time, this is called phase delay sleep problem. If you have only sleep disturbance, no other mood or behavior problem, then try sleep hygiene measure. Define your wake up time no matter when you slept, wake up at fix time. Do not drink tea, coffee, cola after 6 PM. Do not use your bed for any other purpose except for sleep. Do not keep tossing and turning in bed if you cannot sleep. Get up, sit on a chair, start reading a book. |
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Hello doctor, I am unable to sleep at night. I tried a lot but cannot sleep at all. It is after 5 AM that I feel like sleeping. Please help me to sleep at night. My age is 19 years. [/INST] Hello. At times, if a day or two we cannot sleep on time say 10 or 11 PM and suppose we sleep at 5 AM, then we will wake up after 6 to 7 hours, that is 11 or 12 PM in the afternoon. So, if this becomes a pattern in some days and our biological clock get adjusted with this new sleep and wake up time, this is called phase delay sleep problem. If you have only sleep disturbance, no other mood or behavior problem, then try sleep hygiene measure. Define your wake up time no matter when you slept, wake up at fix time. Do not drink tea, coffee, cola after 6 PM. Do not use your bed for any other purpose except for sleep. Do not keep tossing and turning in bed if you cannot sleep. Get up, sit on a chair, start reading a book. |
Q. What are the erectile dysfunction symptoms in a diabetic? | Hi doctor, This is regarding a male, 27 years. He is suffering from type 1 diabetes from the age of 5 years. He is having an erection but is unable to sustain it during the intercourse. Firstly, he is not sure if he is suffering from ED or is it just anxiety. Are there any tests to be sure of ED? Secondly, if it is diagnosed to be ED (which most probably can be), can this be cured? How will his sexual life be? If it is curable, can it be cured with natural methods or medicine or surgery? If it cannot be cured, is there an alternative for him to have a happy sexual life? | Hi. I have gone through your symptoms and I would like to know a few more details to answer your query better. Is he able to achieve an erection sufficient for vaginal penetration during intercourse? Is the loss of erection due to early ejaculation or happens without ejaculation? The mechanism of erection can be tested by a penile doppler study during which the response to medication can also be tested. If he is able to achieve an erection sufficient for vaginal penetration, then the cause is more likely to be either psychological or just early ejaculation. A detailed clinical examination is also required to make sure that there are no other abnormalities that can affect full erection. At this age, the cause is most likely anxiety, but given his history of diabetes, a full evaluation is necessary to rule or other causes. The treatment is based on his most predominant concerns, though it cannot be completely cured, it can definitely be managed to get a normal sexual life. |
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Hi doctor, This is regarding a male, 27 years. He is suffering from type 1 diabetes from the age of 5 years. He is having an erection but is unable to sustain it during the intercourse. Firstly, he is not sure if he is suffering from ED or is it just anxiety. Are there any tests to be sure of ED? Secondly, if it is diagnosed to be ED (which most probably can be), can this be cured? How will his sexual life be? If it is curable, can it be cured with natural methods or medicine or surgery? If it cannot be cured, is there an alternative for him to have a happy sexual life? [/INST] Hi. I have gone through your symptoms and I would like to know a few more details to answer your query better. Is he able to achieve an erection sufficient for vaginal penetration during intercourse? Is the loss of erection due to early ejaculation or happens without ejaculation? The mechanism of erection can be tested by a penile doppler study during which the response to medication can also be tested. If he is able to achieve an erection sufficient for vaginal penetration, then the cause is more likely to be either psychological or just early ejaculation. A detailed clinical examination is also required to make sure that there are no other abnormalities that can affect full erection. At this age, the cause is most likely anxiety, but given his history of diabetes, a full evaluation is necessary to rule or other causes. The treatment is based on his most predominant concerns, though it cannot be completely cured, it can definitely be managed to get a normal sexual life. |
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 double vision even after cataract surgery? | Hello doctor, Over the last few years, I have watched and photographed several lunar eclipses (no solar ever). About a year ago, I noticed I was seeing ghost images when I looked at the moon with either eye or both 9 w/left, 7 w/right. Went to Ophthalmologist and they said I need cataract surgery. I went with premium Lenses. Well, surgery pulled the ghost images a bit closer to source but still see them. They are now clearer, along with floaters I could not see before. Ghosts only happen at night (moon, white letters, lamps. As the sun starts rising the ghosts start fading. ITS been 8 to 10 months since the last eye was done and still ghosts with either eye or both. I have tried several types of anti-glares. No help. | Hi. The ghost images are a normal retinal phenomenon known as after images. You need not worry about it. You can see them clearer after cataract surgery because they are a normal retinal response to any image. The more the contrast, the more the ghost images or after images. The floaters are formed as a natural course of aging of vitreous jelly which fills up our eye. Also, it is better to get your retina examined six monthly or at least yearly to look for any breaks. |
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Hello doctor, Over the last few years, I have watched and photographed several lunar eclipses (no solar ever). About a year ago, I noticed I was seeing ghost images when I looked at the moon with either eye or both 9 w/left, 7 w/right. Went to Ophthalmologist and they said I need cataract surgery. I went with premium Lenses. Well, surgery pulled the ghost images a bit closer to source but still see them. They are now clearer, along with floaters I could not see before. Ghosts only happen at night (moon, white letters, lamps. As the sun starts rising the ghosts start fading. ITS been 8 to 10 months since the last eye was done and still ghosts with either eye or both. I have tried several types of anti-glares. No help. [/INST] Hi. The ghost images are a normal retinal phenomenon known as after images. You need not worry about it. You can see them clearer after cataract surgery because they are a normal retinal response to any image. The more the contrast, the more the ghost images or after images. The floaters are formed as a natural course of aging of vitreous jelly which fills up our eye. Also, it is better to get your retina examined six monthly or at least yearly to look for any breaks. |
Q. Why are the hemoglobin and RBC count high? | Hello doctor, I had a blood test today and the results show hemoglobin is 18.05 and the RBC are 5.8 and hematocrit is 42 %. Should I be worried? | Hi. Your hemoglobin and RBC are certainly high. So your diagnosis can be polycythemia. It can be secondary erythrocytosis for which you can investigate with EKG and chest X-ray to rule out the cardiac or respiratory cause. If you have any dehydration or prolonged fasting history, then provide history regarding that. Kindly provide your full CBC report and any clinical history if present to guide you further. After your reports and total WBC count review, I can guide you further. |
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Hello doctor, I had a blood test today and the results show hemoglobin is 18.05 and the RBC are 5.8 and hematocrit is 42 %. Should I be worried? [/INST] Hi. Your hemoglobin and RBC are certainly high. So your diagnosis can be polycythemia. It can be secondary erythrocytosis for which you can investigate with EKG and chest X-ray to rule out the cardiac or respiratory cause. If you have any dehydration or prolonged fasting history, then provide history regarding that. Kindly provide your full CBC report and any clinical history if present to guide you further. After your reports and total WBC count review, I can guide you further. |
Q. Can pain and excess urine pressure be due to urine infection? | Hi doctor, My wife is 32 years old. The problem from last three days is that my wife feels excess urine pressure and also a heavy pain in her urinal parts constantly. | Hi. It could be a number of things. Urinary tract infection can present like that hence you need exclude this first. Is there any chance of pregnancy as earliest pregnancy signs can be similar to what she has been feeling. If not pregnant, then perhaps, she is nearing the time of her menses as that could feel like pressure and pain down there. If none of the above, then you could get an ultrasound of lower abdomen done to rule out cysts. Please get the following investigations done and update me so that we can proceed with treatment. Infection, pregnancy, fibroid. Usg of lower abdomen, urine routine, and microscopic examination, urine strip test for pregnancy. |
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Hi doctor, My wife is 32 years old. The problem from last three days is that my wife feels excess urine pressure and also a heavy pain in her urinal parts constantly. [/INST] Hi. It could be a number of things. Urinary tract infection can present like that hence you need exclude this first. Is there any chance of pregnancy as earliest pregnancy signs can be similar to what she has been feeling. If not pregnant, then perhaps, she is nearing the time of her menses as that could feel like pressure and pain down there. If none of the above, then you could get an ultrasound of lower abdomen done to rule out cysts. Please get the following investigations done and update me so that we can proceed with treatment. Infection, pregnancy, fibroid. Usg of lower abdomen, urine routine, and microscopic examination, urine strip test for pregnancy. |
Q. Kindly suggest measures for severe toothache. | Hello doctor,I have a very bad toothache. The whole left side of my face or jaw is hurting badly. Can I go to the regular doctor for this until I can meet the dentist? I do not know what else to do. | Hi. I have gone through your question. I can understand your concern about your pain. The pain looks like because of erupting wisdom tooth as you mentioned the hole in the jaw. If the hole is in teeth, it can be acute apical periodontitis. In the former case, you need to take medication like Ofloxacin plus Ornidazole combination twice daily for five days. In the latter case, take Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. For any confusion, send me a picture I will provide you with a better possible treatment plan. For immediate relief, take Ketorol (Ketorolac) DT tablet, it will provide you with an immediate relief. If you get the above-mentioned medicines, you do not have to visit a general practitioner and it will provide you with a better time to visit a dentist. |
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Hello doctor,I have a very bad toothache. The whole left side of my face or jaw is hurting badly. Can I go to the regular doctor for this until I can meet the dentist? I do not know what else to do. [/INST] Hi. I have gone through your question. I can understand your concern about your pain. The pain looks like because of erupting wisdom tooth as you mentioned the hole in the jaw. If the hole is in teeth, it can be acute apical periodontitis. In the former case, you need to take medication like Ofloxacin plus Ornidazole combination twice daily for five days. In the latter case, take Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. For any confusion, send me a picture I will provide you with a better possible treatment plan. For immediate relief, take Ketorol (Ketorolac) DT tablet, it will provide you with an immediate relief. If you get the above-mentioned medicines, you do not have to visit a general practitioner and it will provide you with a better time to visit a dentist. |
Q. Is it fine to take two emergency contraceptive pills within the same month? | Hello doctor, I am 21 years old. My last period was a month back. I had sex two days later at night. I used the condom properly, no tear or any break, but there was some liquid on him) and took the emergency pill Levonelle next morning. Then five days later, I had some bleeding which I am not sure whether it was just bleeding or unusual period. Ten days later, I had sex and took an emergency pill two hours after. I would like to know, is that possible to take the pill for two times in the same month and is it still efficient? My average period cycle is normally 28 days, usually, between 26 to 32 days, and duration lasts long for 6 to 7 days. Could you please suggest another method of contraception that will be suitable for me? | Hi. No, it is not known that emergency pills are how much effective when taken more than once in the same cycle. You should be careful before taking it. Your periods can be disturbed due to it. Bleeding may be due to it. Wait for your period and if it is delayed then do urine pregnancy test to confirm. More likely it turns to be negative and periods delayed. With a regular cycle of 26 to 32 days, you can look for the safe period definitely. If you do not have any kid, then condom and monthly pills are the best options you have as a contraception. And if you have one or two children then copper T is also a good option. Do consult the nearby gynecologist to clear pros and cons of each. Not a single method is 100 % effective. So keep in mind that everything has its failure rate. Do drink more water. |
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Hello doctor, I am 21 years old. My last period was a month back. I had sex two days later at night. I used the condom properly, no tear or any break, but there was some liquid on him) and took the emergency pill Levonelle next morning. Then five days later, I had some bleeding which I am not sure whether it was just bleeding or unusual period. Ten days later, I had sex and took an emergency pill two hours after. I would like to know, is that possible to take the pill for two times in the same month and is it still efficient? My average period cycle is normally 28 days, usually, between 26 to 32 days, and duration lasts long for 6 to 7 days. Could you please suggest another method of contraception that will be suitable for me? [/INST] Hi. No, it is not known that emergency pills are how much effective when taken more than once in the same cycle. You should be careful before taking it. Your periods can be disturbed due to it. Bleeding may be due to it. Wait for your period and if it is delayed then do urine pregnancy test to confirm. More likely it turns to be negative and periods delayed. With a regular cycle of 26 to 32 days, you can look for the safe period definitely. If you do not have any kid, then condom and monthly pills are the best options you have as a contraception. And if you have one or two children then copper T is also a good option. Do consult the nearby gynecologist to clear pros and cons of each. Not a single method is 100 % effective. So keep in mind that everything has its failure rate. Do drink more water. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. How to manage my recurrent anemia with diet? | Hello doctor, I have recurring anemia for years now. I do not know how to manage it via diet. | Hi. I will give you a few food lists and guidelines to incorporate in your daily diet schedule. Include iron rich foods. If you are non-vegetarian then you can also include egg yolk, chicken liver, fish along with other veg foods. If you are a vegetarian then you can include soybean, sprouts, garden cress seeds, oats, couscous, broken wheat, pomegranate, apple, banana, green leafy vegetables. Squeeze lemon on your veggies, meat, and salad as vitamin C helps in absorption of iron. You can also take fresh lime juice or orange juice with your meals. Avoid taking any caffeine with or immediately after meals, caffeine hinder iron absorption. You can cook your meals on iron tawa or iron pots. Also avoid taking calcium and iron together, as calcium also hinders in iron absorption. For example, if you are taking calcium and iron supplements, do not take it together, keep duration in between two supplementations. I hope this helps. |
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Hello doctor, I have recurring anemia for years now. I do not know how to manage it via diet. [/INST] Hi. I will give you a few food lists and guidelines to incorporate in your daily diet schedule. Include iron rich foods. If you are non-vegetarian then you can also include egg yolk, chicken liver, fish along with other veg foods. If you are a vegetarian then you can include soybean, sprouts, garden cress seeds, oats, couscous, broken wheat, pomegranate, apple, banana, green leafy vegetables. Squeeze lemon on your veggies, meat, and salad as vitamin C helps in absorption of iron. You can also take fresh lime juice or orange juice with your meals. Avoid taking any caffeine with or immediately after meals, caffeine hinder iron absorption. You can cook your meals on iron tawa or iron pots. Also avoid taking calcium and iron together, as calcium also hinders in iron absorption. For example, if you are taking calcium and iron supplements, do not take it together, keep duration in between two supplementations. I hope this helps. |
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. Please advise management for excessive sweating in feet of bromhidrosis patient. | Hello doctor, I just wanted to ask I have a condition called bromhidrosis. I do not have excessive sweating but my feet tend to smell lot even when I have washed it and dried it off. I have foot odor and do not know the main cause of it. I have tried every product medically or non-medical ones but nothing is working. It is affecting my life daily and I feel embarrassed wherever I go even with my friends and family. Therefore, I have stopped going to places. I need your help with this. | Hi. Excessive sweating is always associated with feet odor or it can be due to hormones and bacterial reaction. Obesity, diabetes, thyroid, etc., also will cause this. As you are overweight must check thyroid and diabetes. Sometimes, it is natural and not associated with any disease. You can try Aldry lotion (Aluminium Chlorohydrate) which has anti-sweating property. Use deodorants and perfumes. Avoid fatty and spicy food and also avoid tight shoes and occlusive socks. Botox (Botulinum toxin) is one of the most popular treatments nowadays. We inject this over feet which cause sweat glands paralysis and totally stops the sweating and so odor. |
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Hello doctor, I just wanted to ask I have a condition called bromhidrosis. I do not have excessive sweating but my feet tend to smell lot even when I have washed it and dried it off. I have foot odor and do not know the main cause of it. I have tried every product medically or non-medical ones but nothing is working. It is affecting my life daily and I feel embarrassed wherever I go even with my friends and family. Therefore, I have stopped going to places. I need your help with this. [/INST] Hi. Excessive sweating is always associated with feet odor or it can be due to hormones and bacterial reaction. Obesity, diabetes, thyroid, etc., also will cause this. As you are overweight must check thyroid and diabetes. Sometimes, it is natural and not associated with any disease. You can try Aldry lotion (Aluminium Chlorohydrate) which has anti-sweating property. Use deodorants and perfumes. Avoid fatty and spicy food and also avoid tight shoes and occlusive socks. Botox (Botulinum toxin) is one of the most popular treatments nowadays. We inject this over feet which cause sweat glands paralysis and totally stops the sweating and so odor. |
Q. Is it safe to take Krimson 35 to regulate periods? | Hi doctor, I am 25 years old and my menstruation cycles had been irregular since the start. After 1.5 years of irregularity (missing periods for many months), I visited the gynecologist and after seeing all my tests results, my doctor told me because of my obesity I had irregularity in my periods. He prescribed me Diane 35 for the first 21 days post that I got my menses and thereafter he asked me to continue with the normal course of Krimson 35 of one tablet a day for 21 days. Thereafter my menses became regular while being on the medicine. After one year, I discontinued the medicine out of fear of side effects and thereafter my menses continued irregularly again. During my late teens and early 20's my menses were highly irregular (missing for more than 4 to 6 months) but from last two years, it occurs monthly either with heavy bleeding for 1 to 2 days or very light bleeding or spotting for 10 to 15 days. I am not on any medication right now nor do I have any other symptoms like cramps or nausea or any other menstrual symptoms. However, I still continue to be obese and did develop some levels of facial hair around my chin area. Could you please let me know, if I could go back to starting Krimson 35 to get everything back on track? Will there be any kind of side effects? Will there be any difficulty in conceiving at a later stage of my life? | Hello. With your history, it seems that you need to decrease your weight which is the single most important factor in your menses. There are others but first, we have to control this. Yes, of course with irregular menses it can be difficult to get pregnant. No need to start Krimson 35 (Cyproterone Acetate and Ethinyl Estradiol) but need to do some test may be. And try to reduce weight. From history, it seems that you have PCOS. Do one sonography and consult a nearby gynecologist for a good advice. Drink more water. |
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Hi doctor, I am 25 years old and my menstruation cycles had been irregular since the start. After 1.5 years of irregularity (missing periods for many months), I visited the gynecologist and after seeing all my tests results, my doctor told me because of my obesity I had irregularity in my periods. He prescribed me Diane 35 for the first 21 days post that I got my menses and thereafter he asked me to continue with the normal course of Krimson 35 of one tablet a day for 21 days. Thereafter my menses became regular while being on the medicine. After one year, I discontinued the medicine out of fear of side effects and thereafter my menses continued irregularly again. During my late teens and early 20's my menses were highly irregular (missing for more than 4 to 6 months) but from last two years, it occurs monthly either with heavy bleeding for 1 to 2 days or very light bleeding or spotting for 10 to 15 days. I am not on any medication right now nor do I have any other symptoms like cramps or nausea or any other menstrual symptoms. However, I still continue to be obese and did develop some levels of facial hair around my chin area. Could you please let me know, if I could go back to starting Krimson 35 to get everything back on track? Will there be any kind of side effects? Will there be any difficulty in conceiving at a later stage of my life? [/INST] Hello. With your history, it seems that you need to decrease your weight which is the single most important factor in your menses. There are others but first, we have to control this. Yes, of course with irregular menses it can be difficult to get pregnant. No need to start Krimson 35 (Cyproterone Acetate and Ethinyl Estradiol) but need to do some test may be. And try to reduce weight. From history, it seems that you have PCOS. Do one sonography and consult a nearby gynecologist for a good advice. Drink more water. |
Q. I have dry scaly red patches around mouth. Can this be perioral dermatitis? | Hello doctor, I had a secondary burn on my calf, after a month of self-treating. It just got worse. I play soccer and that and the sweat is what was irritating it. So I finally went to the doctor and they prescribed me SMZ, TMP DS. I took it for about a week until I realized I was having a lot of side effects and an allergic reaction especially around my mouth. At first I thought I was just breaking out. Then it was not like sores or blisters. I kept self-treating the rash around my mouth and stopped taking the antibiotics. For a couple days it was gone. I was happy. Then I was in the sun one day for soccer and it was just like another rash but worse. I stayed home from school, did not do anything because I just wanted to get it better. But now it looks really bad. I believe I have perioral dermatitis. It is red patches all around my mouth. It is really dry and scaly, also there are like white-heads around my mouth also but they are not whiteheads. I would try to moisturize it with coconut oil or tea tree oil but I think that is what made it worse. | Hi. I have gone through your case. Right now you have applied too much moisturizer (attachment removed to protect patient identity). Please apply Hydrocortisone cream two times a day for 10 days. If blisters or erosions are present then you may need oral steroid as well. Sometimes, a sulfa group of drugs shows photosensitivity and cross-reactivity to another agent as well. Apply sunblock regularly. Maintain good oral hygiene. |
<s>[INST]
Hello doctor, I had a secondary burn on my calf, after a month of self-treating. It just got worse. I play soccer and that and the sweat is what was irritating it. So I finally went to the doctor and they prescribed me SMZ, TMP DS. I took it for about a week until I realized I was having a lot of side effects and an allergic reaction especially around my mouth. At first I thought I was just breaking out. Then it was not like sores or blisters. I kept self-treating the rash around my mouth and stopped taking the antibiotics. For a couple days it was gone. I was happy. Then I was in the sun one day for soccer and it was just like another rash but worse. I stayed home from school, did not do anything because I just wanted to get it better. But now it looks really bad. I believe I have perioral dermatitis. It is red patches all around my mouth. It is really dry and scaly, also there are like white-heads around my mouth also but they are not whiteheads. I would try to moisturize it with coconut oil or tea tree oil but I think that is what made it worse. [/INST] Hi. I have gone through your case. Right now you have applied too much moisturizer (attachment removed to protect patient identity). Please apply Hydrocortisone cream two times a day for 10 days. If blisters or erosions are present then you may need oral steroid as well. Sometimes, a sulfa group of drugs shows photosensitivity and cross-reactivity to another agent as well. Apply sunblock regularly. Maintain good oral hygiene. |
Q. Why am I having severe swelling and fever after wisdom tooth removal? | Hello doctor, I just had three wisdom teeth pulled three days back. I still have severe swelling in my face and neck. I have been having a fever since last night. I have a severe migraine for two days now. Could I have an infection? | Hi. I have gone through your question I can understand your concern. As per your history, it looks like that you may be having post extraction infection. As you said, there is swelling, pain, and fever, all these symptoms lead to a conclusion of post-extraction infection. You need to take the following medication like tablet Augmentin (Amoxicillin and Clavulanic acid) 625 twice daily for five days, tablet Zerodol SP twice daily for three days. If you are having large swelling or any other associated medical or drug history let me know so that I may adjust your medication and dosage accordingly. |
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Hello doctor, I just had three wisdom teeth pulled three days back. I still have severe swelling in my face and neck. I have been having a fever since last night. I have a severe migraine for two days now. Could I have an infection? [/INST] Hi. I have gone through your question I can understand your concern. As per your history, it looks like that you may be having post extraction infection. As you said, there is swelling, pain, and fever, all these symptoms lead to a conclusion of post-extraction infection. You need to take the following medication like tablet Augmentin (Amoxicillin and Clavulanic acid) 625 twice daily for five days, tablet Zerodol SP twice daily for three days. If you are having large swelling or any other associated medical or drug history let me know so that I may adjust your medication and dosage accordingly. |
Q. My wife has delivered a premature baby. Is it advisable to stay in the hospital for a long time? | Hello doctor, My wife was 5 months pregnant and yesterday she gave birth to a premature baby. The doctor has advised us to stay in the hospital for a long time. Is it advisable to do so? Shall I get her discharged from the hospital? | Hi, Welcome to icliniq.com. Do not get your wife discharged from the hospital until the doctor advises to do so. A baby of just 5 months pregnancy is extremely premature. The baby is premature not only with respect to the age but also by the development of the respiratory system and brain. Premature babies need tender care in the hospital. They can suffer from many health issues. These babies require nutritional support and prevention from infection. Apart from this, most of these babies develop apnea (cessation of breathing) due to the immaturity of their brain. Therefore, they need appropriate care in the hospital. So, you cannot take your baby home, till the baby accepts feed and does not need any medical support. At present, your baby definitely needs hospital care. For further details consult a child health specialist online ---> |
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Hello doctor, My wife was 5 months pregnant and yesterday she gave birth to a premature baby. The doctor has advised us to stay in the hospital for a long time. Is it advisable to do so? Shall I get her discharged from the hospital? [/INST] Hi, Welcome to icliniq.com. Do not get your wife discharged from the hospital until the doctor advises to do so. A baby of just 5 months pregnancy is extremely premature. The baby is premature not only with respect to the age but also by the development of the respiratory system and brain. Premature babies need tender care in the hospital. They can suffer from many health issues. These babies require nutritional support and prevention from infection. Apart from this, most of these babies develop apnea (cessation of breathing) due to the immaturity of their brain. Therefore, they need appropriate care in the hospital. So, you cannot take your baby home, till the baby accepts feed and does not need any medical support. At present, your baby definitely needs hospital care. For further details consult a child health specialist online ---> |
Q. I want a flat belly. Please help. | Hello doctor, I am a 24 year old female. I am 5'6" tall and I weigh 62 kg. For the past one year, my abdomen and belly size has been increasing. Kindly give tips for a flat belly. | Hi. There are no medications that help in reducing weight. Check your random blood sugar (RBS), thyroid levels and do an ultrasound scan of the abdomen. Revert back with the reports to consult a fitness expert online ---> |
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Hello doctor, I am a 24 year old female. I am 5'6" tall and I weigh 62 kg. For the past one year, my abdomen and belly size has been increasing. Kindly give tips for a flat belly. [/INST] Hi. There are no medications that help in reducing weight. Check your random blood sugar (RBS), thyroid levels and do an ultrasound scan of the abdomen. Revert back with the reports to consult a fitness expert online ---> |
Q. My brother's illness bothers me a lot. I am deprived of sleep. Please help. | Hi doctor, I have a brother who is sick since a month. I am feeling very helpless without him and I am deprived of sleep. I keep thinking about him the whole day. How can I overcome this situation? | Hi. The pain of near ones makes you feel helpless. This weakens your strength somehow. Symptoms like lack of sleep, disturbance, and tension occur when you feel stressed for any reason. But you have to be strong for your brother. If you feel low, he will become worse and lose his willpower to fight the illness. Follow these to be mentally strong: Unless you make yourself equipped with strength, it will not be beneficial for your loved ones. For a psychological counselling, consult a psychiatrist online --> |
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Hi doctor, I have a brother who is sick since a month. I am feeling very helpless without him and I am deprived of sleep. I keep thinking about him the whole day. How can I overcome this situation? [/INST] Hi. The pain of near ones makes you feel helpless. This weakens your strength somehow. Symptoms like lack of sleep, disturbance, and tension occur when you feel stressed for any reason. But you have to be strong for your brother. If you feel low, he will become worse and lose his willpower to fight the illness. Follow these to be mentally strong: Unless you make yourself equipped with strength, it will not be beneficial for your loved ones. For a psychological counselling, consult a psychiatrist online --> |
Q. My child has trouble in peeing. I can see blood in his diaper. Please help. | Hello doctor, My son is 4 years old. He has been having trouble in peeing for the past two days. I do not know if his penis burns or itches when he pees. When I ask him if it hurts, he says no. It looks like he wants to pee but keeps holding it, since it is painful. There is some red pus or something in his diaper. What could be the reason? Please help. | Hi. The clinical features which you have mentioned indicate that your baby might have UTI (urinary tract infection) or urinary stone (less likely). A child with UTI will have a burning sensation during micturition (urination). UTI might cause hematuria (blood in urine). This is the cause for the red color in your child's diaper. UTI may or may not be associated with fever. Follow these steps: For prescription of antibiotics revert back with the reports to a child health specialist online --> |
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Hello doctor, My son is 4 years old. He has been having trouble in peeing for the past two days. I do not know if his penis burns or itches when he pees. When I ask him if it hurts, he says no. It looks like he wants to pee but keeps holding it, since it is painful. There is some red pus or something in his diaper. What could be the reason? Please help. [/INST] Hi. The clinical features which you have mentioned indicate that your baby might have UTI (urinary tract infection) or urinary stone (less likely). A child with UTI will have a burning sensation during micturition (urination). UTI might cause hematuria (blood in urine). This is the cause for the red color in your child's diaper. UTI may or may not be associated with fever. Follow these steps: For prescription of antibiotics revert back with the reports to a child health specialist online --> |
Q. I have a small gum abscess. What has to be done? | Hello doctor, I have gum abscess. It is very small and white in color. Should I visit a dentist or will it be alright if I go for home remedies? | Hi. It would have been better if you had sent a clear photograph of the jaw and whether you did a filling of the tooth in the same area so that I can assess it properly. Still, with limited inputs, I feel it is a case of gingival abscess due to a diseased tooth or carious tooth. Yes, it needs dentists intervention if there is really a problem in tooth and if the tooth is fine, then you can get well with medication. Tablet Ofloxacin 290 mg, Ornidazole 500 mg BD for five days. Tablet Diclofenac 50 mg and Paracetamol 500 mg BD for three days. Mixed with Chlorhexidine 0.1 % twice daily for 15 days. Rinsing for only 15 seconds. This abscess will resolve in a few days but as I told, it is to be seen whether you have a carious tooth or filling or RCT treated tooth in the same region. If you have radiograph, you can send. But I am pretty sure you will get relief in three days after taking this medication. |
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Hello doctor, I have gum abscess. It is very small and white in color. Should I visit a dentist or will it be alright if I go for home remedies? [/INST] Hi. It would have been better if you had sent a clear photograph of the jaw and whether you did a filling of the tooth in the same area so that I can assess it properly. Still, with limited inputs, I feel it is a case of gingival abscess due to a diseased tooth or carious tooth. Yes, it needs dentists intervention if there is really a problem in tooth and if the tooth is fine, then you can get well with medication. Tablet Ofloxacin 290 mg, Ornidazole 500 mg BD for five days. Tablet Diclofenac 50 mg and Paracetamol 500 mg BD for three days. Mixed with Chlorhexidine 0.1 % twice daily for 15 days. Rinsing for only 15 seconds. This abscess will resolve in a few days but as I told, it is to be seen whether you have a carious tooth or filling or RCT treated tooth in the same region. If you have radiograph, you can send. But I am pretty sure you will get relief in three days after taking this medication. |
Q. I am a diabetic and sweat excessively while eating. Why? | Hello doctor, Why am I sweating without a reason all the time especially when eating? Does that mean I need B12 as I already take pills but do not get any better? Will I get better or B12 is just to prevent from getting worse for the polyneuritis? | Hello. I understand your concern. Sweating while eating is a phenomenon called gustatory sweating. It is a common symptom that occurs due to a neuronal trigger. It is very common in people with diabetes. With your medication listed, I can see that you are under treatment for diabetes. I understand that sweating can be a very annoying and embarrassing symptom. You are already taking B12 supplements for helping neuropathic symptoms. A better control of your blood sugar levels may help you to get relieved to some extent. If you are overweight, reduce your weight to see an improvement in symptoms. Try eating slowly and avoid spicy food. Other than this, there are other modes of treatment like anti-muscarinic injections, but I recommend that you try natural remedies first, because these injections have their side effects. |
<s>[INST]
Hello doctor, Why am I sweating without a reason all the time especially when eating? Does that mean I need B12 as I already take pills but do not get any better? Will I get better or B12 is just to prevent from getting worse for the polyneuritis? [/INST] Hello. I understand your concern. Sweating while eating is a phenomenon called gustatory sweating. It is a common symptom that occurs due to a neuronal trigger. It is very common in people with diabetes. With your medication listed, I can see that you are under treatment for diabetes. I understand that sweating can be a very annoying and embarrassing symptom. You are already taking B12 supplements for helping neuropathic symptoms. A better control of your blood sugar levels may help you to get relieved to some extent. If you are overweight, reduce your weight to see an improvement in symptoms. Try eating slowly and avoid spicy food. Other than this, there are other modes of treatment like anti-muscarinic injections, but I recommend that you try natural remedies first, because these injections have their side effects. |
Q. I have chronic cough that aggravates while lying. Please help. | Hello doctor, I have a cough that lasts for more than a month now. This usually occurs during night time while lying and sometimes at dawn. At first, it was a dry cough then it turns into a wet cough. I do not spit yellow or green phlegm it is all sticky white mucus. I do not have any history of asthma and this is the first time I experience this. I did not experience fever, pain in my stomach, and IBM. I have already taken Azithromycin for three days and Ambroxyl but still no relief. Please help. | Hello. I can understand how troublesome it is if it is disturbing your sleep. These cough episodes you are having are mostly due to hyperactive airways. I would advise you certain investigations mentioned below. Also, I would like to know, if you get a cough after exposure to dust, pollens, or pets? Do let me know anything that might cause the worsening of your symptoms. Secondly, do you have heartburn or on and off cold? Bronchial asthma. Allergic bronchitis. Spirometry with bronchodilator reversibility testing. X-ray chest. Blood counts with absolute eosinophil count. Bronchial asthma. Allergic bronchitis. Bronchial Asthma. Allergic bronchitis. Inhaler (Formoterol 6 mcg + Budesonide 200 mcg) with spacer 2 puffs twice daily and can be taken up to four times daily if required and once exacerbation is over it can be tapered off for a month, tablet Fexofenadine 120 mg once a day for a month. Rest continue previous treatment. Avoid exposure to allergens. PEFR (peak expiratory flow rate) monitoring. Follow up with investigation reports. |
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Hello doctor, I have a cough that lasts for more than a month now. This usually occurs during night time while lying and sometimes at dawn. At first, it was a dry cough then it turns into a wet cough. I do not spit yellow or green phlegm it is all sticky white mucus. I do not have any history of asthma and this is the first time I experience this. I did not experience fever, pain in my stomach, and IBM. I have already taken Azithromycin for three days and Ambroxyl but still no relief. Please help. [/INST] Hello. I can understand how troublesome it is if it is disturbing your sleep. These cough episodes you are having are mostly due to hyperactive airways. I would advise you certain investigations mentioned below. Also, I would like to know, if you get a cough after exposure to dust, pollens, or pets? Do let me know anything that might cause the worsening of your symptoms. Secondly, do you have heartburn or on and off cold? Bronchial asthma. Allergic bronchitis. Spirometry with bronchodilator reversibility testing. X-ray chest. Blood counts with absolute eosinophil count. Bronchial asthma. Allergic bronchitis. Bronchial Asthma. Allergic bronchitis. Inhaler (Formoterol 6 mcg + Budesonide 200 mcg) with spacer 2 puffs twice daily and can be taken up to four times daily if required and once exacerbation is over it can be tapered off for a month, tablet Fexofenadine 120 mg once a day for a month. Rest continue previous treatment. Avoid exposure to allergens. PEFR (peak expiratory flow rate) monitoring. Follow up with investigation reports. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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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 --> |
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