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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. What is the reason for chest pain while sleeping? | Hello doctor, I am 26 years old and have pain in left side of left chest just below the tit. When I touch that place, I feel nothing and it is numb there. When I sleep by keeping the face up I feel someone is pressing my heart and feel pain. When I hold that place and pull out, I feel relax. For four months, I am feeling too much pain when I eat any cold thing. The doctor examined me and said there is no heart problem and gave me Vaserol 20 mg but I did not feel any improvement. Then again I saw the doctor and after X-ray, he said the heart is okay but there is a problem in your chest muscles. He gave me a painkiller. I felt good but when I pulled heavy thing, I again felt pain in my chest and now it has been four months, I have not seen the doctor and have severe pain in chest moving from left to right, up to down. Also, before sleep at night, I am sweating too much. | Hello. Your symptoms do not seem to be related to any cardiac disorders. A lung disorder or acid reflux could be the cause of your complaints. For this reason, I recommend consulting with your attending physician and performing some tests. A chest X-ray study and pulmonary function tests, complete blood count, PCR, ESR for inflammation, a fibrogastroscopy. If all these tests result are normal, you should consider anxiety as the main cause of your complaints. |
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Hello doctor, I am 26 years old and have pain in left side of left chest just below the tit. When I touch that place, I feel nothing and it is numb there. When I sleep by keeping the face up I feel someone is pressing my heart and feel pain. When I hold that place and pull out, I feel relax. For four months, I am feeling too much pain when I eat any cold thing. The doctor examined me and said there is no heart problem and gave me Vaserol 20 mg but I did not feel any improvement. Then again I saw the doctor and after X-ray, he said the heart is okay but there is a problem in your chest muscles. He gave me a painkiller. I felt good but when I pulled heavy thing, I again felt pain in my chest and now it has been four months, I have not seen the doctor and have severe pain in chest moving from left to right, up to down. Also, before sleep at night, I am sweating too much. [/INST] Hello. Your symptoms do not seem to be related to any cardiac disorders. A lung disorder or acid reflux could be the cause of your complaints. For this reason, I recommend consulting with your attending physician and performing some tests. A chest X-ray study and pulmonary function tests, complete blood count, PCR, ESR for inflammation, a fibrogastroscopy. If all these tests result are normal, you should consider anxiety as the main cause of your complaints. |
Q. What is the treatment for hip fracture? | Hi doctor, My mother is 83 years old. She had a right hip fracture before three years, and she was fitted with a DHS implant. She has pain, and her fracture is not healed. Her mobility got restricted, and she uses a walker to walk. Before two years, she had severe pain, and she was unable to stand. She used a walker to walk as the implant got loosened. Her two out of four cortical screws came out. Some doctors suggest a total hip replacement. Please review her X-ray and advise a partial hip replacement (fitting only the implant stock and ball whiteout acetabulum cup). If yes, should a mono or a bipolar ball be favored? I am sending her X-ray. | Hi. I have gone through the attachment (attachment removed to protect patient identity). Her fracture has not healed, and her fixation has got failed. I suggest seeing an experienced anesthetist to assess her fitness for having an extended operation. As her hip is painful, it is best to do a hip replacement. A monopolar hip replacement would be the best option. This operation supports her life, and the decision should be made with her. |
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Hi doctor, My mother is 83 years old. She had a right hip fracture before three years, and she was fitted with a DHS implant. She has pain, and her fracture is not healed. Her mobility got restricted, and she uses a walker to walk. Before two years, she had severe pain, and she was unable to stand. She used a walker to walk as the implant got loosened. Her two out of four cortical screws came out. Some doctors suggest a total hip replacement. Please review her X-ray and advise a partial hip replacement (fitting only the implant stock and ball whiteout acetabulum cup). If yes, should a mono or a bipolar ball be favored? I am sending her X-ray. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Her fracture has not healed, and her fixation has got failed. I suggest seeing an experienced anesthetist to assess her fitness for having an extended operation. As her hip is painful, it is best to do a hip replacement. A monopolar hip replacement would be the best option. This operation supports her life, and the decision should be made with her. |
Q. Can Levothyroxine intake be harmful to liver and kidney? | Hello doctor, Will without thyroid gland reduce lifespan? Is Levothyroxine harmful to liver and kidney? Is synthetic Levothyroxine mechanism different from the original? How T4 converts to T3? What is the side effect? Can I marry someone? I am a lady. Will I conceive? I have no cancer after nodule operation. I have a suspicious follicular adenoma. | Hello. I just read your query and I would like to answer your questions one by one. No, being without thyroid gland will not reduce lifespan. No, Levothyroxine is not harmful to liver and kidney. Synthetic Levothyroxine mechanism is not different from the original. T4 converts to T3 by an enzyme present in the body. There ae no side effects. And of course, you can marry someone and conceive if you are on correct treatment. |
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Hello doctor, Will without thyroid gland reduce lifespan? Is Levothyroxine harmful to liver and kidney? Is synthetic Levothyroxine mechanism different from the original? How T4 converts to T3? What is the side effect? Can I marry someone? I am a lady. Will I conceive? I have no cancer after nodule operation. I have a suspicious follicular adenoma. [/INST] Hello. I just read your query and I would like to answer your questions one by one. No, being without thyroid gland will not reduce lifespan. No, Levothyroxine is not harmful to liver and kidney. Synthetic Levothyroxine mechanism is not different from the original. T4 converts to T3 by an enzyme present in the body. There ae no side effects. And of course, you can marry someone and conceive if you are on correct treatment. |
Q. What should be done for tooth erupting behind milk tooth? | Hello doctor, My niece is currently 6 years old and her tooth is growing up behind her milk tooth that has not fallen out yet. What should we do? | Hi. I got your chief complaint. Permanent teeth start erupting after 6 years of age and replace deciduous teeth. In this process, as deciduous teeth erupt, milk teeth fall down gradually. However, if milk teeth remain there, they are to be extracted to allow permanent tooth to erupt normally. However, it needs to be extracted if it is not falling, otherwise, it can cause malocclusion later. |
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Hello doctor, My niece is currently 6 years old and her tooth is growing up behind her milk tooth that has not fallen out yet. What should we do? [/INST] Hi. I got your chief complaint. Permanent teeth start erupting after 6 years of age and replace deciduous teeth. In this process, as deciduous teeth erupt, milk teeth fall down gradually. However, if milk teeth remain there, they are to be extracted to allow permanent tooth to erupt normally. However, it needs to be extracted if it is not falling, otherwise, it can cause malocclusion later. |
Q. What should I do to reduce high vitamin B12 level? | Hello doctor, I have been taking Vitamin B medication for over one year and my Vitamin B12 level is very high, greater than 2000. What should I do to reduce the level? I am 27 years female. Please advise. | Hi. Vitamin B12 is a water-soluble vitamin. It means any excess of Vitamin B12 in the body shall be flushed out in urine. So just stop taking further vitamin supplements and the B12 level shall normalize. You can repeat the test after one month. |
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Hello doctor, I have been taking Vitamin B medication for over one year and my Vitamin B12 level is very high, greater than 2000. What should I do to reduce the level? I am 27 years female. Please advise. [/INST] Hi. Vitamin B12 is a water-soluble vitamin. It means any excess of Vitamin B12 in the body shall be flushed out in urine. So just stop taking further vitamin supplements and the B12 level shall normalize. You can repeat the test after one month. |
Q. My hymen hurts badly during intercourse. Do I need surgery for better sexual life? | Hello doctor, I need to know about my hymen’s type and whether it requires surgery to have sex? Please help. | Hello. I have seen the attachment. (attachment removed to protect patient identity). You have an anterior lunar, the opening of the hymen is more posterior, but it does not mean you have to undergo a surgery for defloration. For further information perform an examination by a gynecologist. |
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Hello doctor, I need to know about my hymen’s type and whether it requires surgery to have sex? Please help. [/INST] Hello. I have seen the attachment. (attachment removed to protect patient identity). You have an anterior lunar, the opening of the hymen is more posterior, but it does not mean you have to undergo a surgery for defloration. For further information perform an examination by a gynecologist. |
Q. Is uncontrolled anger suggestive of bipolar or borderline personality disorder? | Hi doctor, I always get angered at my mom and I always yell at her. I have also found some symptoms which indicate that I have either bipolar or borderline personality disorder and I cannot control my anger usually. No matter how much I try to stop, I always end up yelling and screaming like a maniac. Please help me. | Hello. I understand your problem. But I want to clarify what else apart from the anger you find in line with borderline personality or bipolar disorder. Mere getting angry cannot be a 100 percent indication of these disorders. Some people especially young ones have short temper, particularly during this hormonal surge phase. So learn anger management techniques first. If it does not work, consult a psychiatrist. Thyroid function test. Counseling, anger management techniques. |
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Hi doctor, I always get angered at my mom and I always yell at her. I have also found some symptoms which indicate that I have either bipolar or borderline personality disorder and I cannot control my anger usually. No matter how much I try to stop, I always end up yelling and screaming like a maniac. Please help me. [/INST] Hello. I understand your problem. But I want to clarify what else apart from the anger you find in line with borderline personality or bipolar disorder. Mere getting angry cannot be a 100 percent indication of these disorders. Some people especially young ones have short temper, particularly during this hormonal surge phase. So learn anger management techniques first. If it does not work, consult a psychiatrist. Thyroid function test. Counseling, anger management techniques. |
Q. Will restoring diseased tooth cure periodontal disease? | Hello doctor, I have periodontal disease and I do not know what had caused it. I do brush daily, floss and mouth wash. I even had those pink pill that showed if you brushed wrong and the results were perfect every time. So I am wondering what caused it. I do have a dead tooth. So I am wondering if I get that fixed, will my gums be healthier? | Hi. I have gone through your question. I can understand your concern. As per your history, signs, and, symptoms, it looks like you are having chronic generalized periodontitis. I want to know if you have any loose tooth or teeth, any systemic disease like diabetes, etc. If you are taking any drug for a headache or seizure? You need immediate hand scaling (oral prophylaxis) two three times in six months. Use mouthwash daily, brushing technique (modified Bass). You can take medication like Metronidazole 400 mg three times daily for a week if you do not have any allergic history to it. |
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Hello doctor, I have periodontal disease and I do not know what had caused it. I do brush daily, floss and mouth wash. I even had those pink pill that showed if you brushed wrong and the results were perfect every time. So I am wondering what caused it. I do have a dead tooth. So I am wondering if I get that fixed, will my gums be healthier? [/INST] Hi. I have gone through your question. I can understand your concern. As per your history, signs, and, symptoms, it looks like you are having chronic generalized periodontitis. I want to know if you have any loose tooth or teeth, any systemic disease like diabetes, etc. If you are taking any drug for a headache or seizure? You need immediate hand scaling (oral prophylaxis) two three times in six months. Use mouthwash daily, brushing technique (modified Bass). You can take medication like Metronidazole 400 mg three times daily for a week if you do not have any allergic history to it. |
Q. I took one Yaz pill after unprotected sex. Will it be effective? | Hi doctor, I had unprotected sex before two days. The next day, I took one Yaz pill. Do I need to take more pills? Will it be effective? | Hi. I have gone through your history, and I can understand your concern. There is a chance of pregnancy in your case as you have taken only one dose of Yasmin pill (Drospirenone with Ethinylestradiol). Delayed menses can occur due to hormonal imbalance caused by sex. Do a home urine test if you miss your period by seven days. |
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Hi doctor, I had unprotected sex before two days. The next day, I took one Yaz pill. Do I need to take more pills? Will it be effective? [/INST] Hi. I have gone through your history, and I can understand your concern. There is a chance of pregnancy in your case as you have taken only one dose of Yasmin pill (Drospirenone with Ethinylestradiol). Delayed menses can occur due to hormonal imbalance caused by sex. Do a home urine test if you miss your period by seven days. |
Q. Why is there chest heaviness after starting homeopathy treatment? | Hi doctor, I am suffering from a hiatus hernia, GERD and irritable bowel syndrome for the past two years. I have started taking homeopathy treatment. I am consuming it for about three weeks now. But after taking it, I am having a painful swelling and enlargement of my breast. It causes an unnatural heaviness and discomfort. What could be the reason behind it? I am taking Carbo vegetabilis 200C, Cantharis 200, Berberis vulgaris, Calcarea fluorica 12X, and Magnesium phosphoricum 12X. | Hi. The heaviness of breast can occur due to premenstrual symptoms. The heaviness of chest can occur because of bloating and acidity. To get rid of acidity, you can take one spoon of Gulkand before and after taking meals. It has a soothing effect on the gastric tract. If you want, you can try these medicines. You can take Mercurius corrosivus 30. Take five pills every morning, noon, evening and night. Take Nux vomica 1m five pills at bedtime daily. Take Asafoetida 3x three tablet at morning, noon and evening. You will surely feel better by taking these medicines. Have a change in your food habit and sleep. It can help to recover soon. Avoid taking fried, oily, fermented, spicy, and fatty foods. Take proper rest and sleep. If you have a habit of overthinking, then try to stop it because it can worsen your complaints. The mental status of a person also affects the irritable bowel syndrome. Follow me for at least once a week. |
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Hi doctor, I am suffering from a hiatus hernia, GERD and irritable bowel syndrome for the past two years. I have started taking homeopathy treatment. I am consuming it for about three weeks now. But after taking it, I am having a painful swelling and enlargement of my breast. It causes an unnatural heaviness and discomfort. What could be the reason behind it? I am taking Carbo vegetabilis 200C, Cantharis 200, Berberis vulgaris, Calcarea fluorica 12X, and Magnesium phosphoricum 12X. [/INST] Hi. The heaviness of breast can occur due to premenstrual symptoms. The heaviness of chest can occur because of bloating and acidity. To get rid of acidity, you can take one spoon of Gulkand before and after taking meals. It has a soothing effect on the gastric tract. If you want, you can try these medicines. You can take Mercurius corrosivus 30. Take five pills every morning, noon, evening and night. Take Nux vomica 1m five pills at bedtime daily. Take Asafoetida 3x three tablet at morning, noon and evening. You will surely feel better by taking these medicines. Have a change in your food habit and sleep. It can help to recover soon. Avoid taking fried, oily, fermented, spicy, and fatty foods. Take proper rest and sleep. If you have a habit of overthinking, then try to stop it because it can worsen your complaints. The mental status of a person also affects the irritable bowel syndrome. Follow me for at least once a week. |
Q. Why am I having fever even after taking medicines for wisdom tooth pain? | Hello doctor, I am a 33-year-old male, Hispanic, non-smoker, exercise regularly. No significant health issues. I am 1.76 m and 68 kg. For three days, I had really bad pain on a wisdom tooth (lower right) that has erupted years ago but never really gave any problems. But this was bad, really bad. I was waking up with fever and heartbeat rate of 90 to 95 whereas I am usually 55 to 60. I went to the dentist, he cleaned the area, took an X-ray and gave me Amoxicillin and Clavulanate Potassium tablets (875 mg and 125 mg, respectively) twice a day for five days plus Paracetamol or Ibuprofen for the pain. I think he referred to this as pericoronitis. This is my fourth day of treatment and the area is a lot less swollen and tooth pain has pretty much gone. However, the part that has me worried is that I am still waking up with fever and a very fast heartbeat plus throbbing headaches. Is this normal? | Hi. I have gone through your question. I can understand your concern. Yes, as per your signs and symptoms it looks like pericoronitis. I think the treatment he or she has started is not the ideal one. After five days of treatment, I think it should have been gone. If you can upload a picture of your X-ray and teeth involved in the mouth, I can provide you with a better treatment plan. Because periodontitis is infected by anaerobic bacteria and will not respond to Amoxiclav (Amoxicillin and Clavulanic acid) that effectively. You also need to use mouthwash H2O2 (Hydrogen Peroxide) two percent three times daily and antibiotics too. For that, I need to know if you have any drug, allergic or medical history associated. |
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Hello doctor, I am a 33-year-old male, Hispanic, non-smoker, exercise regularly. No significant health issues. I am 1.76 m and 68 kg. For three days, I had really bad pain on a wisdom tooth (lower right) that has erupted years ago but never really gave any problems. But this was bad, really bad. I was waking up with fever and heartbeat rate of 90 to 95 whereas I am usually 55 to 60. I went to the dentist, he cleaned the area, took an X-ray and gave me Amoxicillin and Clavulanate Potassium tablets (875 mg and 125 mg, respectively) twice a day for five days plus Paracetamol or Ibuprofen for the pain. I think he referred to this as pericoronitis. This is my fourth day of treatment and the area is a lot less swollen and tooth pain has pretty much gone. However, the part that has me worried is that I am still waking up with fever and a very fast heartbeat plus throbbing headaches. Is this normal? [/INST] Hi. I have gone through your question. I can understand your concern. Yes, as per your signs and symptoms it looks like pericoronitis. I think the treatment he or she has started is not the ideal one. After five days of treatment, I think it should have been gone. If you can upload a picture of your X-ray and teeth involved in the mouth, I can provide you with a better treatment plan. Because periodontitis is infected by anaerobic bacteria and will not respond to Amoxiclav (Amoxicillin and Clavulanic acid) that effectively. You also need to use mouthwash H2O2 (Hydrogen Peroxide) two percent three times daily and antibiotics too. For that, I need to know if you have any drug, allergic or medical history associated. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. What does my SGOT and SGPT value indicate? | Hi doctor, I have tested for SGPT and SGOT. The result indicates that I have SGPT 214 and SGOT 197. Now what shall I do? Please suggest me. | Hello. There are a few things I am worried here: Abnormal liver function test could be due to hepatitis C infection and non-alcoholic liver disease can occur as a result of cholesterol deposition in the liver or active hepatitis B infection or alcoholic liver disease. Also, you have high cholesterol, low vitamin D and B12. Are you taking any medication for this? 1. I suggest you to do the complete hepatitis B panel including hepatitis E antigen and antibody, hepatitis B core antigen and antibody and hepatitis B surface antibody. 2. Also, I suggest you to do the hepatitis C antibody and an ultrasound of the liver. I suggest you to take 50000 IU of Vitamin D once a week for 12 weeks and get B12 injection or 1000 mg of vitamin B12 daily for a week. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Revert back with blood and ultrasound reports to an internal medicine physician online.---> |
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Hi doctor, I have tested for SGPT and SGOT. The result indicates that I have SGPT 214 and SGOT 197. Now what shall I do? Please suggest me. [/INST] Hello. There are a few things I am worried here: Abnormal liver function test could be due to hepatitis C infection and non-alcoholic liver disease can occur as a result of cholesterol deposition in the liver or active hepatitis B infection or alcoholic liver disease. Also, you have high cholesterol, low vitamin D and B12. Are you taking any medication for this? 1. I suggest you to do the complete hepatitis B panel including hepatitis E antigen and antibody, hepatitis B core antigen and antibody and hepatitis B surface antibody. 2. Also, I suggest you to do the hepatitis C antibody and an ultrasound of the liver. I suggest you to take 50000 IU of Vitamin D once a week for 12 weeks and get B12 injection or 1000 mg of vitamin B12 daily for a week. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Revert back with blood and ultrasound reports to an internal medicine physician online.---> |
Q. What is the difference between a regular contraceptive pill and an emergency pill? | Hi doctor, We have a regular contraceptive pill and an emergency contraceptive pill. I-pill is an emergency contraceptive pill. What is the difference between them? Which one is taken after unprotected sex to avoid pregnancy? | Hi. A regular pill has to be taken regularly for 21 days daily without any gap, and then they are stopped for a week (for periods). Again, they are retaken for 21 days. It can be taken for two to three years together. At that time, you have to avoid pregnancy. I-pill has to be consumed within 72 hours of unprotected intercourse. All these are low dose pills with minimum side effects. |
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Hi doctor, We have a regular contraceptive pill and an emergency contraceptive pill. I-pill is an emergency contraceptive pill. What is the difference between them? Which one is taken after unprotected sex to avoid pregnancy? [/INST] Hi. A regular pill has to be taken regularly for 21 days daily without any gap, and then they are stopped for a week (for periods). Again, they are retaken for 21 days. It can be taken for two to three years together. At that time, you have to avoid pregnancy. I-pill has to be consumed within 72 hours of unprotected intercourse. All these are low dose pills with minimum side effects. |
Q. What is the quick remedy for wheezing problem? | Hello doctor, I have a wheezing problem. It is like asthma. Can I have a quick remedy as I am in office? | Hi. The presence of wheezing suggestive of bronchoconstriction induced by asthma or bronchitis. For immediate relief, you can take Salbutamol inhaler two puffs readily. If nebulizer is available then Levosalbutamol and Budesonide Respule can be taken through nebulization. You can consult a pulmonologist for chest examination and accordingly your further management plan. |
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Hello doctor, I have a wheezing problem. It is like asthma. Can I have a quick remedy as I am in office? [/INST] Hi. The presence of wheezing suggestive of bronchoconstriction induced by asthma or bronchitis. For immediate relief, you can take Salbutamol inhaler two puffs readily. If nebulizer is available then Levosalbutamol and Budesonide Respule can be taken through nebulization. You can consult a pulmonologist for chest examination and accordingly your further management plan. |
Q. Are my teeth discolored due to cavities? | Hello doctor, Recently I have seen some discoloration on the side of my teeth, especially back towards my molars. However, I do not feel any pain, aches, or sensitivity. Is it a cavity? I am not sure what I should be looking for if I have a cavity. | Hi. I have gone through your question and I can understand your concern. Yes, if it is brown or black that means it is in the initial stage of the cavity. It takes a year or two to start symptoms like sensitivity or lodging of food in these cavities. You need to keep your teeth clean through brushing twice daily. If you can upload a picture here so that I can tell you that if there is any immediate treatment or filling needed. The proper way to address the problem is to get a dental filling done (restoration). |
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Hello doctor, Recently I have seen some discoloration on the side of my teeth, especially back towards my molars. However, I do not feel any pain, aches, or sensitivity. Is it a cavity? I am not sure what I should be looking for if I have a cavity. [/INST] Hi. I have gone through your question and I can understand your concern. Yes, if it is brown or black that means it is in the initial stage of the cavity. It takes a year or two to start symptoms like sensitivity or lodging of food in these cavities. You need to keep your teeth clean through brushing twice daily. If you can upload a picture here so that I can tell you that if there is any immediate treatment or filling needed. The proper way to address the problem is to get a dental filling done (restoration). |
Q. Can Kayakalp Kwath prevent wrinkles in a normal individual? | Hello doctor, Can a normal mid-20's female with no skin disorder use Kayakalp Kwath or Mahamanjisthadi Kwath for better, healthy, glowing skin, and prevent wrinkles? Could it be an anti-aging solution? Or Will there be side effects? | Hello. I just read your query. See without any indication do not use Kwath on your own. However, you can take Aloe Vera juice 15 ml two times a day with water after food for two weeks. Take healthy and fresh food. Add more fruits and vegetables in your diet. Do walk daily at least for 30 to 60 minutes a day. Sleep adequately at least for 6 to 8 hours a day. Do not take excessive caffeinated drinks like tea, coffee, and cold drinks. Do pranayam and anulom vilom daily. These all things will help you in maintaining skin luster. |
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Hello doctor, Can a normal mid-20's female with no skin disorder use Kayakalp Kwath or Mahamanjisthadi Kwath for better, healthy, glowing skin, and prevent wrinkles? Could it be an anti-aging solution? Or Will there be side effects? [/INST] Hello. I just read your query. See without any indication do not use Kwath on your own. However, you can take Aloe Vera juice 15 ml two times a day with water after food for two weeks. Take healthy and fresh food. Add more fruits and vegetables in your diet. Do walk daily at least for 30 to 60 minutes a day. Sleep adequately at least for 6 to 8 hours a day. Do not take excessive caffeinated drinks like tea, coffee, and cold drinks. Do pranayam and anulom vilom daily. These all things will help you in maintaining skin luster. |
Q. What can be done about itchy cracks on scrotum that are spreading? | Hello doctor, I have read your previous enquiry on a patient that had itchy-cracks on his scrotum and I am experiencing the same. I also have some white spots on my penis, also in the head. I did some tests before to see if it was a fungus, but the results were negative. I have been having this issue for the past year and it is scattering around more and more. Please help. Thank you. | Hello. Please answer the following: Revert with more information to a dermatologist online --> |
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Hello doctor, I have read your previous enquiry on a patient that had itchy-cracks on his scrotum and I am experiencing the same. I also have some white spots on my penis, also in the head. I did some tests before to see if it was a fungus, but the results were negative. I have been having this issue for the past year and it is scattering around more and more. Please help. Thank you. [/INST] Hello. Please answer the following: Revert with more information to a dermatologist online --> |
Q. I have hard bump in throat and my mouth looks white. What is it? | Hello doctor, I have a bump in the throat. It is hard and not painful, and my mouth looks white, I looked on the internet and scared of mouth cancer. Please Help. Other symptoms I had was pain in throat for couple days, but that gone away quickly with gargling. I also have reflux (I am going to the specialist in two weeks). My tonsils are operated and I do not have one. Currently, I am taking Omeprazole. | Hi. The posterior pharyngeal wall has some enlarged and congested nodules (attachment removed to protect patient identity). Could be due to chronic pharyngitis. Continue the reflux medicine and when any pain is there take decongestant and Claritin (Loratadine). For more information consult an ENT otolaryngologist online --> |
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Hello doctor, I have a bump in the throat. It is hard and not painful, and my mouth looks white, I looked on the internet and scared of mouth cancer. Please Help. Other symptoms I had was pain in throat for couple days, but that gone away quickly with gargling. I also have reflux (I am going to the specialist in two weeks). My tonsils are operated and I do not have one. Currently, I am taking Omeprazole. [/INST] Hi. The posterior pharyngeal wall has some enlarged and congested nodules (attachment removed to protect patient identity). Could be due to chronic pharyngitis. Continue the reflux medicine and when any pain is there take decongestant and Claritin (Loratadine). For more information consult an ENT otolaryngologist online --> |
Q. Why are my gums swollen with bad smell from drilled teeth? | Hello doctor, My bottom teeth were drilled for a root canal but after drilling doctor told that my teeth have a split and he filled that hole with a cavity. From the past one year, my gum was swollen and bad smell is coming out from that teeth. From the past one month, I have had bumps on my back of tongue and white coat. Is this a cause of diseased teeth? Currently, I am on Esoz 40 and Telmekind H. | Hi I have read your complaint and the relevant details. My first question would be did you not visit back the dentist after the filling has been done? Because you are already informed that it has a split deep under which means the treatment cannot be just a filling. I wonder why the treatment was ceased half-way. The ideal treatment plan for a split or fractured tooth should be as follows: Now the swelling in the gum and the bad odor is because the tooth got decayed heavily and it is over a year. This is called necrosis similar to a dead tooth. The burning sensation and the white coating on the side of your tongue are because of the rubbing of the tongue over the sharp edges of the tooth. Now the only choice is to remove the tooth and since the friction causing factor is removed the tongue will get back to normal in few days after extraction. For more information consult a dentist online --> |
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Hello doctor, My bottom teeth were drilled for a root canal but after drilling doctor told that my teeth have a split and he filled that hole with a cavity. From the past one year, my gum was swollen and bad smell is coming out from that teeth. From the past one month, I have had bumps on my back of tongue and white coat. Is this a cause of diseased teeth? Currently, I am on Esoz 40 and Telmekind H. [/INST] Hi I have read your complaint and the relevant details. My first question would be did you not visit back the dentist after the filling has been done? Because you are already informed that it has a split deep under which means the treatment cannot be just a filling. I wonder why the treatment was ceased half-way. The ideal treatment plan for a split or fractured tooth should be as follows: Now the swelling in the gum and the bad odor is because the tooth got decayed heavily and it is over a year. This is called necrosis similar to a dead tooth. The burning sensation and the white coating on the side of your tongue are because of the rubbing of the tongue over the sharp edges of the tooth. Now the only choice is to remove the tooth and since the friction causing factor is removed the tongue will get back to normal in few days after extraction. For more information consult a dentist online --> |
Q. What should I do to reduce myopia? | Hello doctor, I have myopia problem, but day by day it is increasing. What should I do to reduce it? | Hi. Unfortunately, there is no proven treatment available for this condition. People have tried various treatments like intraocular pressure reducing drops, or atropine in children. It is a good practice to get your refraction done six-monthly as using improper glasses is a stimulus for eyes to grow more especially in children. |
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Hello doctor, I have myopia problem, but day by day it is increasing. What should I do to reduce it? [/INST] Hi. Unfortunately, there is no proven treatment available for this condition. People have tried various treatments like intraocular pressure reducing drops, or atropine in children. It is a good practice to get your refraction done six-monthly as using improper glasses is a stimulus for eyes to grow more especially in children. |
Q. Can TB be spread by touching hands? | Hello doctor,I met someone yesterday and we were speaking to each other seating closely and touching hands. I came to know later he was advised by doctor for TB medicine suspecting TB in him day before. He was not sneezing or coughing at the time of the meeting. However, since the evening I started having frequent cough and fever in my body. These are some queries about this. Are there any chances of myself getting TB? Which medical test should I do now? What preventive medicines I can take to avoid chances of getting TB? How long it may take to confirm whether I have infected TB? | Hi. To help you better, I need to know first of all that that person has TB of which organ of body? Like TB lungs, TB bone, TB lymph node? |
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Hello doctor,I met someone yesterday and we were speaking to each other seating closely and touching hands. I came to know later he was advised by doctor for TB medicine suspecting TB in him day before. He was not sneezing or coughing at the time of the meeting. However, since the evening I started having frequent cough and fever in my body. These are some queries about this. Are there any chances of myself getting TB? Which medical test should I do now? What preventive medicines I can take to avoid chances of getting TB? How long it may take to confirm whether I have infected TB? [/INST] Hi. To help you better, I need to know first of all that that person has TB of which organ of body? Like TB lungs, TB bone, TB lymph node? |
Q. I have prolonged periods without pain for more than two weeks. Why? | Hi doctor, I am 24 years old. I am married, and I am not taking any contraceptives. I have prolonged periods without pain for more than two weeks. My periods are not consistent for a few years. Sometimes, I get my periods once in two months. Last year, I started to have lactation. But I was not pregnant. What is happening in me? Please help me. | Hi. You are not ovulating regularly, and so you have irregular periods for years. If there is a lactation, then there is a deranged prolactin level. Check your serum prolactin hormone and thyroid profile. If there is an abnormality, correct it soon. If you are taking any antidepressants or antipsychotics or any other drugs to regulate periods now, it requires a change. Gaining weight deranges the hormone levels, and the ovulation process gets stopped. So try to reduce your weight. If you ovulate regularly, with a healthy hormonal balance, you can get pregnant. Do not worry. You will get fine soon. |
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Hi doctor, I am 24 years old. I am married, and I am not taking any contraceptives. I have prolonged periods without pain for more than two weeks. My periods are not consistent for a few years. Sometimes, I get my periods once in two months. Last year, I started to have lactation. But I was not pregnant. What is happening in me? Please help me. [/INST] Hi. You are not ovulating regularly, and so you have irregular periods for years. If there is a lactation, then there is a deranged prolactin level. Check your serum prolactin hormone and thyroid profile. If there is an abnormality, correct it soon. If you are taking any antidepressants or antipsychotics or any other drugs to regulate periods now, it requires a change. Gaining weight deranges the hormone levels, and the ovulation process gets stopped. So try to reduce your weight. If you ovulate regularly, with a healthy hormonal balance, you can get pregnant. Do not worry. You will get fine soon. |
Q. How to manage a tear in the knee joint? | Hi doctor, I have a small tear in the knee joint, but the doctor advised me for arthroscopy. How to manage this problem? Please suggest. | Hi. Revert back after one week with the report to an orthopaedician and traumatologist online --> |
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Hi doctor, I have a small tear in the knee joint, but the doctor advised me for arthroscopy. How to manage this problem? Please suggest. [/INST] Hi. Revert back after one week with the report to an orthopaedician and traumatologist online --> |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. Kindly tell me the treatment for vitamin D deficiency in a child. | Hello doctor, My son is 1.7 years. He had rickets sometimes back and was put on supplements for six months. Upon taking him for review, alkaline phosphatase was extremely high but calcium level was okay and was referred to an endocrinologist. Upon doing several laboratory tests, TSH was okay, PTH was low, vitamin D levels were fine and wrist X-ray was normal. The boy cannot walk and does not look as if he will soon. When standing, he bends his legs at knee point and also clenches his fists when grasping. From the looks, he seems okay. Please help. | Hello, Welcome to icliniq.com. Rickets can be due to vitamin D deficiency or hypophosphatemia. You did not tell me the phosphate level in blood of your child. The hypophosphatemic form of rickets is resistant to vitamin D supplement. As X-ray is normal, this is a remote possibility in your child. Alkaline phosphatase is very commonly found to be high in growing child. But it is also high in rickets. With treatment, ALP comes to within reference range. I suggest you continue with the Vitamin D and Calcium supplementation and get a phosphate level in your child's blood. Do not worry if minor deformities are present. Because these deformities will disappear as the child grows. But if the child cannot walk properly despite having a normal X-ray, and normal phosphate level, then consult with an orthopedic consultant. He will help your child by suggesting some good orthoses. I suggest you do a repeat PTH test and to do a serum phosphate level. Also, continue the Calcium and Vitamin D supplementation. Inadequate treatment. PTH, serum phosphate. Vitamin D resistant rickets, hypophosphatemic rickets. |
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Hello doctor, My son is 1.7 years. He had rickets sometimes back and was put on supplements for six months. Upon taking him for review, alkaline phosphatase was extremely high but calcium level was okay and was referred to an endocrinologist. Upon doing several laboratory tests, TSH was okay, PTH was low, vitamin D levels were fine and wrist X-ray was normal. The boy cannot walk and does not look as if he will soon. When standing, he bends his legs at knee point and also clenches his fists when grasping. From the looks, he seems okay. Please help. [/INST] Hello, Welcome to icliniq.com. Rickets can be due to vitamin D deficiency or hypophosphatemia. You did not tell me the phosphate level in blood of your child. The hypophosphatemic form of rickets is resistant to vitamin D supplement. As X-ray is normal, this is a remote possibility in your child. Alkaline phosphatase is very commonly found to be high in growing child. But it is also high in rickets. With treatment, ALP comes to within reference range. I suggest you continue with the Vitamin D and Calcium supplementation and get a phosphate level in your child's blood. Do not worry if minor deformities are present. Because these deformities will disappear as the child grows. But if the child cannot walk properly despite having a normal X-ray, and normal phosphate level, then consult with an orthopedic consultant. He will help your child by suggesting some good orthoses. I suggest you do a repeat PTH test and to do a serum phosphate level. Also, continue the Calcium and Vitamin D supplementation. Inadequate treatment. PTH, serum phosphate. Vitamin D resistant rickets, hypophosphatemic rickets. |
Q. Is it difficult to treat subclinical hyperthyroidism? | Hi doctor, I am 27 years old, and I have multiple symptoms including nervousness, anxiety and weight loss. These symptoms are troubling me a lot. I experience extreme nervousness, even when I do not have any emotional struggles. I have a feeling of having a fast heartbeat. At the age of 16, my blood report showed me a result of subclinical hyperthyroidism. I have done breast surgery. Due to my health concern, I always have my blood tested for thyroid. Before eight months, I also had done a Holter monitor, which showed my heart palpitations. On my final blood test, my thyroid results came normal. But still, I have the symptoms. I am trying for a baby. But I heard an issue that underlying or undiagnosed thyroid issue could become a terrible one during pregnancy. Do I need to consult an endocrinologist soon? Do these fluctuations are common in hyperthyroidism? | Hi. I have gone through the query. It appears that you have had subclinical hyperthyroidism. This condition needs regular follow up tests and consult an endocrinologist even if you are not undergoing treatment for hyperthyroidism. If you plan for pregnancy, then it is necessary to have a constant follow-up with an endocrinologist before and during pregnancy. Yes, fluctuations in thyroid function test are common. |
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Hi doctor, I am 27 years old, and I have multiple symptoms including nervousness, anxiety and weight loss. These symptoms are troubling me a lot. I experience extreme nervousness, even when I do not have any emotional struggles. I have a feeling of having a fast heartbeat. At the age of 16, my blood report showed me a result of subclinical hyperthyroidism. I have done breast surgery. Due to my health concern, I always have my blood tested for thyroid. Before eight months, I also had done a Holter monitor, which showed my heart palpitations. On my final blood test, my thyroid results came normal. But still, I have the symptoms. I am trying for a baby. But I heard an issue that underlying or undiagnosed thyroid issue could become a terrible one during pregnancy. Do I need to consult an endocrinologist soon? Do these fluctuations are common in hyperthyroidism? [/INST] Hi. I have gone through the query. It appears that you have had subclinical hyperthyroidism. This condition needs regular follow up tests and consult an endocrinologist even if you are not undergoing treatment for hyperthyroidism. If you plan for pregnancy, then it is necessary to have a constant follow-up with an endocrinologist before and during pregnancy. Yes, fluctuations in thyroid function test are common. |
Q. Kindly tell me erectile dysfunction treatments. | Hello doctor,I am 48 years old married, male living with wife and one school going child. My height is 172 and weighs almost 80 kg. My main problem is that I am not able to sustain my erection or suffering from erection difficulties for a long time. I can sustain it only when I take Tadalafil type of tablets before. But, at present, I am having high BP and taking Amlopres AT tablet daily in the morning and after this medication, my BP level is 130/80 on average. Besides, I am having high TSH 6.98 when measured one month back and taking medication (Thyrox). Otherwise, I am also having enlarged prostate but till date, no major complications have arisen. Though the doctor has prescribed Tamsulosin type of medicine, I have not started yet. Also suffering a bit anxiety, however, I am not taking any other medicine except those mentioned above. Can I take Tadalafil after having such problems mentioned above to overcome the erection difficulties? Will it clash with the medicines I am taking already? | Hi. Yes, you can take Tadalafil or Sildenafil tablets for erection. It may bring blood pressure slightly less. Otherwise, it is safe. If TSH level is slightly high, how is the sugar level? Also, learn to relax as anxiety also causes erectile dysfunction. |
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Hello doctor,I am 48 years old married, male living with wife and one school going child. My height is 172 and weighs almost 80 kg. My main problem is that I am not able to sustain my erection or suffering from erection difficulties for a long time. I can sustain it only when I take Tadalafil type of tablets before. But, at present, I am having high BP and taking Amlopres AT tablet daily in the morning and after this medication, my BP level is 130/80 on average. Besides, I am having high TSH 6.98 when measured one month back and taking medication (Thyrox). Otherwise, I am also having enlarged prostate but till date, no major complications have arisen. Though the doctor has prescribed Tamsulosin type of medicine, I have not started yet. Also suffering a bit anxiety, however, I am not taking any other medicine except those mentioned above. Can I take Tadalafil after having such problems mentioned above to overcome the erection difficulties? Will it clash with the medicines I am taking already? [/INST] Hi. Yes, you can take Tadalafil or Sildenafil tablets for erection. It may bring blood pressure slightly less. Otherwise, it is safe. If TSH level is slightly high, how is the sugar level? Also, learn to relax as anxiety also causes erectile dysfunction. |
Q. What can be done to cure chronic cough? | Hello doctor, I have had a chronic cough for the past one month after having a bad cold. My doctor believes it to be allergy-related, as I did a chest X-ray and that came back clear, so he has prescribed me two inhalers. One is Salbutamol and the other is a corticosteroid. They both have seemed to have helped but unfortunately, I believe they are the cause of my severe acne, as the acne soon developed after beginning the inhalers. I was wondering if there is an alternative to these prescribed inhalers. | Hello. Did your doctor prescribe you to undergo a PFT or pulmonary function test accompanied with a reversibility with bronchodilator? If not, then before using inhalers, the diagnosis of bronchial asthma must be established. I suggest you stop the steroid inhaler for three months if your symptoms are not present at present and then you go to a pulmonologist and get your PFT done. For the time being, if the frequency of symptoms is less than one per month, you can take the Salbutamol inhaler on a required basis. For allergy, you can take the combination Monteleukast (10) with Levocetirizine (5) at bedtime for 15 days. Steroid inhalers although have few systemic adverse effects, should not be prescribed in the absence of an established diagnosis of bronchial asthma. If the diagnosis cannot be established even after thorough investigations and if symptoms are distressing, then one can advise a trial of a steroid inhaler. There is also a variant of asthma which is called cough predominant asthma which your doctor had thought you have, I guess. Lastly, gastroesophageal reflux is a very common cause of a chronic cough with a normal X-ray chest. so you can take a combination of Pantoprazole (40) with Domperidone (30) sustained-release before food for one month. |
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Hello doctor, I have had a chronic cough for the past one month after having a bad cold. My doctor believes it to be allergy-related, as I did a chest X-ray and that came back clear, so he has prescribed me two inhalers. One is Salbutamol and the other is a corticosteroid. They both have seemed to have helped but unfortunately, I believe they are the cause of my severe acne, as the acne soon developed after beginning the inhalers. I was wondering if there is an alternative to these prescribed inhalers. [/INST] Hello. Did your doctor prescribe you to undergo a PFT or pulmonary function test accompanied with a reversibility with bronchodilator? If not, then before using inhalers, the diagnosis of bronchial asthma must be established. I suggest you stop the steroid inhaler for three months if your symptoms are not present at present and then you go to a pulmonologist and get your PFT done. For the time being, if the frequency of symptoms is less than one per month, you can take the Salbutamol inhaler on a required basis. For allergy, you can take the combination Monteleukast (10) with Levocetirizine (5) at bedtime for 15 days. Steroid inhalers although have few systemic adverse effects, should not be prescribed in the absence of an established diagnosis of bronchial asthma. If the diagnosis cannot be established even after thorough investigations and if symptoms are distressing, then one can advise a trial of a steroid inhaler. There is also a variant of asthma which is called cough predominant asthma which your doctor had thought you have, I guess. Lastly, gastroesophageal reflux is a very common cause of a chronic cough with a normal X-ray chest. so you can take a combination of Pantoprazole (40) with Domperidone (30) sustained-release before food for one month. |
Q. What can I do to heal a canker sore on my lip? | Hi doctor, I have had a canker sore on the inside of my bottom lip for a couple of months now. It is not really painful, but every time it starts to heal it gets irritated by my teeth, or I bite my lip and it prevents it from healing. What can I do to help the healing process? | Hi. I have gone through your question. I can understand your concern. Two months of aphthous ulcer in the mouth that too without a pain is not a good thing. You need to upload certain pictures of your sore so that any dangerous lesion can be ruled out today. Also, if your ulcer is associated with any swelling below your chin. Is this ulcer hard or soft in consistency and what kind of color, is it raised or not? Though as per your history the ulcer or sore looks like a traumatic ulcer but to rule out any unusual thing it needs to be evaluated properly. You can use Kenacort 0.1 % (Triamcinolone Acetonide) two to three times daily, it will help you to reduce inflammation. Also, take Vitamin C supplements one tablet daily for a month. |
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Hi doctor, I have had a canker sore on the inside of my bottom lip for a couple of months now. It is not really painful, but every time it starts to heal it gets irritated by my teeth, or I bite my lip and it prevents it from healing. What can I do to help the healing process? [/INST] Hi. I have gone through your question. I can understand your concern. Two months of aphthous ulcer in the mouth that too without a pain is not a good thing. You need to upload certain pictures of your sore so that any dangerous lesion can be ruled out today. Also, if your ulcer is associated with any swelling below your chin. Is this ulcer hard or soft in consistency and what kind of color, is it raised or not? Though as per your history the ulcer or sore looks like a traumatic ulcer but to rule out any unusual thing it needs to be evaluated properly. You can use Kenacort 0.1 % (Triamcinolone Acetonide) two to three times daily, it will help you to reduce inflammation. Also, take Vitamin C supplements one tablet daily for a month. |
Q. I am struggling to express words in certain occasions. Why? | Hello doctor, I have a speech disorder and a constant headache. It started before two months. When I try to express myself, I often stumble upon words, repeat them or it takes time for me to think of an appropriate word to say on that certain occasion. This seems to be progressively getting worse. It is not that I struggle to think and create an idea about a certain topic posed to me, it is just I struggle to express them in words. When I searched online for speech disorders, the best fitting I found is aphasia, as it states most of the disorders I just told you about. I believe the disorder is not directly damage or change my intelligence. My current medication is Nurofen. Please help. | Hello. Revert back with answers to the above questions to a speech therapist online --> |
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Hello doctor, I have a speech disorder and a constant headache. It started before two months. When I try to express myself, I often stumble upon words, repeat them or it takes time for me to think of an appropriate word to say on that certain occasion. This seems to be progressively getting worse. It is not that I struggle to think and create an idea about a certain topic posed to me, it is just I struggle to express them in words. When I searched online for speech disorders, the best fitting I found is aphasia, as it states most of the disorders I just told you about. I believe the disorder is not directly damage or change my intelligence. My current medication is Nurofen. Please help. [/INST] Hello. Revert back with answers to the above questions to a speech therapist online --> |
Q. What can be done to empty bowels completely in a constipated person? | Hello doctor, I cannot empty my bowel at once in the morning after the bowel movement in the morning. I get an urge again after an hour or so or after eating something. How do I empty my bowels completely? I took psyllium husk, it causes a lot of gas so I have stopped taking it and mucous discharge happens with most of the bowel movements. It feels like rectum has not been emptied completely, and whenever I masturbate I get an urge to defecate and nothing but clear mucus comes out and in the next bowel movement too. | Hi. The basic issue with you is underlying constipation. You need to take a few measures. Avoid constipating foods, Keep yourself well hydrated with two to three liters of water daily. Never strain at stools. Take Lactifibre two spoons at night for three days whenever you have more symptoms. Follow the strict plan for three to four weeks. You will definitely find a difference. Your attached stool test reports are normal (attachment removed to protect patient identity). The mucus passage and sensation for toilet happens whenever you have a hormonal surge. It is normal. |
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Hello doctor, I cannot empty my bowel at once in the morning after the bowel movement in the morning. I get an urge again after an hour or so or after eating something. How do I empty my bowels completely? I took psyllium husk, it causes a lot of gas so I have stopped taking it and mucous discharge happens with most of the bowel movements. It feels like rectum has not been emptied completely, and whenever I masturbate I get an urge to defecate and nothing but clear mucus comes out and in the next bowel movement too. [/INST] Hi. The basic issue with you is underlying constipation. You need to take a few measures. Avoid constipating foods, Keep yourself well hydrated with two to three liters of water daily. Never strain at stools. Take Lactifibre two spoons at night for three days whenever you have more symptoms. Follow the strict plan for three to four weeks. You will definitely find a difference. Your attached stool test reports are normal (attachment removed to protect patient identity). The mucus passage and sensation for toilet happens whenever you have a hormonal surge. It is normal. |
Q. Why do I have weakness and fatigue with severe body pain? | Hello doctor, I am a female, 18 years old, suffering from weakness, headache, body pains, back pain, stomach pain, and leg pains. Sometimes, not able to bear pain. I am suffering since last two months. | Hi. You have severe anemia (attachment removed to protect patient identity) which needs to be corrected urgently. Some of your symptoms can be attributed to the anemia itself. However, it is very important to identify the cause of such severe anemia. Please give me more details about your symptoms and get the following investigations done. 1. Peripheral blood film. 2. Hb electrophoresis. 3. USG of the whole abdomen. 4. Serum electrolytes. 5. Liver enzymes. As soon as possible get the tests done so that we can correct the anemia and identify the cause. You may need blood transfusion if symptoms are severe or if there is breathing difficulty. |
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Hello doctor, I am a female, 18 years old, suffering from weakness, headache, body pains, back pain, stomach pain, and leg pains. Sometimes, not able to bear pain. I am suffering since last two months. [/INST] Hi. You have severe anemia (attachment removed to protect patient identity) which needs to be corrected urgently. Some of your symptoms can be attributed to the anemia itself. However, it is very important to identify the cause of such severe anemia. Please give me more details about your symptoms and get the following investigations done. 1. Peripheral blood film. 2. Hb electrophoresis. 3. USG of the whole abdomen. 4. Serum electrolytes. 5. Liver enzymes. As soon as possible get the tests done so that we can correct the anemia and identify the cause. You may need blood transfusion if symptoms are severe or if there is breathing difficulty. |
Q. What is the remedy for oily face and scalp? | Hello doctor, I have some questions regarding sebum, DHT, and overall severe oily face and scalp. | Hello. I have read your query and gone through the list of medications that you are using. According to your complaints, you are suffering from a condition called seborrhea (attachment removed to protect patient identity). Seborrhea is due to excess production of sebum (an oily secretion produced by sebaceous glands of skin). You can manage it by using face wash twice daily with glycolic acid based face washes. Also, you can apply a moisturizer cream such as Cetaphil moisturizing cream twice daily. You could take an Alcet or Clarigen tablet (Levocetirizine) tablet at bedtime if you suffer from itching. Excess sebum secretion. Seborrhoea. 1.Glycolic acid face wash twice daily. 2.Moisturizing cream application twice daily. Frequent patting of the face with a dry towel. |
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Hello doctor, I have some questions regarding sebum, DHT, and overall severe oily face and scalp. [/INST] Hello. I have read your query and gone through the list of medications that you are using. According to your complaints, you are suffering from a condition called seborrhea (attachment removed to protect patient identity). Seborrhea is due to excess production of sebum (an oily secretion produced by sebaceous glands of skin). You can manage it by using face wash twice daily with glycolic acid based face washes. Also, you can apply a moisturizer cream such as Cetaphil moisturizing cream twice daily. You could take an Alcet or Clarigen tablet (Levocetirizine) tablet at bedtime if you suffer from itching. Excess sebum secretion. Seborrhoea. 1.Glycolic acid face wash twice daily. 2.Moisturizing cream application twice daily. Frequent patting of the face with a dry towel. |
Q. I have boils in private area after shaving. Please help. | Hi doctor, I shaved my lower region and then I had sex. Now I have boils around my private area. It is very painful. Please help. | Hi. Please send me your detailed obstetrics and gynecology history, your medical history, and drug history. Please say about the material used such as hair removal cream or razor to remove the hairs. Sometimes removal of hairs after a long time gets sensitive to hair removal creams. Sometimes an old dormant infection can get active. Do a vaginal swab and follow the laboratory results. It can also occur due to irritation or reaction to hair removal creams. These symptoms can reduce gradually after some time. Have sitz bath to get relief from pain. Take tablet Ponstan 500 mg (Mefenamic acid). After taking a sitz bath, try to have some time without undergarments at home. Have a soft, comfortable undergarment. Use water to clean and use olive oil as a moisturizer. Have Doxycycline 100 mg twice daily and take tablet Metronidazole for every eight hours for seven days. Collect the swab and discuss the results with your gynecologist to have a specific treatment. |
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Hi doctor, I shaved my lower region and then I had sex. Now I have boils around my private area. It is very painful. Please help. [/INST] Hi. Please send me your detailed obstetrics and gynecology history, your medical history, and drug history. Please say about the material used such as hair removal cream or razor to remove the hairs. Sometimes removal of hairs after a long time gets sensitive to hair removal creams. Sometimes an old dormant infection can get active. Do a vaginal swab and follow the laboratory results. It can also occur due to irritation or reaction to hair removal creams. These symptoms can reduce gradually after some time. Have sitz bath to get relief from pain. Take tablet Ponstan 500 mg (Mefenamic acid). After taking a sitz bath, try to have some time without undergarments at home. Have a soft, comfortable undergarment. Use water to clean and use olive oil as a moisturizer. Have Doxycycline 100 mg twice daily and take tablet Metronidazole for every eight hours for seven days. Collect the swab and discuss the results with your gynecologist to have a specific treatment. |
Q. How to treat an abscessed tooth? | Hi doctor, I have an abscessed tooth. It has started to drain. What can I do now? | Hi. An abscess is an infection of the tooth due to caries. If the abscess is draining into the tissues, then it creates a problem. If it is draining outside, then there is no issue. If you have a fever or a swelling in the neck then, you need to take drugs. I prescribe a tablet Ofloxacin 200 mg and Ornidazole 500 mg two times a day for five days. Take tablet Ibuprofen 50 mg and Serratiopeptidase 15 mg (Serrapeptase) two times a day for three days. |
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Hi doctor, I have an abscessed tooth. It has started to drain. What can I do now? [/INST] Hi. An abscess is an infection of the tooth due to caries. If the abscess is draining into the tissues, then it creates a problem. If it is draining outside, then there is no issue. If you have a fever or a swelling in the neck then, you need to take drugs. I prescribe a tablet Ofloxacin 200 mg and Ornidazole 500 mg two times a day for five days. Take tablet Ibuprofen 50 mg and Serratiopeptidase 15 mg (Serrapeptase) two times a day for three days. |
Q. How long should my husband and I wait to try for a baby if we did cocaine? | Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. | Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Q. Why do periods get delayed after first time sex? | Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? | Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online --> |
Q. I have pain in the epigastric region for three months. What should I do? | Hello sir i am having pain in apegastric region since 3 months. But today very high I had taken acidity tablet and Antacid syrap whenever i take medicine i feel better for short period of time after that it as usually paining me . What should i do ? | Hello. It has been very difficulty to seel medical advise in this time. I appreciate you of using this platform for your medical queries. From your history it seems the pain secondary to hypersecretion of acid. However, there are many other reasons of upper abdominal pain that may not be related with just high acid secretion. It is of utmost importance to get some blood and stool test before jumping to treat with medicines. Also the duration of pain you describe is somewhat worrisome. for now I want you take Cap Esomprazole 40 mg before breakfast once daily Syp Gaviscon /mylanta or any available antacid syp. but make sure you increase the dose. You should take 15 ml four times daily just 30 min. after meals. It is important that you should take capsule before meals and antacid syp. after meals. I also want if you can get these test before your second visit. Since we need to rule out any serious thing if present. Serum Amylase and Serum Lipase, liver function tests, Tsh, serum lactic acid, and stool for H pylori antigen univestigated dyspepsia FUNCTIONAL DYSPEPSIA PEPTIC ULCER DISEASE PANCREATIC CAUSE GB PATHOLOGY I would like to see you in 1 week time |
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Hello sir i am having pain in apegastric region since 3 months. But today very high I had taken acidity tablet and Antacid syrap whenever i take medicine i feel better for short period of time after that it as usually paining me . What should i do ? [/INST] Hello. It has been very difficulty to seel medical advise in this time. I appreciate you of using this platform for your medical queries. From your history it seems the pain secondary to hypersecretion of acid. However, there are many other reasons of upper abdominal pain that may not be related with just high acid secretion. It is of utmost importance to get some blood and stool test before jumping to treat with medicines. Also the duration of pain you describe is somewhat worrisome. for now I want you take Cap Esomprazole 40 mg before breakfast once daily Syp Gaviscon /mylanta or any available antacid syp. but make sure you increase the dose. You should take 15 ml four times daily just 30 min. after meals. It is important that you should take capsule before meals and antacid syp. after meals. I also want if you can get these test before your second visit. Since we need to rule out any serious thing if present. Serum Amylase and Serum Lipase, liver function tests, Tsh, serum lactic acid, and stool for H pylori antigen univestigated dyspepsia FUNCTIONAL DYSPEPSIA PEPTIC ULCER DISEASE PANCREATIC CAUSE GB PATHOLOGY I would like to see you in 1 week time |
Q. How can acne on back, shoulder and chest be treated? | Hi doctor, I have acne on my back, shoulder, and chest. | Hi. Acne is a disease in which the patient may experience frequent exacerbation due to stress or hormones or periods. Acne of the chest is difficult to treat. Take capsule Doxycycline 100 mg once daily for three weeks. Apply Clindamycin lotion two times a day. |
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Hi doctor, I have acne on my back, shoulder, and chest. [/INST] Hi. Acne is a disease in which the patient may experience frequent exacerbation due to stress or hormones or periods. Acne of the chest is difficult to treat. Take capsule Doxycycline 100 mg once daily for three weeks. Apply Clindamycin lotion two times a day. |
Q. Please explain my father's CBC report. | Hi doctor, My father is 64 years old. His CBC report shows an absolute monocyte count of 93. His WBC was 4700 per microliter of blood and has a hemoglobin of 12.5 g/dL. He has platelets of 20,500 per microliter of blood. He has rhinitis for the past three months. He is taking Cilacar 10 mg, Thyronorm 25 mg, and Lasix 20 mg for the past eight months. He had leucopenia and thrombocytopenia before three months. Please help. | Hi. Your father's blood report does not show a significant finding. His monocyte count is low. His hemoglobin level is low, and foods rich in iron can be taken. If the congestive symptoms are severe, then a PNS (paranasal) X-ray can be taken to check for sinusitis. For rhinitis, he can take a decongestant tablet. You can consult a physician for an examination and for doing allergic testing. |
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Hi doctor, My father is 64 years old. His CBC report shows an absolute monocyte count of 93. His WBC was 4700 per microliter of blood and has a hemoglobin of 12.5 g/dL. He has platelets of 20,500 per microliter of blood. He has rhinitis for the past three months. He is taking Cilacar 10 mg, Thyronorm 25 mg, and Lasix 20 mg for the past eight months. He had leucopenia and thrombocytopenia before three months. Please help. [/INST] Hi. Your father's blood report does not show a significant finding. His monocyte count is low. His hemoglobin level is low, and foods rich in iron can be taken. If the congestive symptoms are severe, then a PNS (paranasal) X-ray can be taken to check for sinusitis. For rhinitis, he can take a decongestant tablet. You can consult a physician for an examination and for doing allergic testing. |
Q. How can I get my gestational age accurately? | Hi doctor, My CRL is 5.18 cm. How old is my baby now? How can I get my gestational age accurately? | Hi. The CRL of 5.18 cm corresponds to 11 to 12 weeks of gestation. A difference of two to three days is possible depending on the position of the baby and the measurement of the caliper placement. Ideally, we recommend a first scan to know the exact dating and to calculate the expected due date (EDD). As you have not mentioned your last menstrual period (LMP), I am unable to estimate the gestational age by LMP. Please provide them. I can say the result whether there is a delay in growth or there is a delayed conception. |
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Hi doctor, My CRL is 5.18 cm. How old is my baby now? How can I get my gestational age accurately? [/INST] Hi. The CRL of 5.18 cm corresponds to 11 to 12 weeks of gestation. A difference of two to three days is possible depending on the position of the baby and the measurement of the caliper placement. Ideally, we recommend a first scan to know the exact dating and to calculate the expected due date (EDD). As you have not mentioned your last menstrual period (LMP), I am unable to estimate the gestational age by LMP. Please provide them. I can say the result whether there is a delay in growth or there is a delayed conception. |
Q. What is the best method used to prevent pregnancy? | Hi doctor, I have a girlfriend. I have bought condoms to have sex. We are ready to have sex. We are planning to avoid pregnancy. We are planning to have intercourse once a year. Can condoms prevent the condition of pregnancy? What is the best method used to prevent pregnancy successfully? Please suggest. | Hi. Condoms should be used properly. It can prevent the condition of pregnancy. There should not be any breakage or leakage through the condom. If there is any doubt, your partner can take Unwanted 72 (Levonorgestrel) within 72 hours of intercourse. If you have the sex once a year, then using a condom is suitable for you. But if it is decided at least one to two months before, then she can start oral pills at least two months before and continue taking it till the full month of intercourse. If it is a regular activity, then she can take oral pills as contraception. It is 100 percent effective. Condoms have a failure rate of 20 %. |
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Hi doctor, I have a girlfriend. I have bought condoms to have sex. We are ready to have sex. We are planning to avoid pregnancy. We are planning to have intercourse once a year. Can condoms prevent the condition of pregnancy? What is the best method used to prevent pregnancy successfully? Please suggest. [/INST] Hi. Condoms should be used properly. It can prevent the condition of pregnancy. There should not be any breakage or leakage through the condom. If there is any doubt, your partner can take Unwanted 72 (Levonorgestrel) within 72 hours of intercourse. If you have the sex once a year, then using a condom is suitable for you. But if it is decided at least one to two months before, then she can start oral pills at least two months before and continue taking it till the full month of intercourse. If it is a regular activity, then she can take oral pills as contraception. It is 100 percent effective. Condoms have a failure rate of 20 %. |
Q. How to treat dentigerous cyst and odontoma present in the lower gums? | Hi doctor, I have been detected with a dentigerous cyst and compound odontoma inside my lower gums. I have been advised for removal of the cyst and to have a biopsy of the cyst for odontoma. I do not have pain and swelling. I visited a dentist before few months where I took an X-ray. We found a small dark area in the X-ray. It was an odontoma with an unerupted canine. It was confirmed again in a CBCT scan. The results came with a dentigerous cyst and odontoma. I am scared of the surgery done under GA. Is it necessary to remove the cyst? Surgeons suggest me different opinions. One oral surgeon is implying for removal of the cyst, odontoma and placing a plate on the canine. Another surgeon is recommending for the removal of the cyst and odontoma. Another dentist says me to wait and watch as it is asymptomatic. I am attaching my reports. Please suggest. | Hi. If the cysts are small, they can be left untreated. But the problem is that the cysts can create an infection later. They can also cause more issues like tooth mobility, bone loss or any other transformation. So it is better to remove it. Odontomas are developmental. They also create problems when they are left untreated. But again, there are chances of cyst formation and expansion later. So, if the oral surgeon suggests for removal of the cyst, try to go for it. I have gone through the reports (attachment removed to protect patient identity). It is better to remove the cyst. Currently, you do not have problems. If it is left untreated, it can form ameloblastoma in the future. You do not worry. These cysts are found in any person due to the impacted tooth. |
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Hi doctor, I have been detected with a dentigerous cyst and compound odontoma inside my lower gums. I have been advised for removal of the cyst and to have a biopsy of the cyst for odontoma. I do not have pain and swelling. I visited a dentist before few months where I took an X-ray. We found a small dark area in the X-ray. It was an odontoma with an unerupted canine. It was confirmed again in a CBCT scan. The results came with a dentigerous cyst and odontoma. I am scared of the surgery done under GA. Is it necessary to remove the cyst? Surgeons suggest me different opinions. One oral surgeon is implying for removal of the cyst, odontoma and placing a plate on the canine. Another surgeon is recommending for the removal of the cyst and odontoma. Another dentist says me to wait and watch as it is asymptomatic. I am attaching my reports. Please suggest. [/INST] Hi. If the cysts are small, they can be left untreated. But the problem is that the cysts can create an infection later. They can also cause more issues like tooth mobility, bone loss or any other transformation. So it is better to remove it. Odontomas are developmental. They also create problems when they are left untreated. But again, there are chances of cyst formation and expansion later. So, if the oral surgeon suggests for removal of the cyst, try to go for it. I have gone through the reports (attachment removed to protect patient identity). It is better to remove the cyst. Currently, you do not have problems. If it is left untreated, it can form ameloblastoma in the future. You do not worry. These cysts are found in any person due to the impacted tooth. |
Q. How to reduce weight through yoga? | Hello doctor, I am a 23 year old obese boy. My weight is 110 kg and I feel myself unfit. I want to start practicing yoga for weight loss. But, I do not know anything about yoga. I want to know, how to meditate and relax our body and mind? | Hi. Lifestyle changes. BMI (body mass index). Suryanamskara, diet plan - lemon and honey juice, consume more fruits and vegetable instead of rice and fast food, meditation and pranayama. Yogasanas, workout, running, exercises and diet. For further doubts consult a yoga specialist online.---> |
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Hello doctor, I am a 23 year old obese boy. My weight is 110 kg and I feel myself unfit. I want to start practicing yoga for weight loss. But, I do not know anything about yoga. I want to know, how to meditate and relax our body and mind? [/INST] Hi. Lifestyle changes. BMI (body mass index). Suryanamskara, diet plan - lemon and honey juice, consume more fruits and vegetable instead of rice and fast food, meditation and pranayama. Yogasanas, workout, running, exercises and diet. For further doubts consult a yoga specialist online.---> |
Q. Are my symptoms due to PMS or pregnancy? | Hi doctor, I had my period on the 29th of last month. It lasted for six days (usually seven). The cycle is usually 30 to 33 days. I had unprotected sex on the last day of my period (4th of this month). He did not penetrate deep and did not ejaculate inside as well. I usually get acne, but now it is slightly more on my face. My breasts are aching, not the nipples though. I am not sure if these are because I am closer to my period or if I could be pregnant. | Hello. You had sex on day-6 of your cycle. According to your cycle length, your fertile days start from day-10 to day-20. This could be because of premenstrual symptoms. But, sometimes, the cycle length can vary. So, if you did not have sex after that, then the chances of you getting pregnant are least in this cycle. For more information consult an obstetrician and gynaecologist online --> |
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Hi doctor, I had my period on the 29th of last month. It lasted for six days (usually seven). The cycle is usually 30 to 33 days. I had unprotected sex on the last day of my period (4th of this month). He did not penetrate deep and did not ejaculate inside as well. I usually get acne, but now it is slightly more on my face. My breasts are aching, not the nipples though. I am not sure if these are because I am closer to my period or if I could be pregnant. [/INST] Hello. You had sex on day-6 of your cycle. According to your cycle length, your fertile days start from day-10 to day-20. This could be because of premenstrual symptoms. But, sometimes, the cycle length can vary. So, if you did not have sex after that, then the chances of you getting pregnant are least in this cycle. For more information consult an obstetrician and gynaecologist online --> |
Q. Why do I have abdominal pain after unprotected sex? | Hi doctor, I had unprotected sex 19 days back. My period is always regular and my expected date was in the first week the following month. I had uneasiness and fatigue by the end of last month. Left side upper abdominal pain started a week back. It comes occasionally and goes on its own. Occasionally, the pain shifted to right side upper abdominal pain, then lower left side abdominal pain etc. My periods did not appear on the expected date. I did a pregnancy test yesterday, but the result was negative. Since yesterday, my appetite has reduced. After having dinner, my abdominal pain started increasing and it only stopped after I intentionally puked out half of the food I ate. Today morning there was severe abdominal pain, periods like pain, and some drops of blood came out. After that I was revealed. Now the bleeding again stopped. Periods like pain persists and uneasiness after taking food. I wonder, whether I am pregnant and is that implantation bleeding. I read that the implantation bleeding occurs after seven to ten days of intercourse and before your missed period. In my case, there is a long gap and it is two days after the missed period. What could it be? I have no other symptoms of sore breast or nausea. Except, I feel fatigue especially in mornings and has become an early sleeper. I also have uneasiness after having food. No aversion or special interest to any food. But, not at all feeling hungry. Frequent periods like pain in the center lower abdomen. If there is a possibility of pregnancy, when can I again do a urine pregnancy test? | Hello. The symptoms appear more of premenstrual syndrome and as you had a day of bleeding with on and off lower abdominal pain off and on. There is likelihood that your menses shall resume again in few days unless you have conceived. Urine pregnancy test is not sensitive until eight days post missed periods and hence it is advised that you should opt for a blood based serum beta-hCG (human chorionic gonadotropin) test to rule out pregnancy conclusively. If the hCG levels are less than 5 ng/dL then you are surely not pregnant. But if they are higher then you are surely pregnant and the bleed that you had was an implantation bleed possibly or an early sign of threatened miscarriage. So, please get a serum beta-hCG test done to have a clear idea with regards to possible pregnancy as you had sex during your fertile period. Revert back after the test to an obstetrician and gynaecologist online --> |
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Hi doctor, I had unprotected sex 19 days back. My period is always regular and my expected date was in the first week the following month. I had uneasiness and fatigue by the end of last month. Left side upper abdominal pain started a week back. It comes occasionally and goes on its own. Occasionally, the pain shifted to right side upper abdominal pain, then lower left side abdominal pain etc. My periods did not appear on the expected date. I did a pregnancy test yesterday, but the result was negative. Since yesterday, my appetite has reduced. After having dinner, my abdominal pain started increasing and it only stopped after I intentionally puked out half of the food I ate. Today morning there was severe abdominal pain, periods like pain, and some drops of blood came out. After that I was revealed. Now the bleeding again stopped. Periods like pain persists and uneasiness after taking food. I wonder, whether I am pregnant and is that implantation bleeding. I read that the implantation bleeding occurs after seven to ten days of intercourse and before your missed period. In my case, there is a long gap and it is two days after the missed period. What could it be? I have no other symptoms of sore breast or nausea. Except, I feel fatigue especially in mornings and has become an early sleeper. I also have uneasiness after having food. No aversion or special interest to any food. But, not at all feeling hungry. Frequent periods like pain in the center lower abdomen. If there is a possibility of pregnancy, when can I again do a urine pregnancy test? [/INST] Hello. The symptoms appear more of premenstrual syndrome and as you had a day of bleeding with on and off lower abdominal pain off and on. There is likelihood that your menses shall resume again in few days unless you have conceived. Urine pregnancy test is not sensitive until eight days post missed periods and hence it is advised that you should opt for a blood based serum beta-hCG (human chorionic gonadotropin) test to rule out pregnancy conclusively. If the hCG levels are less than 5 ng/dL then you are surely not pregnant. But if they are higher then you are surely pregnant and the bleed that you had was an implantation bleed possibly or an early sign of threatened miscarriage. So, please get a serum beta-hCG test done to have a clear idea with regards to possible pregnancy as you had sex during your fertile period. Revert back after the test to an obstetrician and gynaecologist online --> |
Q. I feel terrible before periods. How to cure it naturally? | Hello doctor, I feel terrible before periods and I cannot sleep. My tummy comes out, also my breast become heavy, and I feel no hunger at all. My periods are regular but I am just tired of this thing happening to me even though my lifestyle is good. I am a vegan. Please help me. I want to cure it naturally. | Hello. I have gone through your history and understand your concerns. You are suffering from premenstrual syndrome. You have to change your lifestyle and diet. You can take M2 tone syrup for the same. Regards. For more information consult an obstetrician and gynaecologist online --> |
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Hello doctor, I feel terrible before periods and I cannot sleep. My tummy comes out, also my breast become heavy, and I feel no hunger at all. My periods are regular but I am just tired of this thing happening to me even though my lifestyle is good. I am a vegan. Please help me. I want to cure it naturally. [/INST] Hello. I have gone through your history and understand your concerns. You are suffering from premenstrual syndrome. You have to change your lifestyle and diet. You can take M2 tone syrup for the same. Regards. For more information consult an obstetrician and gynaecologist online --> |
Q. Delayed period after abortion. Please help. | Hello doctor, My wife is 23 years old. Two months back she had abortion. After abortion she is taking Folic acid and Ecosprin 75. Last month her period lasted for around 14 days and then doctor gave her Sandoz medication. This month her period date already has passed far off but still she is not having period. We checked home pregnancy test, but it is negative. Please guide. | Hi. For further information consult an obstetrician and gynaecologist online --> |
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Hello doctor, My wife is 23 years old. Two months back she had abortion. After abortion she is taking Folic acid and Ecosprin 75. Last month her period lasted for around 14 days and then doctor gave her Sandoz medication. This month her period date already has passed far off but still she is not having period. We checked home pregnancy test, but it is negative. Please guide. [/INST] Hi. For further information consult an obstetrician and gynaecologist 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. Can my smaller testicles get cured with HCG 5000? | Hello doctor, I am 33 years old. My testicles are the size of a grape and I experience low sex drive, and less sperm count. I have used some testosterone when I was about 16 years, the testes have never recovered since. I have been reading a lot and bought some HCG 5000 but I do not know how to use it, and I do not want to make things worse. | Hello. Basically, because of exogenous testosterone, your body has stopped production of testosterone from testis resulting in testicular atrophy and hypogonadism. Do you have children? Are you married? I would like you to get a baseline hormonal assay which would help us for future reference. I will not prefer hCG (human chorionic gonadotropin) and I would like to start you on Clomiphene citrate 25 mg every alternate day. Clomiphene is better than HCG. HCG can be given if there is no improvement with Clomiphene citrate. Exogenous steroids must be totally stopped. It will take time to recover and I will not give you 100 percent guarantee that your testis function will recover as there is severe atrophy. Recovery depends on the amount of testicular tissue left. But we will try our best. For more information consult a urologist online --> |
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Hello doctor, I am 33 years old. My testicles are the size of a grape and I experience low sex drive, and less sperm count. I have used some testosterone when I was about 16 years, the testes have never recovered since. I have been reading a lot and bought some HCG 5000 but I do not know how to use it, and I do not want to make things worse. [/INST] Hello. Basically, because of exogenous testosterone, your body has stopped production of testosterone from testis resulting in testicular atrophy and hypogonadism. Do you have children? Are you married? I would like you to get a baseline hormonal assay which would help us for future reference. I will not prefer hCG (human chorionic gonadotropin) and I would like to start you on Clomiphene citrate 25 mg every alternate day. Clomiphene is better than HCG. HCG can be given if there is no improvement with Clomiphene citrate. Exogenous steroids must be totally stopped. It will take time to recover and I will not give you 100 percent guarantee that your testis function will recover as there is severe atrophy. Recovery depends on the amount of testicular tissue left. But we will try our best. For more information consult a urologist online --> |
Q. I have recurrent fungal infection on my penis. What should I do? | Hello doctor, I had a full body to body contact with someone at a massage parlor three months ago. There was no intercourse or oral sex. I ejaculated. I got diagnosed with scabies and a fungal infection on the penis. I took medications for the same and the symptoms went away. However, the burning during urination did not stop. I took other tests and got diagnosed with BV. I took antibiotics for the same. The fungal infection again came back last month at the tip of the penis even though I had no sexual contact. I took an antifungal again and applied Onabet. The infection cleared up. Today, the fungal infection again came back even though there was no sexual contact. Do I need to take any tests? I have attached the pictures. I have taken all the nine PCR tests after nine weeks of contact and ELISA and VDRL after six weeks of contact. All came negative. I have been having pain in the nerves of my lower back since the contact. It goes away and comes back in a week or so. It is recurring and makes difficult to change postures while sleeping and sitting for long intervals. Sometimes, the pain is very severe. It makes me very difficult to stand or sit. I checked C-reactive protein and it was normal. Both semen culture and semen analysis were normal. But, there is a problem with a backache and itching and infection in the groin. Please help. | Hello. I have gone through your reports (attachment removed to protect patient identity). If the area is not kept clean and dry, this can happen again and again. It is not always associated with sexual exposure. Your all reports are normal. I suggest you continue with the application of the cream. Are you a diabetic? If not tested, please get fasting blood sugar tests. This has nothing to do with the massage which you took in the past since there was no sexual contact of any kind. Back pain is not associated with the present condition. For more information consult a venereologist online --> |
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Hello doctor, I had a full body to body contact with someone at a massage parlor three months ago. There was no intercourse or oral sex. I ejaculated. I got diagnosed with scabies and a fungal infection on the penis. I took medications for the same and the symptoms went away. However, the burning during urination did not stop. I took other tests and got diagnosed with BV. I took antibiotics for the same. The fungal infection again came back last month at the tip of the penis even though I had no sexual contact. I took an antifungal again and applied Onabet. The infection cleared up. Today, the fungal infection again came back even though there was no sexual contact. Do I need to take any tests? I have attached the pictures. I have taken all the nine PCR tests after nine weeks of contact and ELISA and VDRL after six weeks of contact. All came negative. I have been having pain in the nerves of my lower back since the contact. It goes away and comes back in a week or so. It is recurring and makes difficult to change postures while sleeping and sitting for long intervals. Sometimes, the pain is very severe. It makes me very difficult to stand or sit. I checked C-reactive protein and it was normal. Both semen culture and semen analysis were normal. But, there is a problem with a backache and itching and infection in the groin. Please help. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). If the area is not kept clean and dry, this can happen again and again. It is not always associated with sexual exposure. Your all reports are normal. I suggest you continue with the application of the cream. Are you a diabetic? If not tested, please get fasting blood sugar tests. This has nothing to do with the massage which you took in the past since there was no sexual contact of any kind. Back pain is not associated with the present condition. For more information consult a venereologist online --> |
Q. I am having permanent rashes on the sides of my neck. What are they? | Hello doctor, I have had three scabs or sores on my body for a few months now and they did not heal. They are on my foot, back and hip. They are purple and red with a white dry patch over the top. They are extremely itchy. I also have a permanent rash on either side of my neck and outside my elbows. It is not a bumpy rash, more of red and has a silky feeling to it. I am slightly worried about what this could be. Please see the photos attached. | Hi. I have seen your query and concern. Over the neck, it seems that you have Poikiloderma of Civatte (attachment removed to protect patient identity). Poikiloderma of Civatte refers to redness associated with a mottled pigmentation seen on the sides of the neck, more common in women. The cause is mainly chronic sun exposure. Prevention is to avoid sun exposure and to use sunscreens, avoid perfumes and cosmetics. There is no specific medical treatment exists for poikiloderma of Civatte. Avoiding sun exposure and proper use of sunscreen are most important. About sores or scab looks like lichen simplex chronicus. I suggest you HHSALIC ointment (Mometasone and Salicylic acid) twice daily for five days after consulting your GP. I can make out a few acrochordons over your neck. For them, the treatment is radiofrequency cautery. For further information consult a dermatologist online --> |
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Hello doctor, I have had three scabs or sores on my body for a few months now and they did not heal. They are on my foot, back and hip. They are purple and red with a white dry patch over the top. They are extremely itchy. I also have a permanent rash on either side of my neck and outside my elbows. It is not a bumpy rash, more of red and has a silky feeling to it. I am slightly worried about what this could be. Please see the photos attached. [/INST] Hi. I have seen your query and concern. Over the neck, it seems that you have Poikiloderma of Civatte (attachment removed to protect patient identity). Poikiloderma of Civatte refers to redness associated with a mottled pigmentation seen on the sides of the neck, more common in women. The cause is mainly chronic sun exposure. Prevention is to avoid sun exposure and to use sunscreens, avoid perfumes and cosmetics. There is no specific medical treatment exists for poikiloderma of Civatte. Avoiding sun exposure and proper use of sunscreen are most important. About sores or scab looks like lichen simplex chronicus. I suggest you HHSALIC ointment (Mometasone and Salicylic acid) twice daily for five days after consulting your GP. I can make out a few acrochordons over your neck. For them, the treatment is radiofrequency cautery. For further information consult a dermatologist online --> |
Q. I have thigh pain at night. Why? | Hi doctor, I am a 60-year-old female. I am not overweight. I exercise daily. I have episodes of enormous pain in my left thigh under the muscle. It does not look like muscle spasms. It seems to happen when I try to move my knee. It occurs mostly at night time when I am lying down or when I am sleeping. I have the pain for about 10 minutes. During these episodes, the pain starts within a minute and subsides within five seconds. The pain is severe. I am feeling exhausted. Sometimes it happens for a couple of times in a week, and it occurs in between the months too. It seems to get worse when I try to move. I have gone to many doctors and had done three MRI on my back. I have done X-rays, nerve tests, and ultrasound on both the legs. The results came negative. I do not have these episodes when I am at the doctor's office. What could be the reason for having this pain? What is the cause? Please suggest. | Hi. I have reviewed your query. You can consider doing an epidural steroid injection for controlling the painful episodes. You should discuss the option with your physician for doing it. You can also have a hip joint issues. You can also consult an orthopedist for knowing the cause. I would recommend visiting a gynecologist for proper evaluation and try to have a second opinion on this issue. She would be in a better position to investigate you. There can be an infection or inflammation such as PID (pelvic inflammatory disease) or any other malformations related to female organs. It may also be a cause. |
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Hi doctor, I am a 60-year-old female. I am not overweight. I exercise daily. I have episodes of enormous pain in my left thigh under the muscle. It does not look like muscle spasms. It seems to happen when I try to move my knee. It occurs mostly at night time when I am lying down or when I am sleeping. I have the pain for about 10 minutes. During these episodes, the pain starts within a minute and subsides within five seconds. The pain is severe. I am feeling exhausted. Sometimes it happens for a couple of times in a week, and it occurs in between the months too. It seems to get worse when I try to move. I have gone to many doctors and had done three MRI on my back. I have done X-rays, nerve tests, and ultrasound on both the legs. The results came negative. I do not have these episodes when I am at the doctor's office. What could be the reason for having this pain? What is the cause? Please suggest. [/INST] Hi. I have reviewed your query. You can consider doing an epidural steroid injection for controlling the painful episodes. You should discuss the option with your physician for doing it. You can also have a hip joint issues. You can also consult an orthopedist for knowing the cause. I would recommend visiting a gynecologist for proper evaluation and try to have a second opinion on this issue. She would be in a better position to investigate you. There can be an infection or inflammation such as PID (pelvic inflammatory disease) or any other malformations related to female organs. It may also be a cause. |
Q. How to reduce hair loss in hypothyroidism? | Hi doctor, I am 39 years old. I have hypothyroidism for the past 11 years, and I am taking one tablet Thyronorm 50 mcg every day. A recent test shows T3 with 129.35 ng/dL, T4 of 8.99 µg/dl, TSH of 2.65 mIU/ml. Now, I have severe hair loss and dry skin. Please advise me. | Hi. I have gone through the query. You have hypothyroidism and hair loss. Since your thyroid function test is perfectly normal, there is no need to change your dosage of Thyronorm. But for your hair fall, I would suggest you check your vitamin D levels, serum ferritin, and hemoglobin levels. Then we will review them again. |
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Hi doctor, I am 39 years old. I have hypothyroidism for the past 11 years, and I am taking one tablet Thyronorm 50 mcg every day. A recent test shows T3 with 129.35 ng/dL, T4 of 8.99 µg/dl, TSH of 2.65 mIU/ml. Now, I have severe hair loss and dry skin. Please advise me. [/INST] Hi. I have gone through the query. You have hypothyroidism and hair loss. Since your thyroid function test is perfectly normal, there is no need to change your dosage of Thyronorm. But for your hair fall, I would suggest you check your vitamin D levels, serum ferritin, and hemoglobin levels. Then we will review them again. |
Q. Will protein powder enhance children's height? | Hi doctor,I have a son and a daughter. My height is 5.7 and wife is 5.1. I am extremely worried about my children height as we are short. My daughter is now 3 years 10 months old and have 14.5 kg weight and 38 inches tall. She had seizure thrice and taking some sodium liquid medicine for the past three years. My son is 1 year old and 10.2 kg weights and 28 inches tall. I want to know what would be the appropriate height of my children as per current status. Is there anything I can do to increase their height? I want my daughter to be 5.6 tall and son to be 6 ft tall. Will giving protein powder make any difference? Kindly do the needful. | Hello. I understand your concern. I will try to sort it out for you. We can add some calcium supplements. Revert back with the answer to the above questions to a child health specialist online.---> |
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Hi doctor,I have a son and a daughter. My height is 5.7 and wife is 5.1. I am extremely worried about my children height as we are short. My daughter is now 3 years 10 months old and have 14.5 kg weight and 38 inches tall. She had seizure thrice and taking some sodium liquid medicine for the past three years. My son is 1 year old and 10.2 kg weights and 28 inches tall. I want to know what would be the appropriate height of my children as per current status. Is there anything I can do to increase their height? I want my daughter to be 5.6 tall and son to be 6 ft tall. Will giving protein powder make any difference? Kindly do the needful. [/INST] Hello. I understand your concern. I will try to sort it out for you. We can add some calcium supplements. Revert back with the answer to the above questions to a child health specialist online.---> |
Q. Chest pain on taking deep breaths while sleeping on back. Please help. | Hello doctor, My ECG is normal. When I sleep on back and take deep breaths, I feel pain in the chest. I am BP patient. After delivery via C-section, I am taking tablet Almovas 2.5. Please advice me. | Hello. I read carefully your question and would explain that your symptoms do not seem to be related to the heart. Gastro-esophageal reflux could be the most probable cause of your complaints. Coming to this point, it is necessary performing a fibrogastroscopy to investigate for this disorder. An antiacid or PPI (Omeprazole, etc.) can help improve your situation. Regarding Amlodipine, it can exacerbate acid reflux as a common adverse effect. For this reason, it may be necessary to switch to another anti-hypertensive therapy (ACEI or ARB drug). |
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Hello doctor, My ECG is normal. When I sleep on back and take deep breaths, I feel pain in the chest. I am BP patient. After delivery via C-section, I am taking tablet Almovas 2.5. Please advice me. [/INST] Hello. I read carefully your question and would explain that your symptoms do not seem to be related to the heart. Gastro-esophageal reflux could be the most probable cause of your complaints. Coming to this point, it is necessary performing a fibrogastroscopy to investigate for this disorder. An antiacid or PPI (Omeprazole, etc.) can help improve your situation. Regarding Amlodipine, it can exacerbate acid reflux as a common adverse effect. For this reason, it may be necessary to switch to another anti-hypertensive therapy (ACEI or ARB drug). |
Q. Is it possible for the rabies virus to survive outside the host animal under sunlight? | Hello doctor, Can the rabies virus survive outside the host animal under sunlight? | Hi. Rabies virus is not very robust under external environmental conditions. Direct sunlight and lack of humidity are very deleterious to its survival. It might survive for a couple hours or so, but there is no definitive proof. Rather what is important are the precautions that one should take if contracts virus. For example, washing contacts with soap and water are extremely essential. If the directly contacted skin is broken or cut then one may consider vaccination too. Let me know if you have any further queries. |
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Hello doctor, Can the rabies virus survive outside the host animal under sunlight? [/INST] Hi. Rabies virus is not very robust under external environmental conditions. Direct sunlight and lack of humidity are very deleterious to its survival. It might survive for a couple hours or so, but there is no definitive proof. Rather what is important are the precautions that one should take if contracts virus. For example, washing contacts with soap and water are extremely essential. If the directly contacted skin is broken or cut then one may consider vaccination too. Let me know if you have any further queries. |
Q. Will diarrhea cause fluid and electrolyte imbalance and fatigue? | Hello doctor, I started feeling fatigued and nauseous three days ago. I threw up once three days and the nausea went away shortly after. Yesterday morning I started having diarrhea. I went to the bathroom 15 to 20 times for diarrhea despite taking Pepto-Bismol several times. I am still having diarrhea today but I only had to go to the bathroom three times in five hours. I am still feeling exhausted and have little appetite. I am a 20-year-old, female, with no other health conditions. I am currently taking Aubra (Levonorgestrel and Ethinylestradiol tablets) 0.1 mg/0.02 mg once daily. | Hi. You have lost quite a bit of fluid. You need to get rehydrated again. If your loose motion has not stopped, you need to take tablet Loperamide once, and you need IV saline to bring your BP up. It is better to get to the ER and get the IV saline first. Please go to the hospital now or ask someone to come over to your place to give you the IV saline. If you have a vomiting, do not eat anything as this will cause more vomiting and you will lose more fluid and electrolytes. |
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Hello doctor, I started feeling fatigued and nauseous three days ago. I threw up once three days and the nausea went away shortly after. Yesterday morning I started having diarrhea. I went to the bathroom 15 to 20 times for diarrhea despite taking Pepto-Bismol several times. I am still having diarrhea today but I only had to go to the bathroom three times in five hours. I am still feeling exhausted and have little appetite. I am a 20-year-old, female, with no other health conditions. I am currently taking Aubra (Levonorgestrel and Ethinylestradiol tablets) 0.1 mg/0.02 mg once daily. [/INST] Hi. You have lost quite a bit of fluid. You need to get rehydrated again. If your loose motion has not stopped, you need to take tablet Loperamide once, and you need IV saline to bring your BP up. It is better to get to the ER and get the IV saline first. Please go to the hospital now or ask someone to come over to your place to give you the IV saline. If you have a vomiting, do not eat anything as this will cause more vomiting and you will lose more fluid and electrolytes. |
Q. Can runny nose and body pain mean influenza? | Hello doctor, My head hurts. I have got a bad runny nose, my whole body hurts, and feel very sick. Is this bad? | Hi. Your symptoms are quite consistent with influenza or the common cold. If you do not have a fever yet, you will be coming down with it soon. It is viral so it will run its course. Over the counter, Paracetamol will help with the fever and body ache. Do not take any other painkillers like Aspirin, Ibuprofen or any other NSAIDs at all. For now just stay hydrated. Drink plenty of fluids and get plenty of rest. You will begin to feel better in two days. However, if symptoms worsen or if you develop a yellow-green nasal discharge or a cough or if symptoms do not improve in a few days, you may need prescription antibiotics. But for now, just Paracetamol and fluids and plenty of rest. |
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Hello doctor, My head hurts. I have got a bad runny nose, my whole body hurts, and feel very sick. Is this bad? [/INST] Hi. Your symptoms are quite consistent with influenza or the common cold. If you do not have a fever yet, you will be coming down with it soon. It is viral so it will run its course. Over the counter, Paracetamol will help with the fever and body ache. Do not take any other painkillers like Aspirin, Ibuprofen or any other NSAIDs at all. For now just stay hydrated. Drink plenty of fluids and get plenty of rest. You will begin to feel better in two days. However, if symptoms worsen or if you develop a yellow-green nasal discharge or a cough or if symptoms do not improve in a few days, you may need prescription antibiotics. But for now, just Paracetamol and fluids and plenty of rest. |
Q. What are the consequences of taking two Postinor pills three times in a cycle? | Hello doctor, I took Postinor two pills 72 hours prevention three times in one cycle. Please tell me what are the consequences? I have been having lower abdominal pain and light drops of blood each time I pee and wipe my vagina. I fear if AV caused more harm to myself because my menstrual period is at hand but no flow yet. Please tell me what can I do in this situation? | Hi. I can understand your concern. Emergency contraceptive pills prevent pregnancy by interfering with the normal cycle and preventing ovulation, fertilization, implantation, etc., and in return gives withdrawal bleed within 1 to 2 weeks. As soon your reproductive system got ready for bleeding, you took another emergency pill like this three times, the cycle would have got disturbed. That is why you are not getting proper menstrual bleeding. Now no need to have any hormonal treatment. Let the body can have some time to return to normal, regular pace. In between, you might have bleeding irregular, spotting, etc. Have a healthy diet, mild exercise, and walk and nice recreational activities to come back to normal pace. |
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Hello doctor, I took Postinor two pills 72 hours prevention three times in one cycle. Please tell me what are the consequences? I have been having lower abdominal pain and light drops of blood each time I pee and wipe my vagina. I fear if AV caused more harm to myself because my menstrual period is at hand but no flow yet. Please tell me what can I do in this situation? [/INST] Hi. I can understand your concern. Emergency contraceptive pills prevent pregnancy by interfering with the normal cycle and preventing ovulation, fertilization, implantation, etc., and in return gives withdrawal bleed within 1 to 2 weeks. As soon your reproductive system got ready for bleeding, you took another emergency pill like this three times, the cycle would have got disturbed. That is why you are not getting proper menstrual bleeding. Now no need to have any hormonal treatment. Let the body can have some time to return to normal, regular pace. In between, you might have bleeding irregular, spotting, etc. Have a healthy diet, mild exercise, and walk and nice recreational activities to come back to normal pace. |
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 Tranexamic acid help to stop bleeding after frozen embryo transfer? | Hello doctor, One of my relative aged about 36 years (married for 6 years) undergone frozen embryo transfer on 14th March and she got positive beta HCG (human chorionic gonadotropin) on 25th. She developed vaginal bleeding from 5th April varying from light spotting to moderate bleeding on three occasions. She was given Tranexamic acid for three days on two occasions and this time also advised to take the same. She is advised to stop Aspirin and Enoxoparin which she was on even prior to embryo transfer. Her scan is showing gestational age of 8 weeks 2 days with fetal heartbeat and SCH of 3 cm. She is on Duphaston 10 mg QID, Susten 400 QID, Progynova 2 mg QID, Folic acid, Mecobalamin, Aspirin and Enoxaparin 60 mg (daily which she stopped today). Please advice further management. | Hello, Welcome to iclinq.com. I can understand the struggle she is going through. The SCH (subchorionic hematoma), is big yet the positive thing is fetal growth of 8 weeks with FHR (fetal heart rate). She is on the right medications and I would like to add an antibiotic like Augmentin 625 mg along with the medication. She is already on medication for five days to avoid infected subchorionic hematoma (as its big 3 cm) nothing more could be done. Let her stay at rest with a sound and a happy mind. Threatened abortion. Threatened abortion. Reassurance, continue the same treatment with just an added antibiotic. Rest and stay positive. |
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Hello doctor, One of my relative aged about 36 years (married for 6 years) undergone frozen embryo transfer on 14th March and she got positive beta HCG (human chorionic gonadotropin) on 25th. She developed vaginal bleeding from 5th April varying from light spotting to moderate bleeding on three occasions. She was given Tranexamic acid for three days on two occasions and this time also advised to take the same. She is advised to stop Aspirin and Enoxoparin which she was on even prior to embryo transfer. Her scan is showing gestational age of 8 weeks 2 days with fetal heartbeat and SCH of 3 cm. She is on Duphaston 10 mg QID, Susten 400 QID, Progynova 2 mg QID, Folic acid, Mecobalamin, Aspirin and Enoxaparin 60 mg (daily which she stopped today). Please advice further management. [/INST] Hello, Welcome to iclinq.com. I can understand the struggle she is going through. The SCH (subchorionic hematoma), is big yet the positive thing is fetal growth of 8 weeks with FHR (fetal heart rate). She is on the right medications and I would like to add an antibiotic like Augmentin 625 mg along with the medication. She is already on medication for five days to avoid infected subchorionic hematoma (as its big 3 cm) nothing more could be done. Let her stay at rest with a sound and a happy mind. Threatened abortion. Threatened abortion. Reassurance, continue the same treatment with just an added antibiotic. Rest and stay positive. |
Q. What does rashes on penis foreskin in an HIV positive mean? | Hello doctor, I am HIV positive. These days I am having rashes on my penis foreskin (it is bad sometimes). I am on ART. But, the foreskin infection these days scare me. My foreskin seems to be rough, reddish, broken sometimes and even I do not masturbate. Please guide me. | Hi. I have gone through your query, and I have noted your concern. Firstly, I request you to kindly upload an image of the affected area so that I can have a look at the skin and guide you accordingly in the best possible way. For more information consult a HIV AIDS specialist online --> |
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Hello doctor, I am HIV positive. These days I am having rashes on my penis foreskin (it is bad sometimes). I am on ART. But, the foreskin infection these days scare me. My foreskin seems to be rough, reddish, broken sometimes and even I do not masturbate. Please guide me. [/INST] Hi. I have gone through your query, and I have noted your concern. Firstly, I request you to kindly upload an image of the affected area so that I can have a look at the skin and guide you accordingly in the best possible way. For more information consult a HIV AIDS specialist online --> |
Q. I passed hard stools in pellet form. I also have belly bloating and abdominal discomfort. Please advise. | Hello doctor, I have had lower left side abdominal discomfort for about 48 hours. Along with this I passed hard stools in pellet form for about frequent 4-5 times a day. I also have belly bloating and gas which gets better with rest. I do not have fever, chills or severe pain. Pain is mild and not continuous. I do not experience nausea. There are no changes in stool color, but consistency is smaller and harder than normal. I have been drinking mineral water, but my water intake is very low and fibre intake also is very low. Please advise. | Hi,Welcome to icliniq.com. From the available history it seems that you are having dehydration and because of dehydration your stools are not formed properly and you are passing small frequent hard stools. Because of your incomplete evacuation of stools you are having pain and abdominal discomfort. I advise you to drink plenty of water (a minimum of two litres a day), eat more of fruits and vegetables and avoid non vegetarian food. For few days you can take syrup Lactulose 10mL twice a day. With this, your bowel movements will be normal. Once stools are being evacuated properly your abdominal pain and discomfort will come down. If even after 2-3 days inspite of following the above advise your abdominal pain persists, then get an ultrasound abdomen scan done and revert back with the report. For further follow up, consult an internal medicine physician online --> |
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Hello doctor, I have had lower left side abdominal discomfort for about 48 hours. Along with this I passed hard stools in pellet form for about frequent 4-5 times a day. I also have belly bloating and gas which gets better with rest. I do not have fever, chills or severe pain. Pain is mild and not continuous. I do not experience nausea. There are no changes in stool color, but consistency is smaller and harder than normal. I have been drinking mineral water, but my water intake is very low and fibre intake also is very low. Please advise. [/INST] Hi,Welcome to icliniq.com. From the available history it seems that you are having dehydration and because of dehydration your stools are not formed properly and you are passing small frequent hard stools. Because of your incomplete evacuation of stools you are having pain and abdominal discomfort. I advise you to drink plenty of water (a minimum of two litres a day), eat more of fruits and vegetables and avoid non vegetarian food. For few days you can take syrup Lactulose 10mL twice a day. With this, your bowel movements will be normal. Once stools are being evacuated properly your abdominal pain and discomfort will come down. If even after 2-3 days inspite of following the above advise your abdominal pain persists, then get an ultrasound abdomen scan done and revert back with the report. For further follow up, consult an internal medicine physician online --> |
Q. Why is there body pain five years after spinal cord surgery? | Hello doctor, My sister got operated in her spinal cord five years back. Now she is not able to do her routine work like a household or any type of work. Whole body pains all the time. I have tried Ayurvedic treatment too but all doctors taking their hands out. She is just 41, has two daughters, aged 15 and 7 years. Please, we need your help. | Hi. It might be menopause symptoms. Calcium and vitamin D deficiency. Sometimes spinal nerve injury can also cause back pain as same as after cesarean section delivery. She can start with Hypericum 1M five pills twice in a week. Rhus Tox 200 pills morning, noon, and evening. Calcarea Phos 6X three tablets morning noon night. Take these medicines at least for one week and give me follow up a little bit in detail. I am sure she will be feeling good with these medicines. |
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Hello doctor, My sister got operated in her spinal cord five years back. Now she is not able to do her routine work like a household or any type of work. Whole body pains all the time. I have tried Ayurvedic treatment too but all doctors taking their hands out. She is just 41, has two daughters, aged 15 and 7 years. Please, we need your help. [/INST] Hi. It might be menopause symptoms. Calcium and vitamin D deficiency. Sometimes spinal nerve injury can also cause back pain as same as after cesarean section delivery. She can start with Hypericum 1M five pills twice in a week. Rhus Tox 200 pills morning, noon, and evening. Calcarea Phos 6X three tablets morning noon night. Take these medicines at least for one week and give me follow up a little bit in detail. I am sure she will be feeling good with these medicines. |
Q. My stools are hard and dark. Do you suspect stomach ulcer? | Hi doctor, Five days before, I had stomach upset. The doctor prescribed me Pantoprazole, Metronidazole and Albendazole (once) for three days. My acidity, gas and constipation got relieved. But, I still observe a little hard and dark stool. Also, there is a mild pain without blood while passing stool. I am worried about dark stool. Do you suspect stomach ulcer? | Hello. Dark and hard stool is because of constipation and not ulcer. Gastric ulcer will initially produce burning pain in the middle part of the upper abdomen and in very rare case bleeding occur from ulcer and then only stool become brown colored. Pain around the anus is also due to excessive straining to pass hard stool. In addition to your mentioned treatment, you should add stool softener to relieve strain during passing stool. Consult your specialist doctor and discuss with him or her. Once the constipation is relieved and then also you have dark stool, then you should get a stool examination for occult blood to check the microscopic amount of blood in stool and based on which further evaluation will be decided. Stool occult blood test, digital rectal examination and proctoscopy. Continue the same treatment and add stool softener. Also, consult a general surgeon once if possible to rule out any anal or rectal cause for constipation. Avoid constipation. Revert back with the reports to a medical gastroenterologist online.---> |
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Hi doctor, Five days before, I had stomach upset. The doctor prescribed me Pantoprazole, Metronidazole and Albendazole (once) for three days. My acidity, gas and constipation got relieved. But, I still observe a little hard and dark stool. Also, there is a mild pain without blood while passing stool. I am worried about dark stool. Do you suspect stomach ulcer? [/INST] Hello. Dark and hard stool is because of constipation and not ulcer. Gastric ulcer will initially produce burning pain in the middle part of the upper abdomen and in very rare case bleeding occur from ulcer and then only stool become brown colored. Pain around the anus is also due to excessive straining to pass hard stool. In addition to your mentioned treatment, you should add stool softener to relieve strain during passing stool. Consult your specialist doctor and discuss with him or her. Once the constipation is relieved and then also you have dark stool, then you should get a stool examination for occult blood to check the microscopic amount of blood in stool and based on which further evaluation will be decided. Stool occult blood test, digital rectal examination and proctoscopy. Continue the same treatment and add stool softener. Also, consult a general surgeon once if possible to rule out any anal or rectal cause for constipation. Avoid constipation. Revert back with the reports to a medical gastroenterologist online.---> |
Q. I have red bumps on penis head. Kindly help in this regard. | Hello doctor, I have been experiencing this occurrence of red bumps on my penis head. Initially, it all started with pain with retraction of foreskin and blisters on the foreskin. To this, I applied candid B cream for three days, this situation was resolved. I stopped applying candid B cream, next day I could spot red bumps again. After this I consulted a urologist he asked me to run through certain blood tests like HBsAg, HIV, HepC and HSV everything came negative and only I was tested positive for HSV type-1. The urologist examined the condition and told me nothing to worry and asked me to continue with Candid-B if I ever experience the same. After the consultation, I continued to apply it for about a week and discontinued. I could not spot any bumps after discontinuing for about four days and then in the morning, I could spot some red bumps. And the main part is these red bumps after applying Candid-B cream, it vanishes and these bumps do not ache or it does not itch nor it oozes blood or pus. Kindly help me in this regard. | Hi. I saw your blood report (attachment removed to protect patient identity). It shows that you had a herpes infection in the past, but the IgM is normal meaning no infection at present. Bumps on genitalia are difficult to diagnose without seeing the picture. Can you please attach your clinical picture? Candid B is combination cream of anti-fungal and steroid. I need to see if it is fungal infection before I can comment on the cream you are using. For more information consult a dermatologist online --> |
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Hello doctor, I have been experiencing this occurrence of red bumps on my penis head. Initially, it all started with pain with retraction of foreskin and blisters on the foreskin. To this, I applied candid B cream for three days, this situation was resolved. I stopped applying candid B cream, next day I could spot red bumps again. After this I consulted a urologist he asked me to run through certain blood tests like HBsAg, HIV, HepC and HSV everything came negative and only I was tested positive for HSV type-1. The urologist examined the condition and told me nothing to worry and asked me to continue with Candid-B if I ever experience the same. After the consultation, I continued to apply it for about a week and discontinued. I could not spot any bumps after discontinuing for about four days and then in the morning, I could spot some red bumps. And the main part is these red bumps after applying Candid-B cream, it vanishes and these bumps do not ache or it does not itch nor it oozes blood or pus. Kindly help me in this regard. [/INST] Hi. I saw your blood report (attachment removed to protect patient identity). It shows that you had a herpes infection in the past, but the IgM is normal meaning no infection at present. Bumps on genitalia are difficult to diagnose without seeing the picture. Can you please attach your clinical picture? Candid B is combination cream of anti-fungal and steroid. I need to see if it is fungal infection before I can comment on the cream you are using. For more information consult a dermatologist online --> |
Q. Why is my penis top red with a white pimple? | Hello doctor, My penis top is red with a white pimple. I used Mupirocin ointment four months back. Then again the doctor gave Betnovate RD a month back and I used it three times. Now, my skin looks very dry and ugly. The redness has reduced but the skin looks abnormal. | Hi. I have gone through your complaints and it could be yeast infection. I would recommend you to upload the pictures of the affected areas so that I can have a clear picture of the condition and can guide you accordingly. For more information consult a dermatologist online --> |
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Hello doctor, My penis top is red with a white pimple. I used Mupirocin ointment four months back. Then again the doctor gave Betnovate RD a month back and I used it three times. Now, my skin looks very dry and ugly. The redness has reduced but the skin looks abnormal. [/INST] Hi. I have gone through your complaints and it could be yeast infection. I would recommend you to upload the pictures of the affected areas so that I can have a clear picture of the condition and can guide you accordingly. For more information consult a dermatologist online --> |
Q. Do swollen gums and throat pockets indicate streptococcal infection? | Hi doctor,I have been sick for the past five days. I woke up with very red swollen gums and roof of my mouth. I have white pockets in my throat. I went to the doctor and they think it is streptococcal throat but were not sure about my gums. Could this be linked? Should I be worried? I have never had problems with my teeth or gums. I just had a cleaning done three months ago and everything was perfect. Please help. | Hi. Got your complaint and checked your attachment photograph (attachment removed to protect patient identity). This is a case of gingivitis brought by streptococcus bacteria. Though it is rarest finding that the bacteria causing sore throat can cause gingivitis. I suggest the treatment tablet Ornidazole 200 mg BD for five days. Chlorhexidine 0.1 ℅ BD for 15 days. You will get relief in a couple of days. Do not worry. |
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Hi doctor,I have been sick for the past five days. I woke up with very red swollen gums and roof of my mouth. I have white pockets in my throat. I went to the doctor and they think it is streptococcal throat but were not sure about my gums. Could this be linked? Should I be worried? I have never had problems with my teeth or gums. I just had a cleaning done three months ago and everything was perfect. Please help. [/INST] Hi. Got your complaint and checked your attachment photograph (attachment removed to protect patient identity). This is a case of gingivitis brought by streptococcus bacteria. Though it is rarest finding that the bacteria causing sore throat can cause gingivitis. I suggest the treatment tablet Ornidazole 200 mg BD for five days. Chlorhexidine 0.1 ℅ BD for 15 days. You will get relief in a couple of days. Do not worry. |
Q. I have bloated stomach and dizziness. Please help. | Hello doctor, I am feeling dizzy and bloated in the stomach. I do not have tendencies to vomit but have mild headaches. I am preparing for a big exam so I am under some good amount of stress. I am burping a lot. | Hi. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand, the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation. In order to relieve yourself, you need to do the following. Avoid spicy food, take small but frequent meals. avoid long gaps between meals. Avoid alcohol intake (if it is a part of your habit). Take Prilosec (Omeprazole) once daily before breakfast. Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like Isabgol or psyllium husk or senna. I would insist you to increase your dietary fiber intake. Regular morning walk and exercise to keep the bowel movements proper. Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. Stress reduction has a very important role to play. Yoga and meditation should help. |
<s>[INST]
Hello doctor, I am feeling dizzy and bloated in the stomach. I do not have tendencies to vomit but have mild headaches. I am preparing for a big exam so I am under some good amount of stress. I am burping a lot. [/INST] Hi. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand, the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation. In order to relieve yourself, you need to do the following. Avoid spicy food, take small but frequent meals. avoid long gaps between meals. Avoid alcohol intake (if it is a part of your habit). Take Prilosec (Omeprazole) once daily before breakfast. Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like Isabgol or psyllium husk or senna. I would insist you to increase your dietary fiber intake. Regular morning walk and exercise to keep the bowel movements proper. Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. Stress reduction has a very important role to play. Yoga and meditation should help. |
Q. How can constipation be cured in a child? | Hello doctor, My daughter is 12 years old. She is constipated. Has not been able to have a bowel movement for about 10 days. She has been taking Metamucil, plus lots of prunes, pears, veggies, and generally healthy diet. Also drinking lots of water. Now she has been leaking grainy, liquid stool. This used to happen to her sometimes when she was younger and got constipated but has not happened for years. This morning I had her try a glycerin suppository but it did not help. She spoiled her underwear 5 or 6 times today. She will not be able to go to school tomorrow. I am wondering whether to try an enema or whether that could make things worse. She is incredibly frustrated and upset about missing school. | Hi. This is due to severe constipation. We need to find the cause of constipation in this kid. Common causes are functional (irregular bowel habits), less common causes are urinary tract infections-anatomic abnormalities. Patients who have anatomical abnormalities, present in early childhood, we need to do barium studies to rule out anatomical abnormalities. As we know that functional constipation is the most common cause. We need to clear her bowel with an adequate dose of laxatives (acute clearing and maintenance dose of laxatives) and modify the lifestyle to regularize the bowel habits. Most of the patients respond with our regimen. If does not she may need further evaluation in form of colonic motility studies. I will not recommend any investigation straight away. I want to see previous routine reports if already done. To follow. Polyethylene glycol (130 gm), one packet in two liters water over four hours, monitor stool consistency, it should be clear water at the end, if it is not clear, repeat same again on same day. Most of the children require 3 to 4 packers in two days duration. No need to worry about loose stools, that will stop after stopping of medicine. By the second day give Polyethylene glycol (17 gm sachet), three sachets at night time. Do not push with force while defecation, pass stool twice in a day, sit for 15 minutes (preferably after food intake). Continue high fiber diet and plenty of water. Local anesthetic gelly (Lignocaine gel) to apply locally (perianal region, before defecation), if she had pain. We need to see her blood hemoglobin profile, urine routine examination. According to that we may need to do tTGA, IgA. Follow up with the response details and previous reports if done. |
<s>[INST]
Hello doctor, My daughter is 12 years old. She is constipated. Has not been able to have a bowel movement for about 10 days. She has been taking Metamucil, plus lots of prunes, pears, veggies, and generally healthy diet. Also drinking lots of water. Now she has been leaking grainy, liquid stool. This used to happen to her sometimes when she was younger and got constipated but has not happened for years. This morning I had her try a glycerin suppository but it did not help. She spoiled her underwear 5 or 6 times today. She will not be able to go to school tomorrow. I am wondering whether to try an enema or whether that could make things worse. She is incredibly frustrated and upset about missing school. [/INST] Hi. This is due to severe constipation. We need to find the cause of constipation in this kid. Common causes are functional (irregular bowel habits), less common causes are urinary tract infections-anatomic abnormalities. Patients who have anatomical abnormalities, present in early childhood, we need to do barium studies to rule out anatomical abnormalities. As we know that functional constipation is the most common cause. We need to clear her bowel with an adequate dose of laxatives (acute clearing and maintenance dose of laxatives) and modify the lifestyle to regularize the bowel habits. Most of the patients respond with our regimen. If does not she may need further evaluation in form of colonic motility studies. I will not recommend any investigation straight away. I want to see previous routine reports if already done. To follow. Polyethylene glycol (130 gm), one packet in two liters water over four hours, monitor stool consistency, it should be clear water at the end, if it is not clear, repeat same again on same day. Most of the children require 3 to 4 packers in two days duration. No need to worry about loose stools, that will stop after stopping of medicine. By the second day give Polyethylene glycol (17 gm sachet), three sachets at night time. Do not push with force while defecation, pass stool twice in a day, sit for 15 minutes (preferably after food intake). Continue high fiber diet and plenty of water. Local anesthetic gelly (Lignocaine gel) to apply locally (perianal region, before defecation), if she had pain. We need to see her blood hemoglobin profile, urine routine examination. According to that we may need to do tTGA, IgA. Follow up with the response details and previous reports if done. |
Q. Does shortness of breath indicate any kidney issue? | Hello doctor, I am a diabetic since I was 30 years and have heart issues from 15 years. Had bypass done eight years back. Now, lVEF is 25 %. Now, if I walk 50 to 100 meters, I feel breathless and after motion or urine, again feel breathlessness. Is it related to any kidney issues? And also, please suggest can angiography and angioplasty can happen without any risks? Recently, was admitted due to fluid retention in lungs. In 15 days after discharge, I feel same breathlessness and eructations, burps start continue for 15 to 20 minutes. Kindly let me know is this a heart block or kidney issue. | Hello. I reviewed your ECG and would explain that it indicates left bundle branch block. Regarding the shortness of breath, it is related to heart failure. Of course, the renal function may be compromised (as it is very common in heart failure). I would like to know your current therapy. The fluid in the lungs is another common feature of heart failure. An optimization of your therapy could help improve your situation. Regarding angiography or angioplasty, it can be performed in this clinical situation safely, if it is indicated by the doctor. But, first, it is necessary to evaluate your kidneys, by performing renal function tests, in order to be sure that there is no risk from IV contrast. |
<s>[INST]
Hello doctor, I am a diabetic since I was 30 years and have heart issues from 15 years. Had bypass done eight years back. Now, lVEF is 25 %. Now, if I walk 50 to 100 meters, I feel breathless and after motion or urine, again feel breathlessness. Is it related to any kidney issues? And also, please suggest can angiography and angioplasty can happen without any risks? Recently, was admitted due to fluid retention in lungs. In 15 days after discharge, I feel same breathlessness and eructations, burps start continue for 15 to 20 minutes. Kindly let me know is this a heart block or kidney issue. [/INST] Hello. I reviewed your ECG and would explain that it indicates left bundle branch block. Regarding the shortness of breath, it is related to heart failure. Of course, the renal function may be compromised (as it is very common in heart failure). I would like to know your current therapy. The fluid in the lungs is another common feature of heart failure. An optimization of your therapy could help improve your situation. Regarding angiography or angioplasty, it can be performed in this clinical situation safely, if it is indicated by the doctor. But, first, it is necessary to evaluate your kidneys, by performing renal function tests, in order to be sure that there is no risk from IV contrast. |
Q. My granddaughter is 2 months old with persistent jaundice. Please review her reports. | Hello doctor, My granddaughter was normally born on 11 April 20. Her birth weight was 2.6 kg, currently weighing 3 kg with persistent jaundice. Her total bilirubin is 3.47 and direct is 3.19. She is breastfeeding along with formula as per pediatrician suggestion with couple of blood tests and ultrasound. The ultrasound was tested for biliary atresia and was negative. I am recently seeing oil in her stools. Pediatrician has evaluated it as conjugated hyperbiliruminemia. It would be nice if you could review and let me know your opinions. Is this could be the reason for not gaining weight? | Hi. Persistence of direct bilirubin at two months of age needs to be evaluated properly. Most importantly, what is the color of her stool? Is your doctor told you anything about the liver whether it is big or normal? There are so many causes, but most important and serious and need timely intervention is extrahepatic biliary atresia which as per information has been ruled out. Other common causes can be neonatal hepatitis or some metabolic disorder. The list of causes is long so better if you can share all the reports (blood, urine, sonography, Torch titer, TFT, enzymes, alpha 1 anti-trypsin, etc), I can advise you on how to proceed further and whether it needs further investigations. |
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Hello doctor, My granddaughter was normally born on 11 April 20. Her birth weight was 2.6 kg, currently weighing 3 kg with persistent jaundice. Her total bilirubin is 3.47 and direct is 3.19. She is breastfeeding along with formula as per pediatrician suggestion with couple of blood tests and ultrasound. The ultrasound was tested for biliary atresia and was negative. I am recently seeing oil in her stools. Pediatrician has evaluated it as conjugated hyperbiliruminemia. It would be nice if you could review and let me know your opinions. Is this could be the reason for not gaining weight? [/INST] Hi. Persistence of direct bilirubin at two months of age needs to be evaluated properly. Most importantly, what is the color of her stool? Is your doctor told you anything about the liver whether it is big or normal? There are so many causes, but most important and serious and need timely intervention is extrahepatic biliary atresia which as per information has been ruled out. Other common causes can be neonatal hepatitis or some metabolic disorder. The list of causes is long so better if you can share all the reports (blood, urine, sonography, Torch titer, TFT, enzymes, alpha 1 anti-trypsin, etc), I can advise you on how to proceed further and whether it needs further investigations. |
Q. Why do I have higher visual acuity in my right eye than the left? | Hi doctor, I had LASIK at the age of 26 and had 20/15 vision after the procedure. I had -4.5 R and 5.25 L before the surgery. I am now 31 and have developed some slight myopia (R - 0.25 and L - 0.50) and astigmatism. One thing I have always noticed was that both before LASIK and now, my left eye always seems a bit blurry when looking out of them separately (at a distance). At times, I feel that up close with my corrective lens on it is the reverse and my left is slightly clearer. I mean could this just be due to them being two separate organs and maybe my right eye has a higher visual acuity than my left eye at a distance? In addition, even without my glasses I can read things that my wife cannot at a distance. We had her vision checked thinking it must be myopia and she tested 20/20 or better. Though I do not really suffer from dryness, I use Similasan drops frequently throughout the day as a protective measure. I work long hours in the computer, probably for 12 or more a day. I have anti-glare coatings on my glasses. I asked my optometrist if I should be worried about the excessive time on a computer and he said as long as I am using the drops and resting my eyes every 20-30 minutes it should have no effect on my vision, as my issues are related to the length of my eyeball. Even though my prescription is weak, I have always been extremely sensitive to the difference in both eyes. I know it sounds absurd. Some things I do are lubricate, rest muscles, where my glasses which are anti-glare, etc., and have recently changed to lights in my working areas that mimic daylight. Could you summarize and give me a detailed answer as I am actually OCD (diagnosed) and I obsess about this for some reason. I felt that coming here and getting a detailed answer from an ophthalmologist might be more enlightening. Thank you. | Hi. For further doubts consult an eye care ophthalmologist online --> |
<s>[INST]
Hi doctor, I had LASIK at the age of 26 and had 20/15 vision after the procedure. I had -4.5 R and 5.25 L before the surgery. I am now 31 and have developed some slight myopia (R - 0.25 and L - 0.50) and astigmatism. One thing I have always noticed was that both before LASIK and now, my left eye always seems a bit blurry when looking out of them separately (at a distance). At times, I feel that up close with my corrective lens on it is the reverse and my left is slightly clearer. I mean could this just be due to them being two separate organs and maybe my right eye has a higher visual acuity than my left eye at a distance? In addition, even without my glasses I can read things that my wife cannot at a distance. We had her vision checked thinking it must be myopia and she tested 20/20 or better. Though I do not really suffer from dryness, I use Similasan drops frequently throughout the day as a protective measure. I work long hours in the computer, probably for 12 or more a day. I have anti-glare coatings on my glasses. I asked my optometrist if I should be worried about the excessive time on a computer and he said as long as I am using the drops and resting my eyes every 20-30 minutes it should have no effect on my vision, as my issues are related to the length of my eyeball. Even though my prescription is weak, I have always been extremely sensitive to the difference in both eyes. I know it sounds absurd. Some things I do are lubricate, rest muscles, where my glasses which are anti-glare, etc., and have recently changed to lights in my working areas that mimic daylight. Could you summarize and give me a detailed answer as I am actually OCD (diagnosed) and I obsess about this for some reason. I felt that coming here and getting a detailed answer from an ophthalmologist might be more enlightening. Thank you. [/INST] Hi. For further doubts consult an eye care ophthalmologist 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 --> |
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online --> |
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Q. Please explain the poisonous effect of phenol ingestion. | Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
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