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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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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?
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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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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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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?
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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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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Can a person with germinal cell aplasia be treated?
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Hello doctor, My son is 34 years old. He has low testosterone levels. His semen analysis showed no sperm. No, inhibit B detected. He made a testes biopsy from both sides. The biopsy diagnosis was morphological change compatible with germinal cell aplasia. Microscopic description: Section show seminiferous tubules that are relatively small and lined extensively with Sertoli cells. There is no good evidence of spermatogenesis present. The changes are compatible with germinal cells aplasia. My question is whether there is any hope for my son to be a father? Is there any treatment for his case? He takes Eltroxin daily because of his hypothyroidism and vitamin D weekly. He took Clomid for six weeks. He used to have Hodgkin disease when he was a kid and it was cured.
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Hi. I have gone through your query. From the information you have provided, conception naturally is not possible. Also, there is currently no treatment to correct his abnormalities. The testicular biopsy procedure would have only examined a very small area of the testis. By performing a procedure called microTESE (microsurgical testicular sperm extraction), which examines the entire testis. There is a slim chance of having some areas from which some sperms can be retrieved for artificial reproductive techniques. The chances of successful pregnancy and delivery even if sperms are retrieved is only about 60 to 70 % for these techniques.
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<s>[INST]
Hello doctor, My son is 34 years old. He has low testosterone levels. His semen analysis showed no sperm. No, inhibit B detected. He made a testes biopsy from both sides. The biopsy diagnosis was morphological change compatible with germinal cell aplasia. Microscopic description: Section show seminiferous tubules that are relatively small and lined extensively with Sertoli cells. There is no good evidence of spermatogenesis present. The changes are compatible with germinal cells aplasia. My question is whether there is any hope for my son to be a father? Is there any treatment for his case? He takes Eltroxin daily because of his hypothyroidism and vitamin D weekly. He took Clomid for six weeks. He used to have Hodgkin disease when he was a kid and it was cured. [/INST] Hi. I have gone through your query. From the information you have provided, conception naturally is not possible. Also, there is currently no treatment to correct his abnormalities. The testicular biopsy procedure would have only examined a very small area of the testis. By performing a procedure called microTESE (microsurgical testicular sperm extraction), which examines the entire testis. There is a slim chance of having some areas from which some sperms can be retrieved for artificial reproductive techniques. The chances of successful pregnancy and delivery even if sperms are retrieved is only about 60 to 70 % for these techniques.
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Q. I have itchy bumps on my hand. Please help.
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Hi doctor, I have bumps on my hand. It keeps spreading. I have itching, and I do not know what to do. I need some help. I am sending my pictures. Please help me.
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Hi. I have gone through the query and the pictures of your hands (attachment removed to protect patient identity). Your rash is eczema, more specifically pompholyx (dyshidrotic eczema). You have to find the cause of the disease and avoid it. The most common reason is the use of irritant chemicals such as detergents. Working with a wet hand for a more extended period can also cause pompholyx. If you are using any such irritant, try to avoid it. You can apply a Clobetasol cream (Cetyl alcohol with Propylene glycol) twice daily for two weeks. Do not use the cream on the healthy skin, as it is a corticosteroid. Also, take Levocetirizine 5 mg tablet at night before sleep for two weeks, for the management of itching. Please follow me after two weeks. Dry your palms entirely after having a wet work. Avoid using harsh chemicals with bare hands.
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<s>[INST]
Hi doctor, I have bumps on my hand. It keeps spreading. I have itching, and I do not know what to do. I need some help. I am sending my pictures. Please help me. [/INST] Hi. I have gone through the query and the pictures of your hands (attachment removed to protect patient identity). Your rash is eczema, more specifically pompholyx (dyshidrotic eczema). You have to find the cause of the disease and avoid it. The most common reason is the use of irritant chemicals such as detergents. Working with a wet hand for a more extended period can also cause pompholyx. If you are using any such irritant, try to avoid it. You can apply a Clobetasol cream (Cetyl alcohol with Propylene glycol) twice daily for two weeks. Do not use the cream on the healthy skin, as it is a corticosteroid. Also, take Levocetirizine 5 mg tablet at night before sleep for two weeks, for the management of itching. Please follow me after two weeks. Dry your palms entirely after having a wet work. Avoid using harsh chemicals with bare hands.
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Q. I have an allergic cold for the past three years. Please help.
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Hi doctor, I am a 26-year-old male. I have an allergic cold for the past three years. Please help me.
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Hi. As you have a cold for a long time, it can be chronic sinusitis or allergic inflammation of the upper respiratory tract. I suggest you investigate with AEC (absolute eosinophil count), allergic testing and PNS (paranasal sinus) X-ray for the further work up. For symptomatic relief, you can use decongestant like Levocetirizine. Your rhinoscopy nose examination is also required to be done. It is needed to be done to check for DNS (deviated nasal septum) or polyp if present.
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<s>[INST]
Hi doctor, I am a 26-year-old male. I have an allergic cold for the past three years. Please help me. [/INST] Hi. As you have a cold for a long time, it can be chronic sinusitis or allergic inflammation of the upper respiratory tract. I suggest you investigate with AEC (absolute eosinophil count), allergic testing and PNS (paranasal sinus) X-ray for the further work up. For symptomatic relief, you can use decongestant like Levocetirizine. Your rhinoscopy nose examination is also required to be done. It is needed to be done to check for DNS (deviated nasal septum) or polyp if present.
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Q. Suggest some steps to gain weight faster.
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Hi doctor, I am a 16-year-old male. I want to gain weight. Please suggest.
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Hi. You can take four to five soaked almonds daily in the early morning and take a banana shake in the midmorning. Try to include a whole milk curd in your lunch. Do regular exercise to build your muscle.
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<s>[INST]
Hi doctor, I am a 16-year-old male. I want to gain weight. Please suggest. [/INST] Hi. You can take four to five soaked almonds daily in the early morning and take a banana shake in the midmorning. Try to include a whole milk curd in your lunch. Do regular exercise to build your muscle.
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Q. How to treat hypogonadotropic hypogonadism?
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Hi doctor, I have hypogonadotropic hypogonadism. My FSH, LH, and testosterone levels are low. My sperm count is zero. I am taking HCG 5000 and HMG 150 twice a week for the past three months. After taking it, my testis size got increased from 1.79 cm to 1.83 cm. Now after three months of treatment, my testosterone is 1.1 ng/dL. After three months of treatment, my sperm count remains zero. Please suggest. Please say whether I have primary or secondary hypogonadotropic hypogonadism.
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Hi. There is no primary or secondary hypogonadotropic hypogonadism. But hypogonadism can be primary or secondary. In the primary, the defect is in testis with high levels of FSH (follicle stimulating hormone), LH (luteinizing hormone) and there is low testosterone. In secondary, there is a low level of FSH, LH, and testosterone. So you have secondary hypogonadism also called hypogonadotropic hypogonadism. Do a serum prolactin test. You are taking HMG (Menotropin) and HCG (Human chorionic gonadotrophin). It will gradually increase the testosterone level and testes size, which is small. Since you have zero sperm count, you must wait for at least six months as the testes size is small and the spermatogenic tubules will take time to develop.
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<s>[INST]
Hi doctor, I have hypogonadotropic hypogonadism. My FSH, LH, and testosterone levels are low. My sperm count is zero. I am taking HCG 5000 and HMG 150 twice a week for the past three months. After taking it, my testis size got increased from 1.79 cm to 1.83 cm. Now after three months of treatment, my testosterone is 1.1 ng/dL. After three months of treatment, my sperm count remains zero. Please suggest. Please say whether I have primary or secondary hypogonadotropic hypogonadism. [/INST] Hi. There is no primary or secondary hypogonadotropic hypogonadism. But hypogonadism can be primary or secondary. In the primary, the defect is in testis with high levels of FSH (follicle stimulating hormone), LH (luteinizing hormone) and there is low testosterone. In secondary, there is a low level of FSH, LH, and testosterone. So you have secondary hypogonadism also called hypogonadotropic hypogonadism. Do a serum prolactin test. You are taking HMG (Menotropin) and HCG (Human chorionic gonadotrophin). It will gradually increase the testosterone level and testes size, which is small. Since you have zero sperm count, you must wait for at least six months as the testes size is small and the spermatogenic tubules will take time to develop.
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Q. What does abutment of the nerve root mean?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Q. I am suffering from chronic allergy with frequent cough and cold. Please help.
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Hi doctor, I am suffering from a chronic allergy. I have a frequent cough and cold. I am using Montelukast sodium and Levocetirizine. It prevents the symptoms. But when I stop taking it, the cough gets increased.
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Hi. From your history, it is clear that you are suffering from allergic rhinitis and bronchial asthma. To confirm it, you have to do a spirometry test that is PFT (pulmonary function test). If it is significant, then you must take a regular inhaler treatment. Montelukast and Levocetirizine help to control asthma. But the definitive treatment is inhaler therapy. You can start using Foracort inhaler 400 (Budesonide with Formoterol) two puffs twice daily with Zerostat VT spacer followed by gargling with cold water. Continue using Montelukast and Levocetirizine. Have a regular follow up with your doctor.
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<s>[INST]
Hi doctor, I am suffering from a chronic allergy. I have a frequent cough and cold. I am using Montelukast sodium and Levocetirizine. It prevents the symptoms. But when I stop taking it, the cough gets increased. [/INST] Hi. From your history, it is clear that you are suffering from allergic rhinitis and bronchial asthma. To confirm it, you have to do a spirometry test that is PFT (pulmonary function test). If it is significant, then you must take a regular inhaler treatment. Montelukast and Levocetirizine help to control asthma. But the definitive treatment is inhaler therapy. You can start using Foracort inhaler 400 (Budesonide with Formoterol) two puffs twice daily with Zerostat VT spacer followed by gargling with cold water. Continue using Montelukast and Levocetirizine. Have a regular follow up with your doctor.
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Q. Is it possible to get pregnant due to breakage of condom?
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Hi doctor,I am 18 years old. I had sexual intercourse. We used contraceptives like a condom. But the condom got broked. I do not know whether the sperm has gone inside. I washed my genitals quickly after knowing that the condom has got broken. I took a pregnancy test, and it came negative. Can I put my trust in the pregnancy test or should I have to consult a doctor? Is it possible to get pregnant in two days after having sexual intercourse?
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Hi. If you had intercourse around 10th to 17th day of your cycle, and if you have a regular menstrual cycle, then the possibility of conception increases with each day within that period when the condom has broken. In this situation, you can take an emergency pill within 72 hours of sexual intercourse to avoid pregnancy. Sperms can stay alive in the vaginal tract for up to seven days whereas the egg remains available for fertilization for 24 hours. In conception, you have to wait for at least a week to get a positive pregnancy test with urine dipstick. Serum beta hCG can be detected earlier, but you have to wait for a few days. You do not need to go to a doctor. Just repeat the urine pregnancy test after two weeks or get a blood pregnancy test done.
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<s>[INST]
Hi doctor,I am 18 years old. I had sexual intercourse. We used contraceptives like a condom. But the condom got broked. I do not know whether the sperm has gone inside. I washed my genitals quickly after knowing that the condom has got broken. I took a pregnancy test, and it came negative. Can I put my trust in the pregnancy test or should I have to consult a doctor? Is it possible to get pregnant in two days after having sexual intercourse? [/INST] Hi. If you had intercourse around 10th to 17th day of your cycle, and if you have a regular menstrual cycle, then the possibility of conception increases with each day within that period when the condom has broken. In this situation, you can take an emergency pill within 72 hours of sexual intercourse to avoid pregnancy. Sperms can stay alive in the vaginal tract for up to seven days whereas the egg remains available for fertilization for 24 hours. In conception, you have to wait for at least a week to get a positive pregnancy test with urine dipstick. Serum beta hCG can be detected earlier, but you have to wait for a few days. You do not need to go to a doctor. Just repeat the urine pregnancy test after two weeks or get a blood pregnancy test done.
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Q. Is it necessary to take emergency contraceptive pill after unprotected sex?
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Hello doctor, I had unprotected sex during the last days of my periods when the bleeding had stopped. After a day, I started bleeding again in spots (not a lot). I have not taken a contraceptive pill yet. I am confused if I should take a pill or not. If I do not take a pill tomorrow, will it lead to pregnancy? Is there any chance of pregnancy or is it nothing to worry about?
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Hi. It is normally happening as in the last third or fourth days the bleeding stops and after 12 hours, some spotting again is observed. It is usual. In case of activity, some pressure also locally develops and it can show spotting if residual is there and that still had to come in form of spotting in recent cycle 's end or in form of brown blood in the start of coming or next cycle. If you have been having irregular cycles and had intermenstrual or postcoital spotting previously then better to take I-pill for your satisfaction as you have not mentioned the complete history. In the case of cervical, endometrial polyp, any cervical pathology or endometriosis can have post-coital bleed, but for that also you have not given history.
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<s>[INST]
Hello doctor, I had unprotected sex during the last days of my periods when the bleeding had stopped. After a day, I started bleeding again in spots (not a lot). I have not taken a contraceptive pill yet. I am confused if I should take a pill or not. If I do not take a pill tomorrow, will it lead to pregnancy? Is there any chance of pregnancy or is it nothing to worry about? [/INST] Hi. It is normally happening as in the last third or fourth days the bleeding stops and after 12 hours, some spotting again is observed. It is usual. In case of activity, some pressure also locally develops and it can show spotting if residual is there and that still had to come in form of spotting in recent cycle 's end or in form of brown blood in the start of coming or next cycle. If you have been having irregular cycles and had intermenstrual or postcoital spotting previously then better to take I-pill for your satisfaction as you have not mentioned the complete history. In the case of cervical, endometrial polyp, any cervical pathology or endometriosis can have post-coital bleed, but for that also you have not given history.
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Q. Do sperms die when they come in contact with air?
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Hello doctor, I was trying to put a condom on but I was doing it upside down then I flipped it and wore it. I am worried that while trying to put it in the wrong way, some semen might have got on to the condom. Is it possible to make her pregnant or the sperm dies in just a few seconds when they come in contact of the open air? I already had ejaculated once in my pants before. So it was not a precum that might have contacted the condom.
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Hi. The sperm does not die as soon as they expose to open air. If the condom contains the sperm on the outer side, then it can cause pregnancy. As you mentioned that it was not just precum, but it was semen. So, if it was semen or sperm on the condom then they can cause pregnancy. If your partner was in her fertile period when you had sex, then there are chances of pregnancy. If she was not in the fertile period, then the pregnancy is unlikely. So, verify her fertile period. Also, the emergency contraceptive pill can be used within 72 hours of sex, to avoid pregnancy. Ask her to check it, and you can also check for pregnancy when her period is due or almost after two weeks, that she is pregnant or not. If her pregnancy test return to be positive even then there is an option to terminate it, after consulting with your doctor.
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<s>[INST]
Hello doctor, I was trying to put a condom on but I was doing it upside down then I flipped it and wore it. I am worried that while trying to put it in the wrong way, some semen might have got on to the condom. Is it possible to make her pregnant or the sperm dies in just a few seconds when they come in contact of the open air? I already had ejaculated once in my pants before. So it was not a precum that might have contacted the condom. [/INST] Hi. The sperm does not die as soon as they expose to open air. If the condom contains the sperm on the outer side, then it can cause pregnancy. As you mentioned that it was not just precum, but it was semen. So, if it was semen or sperm on the condom then they can cause pregnancy. If your partner was in her fertile period when you had sex, then there are chances of pregnancy. If she was not in the fertile period, then the pregnancy is unlikely. So, verify her fertile period. Also, the emergency contraceptive pill can be used within 72 hours of sex, to avoid pregnancy. Ask her to check it, and you can also check for pregnancy when her period is due or almost after two weeks, that she is pregnant or not. If her pregnancy test return to be positive even then there is an option to terminate it, after consulting with your doctor.
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Q. What are the skin care products to enhance complexion?
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Hello doctor, I am a dark complexion person with age of 31 years and I am happy with the natural appearance but my all family members are fair complexion except me. Sometimes it is disbalances my confidence. It is my request. Kindly suggest me some face wash or face cream which helps me to get little enhancement in my complexion. But please steroid free.
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Hi. Can you please upload a few pictures if possible for diagnosis and advise proper treatment?
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<s>[INST]
Hello doctor, I am a dark complexion person with age of 31 years and I am happy with the natural appearance but my all family members are fair complexion except me. Sometimes it is disbalances my confidence. It is my request. Kindly suggest me some face wash or face cream which helps me to get little enhancement in my complexion. But please steroid free. [/INST] Hi. Can you please upload a few pictures if possible for diagnosis and advise proper treatment?
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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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.
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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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<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 -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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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?
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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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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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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.
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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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<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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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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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?
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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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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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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?
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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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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Will Nano-Leo give permanent solution for erection problem?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. How to treat a cough with wheezing?
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Hi doctor, My mother is 78 years old now. Before 12 days back, she had a cough and high fever. She had a wheezing problem along with a cough. She was given Azithromycin and Cratex expectorant. Her temperature got subsided after five days. But the coughing problem has not stopped. Her X-Ray finding suggested COPD. Her hemoglobin level is 9.2 ng/dL. She has WBC of 1980 WBC per microliter of blood. She has neutrophils of 28 % and lymphocytes of 69 %. She has ESR of 60 mm/hr. Currently, she is taking Domperidone, Etizolam, and Olmesartan.
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Hi. She has a chronic obstructive pulmonary disease. Her lymphocytes are elevated. She seems to have viral bronchitis. Her total WBC count is decreased. It can occur due to bone marrow suppression by a viral infection. For wheezing, she can take Ipratropium bromide inhalation through a nebulizer for three to five days. Please mention whether it is a dry cough or a wet cough. According to the characteristics of a cough, further treatment can be guided. She needs to consult a pulmonologist for chest examination.
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<s>[INST]
Hi doctor, My mother is 78 years old now. Before 12 days back, she had a cough and high fever. She had a wheezing problem along with a cough. She was given Azithromycin and Cratex expectorant. Her temperature got subsided after five days. But the coughing problem has not stopped. Her X-Ray finding suggested COPD. Her hemoglobin level is 9.2 ng/dL. She has WBC of 1980 WBC per microliter of blood. She has neutrophils of 28 % and lymphocytes of 69 %. She has ESR of 60 mm/hr. Currently, she is taking Domperidone, Etizolam, and Olmesartan. [/INST] Hi. She has a chronic obstructive pulmonary disease. Her lymphocytes are elevated. She seems to have viral bronchitis. Her total WBC count is decreased. It can occur due to bone marrow suppression by a viral infection. For wheezing, she can take Ipratropium bromide inhalation through a nebulizer for three to five days. Please mention whether it is a dry cough or a wet cough. According to the characteristics of a cough, further treatment can be guided. She needs to consult a pulmonologist for chest examination.
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Q. I have back pain when I breathe. Why?
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Hi doctor, I am a 19-year-old female. Whenever I breathe, I have pain in my upper back. I have pain in the upper back of the left side region. It even hurts when I am not breathing. I do not have the pain when I cough or sneeze.
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Hi. You are suffering from back pain when you breathe. You do not have the pain when you cough or sneeze. The pain appears to be localized to the upper back region towards one side. According to the age and symptoms, it can be myalgia (muscle pain). I would suggest you take a muscle relaxant like Thiocolchicoside for a couple of days twice daily. If the pain is severe, take Paracetamol or Aceclofenac tablet along with the muscle relaxant. Take Aceclofenac after having food and take the antacid tablet (Ranitidine or Pantoprazole) before taking food. Take good rest. Avoid doing any strenuous activities. It is good to avoid driving and sitting for long hours, sitting in wrong poses, and avoid using smartphones while lying down to sleep. Do a hot fomentation, and a pain relief balm or gel (Diclofenac ointment) can be applied. Take a bath in hot water, especially pour hot water over the area that has pain. Avoid taking cold foods and drinks. Avoid smoking. For a final diagnosis, you can do a chest X-Ray and an ECG to rule out the pulmonary conditions and heart-related issues respectively. You have to do them only if the above measures fail or if the pain aggravates. Please describe the nature of pain. Please say about the pain whether it is a shooting type or pinching type or dull aching. Please say whether the pain is intermittent or continuous. Please say whether you have the pain when doing a particular activity. Please explain the details about your habits. Please tell if you have the pain anywhere other than upper back such as throat, neck or chest. Please say whether you had a fever or a cold. When you had a cold, please tell whether the phlegm came out when you coughed. Please report about the posture of sleep. Please say if you have changed your position of rest recently. Please describe the details about the changed mattresses or bed recently. Please consult your doctor immediately if the pain gets worse or when you have associated sweating or giddiness or weakness.
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<s>[INST]
Hi doctor, I am a 19-year-old female. Whenever I breathe, I have pain in my upper back. I have pain in the upper back of the left side region. It even hurts when I am not breathing. I do not have the pain when I cough or sneeze. [/INST] Hi. You are suffering from back pain when you breathe. You do not have the pain when you cough or sneeze. The pain appears to be localized to the upper back region towards one side. According to the age and symptoms, it can be myalgia (muscle pain). I would suggest you take a muscle relaxant like Thiocolchicoside for a couple of days twice daily. If the pain is severe, take Paracetamol or Aceclofenac tablet along with the muscle relaxant. Take Aceclofenac after having food and take the antacid tablet (Ranitidine or Pantoprazole) before taking food. Take good rest. Avoid doing any strenuous activities. It is good to avoid driving and sitting for long hours, sitting in wrong poses, and avoid using smartphones while lying down to sleep. Do a hot fomentation, and a pain relief balm or gel (Diclofenac ointment) can be applied. Take a bath in hot water, especially pour hot water over the area that has pain. Avoid taking cold foods and drinks. Avoid smoking. For a final diagnosis, you can do a chest X-Ray and an ECG to rule out the pulmonary conditions and heart-related issues respectively. You have to do them only if the above measures fail or if the pain aggravates. Please describe the nature of pain. Please say about the pain whether it is a shooting type or pinching type or dull aching. Please say whether the pain is intermittent or continuous. Please say whether you have the pain when doing a particular activity. Please explain the details about your habits. Please tell if you have the pain anywhere other than upper back such as throat, neck or chest. Please say whether you had a fever or a cold. When you had a cold, please tell whether the phlegm came out when you coughed. Please report about the posture of sleep. Please say if you have changed your position of rest recently. Please describe the details about the changed mattresses or bed recently. Please consult your doctor immediately if the pain gets worse or when you have associated sweating or giddiness or weakness.
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Q. I would like to have the best treatment for constant running nose.
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Hi doctor, I have problems with my nose for over 10 years. My nose runs all time every day. I got a surgery on the nasal valve and it got worse. The surgeon told me that it is normal and prescribed me Xozal. I am using it for past three months but no improvement with it. I wish to get something prescribed through which I will be able to live like a normal person, not having tissue all day.
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Hi. You seem to be suffering from allergic rhinitis which is a form of hypersensitivity and it causes running nose. However this has an offending agent and when the allergen is avoided, the allergy subsides. To confirm whether it is allergy we can do two tests which includes absolute eosinophil count and serum IgE. The positive signal shows that you suffer from allergy. A negative in the above tests need not always rule out allergy. For allergic rhinitis, the accompanying symptoms are itching of eyes or nose, occasional nose block and sneezing multiple times. Next, constant running nose can be due to nasal polyps, chronic sinusitis, inverted papilloma, nasal malignancy, deviated nasal septum, etc. Please give me details regarding the following too: What is the color and consistency of nasal discharge? Is there any foul smell from the discharge? How you perceive smell? Kindly attach your previous investigations, reports and medical records pertaining to this matter so that we can arrive at a decisive diagnosis and institute the correct medications for you. Allergic rhinitis Ethmoidal polyposis Chronic hypertrophic rhinitis Chronic rhinosinusitis Inverted papilloma Nasal malignancy Revert back with the reports to an ENT otolaryngologist online.--->
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<s>[INST]
Hi doctor, I have problems with my nose for over 10 years. My nose runs all time every day. I got a surgery on the nasal valve and it got worse. The surgeon told me that it is normal and prescribed me Xozal. I am using it for past three months but no improvement with it. I wish to get something prescribed through which I will be able to live like a normal person, not having tissue all day. [/INST] Hi. You seem to be suffering from allergic rhinitis which is a form of hypersensitivity and it causes running nose. However this has an offending agent and when the allergen is avoided, the allergy subsides. To confirm whether it is allergy we can do two tests which includes absolute eosinophil count and serum IgE. The positive signal shows that you suffer from allergy. A negative in the above tests need not always rule out allergy. For allergic rhinitis, the accompanying symptoms are itching of eyes or nose, occasional nose block and sneezing multiple times. Next, constant running nose can be due to nasal polyps, chronic sinusitis, inverted papilloma, nasal malignancy, deviated nasal septum, etc. Please give me details regarding the following too: What is the color and consistency of nasal discharge? Is there any foul smell from the discharge? How you perceive smell? Kindly attach your previous investigations, reports and medical records pertaining to this matter so that we can arrive at a decisive diagnosis and institute the correct medications for you. Allergic rhinitis Ethmoidal polyposis Chronic hypertrophic rhinitis Chronic rhinosinusitis Inverted papilloma Nasal malignancy Revert back with the reports to an ENT otolaryngologist online.--->
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Q. Kindly suggest some medicine to get rid of ringworm infection.
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Hello doctor, My problem started four years back. It started up as a small ringworm infection and now it has taken a terrible position. I am facing lot of trouble on my hips. I feel lot of itching and when I itch hard some watery kind of thing comes out. When I take medicine it is fine. When I stop taking medicine, it relapses. I am facing lot of irritation during periods. I took Terbicip, but it did not get adjusted with my body. Now, I am taking Ebast 10 mg and feeling better with it. Kindly suggest me some medicine so that I can get rid of it permanently. Thank you.
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Hi. I understand your concern. From my professional opinion, it looks like tinea with secondary eczematization or in simple words fungal infection with skin damage due to rubbing. One advice is please do not rub. I understand it can be difficult but try. Continue the medicines for the time period. Follow up with me after three weeks for a change in cream. Since this is a chronic condition, it needs to be removed completely to prevent further recurrences. Even if you feel any reduction in symptoms, complete the medicines for the given time period. This is very important. Hope this solves your query. Revert back after three weeks to a dermatologist online -->
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<s>[INST]
Hello doctor, My problem started four years back. It started up as a small ringworm infection and now it has taken a terrible position. I am facing lot of trouble on my hips. I feel lot of itching and when I itch hard some watery kind of thing comes out. When I take medicine it is fine. When I stop taking medicine, it relapses. I am facing lot of irritation during periods. I took Terbicip, but it did not get adjusted with my body. Now, I am taking Ebast 10 mg and feeling better with it. Kindly suggest me some medicine so that I can get rid of it permanently. Thank you. [/INST] Hi. I understand your concern. From my professional opinion, it looks like tinea with secondary eczematization or in simple words fungal infection with skin damage due to rubbing. One advice is please do not rub. I understand it can be difficult but try. Continue the medicines for the time period. Follow up with me after three weeks for a change in cream. Since this is a chronic condition, it needs to be removed completely to prevent further recurrences. Even if you feel any reduction in symptoms, complete the medicines for the given time period. This is very important. Hope this solves your query. Revert back after three weeks to a dermatologist online -->
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Q. What does borderline ST segment response mean in TMT?
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Hello doctor, I do regular health checkups and last year my test reports were normal. I had another health checkup last week. In my TMT it showed the impression as borderline ST segment response. Fair exercise tolerance. What does it mean? How serious is this? What is the next step? Tests like echocardiogram and resting ECG were normal. I am attaching my test reports.
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Hi. I have gone through your reports (attachment removed to protect patient identity) very carefully. Do not worry as ST-T changes less than 1 mm are not significant in inferior leads, and in the anterior leads also the changes are less than 1 mm. You achieved the target heart rate, and exercise tolerance was also fair. The changes reverted to normal in less than a minute. I do not think you need to worry as echocardiogram was normal. The sensitivity of TMT (treadmill test) to rule out coronary artery disease is around 70 %. In 30 % of cases, it is a false positive. Are you a smoker or alcoholic? Revert with more information to a cardiologist online -->
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<s>[INST]
Hello doctor, I do regular health checkups and last year my test reports were normal. I had another health checkup last week. In my TMT it showed the impression as borderline ST segment response. Fair exercise tolerance. What does it mean? How serious is this? What is the next step? Tests like echocardiogram and resting ECG were normal. I am attaching my test reports. [/INST] Hi. I have gone through your reports (attachment removed to protect patient identity) very carefully. Do not worry as ST-T changes less than 1 mm are not significant in inferior leads, and in the anterior leads also the changes are less than 1 mm. You achieved the target heart rate, and exercise tolerance was also fair. The changes reverted to normal in less than a minute. I do not think you need to worry as echocardiogram was normal. The sensitivity of TMT (treadmill test) to rule out coronary artery disease is around 70 %. In 30 % of cases, it is a false positive. Are you a smoker or alcoholic? Revert with more information to a cardiologist online -->
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Q. Is there any diet restriction following dog bite?
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Hi doctor, I was bitten by a house Siberian Husky. The pup is 8 months old and is not vaccinated for rabies. I used to visit it everyday. It is normal and drink water. I was given only tetanus as I am allergic to the antirabies vaccine which was administered and discovered 10 years ago when I had a dog bite. Can I eat all kinds of non-vegetarian foods, curds, citric and acidic food, ice creams and chocolates? What has non-vegetarian food got to do with a dog bite? Please explain.
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Hello. There are no dietary restrictions following a dog bite and you can eat whatever you like to have. Also, let me share a few facts after dog bite:- A 10 days quarantine for the dog that has bitten is generally followed. If the dog during this period if develops any personality change like aggressiveness or excitability or dullness or any paralysis the dog should be humanly killed. The most important is, one should clean the dog bite wound thoroughly, not to suture and get vaccinated. Avoiding non-vegetarian foods, onion and garlic following a dog bite is a social taboo and a misconception. There is no scientific explanation to explain the relation between the pathogenesis of rabies and what we eat to the extent of my knowledge. You can eat everything and just observe the dog. Be careful next time while playing and taming dogs. Keep in mind your allergy to rabies vaccination. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I was bitten by a house Siberian Husky. The pup is 8 months old and is not vaccinated for rabies. I used to visit it everyday. It is normal and drink water. I was given only tetanus as I am allergic to the antirabies vaccine which was administered and discovered 10 years ago when I had a dog bite. Can I eat all kinds of non-vegetarian foods, curds, citric and acidic food, ice creams and chocolates? What has non-vegetarian food got to do with a dog bite? Please explain. [/INST] Hello. There are no dietary restrictions following a dog bite and you can eat whatever you like to have. Also, let me share a few facts after dog bite:- A 10 days quarantine for the dog that has bitten is generally followed. If the dog during this period if develops any personality change like aggressiveness or excitability or dullness or any paralysis the dog should be humanly killed. The most important is, one should clean the dog bite wound thoroughly, not to suture and get vaccinated. Avoiding non-vegetarian foods, onion and garlic following a dog bite is a social taboo and a misconception. There is no scientific explanation to explain the relation between the pathogenesis of rabies and what we eat to the extent of my knowledge. You can eat everything and just observe the dog. Be careful next time while playing and taming dogs. Keep in mind your allergy to rabies vaccination. For further information consult an internal medicine physician online -->
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Q. My HIV tests fall under false negative. Do I have HIV?
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Hello doctor, My ex-partner had HIV three years ago when I was along with him. But, he informed me regarding this very recently. He did not make me aware of his condition. We were not careful always. After getting to know, I checked on internet about its signs and symptoms and found that I had all of them three years ago itself. I got a rapid blood test done and it came negative. Got a HIV test done and that result too came negative. I am convinced that my HIV status has progressed. I read about false positive tests and false negative tests. As my HIV tests fall under false negative I am aware that the doctor will not help me. I am much worried and in need of some guidance. Thank you in advance.
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Hi. Revert back with the test results to a HIV AIDS specialist online -->
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<s>[INST]
Hello doctor, My ex-partner had HIV three years ago when I was along with him. But, he informed me regarding this very recently. He did not make me aware of his condition. We were not careful always. After getting to know, I checked on internet about its signs and symptoms and found that I had all of them three years ago itself. I got a rapid blood test done and it came negative. Got a HIV test done and that result too came negative. I am convinced that my HIV status has progressed. I read about false positive tests and false negative tests. As my HIV tests fall under false negative I am aware that the doctor will not help me. I am much worried and in need of some guidance. Thank you in advance. [/INST] Hi. Revert back with the test results to a HIV AIDS specialist online -->
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Q. I pass huge blood clots during my period. Please help.
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Hello doctor, When I have my period, huge blood clots are seen in my sanitary napkin. Will it affect my fertility?
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Hi. Passing clots on the first day of your menstrual cycle is normal. This does not affect your fertility. But, if you are passing it on all the days of your cycle, then it requires attention. You need to be treated. You may have to take medicines which will control the amount of bleeding. Consult a gynaecologist online to know the severity of the problem -->
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<s>[INST]
Hello doctor, When I have my period, huge blood clots are seen in my sanitary napkin. Will it affect my fertility? [/INST] Hi. Passing clots on the first day of your menstrual cycle is normal. This does not affect your fertility. But, if you are passing it on all the days of your cycle, then it requires attention. You need to be treated. You may have to take medicines which will control the amount of bleeding. Consult a gynaecologist online to know the severity of the problem -->
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Q. Please suggest some treatment for testicular pain.
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Hello doctor, About a week ago, I started feeling some dull ache in my right testicle and the scrotum area. The pain radiates to my right leg also like cramps. It is like sore scrotum. The pain usually comes and goes, especially during riding bike, sitting in office and laying down on my sides. I do not see much swelling or feel any lump-like thing when I tried to inspect it. It is not a severe pain, but there is some discomfort all the time. Sometimes, it goes when I walk. I had the same issue a year ago and my urologist suggested me to take varicocele test. I had grade 3 varicocele in the left side and grade 1 on the right side. I do not feel good at times as my legs get hurt. Please suggest me some medicine if you suspect that I need any.
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Hi. Please relax and do not worry. For further information consult a urologist online -->
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<s>[INST]
Hello doctor, About a week ago, I started feeling some dull ache in my right testicle and the scrotum area. The pain radiates to my right leg also like cramps. It is like sore scrotum. The pain usually comes and goes, especially during riding bike, sitting in office and laying down on my sides. I do not see much swelling or feel any lump-like thing when I tried to inspect it. It is not a severe pain, but there is some discomfort all the time. Sometimes, it goes when I walk. I had the same issue a year ago and my urologist suggested me to take varicocele test. I had grade 3 varicocele in the left side and grade 1 on the right side. I do not feel good at times as my legs get hurt. Please suggest me some medicine if you suspect that I need any. [/INST] Hi. Please relax and do not worry. For further information consult a urologist online -->
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Q. Can an endometrial polyp grow so quickly in a span of eight weeks?
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Hi doctor, I had induced abortion three months ago and had a transvaginal US. It showed everything was normal and the endo lining was 8 mm and the uterus looked closed. I cannot find that report, but I know the uterus looked normal, just like on all my previous reports. I had my periods regularly for the next two months. I think I ovulated both times because I had all the signs and the temperature rise. Both periods were quite heavy and last one was a bit more on the hemorrhagic side, but not something to worry. I just noticed, it was more abundant and red than my normal and also less crampy and painful. No spotting or any other irregularities. Yesterday, cycle day 11, I went for an ultrasound to monitor my follicles and incidentally the doctor saw something in my endometrial lining, which she assumed was a polyp. The endo lining was 12 mm. I have attached images for your reference. The doctor was not worried about it, since it was so soon after the late abortion and she said maybe it will go away on its own and wait for two to three months. Although she said if it is a polyp then it will not go away. So, I am confused. Anyway, I have become very stressed over this, worrying that it is endometrial cancer and why else would a polyp grow so much and so quickly in just seven to eight weeks. On all my ultrasounds in the last years, no polyp was ever found or suspected and the image never looked like this. I am wondering how serious and worrisome for cancer this looks. Should I push for a hysteroscopy? I know that if it is cancer, I am going to lose my uterus and ovaries and never going to have a baby and I am terrified this will be the case. And I have read that up to 4% of endometrial polyps are cancer. My bad luck seems to never end. Also, could it be something other than an endometrial polyp, such as a placental polyp or a blood clot or a placental site nodule? I read about those online. I have taken a home pregnancy test and it was negative. So, I do not have much HCG in me anymore and I also ovulated normally and have a dominant follicle right now waiting to ovulate. I am just surprised that it is so soon after the miscarriage. Can you let me know your opinion? What does it look like to you on the ultrasound pictures? What should I do next?
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Hi. From the ultrasound picture (attachment removed to protect patient identity) you have provided, it does not look like polyp in endometrium. In fact it looks like some collection such as fluid or blood in endometrial cavity, although the appearance of single static film can be deceiving. Polyp normally looks more hyperechoic (whitish). Even if it is polyp, there is no need to worry as many polyps come and go with menstrual bleeding and as you said there is 96% chance of it not being cancer. I always like to look on positive side. So, there is no need to hurry for hysteroscopy. Chance of polyp being endometrial cancer is very low especially if it occurs after abortion or childbirth as your endometrium had more than sufficient exposure to progesterone to prevent cancer. If you are feeling physically fit to carry pregnancy and of course if hemoglobin has come back to normal, there is no contraindication for conception. But, my recommendation would be to wait for at least one more month. If polyp is seen again in next midcycle scan, we can plan hysteroscopy in future and there is no need to think about it right now. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had induced abortion three months ago and had a transvaginal US. It showed everything was normal and the endo lining was 8 mm and the uterus looked closed. I cannot find that report, but I know the uterus looked normal, just like on all my previous reports. I had my periods regularly for the next two months. I think I ovulated both times because I had all the signs and the temperature rise. Both periods were quite heavy and last one was a bit more on the hemorrhagic side, but not something to worry. I just noticed, it was more abundant and red than my normal and also less crampy and painful. No spotting or any other irregularities. Yesterday, cycle day 11, I went for an ultrasound to monitor my follicles and incidentally the doctor saw something in my endometrial lining, which she assumed was a polyp. The endo lining was 12 mm. I have attached images for your reference. The doctor was not worried about it, since it was so soon after the late abortion and she said maybe it will go away on its own and wait for two to three months. Although she said if it is a polyp then it will not go away. So, I am confused. Anyway, I have become very stressed over this, worrying that it is endometrial cancer and why else would a polyp grow so much and so quickly in just seven to eight weeks. On all my ultrasounds in the last years, no polyp was ever found or suspected and the image never looked like this. I am wondering how serious and worrisome for cancer this looks. Should I push for a hysteroscopy? I know that if it is cancer, I am going to lose my uterus and ovaries and never going to have a baby and I am terrified this will be the case. And I have read that up to 4% of endometrial polyps are cancer. My bad luck seems to never end. Also, could it be something other than an endometrial polyp, such as a placental polyp or a blood clot or a placental site nodule? I read about those online. I have taken a home pregnancy test and it was negative. So, I do not have much HCG in me anymore and I also ovulated normally and have a dominant follicle right now waiting to ovulate. I am just surprised that it is so soon after the miscarriage. Can you let me know your opinion? What does it look like to you on the ultrasound pictures? What should I do next? [/INST] Hi. From the ultrasound picture (attachment removed to protect patient identity) you have provided, it does not look like polyp in endometrium. In fact it looks like some collection such as fluid or blood in endometrial cavity, although the appearance of single static film can be deceiving. Polyp normally looks more hyperechoic (whitish). Even if it is polyp, there is no need to worry as many polyps come and go with menstrual bleeding and as you said there is 96% chance of it not being cancer. I always like to look on positive side. So, there is no need to hurry for hysteroscopy. Chance of polyp being endometrial cancer is very low especially if it occurs after abortion or childbirth as your endometrium had more than sufficient exposure to progesterone to prevent cancer. If you are feeling physically fit to carry pregnancy and of course if hemoglobin has come back to normal, there is no contraindication for conception. But, my recommendation would be to wait for at least one more month. If polyp is seen again in next midcycle scan, we can plan hysteroscopy in future and there is no need to think about it right now. For further information consult an obstetrician and gynaecologist online -->
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Q. Every time I eat spicy food, I poop blood. Why?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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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.
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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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<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 -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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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?
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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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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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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.
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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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<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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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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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?
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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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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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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?
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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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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Can I take I-pill five times in a month?
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Hi doctor, Can I take I-pill for five times in a month? I hope there will not be any major side effects because I am not taking any other contraceptive pills. Also, I do not want to use a condom. I read that the contraceptive pill should be started on the first day of the periods and taken one pill daily for 21days. But, my periods got over before 15 days. Can I start the contraceptive pill for 21 days from today?
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Hello. You are already in your fertile period as on date and likely to have ovulated already. If you have been involved with unprotected sex, then you should take an I-pill within 72 hours of the intercourse and need not repeat the I-pill every time you have sex in this cycle. One I-pill shall be enough because in the next five to seven days post I-pill intake you should receive your withdrawal bleed and that would indirectly ensure that you are safe from getting pregnant. It would mark the start of fresh cycle and then you can be started on low dose oral contraceptive pills from day 2 of your fresh cycle, which would be the day 2 of the withdrawal bleed following I-pill. I-pill does have side effects and it can cause irregularity of your next two to three cycles making the cycles scanty or heavier. More than one I-pill in a month should be avoided and it should only be used for emergency contraception purpose and not otherwise. You may also consider female diaphragms or cervical caps if you do not prefer male condoms for protection. These are female condoms, which are safe as well and act as a barrier contraceptive. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, Can I take I-pill for five times in a month? I hope there will not be any major side effects because I am not taking any other contraceptive pills. Also, I do not want to use a condom. I read that the contraceptive pill should be started on the first day of the periods and taken one pill daily for 21days. But, my periods got over before 15 days. Can I start the contraceptive pill for 21 days from today? [/INST] Hello. You are already in your fertile period as on date and likely to have ovulated already. If you have been involved with unprotected sex, then you should take an I-pill within 72 hours of the intercourse and need not repeat the I-pill every time you have sex in this cycle. One I-pill shall be enough because in the next five to seven days post I-pill intake you should receive your withdrawal bleed and that would indirectly ensure that you are safe from getting pregnant. It would mark the start of fresh cycle and then you can be started on low dose oral contraceptive pills from day 2 of your fresh cycle, which would be the day 2 of the withdrawal bleed following I-pill. I-pill does have side effects and it can cause irregularity of your next two to three cycles making the cycles scanty or heavier. More than one I-pill in a month should be avoided and it should only be used for emergency contraception purpose and not otherwise. You may also consider female diaphragms or cervical caps if you do not prefer male condoms for protection. These are female condoms, which are safe as well and act as a barrier contraceptive. For further information consult an obstetrician and gynaecologist online -->
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Q. Can there be high ESR level while having cough and fever?
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Hello doctor, I am 48 years old. My recent blood report shows high ESR level. I am having cough and fever in the evening. Doctor told me that I am having bronchitis and has given me antibiotics as well as cough syrup. I am sending you my x-ray and blood test report for verification. Please guide.
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Hi. I have seen your reports (attachments removed to protect patient identity). For further information consult a general practitioner online -->
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<s>[INST]
Hello doctor, I am 48 years old. My recent blood report shows high ESR level. I am having cough and fever in the evening. Doctor told me that I am having bronchitis and has given me antibiotics as well as cough syrup. I am sending you my x-ray and blood test report for verification. Please guide. [/INST] Hi. I have seen your reports (attachments removed to protect patient identity). For further information consult a general practitioner online -->
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Q. Is it possible to cure inguinal hernia without surgery?
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Hi doctor, I am a 29 year old male. I am suffering from right inguinal hernia for the past two months. I have consulted a doctor and he asked me to go for surgery. Is it possible to cure inguinal hernia without surgery? Currently I have consulted a homeopathy doctor and I am on medicine given by him.
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Hello. If the hernia is in first or second degree then there is a treatment. For third degree hernia, surgery is the only treatment option. At the time of pain and swelling you can take the following medicine. Try to avoid things which give excess pressure on abdomen such as coughing, laughing loudly and lifting heavy things. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am a 29 year old male. I am suffering from right inguinal hernia for the past two months. I have consulted a doctor and he asked me to go for surgery. Is it possible to cure inguinal hernia without surgery? Currently I have consulted a homeopathy doctor and I am on medicine given by him. [/INST] Hello. If the hernia is in first or second degree then there is a treatment. For third degree hernia, surgery is the only treatment option. At the time of pain and swelling you can take the following medicine. Try to avoid things which give excess pressure on abdomen such as coughing, laughing loudly and lifting heavy things. For further information consult an ayurveda specialist online -->
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Q. As my HSV is positive, I am worried about HIV infection. Please help.
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Hi doctor, I had protected sex with CSW. After 16 weeks, STD test HSV 1+2 IgG is 13.30, Chlamydia trachomatis antibody IgG is 1.13 and HIV 1/2 combo P24 test is .05. I am in depression that herpes is positive and in future any chance of HIV positive. I am unmarried.
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Hi. Revert back with the reports to a HIV AIDS specialist online -->
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<s>[INST]
Hi doctor, I had protected sex with CSW. After 16 weeks, STD test HSV 1+2 IgG is 13.30, Chlamydia trachomatis antibody IgG is 1.13 and HIV 1/2 combo P24 test is .05. I am in depression that herpes is positive and in future any chance of HIV positive. I am unmarried. [/INST] Hi. Revert back with the reports to a HIV AIDS specialist online -->
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Q. My herpes IgM and IgG are 3. 5 and 4 respectively. Why?
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Hi doctor, I am 34 year old female. I have got my STD and HIV done. I have attached my reports for your reference. All look clear, but herpes simplex virus IgM and IgG are 3.5 and 4. I have no other symptoms. Please help.
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Hello. 1. IgG HSV1 and IgG HSV2 to check for immunity against these subtypes individually. 2. The IgM antibodies may still be positive with progressive fading acute infection. 1. If you do not have active lesions or are not pregnant, there is no indication for treatment. 2. If you have active lesions, avoid unprotected sexual contact. It may however still transmit even if you do not see active lesions, since they may be hidden in the genital tract. For further clarifications consult an internal medicine physician online.--->
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<s>[INST]
Hi doctor, I am 34 year old female. I have got my STD and HIV done. I have attached my reports for your reference. All look clear, but herpes simplex virus IgM and IgG are 3.5 and 4. I have no other symptoms. Please help. [/INST] Hello. 1. IgG HSV1 and IgG HSV2 to check for immunity against these subtypes individually. 2. The IgM antibodies may still be positive with progressive fading acute infection. 1. If you do not have active lesions or are not pregnant, there is no indication for treatment. 2. If you have active lesions, avoid unprotected sexual contact. It may however still transmit even if you do not see active lesions, since they may be hidden in the genital tract. For further clarifications consult an internal medicine physician online.--->
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. I was advised medicines after a routine prostate test, but I have no symptoms. Please suggest.
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Hello doctor, I am a 66 year old male. My only medical history is hypertension (controlled) with Norvasc. I went for my routine prostate test a couple of months ago and the result stated: PSA - 9.8 ng/mL. Free PSA - 1.9 ng/mL. Percentage free PSA - 19.4 %. I went back to another doctor a few weeks ago and he repeated the PSA and did a digital exam and the results were as follows: PSA - above 10 ng/mL. Prostate sightly enlarged, preserved median groove, not nodular, feels rubbery. He prescribed Proscar 4 mg daily for a month. I have absolutely no urinary symptoms. What do you suggest that I do?
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Hello. After analysis of the history provided, I would like to give you a brief idea of the same. Stay healthy and be positive. For more information consult a family physician online -->
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<s>[INST]
Hello doctor, I am a 66 year old male. My only medical history is hypertension (controlled) with Norvasc. I went for my routine prostate test a couple of months ago and the result stated: PSA - 9.8 ng/mL. Free PSA - 1.9 ng/mL. Percentage free PSA - 19.4 %. I went back to another doctor a few weeks ago and he repeated the PSA and did a digital exam and the results were as follows: PSA - above 10 ng/mL. Prostate sightly enlarged, preserved median groove, not nodular, feels rubbery. He prescribed Proscar 4 mg daily for a month. I have absolutely no urinary symptoms. What do you suggest that I do? [/INST] Hello. After analysis of the history provided, I would like to give you a brief idea of the same. Stay healthy and be positive. For more information consult a family physician online -->
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Q. I have bumps on face that makes my skin texture rough. Kindly help.
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Hello doctor, I am on no medications. I drink a ton of water, eat the right food. I do not eat pork. I still eat candy every now and then but usually milk chocolate. I wash my face every night. I use a toner and an ultra moisturizing face lotion. My face gets dry really fast if I do not. I still have these bumps all over my face. They cannot pop. My skin has the texture of a rugged road instead of baby soft. Even now my face is dry. I do not know what to do.
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Hi. I have gone through your case. First, you need to understand that there are many different types of acne and you are having comedones type of acne. And unfortunately, this type is a little difficult to treat. And you are right, these add roughness to the skin. Please use Cetaphil cleanser. Apply Adapalene gel in very little amount only in very little amount (size of a pea for the whole face) apply only at night. Do not take too much or you will have irritation. Apply for two hours only at night. Surrounding skin lesion will be fine after absorption. Take care.
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<s>[INST]
Hello doctor, I am on no medications. I drink a ton of water, eat the right food. I do not eat pork. I still eat candy every now and then but usually milk chocolate. I wash my face every night. I use a toner and an ultra moisturizing face lotion. My face gets dry really fast if I do not. I still have these bumps all over my face. They cannot pop. My skin has the texture of a rugged road instead of baby soft. Even now my face is dry. I do not know what to do. [/INST] Hi. I have gone through your case. First, you need to understand that there are many different types of acne and you are having comedones type of acne. And unfortunately, this type is a little difficult to treat. And you are right, these add roughness to the skin. Please use Cetaphil cleanser. Apply Adapalene gel in very little amount only in very little amount (size of a pea for the whole face) apply only at night. Do not take too much or you will have irritation. Apply for two hours only at night. Surrounding skin lesion will be fine after absorption. Take care.
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Q. Is eye floaters an optical problem or neurological or a combination of both?
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Hi doctor, I am a 35 year old male. I have floaters in both eyes which developed after severe eye infection at the age of 28 with the use of welding light. Previously, I received treatment for stress. I had tablet Cipralex (Escitalopram) 10 mg for around 3 years. Currently, I am not on any such medication. While taking Cipralex, I used to get good sleep and my light sensitivity suppressed. I had undergone brain CT two years and four years ago, both were normal. My MRI and angio of scalp and brain done this year are also normal. I got meningitis vaccination in 2010 due to gulf visa requirement. I used to get routine eye check up and fundus examination every six months. My eye pressure is maintained at 18/20. In perimetry, there is no glaucoma. I have normal sharp vision of 6/6. I also got OCT recently to check retina. My problems are light sensitivity and disturbed sleep. The light spot does not go away quickly. I am disturbed with dreams at night and no proper sleep. I have sound intolerance too. I would like to know whether my light sensitivity is a neurological problem or optical issue or a combination of both. My neurologist prescribed Flunarizine and Escitalopram for light sensitivity. I am concerned with these drugs as they are SSRI. I am bothered about my light and sound sensitivity along with disturbed sleep pattern. Kindly guide me.
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Hi. Eye floaters. 1. Eye infection. 2. Migraines. 3. Sleep disturbance. Continue with current medications. Sleep hygiene. For further information consult a neurologist online.--->
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<s>[INST]
Hi doctor, I am a 35 year old male. I have floaters in both eyes which developed after severe eye infection at the age of 28 with the use of welding light. Previously, I received treatment for stress. I had tablet Cipralex (Escitalopram) 10 mg for around 3 years. Currently, I am not on any such medication. While taking Cipralex, I used to get good sleep and my light sensitivity suppressed. I had undergone brain CT two years and four years ago, both were normal. My MRI and angio of scalp and brain done this year are also normal. I got meningitis vaccination in 2010 due to gulf visa requirement. I used to get routine eye check up and fundus examination every six months. My eye pressure is maintained at 18/20. In perimetry, there is no glaucoma. I have normal sharp vision of 6/6. I also got OCT recently to check retina. My problems are light sensitivity and disturbed sleep. The light spot does not go away quickly. I am disturbed with dreams at night and no proper sleep. I have sound intolerance too. I would like to know whether my light sensitivity is a neurological problem or optical issue or a combination of both. My neurologist prescribed Flunarizine and Escitalopram for light sensitivity. I am concerned with these drugs as they are SSRI. I am bothered about my light and sound sensitivity along with disturbed sleep pattern. Kindly guide me. [/INST] Hi. Eye floaters. 1. Eye infection. 2. Migraines. 3. Sleep disturbance. Continue with current medications. Sleep hygiene. For further information consult a neurologist online.--->
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Q. Shall I take Tadalafil tablet to maintain erection?
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Hello doctor, I am 32 years of age weighing 76 kg and my height is 5 feet 6 inches. I am unable to maintain erection. I have been experiencing this since a year. Prior to that, it was all fine and great. I have not had any other health issue and my BP, sugar levels, cholesterol are all normal. I exercise three to four times a week. I have attached my test reports for your reference. Please advise whether I can take Tadalafil tablets.
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Hi. You can safely take tablet Tadalafil (10 mg or 20 mg) half an hour before sexual activity. It can be taken on alternate days if needed because the effect lasts for two days. You could also take tablet Tetrafol plus (combination of Levomefolate calcium, Pyridoxal 5-phosphate and Mecobalamin) one tablet daily for three months. It is helpful in erectile dysfunction. For further queries consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 32 years of age weighing 76 kg and my height is 5 feet 6 inches. I am unable to maintain erection. I have been experiencing this since a year. Prior to that, it was all fine and great. I have not had any other health issue and my BP, sugar levels, cholesterol are all normal. I exercise three to four times a week. I have attached my test reports for your reference. Please advise whether I can take Tadalafil tablets. [/INST] Hi. You can safely take tablet Tadalafil (10 mg or 20 mg) half an hour before sexual activity. It can be taken on alternate days if needed because the effect lasts for two days. You could also take tablet Tetrafol plus (combination of Levomefolate calcium, Pyridoxal 5-phosphate and Mecobalamin) one tablet daily for three months. It is helpful in erectile dysfunction. For further queries consult a sexologist online -->
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Q. I am not comfortable with my retainers after getting veneers. What to do?
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Hello doctor, I am a 25 year old male who had braces five years back. I had braces for two and a half years for upper teeth only, and I still wear my retainer every night. I recently got veneers on my upper six front teeth, so my dentist had to make a couple of adjustments to my retainer. For about two months the retainer was good, but recently in the morning when I take my retainer out, one or two of my veneers seem to move and when I bite they click back into place. I went to my dentist, but he assured me that everything is fine. He also said that if it bothers me so much, then I should see my orthodontist about getting a new retainer. As an experiment, I wore my retainer for about a week (day and night) and throughout that time, I did not have any movement issues. Then when I switched back to only night-time wear, it started happening in the mornings again. I am worried that my teeth are being damaged and that they are going to fall out randomly one morning. Do you think I need a new retainer? I have an appointment with my orthodontist in a month. So, I also wanted to know, do I require wearing my retainer until my appointment? And if yes, then how often?
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Hi. For further queries consult an orthodontist online -->
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<s>[INST]
Hello doctor, I am a 25 year old male who had braces five years back. I had braces for two and a half years for upper teeth only, and I still wear my retainer every night. I recently got veneers on my upper six front teeth, so my dentist had to make a couple of adjustments to my retainer. For about two months the retainer was good, but recently in the morning when I take my retainer out, one or two of my veneers seem to move and when I bite they click back into place. I went to my dentist, but he assured me that everything is fine. He also said that if it bothers me so much, then I should see my orthodontist about getting a new retainer. As an experiment, I wore my retainer for about a week (day and night) and throughout that time, I did not have any movement issues. Then when I switched back to only night-time wear, it started happening in the mornings again. I am worried that my teeth are being damaged and that they are going to fall out randomly one morning. Do you think I need a new retainer? I have an appointment with my orthodontist in a month. So, I also wanted to know, do I require wearing my retainer until my appointment? And if yes, then how often? [/INST] Hi. For further queries consult an orthodontist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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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.
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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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<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 -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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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?
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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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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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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.
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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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<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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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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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?
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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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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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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?
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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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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. Should I try steroid medicines for my rheumatoid arthritis?
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Hello doctor, I was diagnosed with rheumatoid arthritis two years back. I am on Ayurveda treatment and have taken Panchakarma treatment as well. There is a slight improvement, but still, my swelling on the left knee is not coming down, and recently a pain in the left wrist has begun. My ESR and CCP are very high, and the cartilage in the left knee is torn. I cannot walk fast or climb the stairs. I also started Methotrexate 7.5 mg and Vitamin D recently. Please give me the best advice to deal with RA. Should I continue with Ayurvedic medicines or should I try steroids?
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Hello, Welcome to iclniq.com. I just read your query and saw all the reports (attachment removed to protect patient identity). I hope you are satisfied with my answer. Revert after four weeks to an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I was diagnosed with rheumatoid arthritis two years back. I am on Ayurveda treatment and have taken Panchakarma treatment as well. There is a slight improvement, but still, my swelling on the left knee is not coming down, and recently a pain in the left wrist has begun. My ESR and CCP are very high, and the cartilage in the left knee is torn. I cannot walk fast or climb the stairs. I also started Methotrexate 7.5 mg and Vitamin D recently. Please give me the best advice to deal with RA. Should I continue with Ayurvedic medicines or should I try steroids? [/INST] Hello, Welcome to iclniq.com. I just read your query and saw all the reports (attachment removed to protect patient identity). I hope you are satisfied with my answer. Revert after four weeks to an ayurveda specialist online -->
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Q. What is serum creatinine and why do we measure it?
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Hello Doctor, What is serum creatinine and why do we measure it?
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Hello. We normally measure serum creatinine values in a few medical conditions. Serum creatinine is a very important determinant, since it is a waste product. Its elevation in the serum points some kidney disorder such as glomerulonephritis, pyelonephritis, UTI (Urinary Tract Infection), acute renal failure, dehydration, shock or acidosis. Normally the range is between 0.7-1.3 mg/dL. Even a minimal increase is considered to be significant. There are few treatment options available to lower the creatinine values such as Diet modifications, Through Medications, Dialysis and Hemodialysis. For more details consult a urologist online -->
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<s>[INST]
Hello Doctor, What is serum creatinine and why do we measure it? [/INST] Hello. We normally measure serum creatinine values in a few medical conditions. Serum creatinine is a very important determinant, since it is a waste product. Its elevation in the serum points some kidney disorder such as glomerulonephritis, pyelonephritis, UTI (Urinary Tract Infection), acute renal failure, dehydration, shock or acidosis. Normally the range is between 0.7-1.3 mg/dL. Even a minimal increase is considered to be significant. There are few treatment options available to lower the creatinine values such as Diet modifications, Through Medications, Dialysis and Hemodialysis. For more details consult a urologist online -->
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Q. Does my gastroscopy reports show ulcer in the stomach?
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Hi doctor,In recent days, food is making me sick. I feel a lot of air and soreness in the stomach. I am often belching. When I consulted a doctor, he said that my stomach was fine. I have attached the reports of gastroscopy of the stomach and duodenum. Could the area that I have marked blue, be an ulcer? Kindly give your opinion on the reports. Also, I had antral gastritis two years ago.
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Hi. I have seen the reports (attachment removed to protect patient identity) For further queries consult a medical gastroenterologist online -->
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<s>[INST]
Hi doctor,In recent days, food is making me sick. I feel a lot of air and soreness in the stomach. I am often belching. When I consulted a doctor, he said that my stomach was fine. I have attached the reports of gastroscopy of the stomach and duodenum. Could the area that I have marked blue, be an ulcer? Kindly give your opinion on the reports. Also, I had antral gastritis two years ago. [/INST] Hi. I have seen the reports (attachment removed to protect patient identity) For further queries consult a medical gastroenterologist online -->
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Q. How to tell the difference between withdrawal bleed and implantation bleed?
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Hello doctor, I am a 19 year old female. I had my menses two months ago. I then had unprotected sex with my fiance when I was in my fertile period. I took an I-pill within four hours. The next day we again had unprotected sex and he came inside me. This was about 12 hours after having the first I-pill. After that, 60 hours later I again had an I-pill. Then 12 days ago, I started bleeding. And, it was lighter than the normal periods. It lasted for four days. Even now, I have minor stomach cramps, lower back pain, and headaches on and off during the day. Is this because of two doses of I-pill or am I pregnant? I searched on the internet and they seem to be early pregnancy symptoms. A detailed answer would be highly appreciated.
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Hello. Regards. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am a 19 year old female. I had my menses two months ago. I then had unprotected sex with my fiance when I was in my fertile period. I took an I-pill within four hours. The next day we again had unprotected sex and he came inside me. This was about 12 hours after having the first I-pill. After that, 60 hours later I again had an I-pill. Then 12 days ago, I started bleeding. And, it was lighter than the normal periods. It lasted for four days. Even now, I have minor stomach cramps, lower back pain, and headaches on and off during the day. Is this because of two doses of I-pill or am I pregnant? I searched on the internet and they seem to be early pregnancy symptoms. A detailed answer would be highly appreciated. [/INST] Hello. Regards. For more information consult an obstetrician and gynaecologist online -->
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Q. Can H. pylori infection be treated with injectable antibiotics?
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Hello doctor, I have been diagnosed with an H.pylori infection. My current symptoms are an inability to eat properly, excessive burping, and restlessness. My doctor advised taking Cravit and Amoxicillin, along with Pantoprazole as an acid reducer. Just after one doze of antibiotics, I have severe bloating in the stomach and found it difficult to breathe or burp, and had to be rushed to the emergency room. Can H.pylori infection be treated with injectable antibiotics? As my stomach is extremely sensitive to strong oral antibiotics as of now. I am in severe discomfort and help would be greatly appreciated.
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Hi. For more information consult a medical gastroenterologist online -->
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<s>[INST]
Hello doctor, I have been diagnosed with an H.pylori infection. My current symptoms are an inability to eat properly, excessive burping, and restlessness. My doctor advised taking Cravit and Amoxicillin, along with Pantoprazole as an acid reducer. Just after one doze of antibiotics, I have severe bloating in the stomach and found it difficult to breathe or burp, and had to be rushed to the emergency room. Can H.pylori infection be treated with injectable antibiotics? As my stomach is extremely sensitive to strong oral antibiotics as of now. I am in severe discomfort and help would be greatly appreciated. [/INST] Hi. For more information consult a medical gastroenterologist online -->
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Q. I have throat pain and an inability to shout. Could this be due to my thyroid issues?
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Hello doctor, My TSH level is 6.52. Can you suggest me a medicine to control it? I feel fatigue and cold intolerance. Also, I have throat pain and inability to shout. Are these because of the thyroid issues?
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Hello. I just read your query and from what you have mentioned, it is not clear if you are already taking any medications for hypothyroidism or not. Hope you find my advice of some benefit. Good luck. Revert after three months to an endocrinologist online -->
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<s>[INST]
Hello doctor, My TSH level is 6.52. Can you suggest me a medicine to control it? I feel fatigue and cold intolerance. Also, I have throat pain and inability to shout. Are these because of the thyroid issues? [/INST] Hello. I just read your query and from what you have mentioned, it is not clear if you are already taking any medications for hypothyroidism or not. Hope you find my advice of some benefit. Good luck. Revert after three months to an endocrinologist online -->
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Q. What can be a good snack for diabetics?
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Hi doctor, What can be done for diabetic headache? Are diabetes friendly biscuits useful in maintaining sugar levels? Should these biscuits be preferred eating? What can be a good snack for diabetic patient?
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Hello. For further information consult a diabetologist online -->
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<s>[INST]
Hi doctor, What can be done for diabetic headache? Are diabetes friendly biscuits useful in maintaining sugar levels? Should these biscuits be preferred eating? What can be a good snack for diabetic patient? [/INST] Hello. For further information consult a diabetologist online -->
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Q. Why does my ejaculate get stuck and not come out during orgasm?
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Hello doctor, I am 45 years old, male, and taking Dutasteride for ten years. Gradually, over the past two years, I have been seeing a change in my ejaculation. At the point of orgasm, the ejaculate no longer comes out. But this is definitely not retrograde ejaculation. The ejaculate gets stuck at the root of the penis. If I apply pressure with my finger at the outward facing root of the penis, and scoop upwards with my finger about 1 inch, the stuck ejaculate makes it round that bend and is expelled. If I time this right with orgasm, it can expel with normal force. What is this condition known as, what is the remedy, and is it related or unrelated to Dutasteride?
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Hi. I have gone through your query, I would like to know a few more details about your symptoms. How is your urinary flow, do you have to strain? Have you had any endoscopic procedure or catheterization done in your urethra? Are you only on Dutasteride or do you take alpha-blockers as well? Why were you prescribed Dutasteride at 35 years of age? The process of ejaculation requires a coordinated connection on the muscles surrounding the root of the urethra to expel the semen. Also, the quality of the erection needs to be evaluated in the clinic, because a fully rigid erection is required for a forceful expulsion of semen. I cannot be certain, but it appears that there is an issue in the same in your case. There is no specific name for the condition though. Also, 35 is a very early age for you to have prostatic enlargement large enough to be on Dutasteride. Though ejaculation problems are not attributed to it, it may be worthwhile to withhold the drug for a few weeks. If it is still persistent, then further testing can be performed.
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<s>[INST]
Hello doctor, I am 45 years old, male, and taking Dutasteride for ten years. Gradually, over the past two years, I have been seeing a change in my ejaculation. At the point of orgasm, the ejaculate no longer comes out. But this is definitely not retrograde ejaculation. The ejaculate gets stuck at the root of the penis. If I apply pressure with my finger at the outward facing root of the penis, and scoop upwards with my finger about 1 inch, the stuck ejaculate makes it round that bend and is expelled. If I time this right with orgasm, it can expel with normal force. What is this condition known as, what is the remedy, and is it related or unrelated to Dutasteride? [/INST] Hi. I have gone through your query, I would like to know a few more details about your symptoms. How is your urinary flow, do you have to strain? Have you had any endoscopic procedure or catheterization done in your urethra? Are you only on Dutasteride or do you take alpha-blockers as well? Why were you prescribed Dutasteride at 35 years of age? The process of ejaculation requires a coordinated connection on the muscles surrounding the root of the urethra to expel the semen. Also, the quality of the erection needs to be evaluated in the clinic, because a fully rigid erection is required for a forceful expulsion of semen. I cannot be certain, but it appears that there is an issue in the same in your case. There is no specific name for the condition though. Also, 35 is a very early age for you to have prostatic enlargement large enough to be on Dutasteride. Though ejaculation problems are not attributed to it, it may be worthwhile to withhold the drug for a few weeks. If it is still persistent, then further testing can be performed.
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Q. Can mosquito bite cause leg swelling?
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Hello doctor, I am a 35 year old female. For four years, my right leg has swollen once in a year in the summer or when I go for agricultural works in mud fields. Initially it starts with fever, vomiting, body pain, chillness and then my leg will change to light red color and the swelling will start. Now, I am undergoing treatment. I am attaching the medical reports and the photo of my leg. My doctor told me that the swelling is due to mosquito bite. Please tell me the possible reasons for the swelling and the medical tests if any required. Please suggest the specialty doctor whom I should consult.
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Hello. It looks like you had cellulitis. You might have scratched your leg and later on it has developed an infection. I think you are accumulating gas in your foot and in your leg. I think you should be seen by an orthopedic surgeon sooner rather than later. You need a complete examination of that foot with x-ray, CT scan and blood cultures. I am also afraid, if you are bone has been involved with the infection known as osteomyelitis. I do not think it is because of a mosquito bite.Please let me know if you need any further assistance. I will need to know the results of the x-ray and the blood cultures to suggest any antibiotics. 1. Gas gangrene. 2. Osteomyelitis. CBC (complete blood count), kidney and liver function test, electrolytes, CRP (C-reactive protein), x-ray of the foot and lower leg. Consider CT scan of the leg as well. Revert back with the reports to an internal medicine physician online.--->
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<s>[INST]
Hello doctor, I am a 35 year old female. For four years, my right leg has swollen once in a year in the summer or when I go for agricultural works in mud fields. Initially it starts with fever, vomiting, body pain, chillness and then my leg will change to light red color and the swelling will start. Now, I am undergoing treatment. I am attaching the medical reports and the photo of my leg. My doctor told me that the swelling is due to mosquito bite. Please tell me the possible reasons for the swelling and the medical tests if any required. Please suggest the specialty doctor whom I should consult. [/INST] Hello. It looks like you had cellulitis. You might have scratched your leg and later on it has developed an infection. I think you are accumulating gas in your foot and in your leg. I think you should be seen by an orthopedic surgeon sooner rather than later. You need a complete examination of that foot with x-ray, CT scan and blood cultures. I am also afraid, if you are bone has been involved with the infection known as osteomyelitis. I do not think it is because of a mosquito bite.Please let me know if you need any further assistance. I will need to know the results of the x-ray and the blood cultures to suggest any antibiotics. 1. Gas gangrene. 2. Osteomyelitis. CBC (complete blood count), kidney and liver function test, electrolytes, CRP (C-reactive protein), x-ray of the foot and lower leg. Consider CT scan of the leg as well. Revert back with the reports to an internal medicine physician online.--->
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Q. Can fibroadenoma with cyst BI-RADS 2 to 3 lead to cancer?
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Hello doctor, My mother aged 49 years old was diagnosed with a fibrocystic disease of breast seven years back and was subsequently operated. Since then, she has got a cyst in both breasts. Last year, she was got USG done, and the doctor found fibroadenoma along with cyst BI-RADS (2 to 3) in the left breast. The doctor asked her to review after 6 to 12 months. Recently, she discovered a lump in her left armpit which is small and can be felt only after touching. Is it anything serious? Also, please tell that does these diseases cause an increase in chances of breast cancer. She also has a fibroid in the uterus, and for that, the doctor prescribed Sevista 60 tablet twice a week, and he said that fibroadenoma would go after taking Sevista.
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Hello. Based on the report (attachment removed to protect patient identity), fibrocystic disease of breast and fibroid uterus, both of them are due to hormones, mainly estrogen. When using Sevista (Ormeloxifene), the fibroid in the uterus will decrease. For breast condition, BI-RAD 2 to 3 means it is was a benign (it can regress) condition (not cancer). Treatment depends on menopause. If she has not attained menopause, then she has to use Sevista. If she has attained menopause, after some time, Sevista can be stopped. With menopause, the fibroid can disappear. Fibrocyst of the breast may persist, but malignancy is very rare. At present, no need to worry. Frequent six months or yearly once monitoring with ultrasound is enough. Further treatment depends on whether she had excessive bleeding (menstruation), her calcium levels, family history of breast or other cancer. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, My mother aged 49 years old was diagnosed with a fibrocystic disease of breast seven years back and was subsequently operated. Since then, she has got a cyst in both breasts. Last year, she was got USG done, and the doctor found fibroadenoma along with cyst BI-RADS (2 to 3) in the left breast. The doctor asked her to review after 6 to 12 months. Recently, she discovered a lump in her left armpit which is small and can be felt only after touching. Is it anything serious? Also, please tell that does these diseases cause an increase in chances of breast cancer. She also has a fibroid in the uterus, and for that, the doctor prescribed Sevista 60 tablet twice a week, and he said that fibroadenoma would go after taking Sevista. [/INST] Hello. Based on the report (attachment removed to protect patient identity), fibrocystic disease of breast and fibroid uterus, both of them are due to hormones, mainly estrogen. When using Sevista (Ormeloxifene), the fibroid in the uterus will decrease. For breast condition, BI-RAD 2 to 3 means it is was a benign (it can regress) condition (not cancer). Treatment depends on menopause. If she has not attained menopause, then she has to use Sevista. If she has attained menopause, after some time, Sevista can be stopped. With menopause, the fibroid can disappear. Fibrocyst of the breast may persist, but malignancy is very rare. At present, no need to worry. Frequent six months or yearly once monitoring with ultrasound is enough. Further treatment depends on whether she had excessive bleeding (menstruation), her calcium levels, family history of breast or other cancer. For more information consult an internal medicine physician online -->
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Q. What to do for back soreness?
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Hi doctor,My back is really sore. I feel dizzy and I sleep on the floor. Please help.
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Hi. For further information consult a chiropractor online -->
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<s>[INST]
Hi doctor,My back is really sore. I feel dizzy and I sleep on the floor. Please help. [/INST] Hi. For further information consult a chiropractor online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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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.
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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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<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 -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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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?
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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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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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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.
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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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<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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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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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?
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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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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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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?
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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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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Is there an ayurveda treatment for nonretractable foreskin?
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Hi doctor, I am 22 years old. I am unable to retract my foreskin in both flaccid and erect state. Please suggest.
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Hi. Revert back after three months to an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am 22 years old. I am unable to retract my foreskin in both flaccid and erect state. Please suggest. [/INST] Hi. Revert back after three months to an ayurveda specialist online -->
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Q. Would papaya and long distance travel result in abortion?
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Hello doctor,I am 7 weeks pregnant and I want to terminate it. Please suggest me some natural methods.
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Hello. Yes, there are medical methods available which could be availed under a doctor's supervision only. This is an abortion kit containing one Mifegest (Mifepristone) tablet 200 mg to be taken orally and 4 Misoprostol 200 mcg to be inserted per vagina after 48 hours of taking the Mifegest. You may have a bleeding per vagina just like your cycle. This is a prescription medicine as well as there are some chances of more bleeding per vagina, which you have to keep it in your mind. Just get in touch with your doctor if there are rare chances of excessive bleeding as you may need a surgical evacuation at that time. This method is applicable up to 7 weeks only and if you have to adopt it, do not delay further. Ultrasonography (USG) after 15 days. For further information consult an obstetrician and gynaecologist online.--->
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<s>[INST]
Hello doctor,I am 7 weeks pregnant and I want to terminate it. Please suggest me some natural methods. [/INST] Hello. Yes, there are medical methods available which could be availed under a doctor's supervision only. This is an abortion kit containing one Mifegest (Mifepristone) tablet 200 mg to be taken orally and 4 Misoprostol 200 mcg to be inserted per vagina after 48 hours of taking the Mifegest. You may have a bleeding per vagina just like your cycle. This is a prescription medicine as well as there are some chances of more bleeding per vagina, which you have to keep it in your mind. Just get in touch with your doctor if there are rare chances of excessive bleeding as you may need a surgical evacuation at that time. This method is applicable up to 7 weeks only and if you have to adopt it, do not delay further. Ultrasonography (USG) after 15 days. For further information consult an obstetrician and gynaecologist online.--->
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Q. I have pain on biting over a fractured tooth. Is it serious?
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Hello doctor, About two weeks ago I chipped my front tooth. I went into my dentist this past week to get it smoothed out (very minor) but he also noticed a horizontal fracture across the middle of my front tooth. He does not want to jump into anything too quickly so said just to watch it and if it cracks off he will cap it. Since then I have noticed only when I put pressure on the tooth to bite down I have discomfort, but nothing constant. Should I be concerned about the pain? Is there anything I can do to help protect the fracture like having a sealant put on? And should I be concerned about the idea of a cap changing the way my face looks (looking unnatural, wanting to continue whitening my teeth, etc.)?
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Hi. I had gone through your question. I can understand your concern. As per your history, you had a recent tooth damage with microfracture, that means you have been put on the wait and watch. If your tooth is vital after a month or two and fracture has not widened, you do not need any treatment. If there is any discoloration or pain than the crown is the option. Nowadays the crown are totally in compliance with your dental shade and it does not looks artificial in any case if done properly. If you can upload a picture of the broken tooth taken in natural light, I can tell you does it need an immediate treatment. As of now, I do recommend you to use fluoridated toothpaste. Also, keep your teeth clean by brushing at least twice daily because chipped off teeth are highly prone to caries or cavities.
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<s>[INST]
Hello doctor, About two weeks ago I chipped my front tooth. I went into my dentist this past week to get it smoothed out (very minor) but he also noticed a horizontal fracture across the middle of my front tooth. He does not want to jump into anything too quickly so said just to watch it and if it cracks off he will cap it. Since then I have noticed only when I put pressure on the tooth to bite down I have discomfort, but nothing constant. Should I be concerned about the pain? Is there anything I can do to help protect the fracture like having a sealant put on? And should I be concerned about the idea of a cap changing the way my face looks (looking unnatural, wanting to continue whitening my teeth, etc.)? [/INST] Hi. I had gone through your question. I can understand your concern. As per your history, you had a recent tooth damage with microfracture, that means you have been put on the wait and watch. If your tooth is vital after a month or two and fracture has not widened, you do not need any treatment. If there is any discoloration or pain than the crown is the option. Nowadays the crown are totally in compliance with your dental shade and it does not looks artificial in any case if done properly. If you can upload a picture of the broken tooth taken in natural light, I can tell you does it need an immediate treatment. As of now, I do recommend you to use fluoridated toothpaste. Also, keep your teeth clean by brushing at least twice daily because chipped off teeth are highly prone to caries or cavities.
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Q. I often get a mouth ulcer. What is the reason for this?
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Hello doctor,I often get a mouth ulcer which is in the form of oval shape and white in color. When I get this, I apply Mucopain gel and take Riboflavin tablet 10 mg. Can you please let me know the reason for this?
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Hi. As per your complaint, you are suffering from recurrent aphthous ulcers which is causing you the eruption of ulcers on the tongue. It can be caused due to a number of reasons like: You need to consult an oral physician or a general dentist in this regard to get evaluated and treated. For more information consult a dentist online -->
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<s>[INST]
Hello doctor,I often get a mouth ulcer which is in the form of oval shape and white in color. When I get this, I apply Mucopain gel and take Riboflavin tablet 10 mg. Can you please let me know the reason for this? [/INST] Hi. As per your complaint, you are suffering from recurrent aphthous ulcers which is causing you the eruption of ulcers on the tongue. It can be caused due to a number of reasons like: You need to consult an oral physician or a general dentist in this regard to get evaluated and treated. For more information consult a dentist online -->
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Q. My lower jaw sits a little backwards. Can this be corrected?
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Hello doctor, I have some problems with my dental structure. The one that I feel as a major issue is that my lower jaw sits a little backwards from where it should rest. It is resulting in giving me a double chin and makes me look awkward. Kindly suggest how this can be corrected. Thank you.
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Hello. Revert back with the photos to a dentist online -->
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<s>[INST]
Hello doctor, I have some problems with my dental structure. The one that I feel as a major issue is that my lower jaw sits a little backwards from where it should rest. It is resulting in giving me a double chin and makes me look awkward. Kindly suggest how this can be corrected. Thank you. [/INST] Hello. Revert back with the photos to a dentist online -->
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Q. I have vertigo, abdominal pain, headache, and feel nauseous. What can be the cause?
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over the past 20 hours ive had constant lightheadedness/vertigo, and during the day today ive gradually started feeling nauseous (no vomiting), abdominal pain/cramping, headache, neck stiffness. in the past week ive had some abdominal pain on/off and acid reflux, as well as headaches and general soreness in my neck and shoulders. i am only 20mg of dexamfetamine (10mg in the morning and 10mg at midday) for adhd. i have fibromyalgia and chronic fatigue syndrome, and ibs but these symptoms don’t feel similar to what i usually experience. no other medications. ive been trying to drink water and eat crackers but the nausea and abdominal pain makes it difficult. i havent noticed any fever, but i did have chills come and go with some sweating - but didnt feel feverish.
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hi, thanks for your query the temporal profile suggests mild ongoing inflammation, that is causing the problem. it could be subclinical inflammation and or infection like a stomach bug. also a possibility of drug intolerance. to amphe along with a drug interaction may be suspected. in addition ofc on phenomenon of FM OR CFS along with GAD superimposed may result in this condition. in the subsequent sentences and para I would reflect on some measures to mitigate after performing certain investigations. flare of inflammation subclinical infection CFS FLARE FM FLARE DRUG INTERACTION CBC ESR CRP VITAMIN D TSH CREATININE as above medication effect SSRI OR DULOXETINE anti inflammatory foods PLEASE CONSULT BY CONTACTING ME THROUGH I CLINIQ FOR EAPID ASSESSMENT AND EVUATION TO PREVENT FLARE OR CO MIRBID MEDICAL CONDITION EMERGENCE
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<s>[INST]
over the past 20 hours ive had constant lightheadedness/vertigo, and during the day today ive gradually started feeling nauseous (no vomiting), abdominal pain/cramping, headache, neck stiffness. in the past week ive had some abdominal pain on/off and acid reflux, as well as headaches and general soreness in my neck and shoulders. i am only 20mg of dexamfetamine (10mg in the morning and 10mg at midday) for adhd. i have fibromyalgia and chronic fatigue syndrome, and ibs but these symptoms don’t feel similar to what i usually experience. no other medications. ive been trying to drink water and eat crackers but the nausea and abdominal pain makes it difficult. i havent noticed any fever, but i did have chills come and go with some sweating - but didnt feel feverish. [/INST] hi, thanks for your query the temporal profile suggests mild ongoing inflammation, that is causing the problem. it could be subclinical inflammation and or infection like a stomach bug. also a possibility of drug intolerance. to amphe along with a drug interaction may be suspected. in addition ofc on phenomenon of FM OR CFS along with GAD superimposed may result in this condition. in the subsequent sentences and para I would reflect on some measures to mitigate after performing certain investigations. flare of inflammation subclinical infection CFS FLARE FM FLARE DRUG INTERACTION CBC ESR CRP VITAMIN D TSH CREATININE as above medication effect SSRI OR DULOXETINE anti inflammatory foods PLEASE CONSULT BY CONTACTING ME THROUGH I CLINIQ FOR EAPID ASSESSMENT AND EVUATION TO PREVENT FLARE OR CO MIRBID MEDICAL CONDITION EMERGENCE
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Q. I had a tetanus shot last year. I had a minor mishap. Do I need another tetanus shot now?
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Hello doctor, I had a tetanus shot last year around June. I had another minor mishap on the road with a small injury (cleaned with antiseptic). Do I need another tetanus shot now?
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Hello. The last year's dose is not going to give you any protection now. If any one of the following has happened during the injury, you will need tetanus followup: I advise you to take the tetanus injection (tetanus toxoid vaccine) as soon as possible. Even though the application of antiseptic negates the chances of acquiring an infection to a large extent, it is better to have the shot for safety purpose. You should ideally take tetanus injection within 24 hours, as it will not have any protective effect when taken beyond that period.
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<s>[INST]
Hello doctor, I had a tetanus shot last year around June. I had another minor mishap on the road with a small injury (cleaned with antiseptic). Do I need another tetanus shot now? [/INST] Hello. The last year's dose is not going to give you any protection now. If any one of the following has happened during the injury, you will need tetanus followup: I advise you to take the tetanus injection (tetanus toxoid vaccine) as soon as possible. Even though the application of antiseptic negates the chances of acquiring an infection to a large extent, it is better to have the shot for safety purpose. You should ideally take tetanus injection within 24 hours, as it will not have any protective effect when taken beyond that period.
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Q. I got internal hemorrhoids and now bleeding on passing stools. Please help.
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Hi doctor,I am in a situation that I cannot go to any hospital for the next three weeks. That is why I am seeking help from online. I am a 27 year old female and I got internal hemorrhoids and a small grape-like clump on my bum which I got long, long ago. A month ago I got constipation and this led to new fissures and was bleeding while passing stools. And there was too much pain while passing stools. Now things have become worse that even when the stool is softer I am feeling pain while passing stools. And even while urinating blood drops from my anus. There is continuous mild to moderate pain in my inner walls of the rectum. Please do help. Please doctor.
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Hello. In addition to stool softeners, apply Xylocaine jelly 2 percent in the perianal area two times a day and also before and after passing stools. Take a tubful of lukewarm water and sit in it two times a day. That will help. If it does not help visit a surgeon as soon as possible. For more information consult a surgical gastroenterologist online -->
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<s>[INST]
Hi doctor,I am in a situation that I cannot go to any hospital for the next three weeks. That is why I am seeking help from online. I am a 27 year old female and I got internal hemorrhoids and a small grape-like clump on my bum which I got long, long ago. A month ago I got constipation and this led to new fissures and was bleeding while passing stools. And there was too much pain while passing stools. Now things have become worse that even when the stool is softer I am feeling pain while passing stools. And even while urinating blood drops from my anus. There is continuous mild to moderate pain in my inner walls of the rectum. Please do help. Please doctor. [/INST] Hello. In addition to stool softeners, apply Xylocaine jelly 2 percent in the perianal area two times a day and also before and after passing stools. Take a tubful of lukewarm water and sit in it two times a day. That will help. If it does not help visit a surgeon as soon as possible. For more information consult a surgical gastroenterologist online -->
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Q. Please explain the abnormality in my routine blood test.
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Hi doctor, I found some abnormality in a routine blood test. I want your advice on that. Presently, I do not have any problem and I had a routine checkup. I am currently on Olmezest 20 and Feburic 40.
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Hi. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: Revert back after two months to a hematologist online -->
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<s>[INST]
Hi doctor, I found some abnormality in a routine blood test. I want your advice on that. Presently, I do not have any problem and I had a routine checkup. I am currently on Olmezest 20 and Feburic 40. [/INST] Hi. Based on your query and reports (attachment removed to protect patient identity), my opinion is as follows: Revert back after two months to a hematologist online -->
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Q. I had a frenuloplasty of the penis, the stitches have come apart. Please help.
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Hi doctor, I had a frenuloplasty of the penis ten days back. It all seemed fine at first, and I had very little pain. I have to say the actual incision and stitches were a lot larger than what I was previously led to believe. I have been washing gently with salt water and rinsing twice daily. I took a good look a few days ago, and it seems that the stitches have come apart. To be honest, and I am not a urologist, but it does not look like a good job, though I may be wrong. I went to see the doctor yesterday, and she took a look and said that it all looks fine, the stitches may have come apart slightly. She told me to leave it for two weeks, and if I am still concerned, they will refer me back to the specialist. I was hoping to get a second opinion, this being my penis, I am obviously concerned that it is not going to heal properly and I will end up worse than before the operation. I am primarily looking for reassurance.
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Hi. I saw the photos (attachment removed to protect patient identity). You are correct, a few stitches have come apart. So, be reassured that nothing has gone awfully wrong. Just wait it out till complete healing takes place. Hopefully, it should heal well, as the wound is healthy. For further queries consult a urologist online -->
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<s>[INST]
Hi doctor, I had a frenuloplasty of the penis ten days back. It all seemed fine at first, and I had very little pain. I have to say the actual incision and stitches were a lot larger than what I was previously led to believe. I have been washing gently with salt water and rinsing twice daily. I took a good look a few days ago, and it seems that the stitches have come apart. To be honest, and I am not a urologist, but it does not look like a good job, though I may be wrong. I went to see the doctor yesterday, and she took a look and said that it all looks fine, the stitches may have come apart slightly. She told me to leave it for two weeks, and if I am still concerned, they will refer me back to the specialist. I was hoping to get a second opinion, this being my penis, I am obviously concerned that it is not going to heal properly and I will end up worse than before the operation. I am primarily looking for reassurance. [/INST] Hi. I saw the photos (attachment removed to protect patient identity). You are correct, a few stitches have come apart. So, be reassured that nothing has gone awfully wrong. Just wait it out till complete healing takes place. Hopefully, it should heal well, as the wound is healthy. For further queries consult a urologist online -->
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Q. I have conceived after trying for five years. Should I be on bed rest?
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Hello doctor,I am a 34 year old female in the seventh week of pregnancy. I have conceived five years after we started trying for a baby. My blood, urine, and ultrasound test results are normal. But, my doctor has advised me a complete bed rest till the 12th week. Could you please comment? Is bed rest essential?
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Hello. How are you doing? Hope I have been of help to you. All the best. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am a 34 year old female in the seventh week of pregnancy. I have conceived five years after we started trying for a baby. My blood, urine, and ultrasound test results are normal. But, my doctor has advised me a complete bed rest till the 12th week. Could you please comment? Is bed rest essential? [/INST] Hello. How are you doing? Hope I have been of help to you. All the best. For more information consult an obstetrician and gynaecologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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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.
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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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<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 -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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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?
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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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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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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.
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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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<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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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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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?
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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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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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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?
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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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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Why do I get frequent nose bleed?
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Hello doctor, I am a 27-year-old female. This query is all about my frequent nose bleeding. It started when I was in grade school, I got nose bleed when it is very hot, or when the air is dry and it only happens once a month or once every two months. For the past three months, I got frequent nosebleed for two to four times a week. I am doing the basic list to prevent it such as, lean a bit forward, pinch the nose, put ice packs, and use petroleum jelly. But the thing is, it is stressing me out. I panic when I see blood, I have asthma as well and I do not think that petroleum jelly can help me with it. I am taking vitamin C (500 mg) per day, and I use Seretide 250 (Diskus) for my asthma. Please help.
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Hi. I hope you are doing well. I understand your concern. I assure you that you need not be worried. Epistaxis or nasal bleeding is a very common condition and has been reported to occur in up to 60 percent of the general population. Most nosebleeds are not serious and can be handled easily as you have mentioned. Most will stop on their own or with simple first aid actions. Common causes of epistaxis are local causes such as chronic sinusitis, nose picking, foreign bodies, intranasal neoplasm or polyps, irritants (e.g., cigarette smoke), medications (e.g., topical corticosteroids), rhinitis, septal deviation, etc. If the nose bleed is related to an injury, you should be assisted in finding medical assistance urgently. Some people may be taking medications that make them more prone to bleeding. These people should also seek care urgently. Signs and symptoms include bleeding from one or both nostrils, bleeding in the back of the throat, causing the victim to vomit blood. First Aid Interventions: Sit upright and lean forward. Spit out blood that collects in the back of the throat or mouth. Pinch the nose firmly. Use your thumb and index finger to pinch your nostrils shut. Breathe through your mouth. Continue to pinch for 5 to 10 minutes. Local drops such as Oxymetazoline or Phenylephrine solution can be helpful. To prevent re-bleeding, do not pick or blow your nose and do not bend down for several hours after the bleeding episode. During this time remember to keep your head higher than the level of your heart. I hope this helps.
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<s>[INST]
Hello doctor, I am a 27-year-old female. This query is all about my frequent nose bleeding. It started when I was in grade school, I got nose bleed when it is very hot, or when the air is dry and it only happens once a month or once every two months. For the past three months, I got frequent nosebleed for two to four times a week. I am doing the basic list to prevent it such as, lean a bit forward, pinch the nose, put ice packs, and use petroleum jelly. But the thing is, it is stressing me out. I panic when I see blood, I have asthma as well and I do not think that petroleum jelly can help me with it. I am taking vitamin C (500 mg) per day, and I use Seretide 250 (Diskus) for my asthma. Please help. [/INST] Hi. I hope you are doing well. I understand your concern. I assure you that you need not be worried. Epistaxis or nasal bleeding is a very common condition and has been reported to occur in up to 60 percent of the general population. Most nosebleeds are not serious and can be handled easily as you have mentioned. Most will stop on their own or with simple first aid actions. Common causes of epistaxis are local causes such as chronic sinusitis, nose picking, foreign bodies, intranasal neoplasm or polyps, irritants (e.g., cigarette smoke), medications (e.g., topical corticosteroids), rhinitis, septal deviation, etc. If the nose bleed is related to an injury, you should be assisted in finding medical assistance urgently. Some people may be taking medications that make them more prone to bleeding. These people should also seek care urgently. Signs and symptoms include bleeding from one or both nostrils, bleeding in the back of the throat, causing the victim to vomit blood. First Aid Interventions: Sit upright and lean forward. Spit out blood that collects in the back of the throat or mouth. Pinch the nose firmly. Use your thumb and index finger to pinch your nostrils shut. Breathe through your mouth. Continue to pinch for 5 to 10 minutes. Local drops such as Oxymetazoline or Phenylephrine solution can be helpful. To prevent re-bleeding, do not pick or blow your nose and do not bend down for several hours after the bleeding episode. During this time remember to keep your head higher than the level of your heart. I hope this helps.
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Q. Why is my child having wet cough and running nose often?
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Hi doctor, My 2.5 years old is having a wet cough and running nose (no fever). It starts with a dry cough and in a day or two, converts to wet. The same process has been going on for a month. He stays healthy for 2 to 3 days and then falls sick. Advise medicine for current situation and supplements for immunity improvement.
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Hi. What you are describing seems to be something like hyperreactive airway disease. In such cases, we initially give a trial of Montelukast for a few weeks to a month and look at the response. Based on the response, we may add steroids followed by inhalers (different combinations) (again based on response). This requires multiple follow ups and evaluation in the initial few stages till stability. Hence I would recommend you to go to your pediatrician and ask him about the above thought process that I have described.
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<s>[INST]
Hi doctor, My 2.5 years old is having a wet cough and running nose (no fever). It starts with a dry cough and in a day or two, converts to wet. The same process has been going on for a month. He stays healthy for 2 to 3 days and then falls sick. Advise medicine for current situation and supplements for immunity improvement. [/INST] Hi. What you are describing seems to be something like hyperreactive airway disease. In such cases, we initially give a trial of Montelukast for a few weeks to a month and look at the response. Based on the response, we may add steroids followed by inhalers (different combinations) (again based on response). This requires multiple follow ups and evaluation in the initial few stages till stability. Hence I would recommend you to go to your pediatrician and ask him about the above thought process that I have described.
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Q. Is it possible to treat pain while walking through physiotherapy or medicines?
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Hello doctor, I am 65 years old with weight 88 kg and height 5'10". I suffer from moderate hypertension and diabetes since last eight years but always in control of medicines. Last year I had undergone angiography as an age-based test and symptom of pain on starting walking short distance a few meters. Many times it does not, in a mid-thoracic area of the upper back and epi-gastro area. But things were seen normal except for a small branch which was 100 % clogged but the cardiologists said it does not matter. This problem of feeling pain when walk some meters started four years back. It is surprising that if I jog stationary position for even two minutes no pain. Now since a few days when I lie down on the bed also the pain starts but not in sitting position. So an MRI was recommended and I underwent MRI of the spine with contrast. The report is in brief here: Under report one MRI dorsal spine, spine curvature straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels seen in the form of loss of hyperintense signal on T2W images. Rest normal. Report 2 MRI cervical spine with contrast: spine curvature straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels see I in the form of loss of hyperintense signal on T2W images. Diffuse broad-based posterior and bilateral foraminal disco-osteophyte protrusion seen at C4/5, 5/6, and 6/7 levels having left propensity and causing compression of bilateral exiting C5,6,7 nerves root in their respective foramina. Rest normal. Report 3 MRI thorax with contrast: fibrotic band seen in left basal lung parenchyma. Rest all normal. Report 4 MRI lumbosacral with contrast: spinal curvature is straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels seen in the form of loss of hyperintense signal on T2W images. Diffuse broad-based posterior and bilateral foraminal disc bulge with posterocentral disc protrusion seen at L5/S1 level indenting the thecal sac and compressing bilateral traversing S1 nerve roots. 12 years back, I had L4/L5 disc bulge problem stenosis and sciatic nerve type pain in leg left and burning sensation and pinpricks in feet of both legs. I was about to go for surgery but an osteopath corrected this with manipulations for 5 to 6 days and signs abated. Till then this part is fine. But now there is some pain or mild sensation sometimes in legs. I sit long hours on the computer and am academician so have a sedentarylife. I also have GERD type problem. It is also noted by me that if I continue walking for a few days by stopping frequently then after a few days pain does not occur or come after long walks. Now my worry is in light of all the history and records. Questions: Is it possible to treat this pain by physiotherapy or medicine or both or any other method? What is prognosis for the type of MRI pictures reported? And how spine health can be restored or brought near normal? The line of action suggested so I do not have pain in back and epigastric region when start walking. Currently, I am taking medications for diabetes, acidity, and hypertension.
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Hi. I appreciate your detailed history. The symptoms you have described are suggestive of neurogenic claudication due to the neuro-foraminal stenosis and disc bulges in the spine. If the pain is the prominent symptom, then conservative therapy should be done first. But if you have any weakness or sensory loss or urinary symptoms, then I would recommend consulting a spine surgeon. Conservative management includes the following: For more information consult a neurologist online -->
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<s>[INST]
Hello doctor, I am 65 years old with weight 88 kg and height 5'10". I suffer from moderate hypertension and diabetes since last eight years but always in control of medicines. Last year I had undergone angiography as an age-based test and symptom of pain on starting walking short distance a few meters. Many times it does not, in a mid-thoracic area of the upper back and epi-gastro area. But things were seen normal except for a small branch which was 100 % clogged but the cardiologists said it does not matter. This problem of feeling pain when walk some meters started four years back. It is surprising that if I jog stationary position for even two minutes no pain. Now since a few days when I lie down on the bed also the pain starts but not in sitting position. So an MRI was recommended and I underwent MRI of the spine with contrast. The report is in brief here: Under report one MRI dorsal spine, spine curvature straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels seen in the form of loss of hyperintense signal on T2W images. Rest normal. Report 2 MRI cervical spine with contrast: spine curvature straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels see I in the form of loss of hyperintense signal on T2W images. Diffuse broad-based posterior and bilateral foraminal disco-osteophyte protrusion seen at C4/5, 5/6, and 6/7 levels having left propensity and causing compression of bilateral exiting C5,6,7 nerves root in their respective foramina. Rest normal. Report 3 MRI thorax with contrast: fibrotic band seen in left basal lung parenchyma. Rest all normal. Report 4 MRI lumbosacral with contrast: spinal curvature is straightened. Generalized spondylotic changes were seen in form of osteophytes and disc desiccation at multiple levels seen in the form of loss of hyperintense signal on T2W images. Diffuse broad-based posterior and bilateral foraminal disc bulge with posterocentral disc protrusion seen at L5/S1 level indenting the thecal sac and compressing bilateral traversing S1 nerve roots. 12 years back, I had L4/L5 disc bulge problem stenosis and sciatic nerve type pain in leg left and burning sensation and pinpricks in feet of both legs. I was about to go for surgery but an osteopath corrected this with manipulations for 5 to 6 days and signs abated. Till then this part is fine. But now there is some pain or mild sensation sometimes in legs. I sit long hours on the computer and am academician so have a sedentarylife. I also have GERD type problem. It is also noted by me that if I continue walking for a few days by stopping frequently then after a few days pain does not occur or come after long walks. Now my worry is in light of all the history and records. Questions: Is it possible to treat this pain by physiotherapy or medicine or both or any other method? What is prognosis for the type of MRI pictures reported? And how spine health can be restored or brought near normal? The line of action suggested so I do not have pain in back and epigastric region when start walking. Currently, I am taking medications for diabetes, acidity, and hypertension. [/INST] Hi. I appreciate your detailed history. The symptoms you have described are suggestive of neurogenic claudication due to the neuro-foraminal stenosis and disc bulges in the spine. If the pain is the prominent symptom, then conservative therapy should be done first. But if you have any weakness or sensory loss or urinary symptoms, then I would recommend consulting a spine surgeon. Conservative management includes the following: For more information consult a neurologist online -->
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Q. How can I get relief from dark circles by taking homeopathy medicines?
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Hi doctor, I am a 34-year-old male. I did masturbation at my teenage. Now I am married, and I have two children. I suffer from dark circles, eye burning, allergic cough and cold, and PE problem. I want to get cured of dark circles. Please suggest some best medicines.
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Hi. For dark circles, you can take homeopathic medicines. Take Platinum Metallicum 1 M four pills at bedtime (one dose). Take Conium Maculatum 30c four pills in the morning, noon, evening and night. Apply Berberis Aquafolium gel around eyes. Along with medicines, you have to change your daily routine for food and sleep. Avoid taking junk foods. Stop having late night sleeps. Your quality of sleep is also responsible for having dark circles. Having more work on computers also cause eyes burning. Take a gap of 10 to 20 minutes while working on a computer. Your physical activity also affects your health. Once your lifestyle changes, you will see a difference in your mood, sleep, personal life, and dark circles. Have punctuality for taking medicines and have faith in medications which will make a fast recovery along with lifestyle management.
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<s>[INST]
Hi doctor, I am a 34-year-old male. I did masturbation at my teenage. Now I am married, and I have two children. I suffer from dark circles, eye burning, allergic cough and cold, and PE problem. I want to get cured of dark circles. Please suggest some best medicines. [/INST] Hi. For dark circles, you can take homeopathic medicines. Take Platinum Metallicum 1 M four pills at bedtime (one dose). Take Conium Maculatum 30c four pills in the morning, noon, evening and night. Apply Berberis Aquafolium gel around eyes. Along with medicines, you have to change your daily routine for food and sleep. Avoid taking junk foods. Stop having late night sleeps. Your quality of sleep is also responsible for having dark circles. Having more work on computers also cause eyes burning. Take a gap of 10 to 20 minutes while working on a computer. Your physical activity also affects your health. Once your lifestyle changes, you will see a difference in your mood, sleep, personal life, and dark circles. Have punctuality for taking medicines and have faith in medications which will make a fast recovery along with lifestyle management.
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Q. Why am I getting pain during pee? Is it due to the kidney stone?
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Hi doctor, I am 19 years old. I have a kidney stone of 5 mm in my right kidney. When I had stomach pain, I consulted a doctor before three weeks. He gave some medicines. Since from morning, I have increased pain during pee. Please help me.
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Hi. You may have sudden pain due to the passage of kidney stone from the kidney to the ureter. It also causes difficulty in passing urine. A kidney stone of 5 mm can move out soon by 90 %. Drink a lot of fluids and continue the medication prescribed by your doctor. If the pain continues to be severe or if you have vomiting, or if you cannot pass urine for more than 12 hours, I suggest you revisit your local urologist soon.
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<s>[INST]
Hi doctor, I am 19 years old. I have a kidney stone of 5 mm in my right kidney. When I had stomach pain, I consulted a doctor before three weeks. He gave some medicines. Since from morning, I have increased pain during pee. Please help me. [/INST] Hi. You may have sudden pain due to the passage of kidney stone from the kidney to the ureter. It also causes difficulty in passing urine. A kidney stone of 5 mm can move out soon by 90 %. Drink a lot of fluids and continue the medication prescribed by your doctor. If the pain continues to be severe or if you have vomiting, or if you cannot pass urine for more than 12 hours, I suggest you revisit your local urologist soon.
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Q. Vaccinated dog bite my daughter. Is anti-rabies vaccine needed?
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Dear Doctor, My daughter is 5 years old. A vaccinated dog scratched her right hand with its teeth. There is no skin damage but deep red mark is visible. Is anti-rabies vaccine optional or compulsory for her?
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Hi, Thank you for your query on icliniq.com. Let me explain the seriousness of the deep red marks simply : Visible deep red marks could mean a very small wound but it is still a large door for rabies virus to enter. If rabies has once developed, then it has no treatment. Prevention by anti-rabies vaccination is the only available treatment in a case of dog bite. Anti-rabies vaccine, available now are very safe. I advise you to give her the complete schedule of anti rabies vaccination after consulting a doctor immediately. Hope I have answered your query. For further clarifications regarding the vaccination schedule, consult a paediatrician online -->
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<s>[INST]
Dear Doctor, My daughter is 5 years old. A vaccinated dog scratched her right hand with its teeth. There is no skin damage but deep red mark is visible. Is anti-rabies vaccine optional or compulsory for her? [/INST] Hi, Thank you for your query on icliniq.com. Let me explain the seriousness of the deep red marks simply : Visible deep red marks could mean a very small wound but it is still a large door for rabies virus to enter. If rabies has once developed, then it has no treatment. Prevention by anti-rabies vaccination is the only available treatment in a case of dog bite. Anti-rabies vaccine, available now are very safe. I advise you to give her the complete schedule of anti rabies vaccination after consulting a doctor immediately. Hope I have answered your query. For further clarifications regarding the vaccination schedule, consult a paediatrician online -->
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Q. Is period change normal after an I-pill?
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Hello doctor, I had unprotected sex with my fiancee twice this month. She took one I-pill the first time and another I-pill just before she was going to have her periods. Now, she has her periods. But, she did not bleed on the first day. On the second day, there was normal colored blood, but the quantity was less. And on the third day, there was no bleeding. I am worried about her health. Have these tablets damaged her uterus?
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Hello. For more information consult a sexologist online -->
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<s>[INST]
Hello doctor, I had unprotected sex with my fiancee twice this month. She took one I-pill the first time and another I-pill just before she was going to have her periods. Now, she has her periods. But, she did not bleed on the first day. On the second day, there was normal colored blood, but the quantity was less. And on the third day, there was no bleeding. I am worried about her health. Have these tablets damaged her uterus? [/INST] Hello. For more information consult a sexologist online -->
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Q. My dad felt lightheaded with loose stools and sweating. Is that heart attack or food poisoning?
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Hi doctor, My dad's age is 59. He is a diabetic patient. He suddenly got a severe stomach ache and passed loose stools. He also sweated more and felt lightheaded. I feel that he is abnormal. He refuses to go the hospital and he believes that if there is a pain in the chest, then it is a heart attack. Is this a symptom of heart attack or food poison? If it is a symptom of heart attack, then what is the immediate remedy that can be done at home before we go to the hospital? Can we use Ecosprin?
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Hi. I have noted all your father's details. For further information consult a cardiologist online -->
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<s>[INST]
Hi doctor, My dad's age is 59. He is a diabetic patient. He suddenly got a severe stomach ache and passed loose stools. He also sweated more and felt lightheaded. I feel that he is abnormal. He refuses to go the hospital and he believes that if there is a pain in the chest, then it is a heart attack. Is this a symptom of heart attack or food poison? If it is a symptom of heart attack, then what is the immediate remedy that can be done at home before we go to the hospital? Can we use Ecosprin? [/INST] Hi. I have noted all your father's details. For further information consult a cardiologist online -->
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Q. My testicle is swelling up. What can be the reason?
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Hi doctor, Since past 3 days my right testicle is swelling up day by day. I am not able to walk properly. Please help.
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Hello. For further queries consult a sexologist online -->
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<s>[INST]
Hi doctor, Since past 3 days my right testicle is swelling up day by day. I am not able to walk properly. Please help. [/INST] Hello. For further queries consult a sexologist online -->
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Q. How do I know if I am allergic to a specific thing?
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Hi doctor, I am a 19 years old male. My IgE levels in the past two years were 1411 and 869.0 IU/mL respectively. Do I need to check now? Also the absolute eosinophil counts were 800 and 240. My TSH was high and it got treated. I feel allergic to dust, eggplant (tongue itch), perfume, fragrance, etc. I cannot apply any face cream. If I do then my eyes become watery instantly and do not stop for hours. I also get burning sensation. I have acne prone skin. Now, my main complaint is occasional unexplained cough for more than two years. I used to avoid chill water and cold drinks. What should be done further? I have also attached my blood report of TSH and lipid profile for your reference.
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Hi. It seems you do have allergy tendencies in your body which are associated with asthma or allergic bronchitis and high IgE levels. Also you have associated skin issues like urticaria or atopic dermatitis which are all connected together. Well, the first line is usually anti-allergics and that too for a long time. I will not suggest Montelukast. Take Allegra 180 mg (Fexofenadine) and Levocet 10 mg (Levocetirizine) in the morning. If not controlled we can add Atarax (Hydroxyzine). The key is to suppress the allergic cell release. If not controlled you may need a short course of steroids. Steroids work like magic in these diseases, but it is bound to relapse once you stop it. So, we have to control it with all three generations of different antihistamines. These conditions tend to fade off when you reach mid 20's. At times they linger on. We have to just wait and see. But for now, we have to control the allergic storm. For further information consult an allergy specialist online -->
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<s>[INST]
Hi doctor, I am a 19 years old male. My IgE levels in the past two years were 1411 and 869.0 IU/mL respectively. Do I need to check now? Also the absolute eosinophil counts were 800 and 240. My TSH was high and it got treated. I feel allergic to dust, eggplant (tongue itch), perfume, fragrance, etc. I cannot apply any face cream. If I do then my eyes become watery instantly and do not stop for hours. I also get burning sensation. I have acne prone skin. Now, my main complaint is occasional unexplained cough for more than two years. I used to avoid chill water and cold drinks. What should be done further? I have also attached my blood report of TSH and lipid profile for your reference. [/INST] Hi. It seems you do have allergy tendencies in your body which are associated with asthma or allergic bronchitis and high IgE levels. Also you have associated skin issues like urticaria or atopic dermatitis which are all connected together. Well, the first line is usually anti-allergics and that too for a long time. I will not suggest Montelukast. Take Allegra 180 mg (Fexofenadine) and Levocet 10 mg (Levocetirizine) in the morning. If not controlled we can add Atarax (Hydroxyzine). The key is to suppress the allergic cell release. If not controlled you may need a short course of steroids. Steroids work like magic in these diseases, but it is bound to relapse once you stop it. So, we have to control it with all three generations of different antihistamines. These conditions tend to fade off when you reach mid 20's. At times they linger on. We have to just wait and see. But for now, we have to control the allergic storm. For further information consult an allergy specialist online -->
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Q. What are the treatment options for dental cysts?
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Hello doctor, I have two cysts in relation to upper right canine and premolar. Since I did not know anything about it, I ignored it. But last year I got an OPG, and I saw the cysts in it. I do not have pain or swelling, but whenever I touch the root of the upper teeth on the gums, I feel a sensation. Can an oral and maxillofacial surgeon extract the two concerned teeth and then remove the cysts? I am scared of an enucleation surgery. I am attaching the OPG.
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Hello. The OPG (attachment removed to protect patient identity) shows a cystic lesion extending from your upper right canine to the last molar. Maxillary sinus floor is also involved. Enucleation is a surgical procedure to remove the cystic lesion, depending on the cyst size and location. It can be done under local anesthesia or general anesthesia. The treatment of a cyst involves following steps. Teeth in the cystic area will be checked for tooth vitality and mobility. If the teeth are not grossly decayed, then root canal treatment will be done for the concerned teeth. If multiple teeth are involved (in your case canine to molar is in the cystic area), splinting will be done to stabilize your teeth during surgery. Then cyst enucleation is done. There are different methods available now for filling the bone cavity after cyst enucleation to improve and accelerate healing. OPG is not conclusive for a maxillary posterior region pathology. CBCT of maxilla gives the best picture regarding the size, location, association with adjacent structures, bone quality, and tooth prognosis. Due to the thickness and curvature of the lower jaw, OPG will not give a clear picture. For that, you have to take an intraoral periapical radiograph (IOPA). For further queries consult a maxillofacial prosthodontist online -->
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<s>[INST]
Hello doctor, I have two cysts in relation to upper right canine and premolar. Since I did not know anything about it, I ignored it. But last year I got an OPG, and I saw the cysts in it. I do not have pain or swelling, but whenever I touch the root of the upper teeth on the gums, I feel a sensation. Can an oral and maxillofacial surgeon extract the two concerned teeth and then remove the cysts? I am scared of an enucleation surgery. I am attaching the OPG. [/INST] Hello. The OPG (attachment removed to protect patient identity) shows a cystic lesion extending from your upper right canine to the last molar. Maxillary sinus floor is also involved. Enucleation is a surgical procedure to remove the cystic lesion, depending on the cyst size and location. It can be done under local anesthesia or general anesthesia. The treatment of a cyst involves following steps. Teeth in the cystic area will be checked for tooth vitality and mobility. If the teeth are not grossly decayed, then root canal treatment will be done for the concerned teeth. If multiple teeth are involved (in your case canine to molar is in the cystic area), splinting will be done to stabilize your teeth during surgery. Then cyst enucleation is done. There are different methods available now for filling the bone cavity after cyst enucleation to improve and accelerate healing. OPG is not conclusive for a maxillary posterior region pathology. CBCT of maxilla gives the best picture regarding the size, location, association with adjacent structures, bone quality, and tooth prognosis. Due to the thickness and curvature of the lower jaw, OPG will not give a clear picture. For that, you have to take an intraoral periapical radiograph (IOPA). For further queries consult a maxillofacial prosthodontist online -->
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Q. I notice some tiny brown spots while loosening my foreskin. What could it be?
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Hi doctor, I am 30 years old. I am recently doing stretching exercises to loosen up my foreskin. The urologist advised me to use Betamethasone to help with the exercises or get a surgery which I do not want. I finally able to see my glands now and noticed these tiny brown spots. Is this serious or is it normal? I am really worried.
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Hi. I have gone through your case. In my opinion, there are two to three different diagnoses. 1. Plane warts which are vital infection and mostly acquired sexually. The treatment of this is fulguration or cautery. 2. Lentigenes or freckles which usually require no treatment. 3. Normal variant. Moreover, Betamethasone has nothing to do with these brown spots. There is no urgency but see dermatologist physically for one of the above-confirmed diagnosis.
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<s>[INST]
Hi doctor, I am 30 years old. I am recently doing stretching exercises to loosen up my foreskin. The urologist advised me to use Betamethasone to help with the exercises or get a surgery which I do not want. I finally able to see my glands now and noticed these tiny brown spots. Is this serious or is it normal? I am really worried. [/INST] Hi. I have gone through your case. In my opinion, there are two to three different diagnoses. 1. Plane warts which are vital infection and mostly acquired sexually. The treatment of this is fulguration or cautery. 2. Lentigenes or freckles which usually require no treatment. 3. Normal variant. Moreover, Betamethasone has nothing to do with these brown spots. There is no urgency but see dermatologist physically for one of the above-confirmed diagnosis.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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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.
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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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<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 -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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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?
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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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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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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.
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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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<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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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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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?
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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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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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