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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. Are ELFA and HIV DUO tests conclusive at three and six months post-exposure?
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Hello doctor, I have had a few unprotected high-risk exposure in my life so far. I had a concern and checked my status of HIV through an ELFA test after three months of the last encounter. I did another ELFA test after six months, and both were non-reactive. I did not have any exposure in between the tests. My condom broke after the six months test, so I did fourth generation HIV test, syphilis, chlamydia, HSV-1, and HSV-2 at six weeks post my last exposure, and they were all non-reactive. I also got an ELFA test after three months post my last exposure, which was also non-reactive. I had a qualitative EDTA plasma HIV-1 RNA PCR test four months post my last exposure with a minimum assay range of 35 copies per ml. The reports said viral load not detected. I got an HIV DUO test, 23 weeks post my last exposure. I have fever and cold for almost six months now. I am a known asthmatic for years, and my IgE levels are 900. I get recurrent and persistent rashes like hives on arms, back, and legs since a year. I also have a persistent sore throat since a few months and painless muscle twitching now and then since a month. I am panicked and restless since six months now, and I had a recent episode of anal fissure following a couple of days of constipation, which healed without any medication. I am going crazy, and I had gone to the extent of killing myself of being guilty because I am recently married. Kindly help, if the above tests are sufficient to allay my fears of HIV. Are ELFA and HIV DUO tests conclusive at three and six months post my last exposure, irrespective of previous exposures? Can there be any point where both antibodies and p24 antigen are not detectable in an HIV infected patient? If there is a seroconversion stage now, will there be no antibodies detected till now? I am not on any antiretroviral or immunosuppressive drugs, and I am confused and not able to take this off my mind. Will there be no HIV antibodies detected if I had been exposed five years before? If I had acquired HIV, would my immune system go so weak? Having said all, am I HIV negative? Please help.
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Hello. I have gone through your query, and I have noted your concern. Regards. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have had a few unprotected high-risk exposure in my life so far. I had a concern and checked my status of HIV through an ELFA test after three months of the last encounter. I did another ELFA test after six months, and both were non-reactive. I did not have any exposure in between the tests. My condom broke after the six months test, so I did fourth generation HIV test, syphilis, chlamydia, HSV-1, and HSV-2 at six weeks post my last exposure, and they were all non-reactive. I also got an ELFA test after three months post my last exposure, which was also non-reactive. I had a qualitative EDTA plasma HIV-1 RNA PCR test four months post my last exposure with a minimum assay range of 35 copies per ml. The reports said viral load not detected. I got an HIV DUO test, 23 weeks post my last exposure. I have fever and cold for almost six months now. I am a known asthmatic for years, and my IgE levels are 900. I get recurrent and persistent rashes like hives on arms, back, and legs since a year. I also have a persistent sore throat since a few months and painless muscle twitching now and then since a month. I am panicked and restless since six months now, and I had a recent episode of anal fissure following a couple of days of constipation, which healed without any medication. I am going crazy, and I had gone to the extent of killing myself of being guilty because I am recently married. Kindly help, if the above tests are sufficient to allay my fears of HIV. Are ELFA and HIV DUO tests conclusive at three and six months post my last exposure, irrespective of previous exposures? Can there be any point where both antibodies and p24 antigen are not detectable in an HIV infected patient? If there is a seroconversion stage now, will there be no antibodies detected till now? I am not on any antiretroviral or immunosuppressive drugs, and I am confused and not able to take this off my mind. Will there be no HIV antibodies detected if I had been exposed five years before? If I had acquired HIV, would my immune system go so weak? Having said all, am I HIV negative? Please help. [/INST] Hello. I have gone through your query, and I have noted your concern. Regards. For more information consult a dermatologist online -->
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Q. How to treat my upper back pain?
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Hi doctor, While sitting on a sofa, I was completely relaxed, and my body was lying unbalanced against it. Suddenly, I felt some pain that started in the upper back area. But it did not disappear even after I got up and did a lot of body straightening and stretching. It was minor. Particularly in the night, I slept with difficulty. In the morning, I did a bit of exercise, jogging and relaxing. But it remained. Next night I felt severe pain in the upper back. I was unable to sleep. When I slept flat, I also had the same pain. Turning to either side, there is a slight comfort. I never had this problem before, especially when I am lying flat. When I am sitting normally, almost in the middle of the back, center area, a minor pain is present. Please suggest.
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Hi. It looks like an acute muscular pain. In such situations, I recommend following these steps: For more information consult a neurologist online -->
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<s>[INST]
Hi doctor, While sitting on a sofa, I was completely relaxed, and my body was lying unbalanced against it. Suddenly, I felt some pain that started in the upper back area. But it did not disappear even after I got up and did a lot of body straightening and stretching. It was minor. Particularly in the night, I slept with difficulty. In the morning, I did a bit of exercise, jogging and relaxing. But it remained. Next night I felt severe pain in the upper back. I was unable to sleep. When I slept flat, I also had the same pain. Turning to either side, there is a slight comfort. I never had this problem before, especially when I am lying flat. When I am sitting normally, almost in the middle of the back, center area, a minor pain is present. Please suggest. [/INST] Hi. It looks like an acute muscular pain. In such situations, I recommend following these steps: For more information consult a neurologist online -->
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Q. There is a patch of tiny lumps in my penis. What is that?
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Hi doctor,I just found out a patch of tiny lumps under my frenulum or the prepuce. It is under my foreskin. I have not been having sex for six months, and the search results on the internet relate it to genital warts. I would like to know the problem and settle it as soon as possible. Please help.
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Hi. Revert with more details and photos to a dermatologist online -->
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<s>[INST]
Hi doctor,I just found out a patch of tiny lumps under my frenulum or the prepuce. It is under my foreskin. I have not been having sex for six months, and the search results on the internet relate it to genital warts. I would like to know the problem and settle it as soon as possible. Please help. [/INST] Hi. Revert with more details and photos to a dermatologist online -->
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Q. I want to know about my EEG report. Please explain.
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Hi doctor, I want an explanation about my EEG report. I will try to explain my problems. After taking antibiotics, I had neurological reactions to them. They are memory loss, brain fog, and had concentration problems. Later on, we discovered that I have sensitivities to a lot of medications and chemical sensitivity. So I would like to explain the EEG report which was done during my reactions to antibiotics and brain problem. Can antibiotics slower the brain activity? My EEG report showed these results. My essential activity was appropriate. I had a relaxing and intermittent alpha rhythm with a frequency of 9 to 10 Hz and an amplitude of 30 V. There was alpha activity occurring intermittently from my parietal region to the temporal and central areas. The diffuser was the interpolated low-amplitude beta rhythm. My reaction to closing and opening the eyes was appropriate. A central and temporal had an intermittent rhythmic theta activity with a frequency of 6 Hz. Temporal and frontotemporal are rare theta waves or a tiny group of theta waves. During my deep breathing, I had no response to waves. The phenomenon of tracing was reflected during IFS.
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Hi. I have gone through the report (attachment removed to protect patient identity). There is a critical finding seen. You have a slow activity (theta waves) in the temporal and frontotemporal lobe. It correlates with the memory problems, and for the confusion you had. Coming to the point, I would recommend repeating the EEG (electroencephalography) after some weeks after taking the antibiotics. It may be a temporary brain dysfunction due to a possible allergic reaction or a metabolic disorder. We cannot say that taking antibiotics slows the brain activity, but it causes a temporary malfunction of the brain, probably due to cell swelling or cell dysfunction (electrolyte imbalance).
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<s>[INST]
Hi doctor, I want an explanation about my EEG report. I will try to explain my problems. After taking antibiotics, I had neurological reactions to them. They are memory loss, brain fog, and had concentration problems. Later on, we discovered that I have sensitivities to a lot of medications and chemical sensitivity. So I would like to explain the EEG report which was done during my reactions to antibiotics and brain problem. Can antibiotics slower the brain activity? My EEG report showed these results. My essential activity was appropriate. I had a relaxing and intermittent alpha rhythm with a frequency of 9 to 10 Hz and an amplitude of 30 V. There was alpha activity occurring intermittently from my parietal region to the temporal and central areas. The diffuser was the interpolated low-amplitude beta rhythm. My reaction to closing and opening the eyes was appropriate. A central and temporal had an intermittent rhythmic theta activity with a frequency of 6 Hz. Temporal and frontotemporal are rare theta waves or a tiny group of theta waves. During my deep breathing, I had no response to waves. The phenomenon of tracing was reflected during IFS. [/INST] Hi. I have gone through the report (attachment removed to protect patient identity). There is a critical finding seen. You have a slow activity (theta waves) in the temporal and frontotemporal lobe. It correlates with the memory problems, and for the confusion you had. Coming to the point, I would recommend repeating the EEG (electroencephalography) after some weeks after taking the antibiotics. It may be a temporary brain dysfunction due to a possible allergic reaction or a metabolic disorder. We cannot say that taking antibiotics slows the brain activity, but it causes a temporary malfunction of the brain, probably due to cell swelling or cell dysfunction (electrolyte imbalance).
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Q. How can I treat keratosis pilaris on the arms?
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Hello doctor, I am 30 years old male. My skin complexion is fair. I have keratosis pilaris on both upper arms. I am using Clindac A (Clindamycin phosphate topical solution) once daily for last one month as per my local dermatologist's advice. However, there is no improvement. How can I treat keratosis pilaris and remove the small red, bumpy marks from my arms?
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I am 30 years old male. My skin complexion is fair. I have keratosis pilaris on both upper arms. I am using Clindac A (Clindamycin phosphate topical solution) once daily for last one month as per my local dermatologist's advice. However, there is no improvement. How can I treat keratosis pilaris and remove the small red, bumpy marks from my arms? [/INST] Hi. For further information consult a dermatologist online -->
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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. Can pregnancy lead to missed period after unprotected intercourse?
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Hello doctor, Me and my fiance got into unprotected intercourse, it was 7 days after my ovulation date. Both intercourses were not completely done, but I doubt on one of the intercourse a pre-ejaculation went inside. Next day I took an Ipill, and my first period after that got delayed for 4 days, I supposed to be having my period on 25th but got it on 29th. I thought everything is alright and there is no chance of getting pregnant. But my second period got delayed for more than 5 days. Still there is no sign of it. I supposed to be having small pain before my period. And now there is not even a simple pain. Please tell me, is there any chance of getting pregnant like this?
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Hi. Please let me know few questions. When were your last periods? Have you had any sex after that? Are you practicing any methods to avoid pregnancy?
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<s>[INST]
Hello doctor, Me and my fiance got into unprotected intercourse, it was 7 days after my ovulation date. Both intercourses were not completely done, but I doubt on one of the intercourse a pre-ejaculation went inside. Next day I took an Ipill, and my first period after that got delayed for 4 days, I supposed to be having my period on 25th but got it on 29th. I thought everything is alright and there is no chance of getting pregnant. But my second period got delayed for more than 5 days. Still there is no sign of it. I supposed to be having small pain before my period. And now there is not even a simple pain. Please tell me, is there any chance of getting pregnant like this? [/INST] Hi. Please let me know few questions. When were your last periods? Have you had any sex after that? Are you practicing any methods to avoid pregnancy?
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Q. Could you please check if my hCG reports are normal?
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Hello doctor, I am 28 years old. I got a positive result in the urine test for pregnancy after a missed period. My last period date was on the 24th. As I had slight abdominal pain, I was asked to do the beta hCG blood test twice in the gap of 48 hours to detect if the pregnancy is normal or ectopic. Below are the test results. I have also attached the reports. Beta hCG as on 26th 2349.18 mIU/mL and on 28th 4357.73 mIU/mL. Could you please suggest if the results appear normal? There has been no bleeding or spotting and the abdominal pain is reduced as well. Also, the pain is not restricted to one point or area. Kindly suggest if any further tests are required now. Apart from the above, please let me know if I can take Cetirizine twice a week as I have a skin allergy for quite a long time and have been relying on Cetirizine. Also, please inform me if I need to take any alternative for Cetirizine. Also, kindly suggest me some medicine for the increasing acidity. Thank you.
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Hi. BG (blood gas), CBC (complete blood test), HIV (human immunodeficiency virus), STS (serologic test for syphilis), HbSAg (hepatitis B surface antigen), urine routine, thyroid profile and blood sugar fasting. Revert back with the reports to an obstetrician and gynaecologist online.--->
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<s>[INST]
Hello doctor, I am 28 years old. I got a positive result in the urine test for pregnancy after a missed period. My last period date was on the 24th. As I had slight abdominal pain, I was asked to do the beta hCG blood test twice in the gap of 48 hours to detect if the pregnancy is normal or ectopic. Below are the test results. I have also attached the reports. Beta hCG as on 26th 2349.18 mIU/mL and on 28th 4357.73 mIU/mL. Could you please suggest if the results appear normal? There has been no bleeding or spotting and the abdominal pain is reduced as well. Also, the pain is not restricted to one point or area. Kindly suggest if any further tests are required now. Apart from the above, please let me know if I can take Cetirizine twice a week as I have a skin allergy for quite a long time and have been relying on Cetirizine. Also, please inform me if I need to take any alternative for Cetirizine. Also, kindly suggest me some medicine for the increasing acidity. Thank you. [/INST] Hi. BG (blood gas), CBC (complete blood test), HIV (human immunodeficiency virus), STS (serologic test for syphilis), HbSAg (hepatitis B surface antigen), urine routine, thyroid profile and blood sugar fasting. Revert back with the reports to an obstetrician and gynaecologist online.--->
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Q. Please suggest medicines for cold, fever and ear pain.
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Hello doctor,I have a cold from one week. Today, I experienced ear pain and a fever of 99.6.
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Hello. I hope it helps you. If you have any further query please ask me. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor,I have a cold from one week. Today, I experienced ear pain and a fever of 99.6. [/INST] Hello. I hope it helps you. If you have any further query please ask me. For more information consult an internal medicine physician online -->
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Q. When do heterogeneous ovarian cysts occur, before or after ovulation?
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Hello doctor, I went to the ER a week ago for abdominal pain. A pregnancy test was performed and it was negative. An ultrasound scan was performed and they found two heterogeneous ovarian cysts, one on the right is 1.5 cm and the other on the left is 1.4 cm. There were multiple simple cysts. My endometrial lining was 6 mm. They said everything else looked good. I have a history of ovarian cysts. Do heterogeneous cysts happen before or after ovulation? Do they impact menstruation? Also, what is the difference between heterogeneous and homogeneous ovarian cysts?
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Hi. First of all, 1.5 cm and 1.4 cm are a very small size for a cyst. Because, in every cycle around ovulation one of your ovary makes around 3 cm follicle (cyst). In a sonography, if it looks clear without any shadow in the cyst, then it is homogeneous and when something is found floating in the cyst as echoes (shadow), then it is called heterogeneous. Homogeneous have clear fluid. In heterogeneous cyst, the shadow may be due to blood, pus cells, epithelial cells, other debris, hormones, enzymes or turbid fluid. In 1.5 cm and 1.4 cm sized small cysts, it is not so much important that whether it is heterogeneous or homogeneous because it is mostly going to disappear around your period. Before ovulation, mostly follicles are with clear fluid. After ovulation, it may be homogeneous or heterogeneous with decreased size. Actually, it looks like disappearing follicle and not a cyst. A cyst can disturb your cycle only if it is of a bigger size and remains even after menstruation. Mostly it begins from unruptured follicle during ovulation and the size can be from 4 cm to 11 cm or even bigger in some case. This type of cyst requires treatment. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I went to the ER a week ago for abdominal pain. A pregnancy test was performed and it was negative. An ultrasound scan was performed and they found two heterogeneous ovarian cysts, one on the right is 1.5 cm and the other on the left is 1.4 cm. There were multiple simple cysts. My endometrial lining was 6 mm. They said everything else looked good. I have a history of ovarian cysts. Do heterogeneous cysts happen before or after ovulation? Do they impact menstruation? Also, what is the difference between heterogeneous and homogeneous ovarian cysts? [/INST] Hi. First of all, 1.5 cm and 1.4 cm are a very small size for a cyst. Because, in every cycle around ovulation one of your ovary makes around 3 cm follicle (cyst). In a sonography, if it looks clear without any shadow in the cyst, then it is homogeneous and when something is found floating in the cyst as echoes (shadow), then it is called heterogeneous. Homogeneous have clear fluid. In heterogeneous cyst, the shadow may be due to blood, pus cells, epithelial cells, other debris, hormones, enzymes or turbid fluid. In 1.5 cm and 1.4 cm sized small cysts, it is not so much important that whether it is heterogeneous or homogeneous because it is mostly going to disappear around your period. Before ovulation, mostly follicles are with clear fluid. After ovulation, it may be homogeneous or heterogeneous with decreased size. Actually, it looks like disappearing follicle and not a cyst. A cyst can disturb your cycle only if it is of a bigger size and remains even after menstruation. Mostly it begins from unruptured follicle during ovulation and the size can be from 4 cm to 11 cm or even bigger in some case. This type of cyst requires treatment. For further information consult an obstetrician and gynaecologist online -->
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Q. Is Laparoscopic hysterectomy test necessary for uterine fibroid?
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Hi doctor, My spouse aged 47 years has been advised laparoscopic hysterectomy as a fibroid of 80 x 70 mm is observed in USG of the uterus. She is having irregular periods from the last 9 to 10 months. Her hemoglobin has reduced to 9.5 g/dL. Is this a sufficient and strong ground for a hysterectomy? If not, what is the alternative treatment?
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Hello. Yes, this is sufficient ground for hysterectomy, and I think you should go ahead. Since she has a symptomatic fibroid, she will need definitive treatment. There are medicines available, but they are not very effective. They may just keep symptoms under control, and it needs to be taken lifelong. Secondly, removing the uterus treats the problem forever, eliminates the risk of future malignancies like cervical cancer and other associated problem. Also, she has completed her childbearing age, so removing uterus will not affect her adversely. Hope this helps you and get back if you have any doubts. For further queries consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, My spouse aged 47 years has been advised laparoscopic hysterectomy as a fibroid of 80 x 70 mm is observed in USG of the uterus. She is having irregular periods from the last 9 to 10 months. Her hemoglobin has reduced to 9.5 g/dL. Is this a sufficient and strong ground for a hysterectomy? If not, what is the alternative treatment? [/INST] Hello. Yes, this is sufficient ground for hysterectomy, and I think you should go ahead. Since she has a symptomatic fibroid, she will need definitive treatment. There are medicines available, but they are not very effective. They may just keep symptoms under control, and it needs to be taken lifelong. Secondly, removing the uterus treats the problem forever, eliminates the risk of future malignancies like cervical cancer and other associated problem. Also, she has completed her childbearing age, so removing uterus will not affect her adversely. Hope this helps you and get back if you have any doubts. For further queries consult an internal medicine physician online -->
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Q. I am passing black stools since two days. Why?
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Hi doctor, I am passing black stools since two days. I am on medication since four months. The current medication I am taking is Irozorb and Cranbe. Please suggest me what to do.
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Hello. Welcome to icliniq.com. Iron in Irozorb can make the stools black or it may be happening due to gastritis or stomach ulcers. It is the iron that oxidizes and give black color, but it seems like you are taking these medications since four months. Revert with the answers to the surgical gastroenterologist online -->
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<s>[INST]
Hi doctor, I am passing black stools since two days. I am on medication since four months. The current medication I am taking is Irozorb and Cranbe. Please suggest me what to do. [/INST] Hello. Welcome to icliniq.com. Iron in Irozorb can make the stools black or it may be happening due to gastritis or stomach ulcers. It is the iron that oxidizes and give black color, but it seems like you are taking these medications since four months. Revert with the answers to the surgical gastroenterologist 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. My nose is swollen and tender after septoplasty. Kindly help.
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Hello doctor, Nine weeks post septoplasty/turbinate reduction. My nose feels swollen and tender on the inside. It feels like there is dry and ice cold air going up my nose. How long does it take to completely heal? I have used nasal rinses, sprays, etc.
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Hello. Septoplasty is corrective procedure. The wound on your nose will heal fairly quickly, and your breathing is likely to improve shortly after the procedure. However, the overall healing process can be slow. Cartilage and other nasal tissues can take up to a year to fully settle into their new shape. Tips for a quicker recovery include: elevating your head at night to keep the swelling down, not blowing your nose forcefully after surgery, wearing shirts that button up in the front so you will not have to pull clothing over your head. Also, remember to avoid hot, cold and dry air. Slow nasal breathing exercises (after permission from your surgeon) can help recovery faster. Nasal rinses, if advised should be continued. Wishing you speedy recovery.
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<s>[INST]
Hello doctor, Nine weeks post septoplasty/turbinate reduction. My nose feels swollen and tender on the inside. It feels like there is dry and ice cold air going up my nose. How long does it take to completely heal? I have used nasal rinses, sprays, etc. [/INST] Hello. Septoplasty is corrective procedure. The wound on your nose will heal fairly quickly, and your breathing is likely to improve shortly after the procedure. However, the overall healing process can be slow. Cartilage and other nasal tissues can take up to a year to fully settle into their new shape. Tips for a quicker recovery include: elevating your head at night to keep the swelling down, not blowing your nose forcefully after surgery, wearing shirts that button up in the front so you will not have to pull clothing over your head. Also, remember to avoid hot, cold and dry air. Slow nasal breathing exercises (after permission from your surgeon) can help recovery faster. Nasal rinses, if advised should be continued. Wishing you speedy recovery.
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Q. Can Olanzapine and Dicorate be continued in pregnant woman with bipolar disorder?
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Hello doctor,My sister is suffering from bipolar disorder for the last 10 years and is presently in stable condition with Olanzapine 2.5 mg and Dicorate 250 mg one tablet each per day during night. However, recently she came to know about her pregnancy and her doctor asked her to check with a psychiatrist if she can continue her bipolar medication or not. If not, what is the alternative treatment?
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Hi. First of all, I would like to inform you that Dicorate (Divalproex sodium) should be avoided as far as possible during pregnancy. This is because of neural tube defects caused in offspring during pregnancy. The above statement is very important during the first trimester of pregnancy. I would also like to inform you that Olanzapine is largely safe during pregnancy and there is no data supporting any adverse effect of Olanzapine during pregnancy. Considering the above facts, I feel increasing the dose of Olanzapine and stopping of Dicorate is the possible strategy for your sister. Since the increase or decrease in dose depends on multiple factors (body weight, previous episodes, response to medications, the severity of episodes, number of episodes, family history), it is not possible for anyone (including me) to speculate effective dose for an individual patient without examining all relevant factors. I request you to see her psychiatrist along with your sister for a final opinion. For more information consult a psychiatrist online -->
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<s>[INST]
Hello doctor,My sister is suffering from bipolar disorder for the last 10 years and is presently in stable condition with Olanzapine 2.5 mg and Dicorate 250 mg one tablet each per day during night. However, recently she came to know about her pregnancy and her doctor asked her to check with a psychiatrist if she can continue her bipolar medication or not. If not, what is the alternative treatment? [/INST] Hi. First of all, I would like to inform you that Dicorate (Divalproex sodium) should be avoided as far as possible during pregnancy. This is because of neural tube defects caused in offspring during pregnancy. The above statement is very important during the first trimester of pregnancy. I would also like to inform you that Olanzapine is largely safe during pregnancy and there is no data supporting any adverse effect of Olanzapine during pregnancy. Considering the above facts, I feel increasing the dose of Olanzapine and stopping of Dicorate is the possible strategy for your sister. Since the increase or decrease in dose depends on multiple factors (body weight, previous episodes, response to medications, the severity of episodes, number of episodes, family history), it is not possible for anyone (including me) to speculate effective dose for an individual patient without examining all relevant factors. I request you to see her psychiatrist along with your sister for a final opinion. For more information consult a psychiatrist online -->
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Q. Can you help interpret my endoscopy results?
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Hello doctor, My endoscopy shows microscopy A and B - Mucosa of the gastric body and antrum exhibiting mature typical glandular epithelium, areas of mild interstitial edema, focal hyperemia alongside rare inactivated lymphocytes in the lamina. An absence of intestinal metaplasia. An absence of bacilli from the Helicobacter pylori pattern by May-Grunwald Giemsa staining. Conclusion: A - Body light gastritis. Negative search for Helicobacter pylori. B - Antral mild gastritis. Negative search for Helicobacter pylori. I need to understand my endoscopy results of "focal hyperemia" along with rare inactivated lymphocytes in the lamina. Is this an infection with an inactive vírus? Is there a cure? How do I treat it?
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Hello. This term simply indicates there is a little inflammation in your lamina that is part of your stomach. Hyperemia means there is an increase in the blood flow around the area in lieu of inflammation. As such, there is no infection based on your reports. Lymphocytes are normal cells of your body. This report does not signify any sort of infection. The most common infection found in the stomach is H. pylori (Helicobacter pylori) that is absent in your case. Now, to help you better in regard of treatment i need following details first: For more information consult a medical gastroenterologist online -->
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<s>[INST]
Hello doctor, My endoscopy shows microscopy A and B - Mucosa of the gastric body and antrum exhibiting mature typical glandular epithelium, areas of mild interstitial edema, focal hyperemia alongside rare inactivated lymphocytes in the lamina. An absence of intestinal metaplasia. An absence of bacilli from the Helicobacter pylori pattern by May-Grunwald Giemsa staining. Conclusion: A - Body light gastritis. Negative search for Helicobacter pylori. B - Antral mild gastritis. Negative search for Helicobacter pylori. I need to understand my endoscopy results of "focal hyperemia" along with rare inactivated lymphocytes in the lamina. Is this an infection with an inactive vírus? Is there a cure? How do I treat it? [/INST] Hello. This term simply indicates there is a little inflammation in your lamina that is part of your stomach. Hyperemia means there is an increase in the blood flow around the area in lieu of inflammation. As such, there is no infection based on your reports. Lymphocytes are normal cells of your body. This report does not signify any sort of infection. The most common infection found in the stomach is H. pylori (Helicobacter pylori) that is absent in your case. Now, to help you better in regard of treatment i need following details first: For more information consult a medical gastroenterologist online -->
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Q. I have a discomfort under my sternum when I walk up a slope. What do you suggest?
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Hello doctor,I have a very localized discomfort under my sternum when I exercise. Generally, it does not occur with just walking on level ground but on even a gentle slope (incline) I begin to notice it. I have had an echocardiogram. The cardiologist recommended an angiogram and possibly an angioplasty. I would like to communicate with a second cardiologist and discuss the possibility of just doing diet changes plus some kind of drug regimen. I am prepared to pay for the consultation independent of any insurance. Two consultations where there was a general discussion about the issue and a second consultation where the physician has reviewed my medical records is what I am thinking might be best. I would like a cardiologist to review the details of my condition and test results and provide a recommendation as to the best course of action for me. Right now I am just trying to understand that this is something that you do and that going forward from here is useful. I would like to be able to see something about the physician who would be reviewing my case.
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Hello. I have reviewed your health query and have understood you may be having what is called ischemic heart disease. In this disease, the vessels supplying blood to the heart muscles itself, get clogged due to any reason. When there is the partial blockage (incomplete blockage) the patient does not feel pain all the times. But when there is more demand (as you walk on the inclined area, do strenuous physical work, climb stairs, etc.), the heart has to pump more and more blood to the body. But there is no much blood supply to the heart's own muscles. This causes a debt of blood and so oxygen to the heart itself and causes ischemic pain in the heart. You feel a discomfort due to all of this (this is the pathophysiology of this issue in simple words). You may feel free to add your latest reports to assist in this case. I would definitely be happy to review and get back to you as soon as possible. We may proceed from there later on. Regards. For further queries consult a cardiologist online -->
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<s>[INST]
Hello doctor,I have a very localized discomfort under my sternum when I exercise. Generally, it does not occur with just walking on level ground but on even a gentle slope (incline) I begin to notice it. I have had an echocardiogram. The cardiologist recommended an angiogram and possibly an angioplasty. I would like to communicate with a second cardiologist and discuss the possibility of just doing diet changes plus some kind of drug regimen. I am prepared to pay for the consultation independent of any insurance. Two consultations where there was a general discussion about the issue and a second consultation where the physician has reviewed my medical records is what I am thinking might be best. I would like a cardiologist to review the details of my condition and test results and provide a recommendation as to the best course of action for me. Right now I am just trying to understand that this is something that you do and that going forward from here is useful. I would like to be able to see something about the physician who would be reviewing my case. [/INST] Hello. I have reviewed your health query and have understood you may be having what is called ischemic heart disease. In this disease, the vessels supplying blood to the heart muscles itself, get clogged due to any reason. When there is the partial blockage (incomplete blockage) the patient does not feel pain all the times. But when there is more demand (as you walk on the inclined area, do strenuous physical work, climb stairs, etc.), the heart has to pump more and more blood to the body. But there is no much blood supply to the heart's own muscles. This causes a debt of blood and so oxygen to the heart itself and causes ischemic pain in the heart. You feel a discomfort due to all of this (this is the pathophysiology of this issue in simple words). You may feel free to add your latest reports to assist in this case. I would definitely be happy to review and get back to you as soon as possible. We may proceed from there later on. Regards. For further queries consult a cardiologist online -->
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Q. My sister's report shows 46, XY chromosome. What does this mean?
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Hi doctor, My sister is 18 years old, and she has never had periods. Recently, we did a test which said, 46, XY (20), 20 cells were counted, all cells showed 46 chromosomes. Small chromosomal anomalies and small clonal population may not be detected using the standard methods employed. Could you please explain what does it mean? What can be done for her? Will she be able to have kids?
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Hi. How are you doing? This is a tough condition to explain, but let me try. 46 chromosomes mean the total number of chromosomes is normal. For a normal female, the sex chromosome should be "XX". "XY" means male. So, your sibling who is looking as or phenotypically female is actually or genotypically a male. This is mostly androgen insensitivity syndrome, where genetically she is male, but her body tissues are not sensitive to the male or androgen hormone so that he will appear as female. All of us are born as females in mother's womb, but which hormones we are exposed to, based on the genes, we get converted to male or stay as female. But in your sibling, the gene is a male, but his body receptors for this male hormones is not effective, so will continue to be female. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My sister is 18 years old, and she has never had periods. Recently, we did a test which said, 46, XY (20), 20 cells were counted, all cells showed 46 chromosomes. Small chromosomal anomalies and small clonal population may not be detected using the standard methods employed. Could you please explain what does it mean? What can be done for her? Will she be able to have kids? [/INST] Hi. How are you doing? This is a tough condition to explain, but let me try. 46 chromosomes mean the total number of chromosomes is normal. For a normal female, the sex chromosome should be "XX". "XY" means male. So, your sibling who is looking as or phenotypically female is actually or genotypically a male. This is mostly androgen insensitivity syndrome, where genetically she is male, but her body tissues are not sensitive to the male or androgen hormone so that he will appear as female. All of us are born as females in mother's womb, but which hormones we are exposed to, based on the genes, we get converted to male or stay as female. But in your sibling, the gene is a male, but his body receptors for this male hormones is not effective, so will continue to be female. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please suggest a natural remedy for an allergic reaction in my chin.
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Hi doctor, I got an allergy in my chin. I have so many pimples, redness, and itching also. What should I do?
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Hello. I just read your query. I hope you are satisfied with my answer. Follo up after 10 days. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I got an allergy in my chin. I have so many pimples, redness, and itching also. What should I do? [/INST] Hello. I just read your query. I hope you are satisfied with my answer. Follo up after 10 days. For more information consult an ayurveda specialist online -->
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Q. Please suggest medicines for parameters out of range in the blood test.
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Hi doctor, My wife is 36 years old. In one of her routine blood tests, we found a few anomalies. The report is attached. Please let me know your thoughts on the parameters that are out of range in the report and suggest medicines.
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Hello. I have checked the attached photos (attachment removed to protect patient identity). Firstly, urine analysis shows pus cells which points to urinary tract infection. Please let me know if she has any painful urination or frequency. Secondly, the CBC (complete blood count) shows mild iron deficiency anemia which requires iron supplements orally for three months in order to be corrected. Thirdly, there are vitamin B and D deficiency which could be corrected with oral vitamin supplements plus eating a diet rich in vitamin B. For more information consult a general medicine physician online -->
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<s>[INST]
Hi doctor, My wife is 36 years old. In one of her routine blood tests, we found a few anomalies. The report is attached. Please let me know your thoughts on the parameters that are out of range in the report and suggest medicines. [/INST] Hello. I have checked the attached photos (attachment removed to protect patient identity). Firstly, urine analysis shows pus cells which points to urinary tract infection. Please let me know if she has any painful urination or frequency. Secondly, the CBC (complete blood count) shows mild iron deficiency anemia which requires iron supplements orally for three months in order to be corrected. Thirdly, there are vitamin B and D deficiency which could be corrected with oral vitamin supplements plus eating a diet rich in vitamin B. For more information consult a general medicine physician online -->
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Q. Mirap and Clonazepam prescribed for anxiety and depression, Is it fine to take?
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Hello Doctor, I am suffering from anxiety and depression. My doctor prescribed 15mg of Mirap at night and 0.50mg of Clonazepam twice daily. And Clonazepam has to be halved after every 10 days. Is it fine? Need a second opinion.
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Hi. Mirap is a Mirtazapine which is indicated for depression. In my professional experience, it is not as efficacious as the SSRIs such as Fluoxetine or Paroxetine or Citalopram. Mirap at the dosage of 15mg does help the patient to sleep better but it is also known for significant weight gain upto 10lbs in 2 weeks. Clonazepam is indeed an useful adjunct and helps with the anxiety component. But I only prefer to use it as an "as needed adjunct" and no standing doses. I can help you better, if you are fine with booking a session for an online therapy for a detailed evaluation.
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<s>[INST]
Hello Doctor, I am suffering from anxiety and depression. My doctor prescribed 15mg of Mirap at night and 0.50mg of Clonazepam twice daily. And Clonazepam has to be halved after every 10 days. Is it fine? Need a second opinion. [/INST] Hi. Mirap is a Mirtazapine which is indicated for depression. In my professional experience, it is not as efficacious as the SSRIs such as Fluoxetine or Paroxetine or Citalopram. Mirap at the dosage of 15mg does help the patient to sleep better but it is also known for significant weight gain upto 10lbs in 2 weeks. Clonazepam is indeed an useful adjunct and helps with the anxiety component. But I only prefer to use it as an "as needed adjunct" and no standing doses. I can help you better, if you are fine with booking a session for an online therapy for a detailed evaluation.
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Q. How to reduce triglyceride levels after stent placement?
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Hello doctor,How to reduce triglyceride levels, which is 262 as on today. I have a stent placed three years ago.
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Hello. Hope this helps you. Get back if you have any doubts. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor,How to reduce triglyceride levels, which is 262 as on today. I have a stent placed three years ago. [/INST] Hello. Hope this helps you. Get back if you have any doubts. For more information consult a cardiologist online -->
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Q. I often have a discomfort in my chest, but my ECG is always normal. Please help.
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Hello doctor, I am a 36 year old man. Of late, I am feeling a discomfort on the left side of my chest since the last six to seven months. I visited a doctor who took an ECG which was normal. But again after a month or two, I started feeling the same. I used to get up early in the morning at 4 AM and feel a discomfort with no sleep thereafter. My doctor took a 2D echo which was normal and suggested CT angio which was normal as well. But again after seven to 10 days, I get the same feeling. I have done an ECG thrice, a 2D echo twice and a TMT twice which were all normal. I am not sure if it really is a cardiac problem or some other. I quit smoking last year. Please suggest.
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Hello. Hope you get alright soon. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I am a 36 year old man. Of late, I am feeling a discomfort on the left side of my chest since the last six to seven months. I visited a doctor who took an ECG which was normal. But again after a month or two, I started feeling the same. I used to get up early in the morning at 4 AM and feel a discomfort with no sleep thereafter. My doctor took a 2D echo which was normal and suggested CT angio which was normal as well. But again after seven to 10 days, I get the same feeling. I have done an ECG thrice, a 2D echo twice and a TMT twice which were all normal. I am not sure if it really is a cardiac problem or some other. I quit smoking last year. Please suggest. [/INST] Hello. Hope you get alright soon. For more information consult a cardiologist online -->
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Q. I have been having chest discomfort. What could it be?
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Hi, I am a 31year old male. I was recently diagnosed with minor gastritis after EGD. I was having stomach problems but have recovered at present. Last two weeks I have been having some chest discomfort. ECG and other tests show normal heart function. Since two days, the chest sensations are more prominent mostly while moving. Please help.
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Hi, Welcome to icliniq.com. Since you have mentioned that ECG and other tests came out to be normal, it is not associated with any cardiac abnormality. As you have a history of gastritis confirmed through EGD (Esophagogastroduodenoscopy), there is more possibility of association with acid reflux. Acid causes irritation of esophagus and leads to inhibition of vagal tone (vagus nerve supply to the heart) resulting in increased heart rate. This in turn leads to palpitation, chest discomfort, burning sensation etc. I advise you to follow these: Another possibility is that you could have some muscle spasm/pull if this sensation is pain. If there is pain during movement of chest then you can take some muscle relaxant like Chlorzoxazone in combination with some pain killer. The word chest discomfort indicates that it could be palpitation (feeling of one's own heart beat which usually occurs when the heart rate increases), tightness in the chest, burning sensation or chest pain. If the discomfort persists, revert back with details like dietary habits, blood pressure and medical reports to a cardiologist online -->
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<s>[INST]
Hi, I am a 31year old male. I was recently diagnosed with minor gastritis after EGD. I was having stomach problems but have recovered at present. Last two weeks I have been having some chest discomfort. ECG and other tests show normal heart function. Since two days, the chest sensations are more prominent mostly while moving. Please help. [/INST] Hi, Welcome to icliniq.com. Since you have mentioned that ECG and other tests came out to be normal, it is not associated with any cardiac abnormality. As you have a history of gastritis confirmed through EGD (Esophagogastroduodenoscopy), there is more possibility of association with acid reflux. Acid causes irritation of esophagus and leads to inhibition of vagal tone (vagus nerve supply to the heart) resulting in increased heart rate. This in turn leads to palpitation, chest discomfort, burning sensation etc. I advise you to follow these: Another possibility is that you could have some muscle spasm/pull if this sensation is pain. If there is pain during movement of chest then you can take some muscle relaxant like Chlorzoxazone in combination with some pain killer. The word chest discomfort indicates that it could be palpitation (feeling of one's own heart beat which usually occurs when the heart rate increases), tightness in the chest, burning sensation or chest pain. If the discomfort persists, revert back with details like dietary habits, blood pressure and medical reports to a cardiologist online -->
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Q. What are the ways to treat prostate cancer?
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Hi doctor, My father who is 79 years of age has got prostate tumor. We have done all the medical tests and pet scan. The oncologist has confirmed us tumor. Now due to lockdown we are unable to reach doctor also we want second opinion too. The doctor has told us that the solution is surgery. But if there is another solution or remedy we would go for it. As my father is 79 years of age and also his health has deteriorated day by day. We do not want to go for surgery. Please let us know some solution. Due to lockdown we are unable to take him to the hospitals as hospitals are also in red zone. Kindly suggest.
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Hi. Your father has apparently a stage I penile cancer. The ideal management is surgery which may only involve a wide local excision. This can be done by a general surgeon or even a dermatologist who can perform skin surgery. Should you however cannot have the surgery done, the other option you may consider is radiotherapy of the penis. Radiotherapy is not the optimal treatment but given your current situation, this is the option that maybe more feasible. The third option is laser therapy directed to the penile mass.
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<s>[INST]
Hi doctor, My father who is 79 years of age has got prostate tumor. We have done all the medical tests and pet scan. The oncologist has confirmed us tumor. Now due to lockdown we are unable to reach doctor also we want second opinion too. The doctor has told us that the solution is surgery. But if there is another solution or remedy we would go for it. As my father is 79 years of age and also his health has deteriorated day by day. We do not want to go for surgery. Please let us know some solution. Due to lockdown we are unable to take him to the hospitals as hospitals are also in red zone. Kindly suggest. [/INST] Hi. Your father has apparently a stage I penile cancer. The ideal management is surgery which may only involve a wide local excision. This can be done by a general surgeon or even a dermatologist who can perform skin surgery. Should you however cannot have the surgery done, the other option you may consider is radiotherapy of the penis. Radiotherapy is not the optimal treatment but given your current situation, this is the option that maybe more feasible. The third option is laser therapy directed to the penile mass.
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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 right-sided chest pains when I sleep on my side?
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Hello doctor, I used to have right-sided chest pains, only when I sleep on my side. But since today, I feel a constant pain in my chest. Why am I having constant chest pain? Should I be worried?
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Hi. Thanks for posting your query. Kindly revert with these details. Revert with more information to a pulmonologist online -->
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<s>[INST]
Hello doctor, I used to have right-sided chest pains, only when I sleep on my side. But since today, I feel a constant pain in my chest. Why am I having constant chest pain? Should I be worried? [/INST] Hi. Thanks for posting your query. Kindly revert with these details. Revert with more information to a pulmonologist online -->
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Q. What medicines to take for chest pain while urinating?
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Hello doctor, My father aged 78 years is suffering from heart artery blockage with COPD. He underwent an angiogram, ECG, and related blood tests. Currently, he is taking the following medications for the last six months as per the doctor's advise. Nitrocontin 6.4 mg two times. Concor Cor 2.5 mg once. Nikoran 5 mg two times. Ranozex 500 mg three strips two times. Aerocort Rotacap three times. Amaryl 1 mg once early morning. Deplatt a 75 once at bedtime. Roseday 10 mg once at bedtime. Of late, my father is experiencing chest pain during urination, bathing, bedtime and took Sorbitrate 5 mg half. Please suggest if any further medication or increased dosage is to be given to avoid surgery. If a cardiac arrest happens what medicine should I give before taking to the hospital?
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Hello. Medication wise, your father is on the maximum dosage. You could also try adding Flavedon MR (Trimetazidine) 35 twice a day. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. But, I strongly feel after going through the angiogram report (attachment removed to protect patient identity) that he needs early CABG (coronary artery bypass grafting)/ staged PTCA (percutaneous transluminal coronary angioplasty) as recommended by the treating cardiologist. The only treatment for sudden cardiac arrest would be immediate cardiopulmonary resuscitation and rushing him to a nearby hospital. Intravenous drugs should only be administered in that setting. Regards. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, My father aged 78 years is suffering from heart artery blockage with COPD. He underwent an angiogram, ECG, and related blood tests. Currently, he is taking the following medications for the last six months as per the doctor's advise. Nitrocontin 6.4 mg two times. Concor Cor 2.5 mg once. Nikoran 5 mg two times. Ranozex 500 mg three strips two times. Aerocort Rotacap three times. Amaryl 1 mg once early morning. Deplatt a 75 once at bedtime. Roseday 10 mg once at bedtime. Of late, my father is experiencing chest pain during urination, bathing, bedtime and took Sorbitrate 5 mg half. Please suggest if any further medication or increased dosage is to be given to avoid surgery. If a cardiac arrest happens what medicine should I give before taking to the hospital? [/INST] Hello. Medication wise, your father is on the maximum dosage. You could also try adding Flavedon MR (Trimetazidine) 35 twice a day. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. But, I strongly feel after going through the angiogram report (attachment removed to protect patient identity) that he needs early CABG (coronary artery bypass grafting)/ staged PTCA (percutaneous transluminal coronary angioplasty) as recommended by the treating cardiologist. The only treatment for sudden cardiac arrest would be immediate cardiopulmonary resuscitation and rushing him to a nearby hospital. Intravenous drugs should only be administered in that setting. Regards. For more information consult a cardiologist online -->
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Q. I am skeptical regarding the drugs prescribed to me. Kindly help.
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Hi doctor, I have a panic disorder and severe insomnia worsened by my anxiety. My doctor prescribed me Ambien 5 mg or Zolfresh 5 mg at night, Paxil-CR 12.5 mg at night, Etizolam 0.5 mg twice a day and Divalproex 500 mg once in a day. I also have suicidal ideations when I do not sleep well and gets panicked. Out of all, I did not take Zolfresh, but was able to sleep well in the last two days by the combination of others. I have a period of panic attacks, but they are a few. I really want to ask if the prescribed drugs might be overdose as the main problem with me is major depressive disorder and panic attack brought out by not sleeping well. I am skeptical regarding the drugs prescribed and I want to know the side effects due to a combination of those.
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Hi. I have gone through the query and understand your concerns. For further doubts consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I have a panic disorder and severe insomnia worsened by my anxiety. My doctor prescribed me Ambien 5 mg or Zolfresh 5 mg at night, Paxil-CR 12.5 mg at night, Etizolam 0.5 mg twice a day and Divalproex 500 mg once in a day. I also have suicidal ideations when I do not sleep well and gets panicked. Out of all, I did not take Zolfresh, but was able to sleep well in the last two days by the combination of others. I have a period of panic attacks, but they are a few. I really want to ask if the prescribed drugs might be overdose as the main problem with me is major depressive disorder and panic attack brought out by not sleeping well. I am skeptical regarding the drugs prescribed and I want to know the side effects due to a combination of those. [/INST] Hi. I have gone through the query and understand your concerns. For further doubts consult a psychiatrist online -->
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Q. I have gastric problems, and I puke every day. What to do?
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Hello doctor, I am a 22 year old male, I smoke weed and cigarettes every day, and do not eat food at the right time. So, I have gastric problems and I puke every day, from the past six months. What to do?
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Hi. I have gone through your details, and I appreciate your concern. As per the history, most likely you have severe gastritis with overlapping esophageal spasm and gastroesophageal reflux. It is because the stomach acids regurgitate back into the esophagus, causing heartburn and severe burning sensations. Dyspepsia can be a sign of gastroesophageal reflux disease. Dyspepsia can also be a sign of a stomach ulcer or gastritis, which is an inflammation of the lining of your stomach. I suggest you get an upper gastrointestinal endoscopy, to rule out any erosion of esophageal mucosa or Barrett's esophagus or ulcers. I suggest you try the following. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. If your symptoms are not relieving, please discuss with your primary physician. To be on the safe side, I would suggest getting an EKG (electrocardiography) done because sometimes atypical angina can present with same symptoms. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a 22 year old male, I smoke weed and cigarettes every day, and do not eat food at the right time. So, I have gastric problems and I puke every day, from the past six months. What to do? [/INST] Hi. I have gone through your details, and I appreciate your concern. As per the history, most likely you have severe gastritis with overlapping esophageal spasm and gastroesophageal reflux. It is because the stomach acids regurgitate back into the esophagus, causing heartburn and severe burning sensations. Dyspepsia can be a sign of gastroesophageal reflux disease. Dyspepsia can also be a sign of a stomach ulcer or gastritis, which is an inflammation of the lining of your stomach. I suggest you get an upper gastrointestinal endoscopy, to rule out any erosion of esophageal mucosa or Barrett's esophagus or ulcers. I suggest you try the following. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. If your symptoms are not relieving, please discuss with your primary physician. To be on the safe side, I would suggest getting an EKG (electrocardiography) done because sometimes atypical angina can present with same symptoms. For more information consult an internal medicine physician online -->
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Q. Can you suggest a medicine to prevent urination at night during travel?
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Hi doctor, I am going to have a long journey. Can I take a salt tablet to prevent urination during the night? If so, please suggest any tablet.
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Hi. Revert with more details to a urologist online -->
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<s>[INST]
Hi doctor, I am going to have a long journey. Can I take a salt tablet to prevent urination during the night? If so, please suggest any tablet. [/INST] Hi. Revert with more details to a urologist online -->
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Q. There are mucus and blood in stools. Why?
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Hello doctor, There is white mucus layer on stool, actually I am suffering since last month. There were two drops of blood after stool had passed and after 5 days at night I had stool with mucus and the next day I went to washroom four times with mild pain in abdominal and I went to the doctor he prescribed me Ciplox TZ, and Vyzilock and one medicine for acidity and after two days because of mild pain I went to meet a specialist, he also prescribed one pro-biotic capsule of dr. ready, one tablet for acidity and shine 10 and after 15 days, I was again suffering with diarrhea, went to washroom 15 times and recovered myself and again after a few days I was again suffering with severe colon infection. I had recovered from infection but not 100% and now there is white layer mucus on my stool and there is very light blood spot, like lace on 1 inch with, blood dot on stool is there. I have no symptoms of anus infection or itching or pain in rectum.
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Hello. I can understand how frustrating you are regarding your problem. I have reviewed your complete history and understand that you have ongoing infection within the lower part of your large bowel which is called as rectum. Medically it is termed as proctitis i.e. inflammation of rectum. The blood and mucus - which you describe a whitish layer, is common among patients suffering with proctitis. I have seen you have taken some antibiotics however it seems the durarion of antibiotics was not okay and Ciprofloxacin that you have been prescribed is no more effective in.your case. Other acid suppressant medications would not help you much in problem relating to rectum. So, I want you to start a 3 week course of antibiotic which is very safe and does not have significant side effects except in some patient it could cause mild diarrhea. It is very safe. Tablet Rifxamin 200 mg thrice daily for 3 weeks. Avoid any other medications. You come back to me in next 1 to 2 week. I hope that your symptoms by then would go away. In case, if that does not happen, then I would ask you to get some stool and blood tests done and would further modify your treatment.
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<s>[INST]
Hello doctor, There is white mucus layer on stool, actually I am suffering since last month. There were two drops of blood after stool had passed and after 5 days at night I had stool with mucus and the next day I went to washroom four times with mild pain in abdominal and I went to the doctor he prescribed me Ciplox TZ, and Vyzilock and one medicine for acidity and after two days because of mild pain I went to meet a specialist, he also prescribed one pro-biotic capsule of dr. ready, one tablet for acidity and shine 10 and after 15 days, I was again suffering with diarrhea, went to washroom 15 times and recovered myself and again after a few days I was again suffering with severe colon infection. I had recovered from infection but not 100% and now there is white layer mucus on my stool and there is very light blood spot, like lace on 1 inch with, blood dot on stool is there. I have no symptoms of anus infection or itching or pain in rectum. [/INST] Hello. I can understand how frustrating you are regarding your problem. I have reviewed your complete history and understand that you have ongoing infection within the lower part of your large bowel which is called as rectum. Medically it is termed as proctitis i.e. inflammation of rectum. The blood and mucus - which you describe a whitish layer, is common among patients suffering with proctitis. I have seen you have taken some antibiotics however it seems the durarion of antibiotics was not okay and Ciprofloxacin that you have been prescribed is no more effective in.your case. Other acid suppressant medications would not help you much in problem relating to rectum. So, I want you to start a 3 week course of antibiotic which is very safe and does not have significant side effects except in some patient it could cause mild diarrhea. It is very safe. Tablet Rifxamin 200 mg thrice daily for 3 weeks. Avoid any other medications. You come back to me in next 1 to 2 week. I hope that your symptoms by then would go away. In case, if that does not happen, then I would ask you to get some stool and blood tests done and would further modify your treatment.
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Q. Is the flesh on wrinkly part of anus related to hemorrhoid?
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Hi doctor, Recently, I found a little flesh on the wrinkly part of my anus and also near the perineum but connected to the anus. I am worried that it might be something serious. I recently discovered it like four days ago. It does not cause me any discomfort or bleeding, or any pain. I do not even feel it is there, only when I touch it. I think it started when I sat on the toilet for too long but I am not sure it might be the cause. Do I have hemorrhoids or is it different?
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Hi. The problem you have mentioned is of short duration. There are no other symptoms apart from the little flesh you are able to feel. It could probably be a skin tag, which means extra wrinkle of skin over that area. Since there is no discomfort or bleeding, we shall wait and watch. It is unlikely to be hemorrhoids.
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<s>[INST]
Hi doctor, Recently, I found a little flesh on the wrinkly part of my anus and also near the perineum but connected to the anus. I am worried that it might be something serious. I recently discovered it like four days ago. It does not cause me any discomfort or bleeding, or any pain. I do not even feel it is there, only when I touch it. I think it started when I sat on the toilet for too long but I am not sure it might be the cause. Do I have hemorrhoids or is it different? [/INST] Hi. The problem you have mentioned is of short duration. There are no other symptoms apart from the little flesh you are able to feel. It could probably be a skin tag, which means extra wrinkle of skin over that area. Since there is no discomfort or bleeding, we shall wait and watch. It is unlikely to be hemorrhoids.
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Q. I think I am in depression. Please help me.
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Hi doctor, I am a final year obstetrics and gynecology post graduation student. I am taking my MS OBG exam in the next 20 days. I have been having some issues in my marriage with my husband. Most of the issues happened because we have been staying far away since three years. It has got so poisoned that it will only get sorted out when I go back and start living with him. The present problem is that I am not able to concentrate on my studies at all. I really need to study well and I am desperate to clear this exam as fast as possible and go back home. I keep crying all the time with my books open. Fight conversations keep popping in my head all the time. I feel miserable. I have tried every conservative measure from counseling to music, but nothing works. I feel like a depression now. There is no time left. I was never this weak before. I just need some medication only for a month till my exams, to concentrate and stay focused on studies. To avoid distraction, crying and less negative thinking. It is like a do or die situation for me. Please help me. And most of the psychiatric drugs are either not available in the medical store or are prescription drugs. So, please give a common drug and make it available for me. I will be really thankful to you.
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Hi. I can understand what you are going through and you have my sympathies for the same. Exams. Marital issues. Major depressive disorder. Revert back for further doubts to a psychologist counsellor online.--->
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<s>[INST]
Hi doctor, I am a final year obstetrics and gynecology post graduation student. I am taking my MS OBG exam in the next 20 days. I have been having some issues in my marriage with my husband. Most of the issues happened because we have been staying far away since three years. It has got so poisoned that it will only get sorted out when I go back and start living with him. The present problem is that I am not able to concentrate on my studies at all. I really need to study well and I am desperate to clear this exam as fast as possible and go back home. I keep crying all the time with my books open. Fight conversations keep popping in my head all the time. I feel miserable. I have tried every conservative measure from counseling to music, but nothing works. I feel like a depression now. There is no time left. I was never this weak before. I just need some medication only for a month till my exams, to concentrate and stay focused on studies. To avoid distraction, crying and less negative thinking. It is like a do or die situation for me. Please help me. And most of the psychiatric drugs are either not available in the medical store or are prescription drugs. So, please give a common drug and make it available for me. I will be really thankful to you. [/INST] Hi. I can understand what you are going through and you have my sympathies for the same. Exams. Marital issues. Major depressive disorder. Revert back for further doubts to a psychologist counsellor online.--->
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Q. Is my daughter's fever a symptom of dengue or swine flu?
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Hi doctor, My 3 year old daughter has a fever for the past three days, and we are giving her Paracetamol. Since yesterday she has running nose and cough. I gave her Crocin twice in the morning three hours back, but her fever is 101.8. Should I give her Meftal P? Is there a possibility of dengue or swine flu? I am scared.
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Hi. Revert to me if the fever does not go down even after five to seven days. Hope this will help. Thanks. For further queries consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, My 3 year old daughter has a fever for the past three days, and we are giving her Paracetamol. Since yesterday she has running nose and cough. I gave her Crocin twice in the morning three hours back, but her fever is 101.8. Should I give her Meftal P? Is there a possibility of dengue or swine flu? I am scared. [/INST] Hi. Revert to me if the fever does not go down even after five to seven days. Hope this will help. Thanks. For further queries consult an ENT otolaryngologist online -->
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Q. Could bleeding ulcer be the reason for anal bleeding?
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Hi doctor, I have pain in the left side just below my breast all that way to the back. When I go to the bathroom, my stool has blood. It has been bleeding for two days, even without a bowel movement. The bleeding is in my anus. If I drink oregano team, then it will stop. But, will start bleeding after some time. What could it be? Can it be due to a bleeding ulcer? I have a previous history of gastritis. My regular medicines include Metformin ER 500 mg and Fluoxetine 20 mg.
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Hello. I can understand your concern on this issue. The photograph which you uploaded indicates fresh blood in minute quantity (attachment removed to protect patient identity). Fresh blood from the anus on the surface of stool or without passing stool indicates a lesion in the lower part of the anal canal. Most common lesion in this area that bleed is anal fissure in which there will be a linear tear on the inner wall of the lower part of the anal canal. Bleeding occurs generally from this tear while straining to pass stool. Constipation is the risk factor for development of a fissure. Bleeding ulcer also produces other symptoms such as mucus discharge, liquid consistency of stool and increased stool frequency. Constipation. Digital rectal examination and proctoscopy. Hemorrhoids. Anal fissure. Treatment for pain and constipation. Local ointment application for active bleeding from a fissure. For further information consult a medical gastroenterologist online.--->
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<s>[INST]
Hi doctor, I have pain in the left side just below my breast all that way to the back. When I go to the bathroom, my stool has blood. It has been bleeding for two days, even without a bowel movement. The bleeding is in my anus. If I drink oregano team, then it will stop. But, will start bleeding after some time. What could it be? Can it be due to a bleeding ulcer? I have a previous history of gastritis. My regular medicines include Metformin ER 500 mg and Fluoxetine 20 mg. [/INST] Hello. I can understand your concern on this issue. The photograph which you uploaded indicates fresh blood in minute quantity (attachment removed to protect patient identity). Fresh blood from the anus on the surface of stool or without passing stool indicates a lesion in the lower part of the anal canal. Most common lesion in this area that bleed is anal fissure in which there will be a linear tear on the inner wall of the lower part of the anal canal. Bleeding occurs generally from this tear while straining to pass stool. Constipation is the risk factor for development of a fissure. Bleeding ulcer also produces other symptoms such as mucus discharge, liquid consistency of stool and increased stool frequency. Constipation. Digital rectal examination and proctoscopy. Hemorrhoids. Anal fissure. Treatment for pain and constipation. Local ointment application for active bleeding from a fissure. For further information consult a medical gastroenterologist online.--->
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Q. Is it normal for my stomach to make squeaky sounds a few years after hernia surgery?
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Hi doctor, Is it normal for my stomach to make squeaky sounds a few years after hernia surgery?
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Hi. The squeaky sound might be due to two reasons: Most common cause of this is IBS (irritable bowel syndrome). This has a history of constipation and alternative episodes of diarrhea, with or without pain. If you have these symptoms, then it is IBS. Fibre-rich diet and medications should be taken. There are rare chances of it being an obstruction, secondary to surgery. In this case, you have to get an ultrasound abdomen scan done. Revert back to a medical gastroenterologist online -->
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<s>[INST]
Hi doctor, Is it normal for my stomach to make squeaky sounds a few years after hernia surgery? [/INST] Hi. The squeaky sound might be due to two reasons: Most common cause of this is IBS (irritable bowel syndrome). This has a history of constipation and alternative episodes of diarrhea, with or without pain. If you have these symptoms, then it is IBS. Fibre-rich diet and medications should be taken. There are rare chances of it being an obstruction, secondary to surgery. In this case, you have to get an ultrasound abdomen scan done. Revert back to a medical gastroenterologist 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. What causes breathing issues after septoplasty?
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Hello doctor, Over a year ago I had operation to correct a deviated septum. Things started to get much better after healing. Now I am starting breathing issues when I lay down. Depending on which side my head is turned when I lay down that side of my nose that would be touching my pillow slowly starts to close while the other nostril remains open. This happens on either side depending on which side I am laying on. I was taking AMOX- CLAV 875 and Fluticasone, but neither of those helped. During the day while I am up I have no issues, it is just at night when I lay down. I do not think it is allergies at all.
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Hi. Well to begin with, why was septoplasty performed in the first place? Did the similar symptoms exist before you underwent the surgery? If you did, then there is only one possibility left for the problems that you r having right now, that is undercorrection or incomplete surgery. Considering that there is absolutely no allergic issues whatsoever and there are no other associated nasal issues that we could be seeing here. Antibiotics and nasal steroid sprays are not going to bring much benefit either and should be taken for a long term. On the other hand, what you could possibly do is to lay down with your head upwards facing the ceiling rather than taking a posture which can aggravate the obstruction. You should be meeting the operating surgeon to see what could be the reason for the current problem, because he/she is the best person to answer that question.
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<s>[INST]
Hello doctor, Over a year ago I had operation to correct a deviated septum. Things started to get much better after healing. Now I am starting breathing issues when I lay down. Depending on which side my head is turned when I lay down that side of my nose that would be touching my pillow slowly starts to close while the other nostril remains open. This happens on either side depending on which side I am laying on. I was taking AMOX- CLAV 875 and Fluticasone, but neither of those helped. During the day while I am up I have no issues, it is just at night when I lay down. I do not think it is allergies at all. [/INST] Hi. Well to begin with, why was septoplasty performed in the first place? Did the similar symptoms exist before you underwent the surgery? If you did, then there is only one possibility left for the problems that you r having right now, that is undercorrection or incomplete surgery. Considering that there is absolutely no allergic issues whatsoever and there are no other associated nasal issues that we could be seeing here. Antibiotics and nasal steroid sprays are not going to bring much benefit either and should be taken for a long term. On the other hand, what you could possibly do is to lay down with your head upwards facing the ceiling rather than taking a posture which can aggravate the obstruction. You should be meeting the operating surgeon to see what could be the reason for the current problem, because he/she is the best person to answer that question.
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Q. I am suffering from PCOD. Can I get pregnant naturally?
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Hi doctor, My height is 5'4", and my weight is 61 kilogram. My ovary is bulky with right ovary volume 11.5 cc and left ovary volume 11.2 cc. I am suffering from PCOD. I am under treatment for the past three months. Can I get pregnant naturally?
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Hi. PCOD is a polycystic ovarian disease which causes an increase in testosterone levels in women with androgenic features and multiple small cysts in the ovaries. It is one of the most common reasons for the irregular menses, especially oligomenorrhoea. You have to be placed on low dose OC (oral contraceptive) pills with Myo-Inositol supplementation with a reduction in weight with exercise and diet by increasing your daily water intake. All these are followed for the treatment of PCOD. You can conceive naturally if the ovulation maturity is re-established with the treatment or else you may need assisted techniques. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My height is 5'4", and my weight is 61 kilogram. My ovary is bulky with right ovary volume 11.5 cc and left ovary volume 11.2 cc. I am suffering from PCOD. I am under treatment for the past three months. Can I get pregnant naturally? [/INST] Hi. PCOD is a polycystic ovarian disease which causes an increase in testosterone levels in women with androgenic features and multiple small cysts in the ovaries. It is one of the most common reasons for the irregular menses, especially oligomenorrhoea. You have to be placed on low dose OC (oral contraceptive) pills with Myo-Inositol supplementation with a reduction in weight with exercise and diet by increasing your daily water intake. All these are followed for the treatment of PCOD. You can conceive naturally if the ovulation maturity is re-established with the treatment or else you may need assisted techniques. For more information consult an obstetrician and gynaecologist online -->
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Q. Why am I having indigestion, incomplete stool evacuation and abdomen swelling?
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Hello doctor, I am 28 years old male and unmarried. For the last two months, I feel some gastric problems which include incomplete evacuation of stool at morning properly, abdomen swelling, numbness in feet, low energy in legs, low hunger, food not digested properly, slight pain in right side under ribs, and very rarely heart side. I have also gone through ECG but the doctor told that it is perfectly fine in ECG. So, I took some Probiotics, antibiotics like Ofloxacin, Ciprofloxacin, and Librax, but did not solve my problem entirely. Then I consulted a doctor. He told me that I have liver enlargement and told me some medical tests and ultrasound. Then I found liver enlarged, high cholesterol, and some other issues. I used to drink alcohol for four years very much, then moderate. I started smoking eight years back. I masturbate a lot, which I think make my body weak. I tried to control very much but I think I am addicted to it now. I have strong will power but my strong urge and anxiety lead again towards it. I used my type multivitamin for some time which includes Revital mainly. I used to drink water a lot nearly 6 to 7 liters daily. A few months back, I came to know my vitamin D is also low. I am a vegetarian. I have multiple kidney stones (5 to 6) in both sides. This is the fourth time of formation. In the LFT test, OT and PT are very high. Please prescribe some medicine for fatty liver, cholesterol and other problems you find from my history and blood test.
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Hi. You need to modify your diet and lifestyle consistently and avoid all medicines and foods which can potentially damage the liver. You need to be on a diet high in protein and low in fat or carbohydrates. You should have regular physical activity. Regarding medicines, I need to see the liver function tests to comment. Can you give the exact SGOT and SGPT values?
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<s>[INST]
Hello doctor, I am 28 years old male and unmarried. For the last two months, I feel some gastric problems which include incomplete evacuation of stool at morning properly, abdomen swelling, numbness in feet, low energy in legs, low hunger, food not digested properly, slight pain in right side under ribs, and very rarely heart side. I have also gone through ECG but the doctor told that it is perfectly fine in ECG. So, I took some Probiotics, antibiotics like Ofloxacin, Ciprofloxacin, and Librax, but did not solve my problem entirely. Then I consulted a doctor. He told me that I have liver enlargement and told me some medical tests and ultrasound. Then I found liver enlarged, high cholesterol, and some other issues. I used to drink alcohol for four years very much, then moderate. I started smoking eight years back. I masturbate a lot, which I think make my body weak. I tried to control very much but I think I am addicted to it now. I have strong will power but my strong urge and anxiety lead again towards it. I used my type multivitamin for some time which includes Revital mainly. I used to drink water a lot nearly 6 to 7 liters daily. A few months back, I came to know my vitamin D is also low. I am a vegetarian. I have multiple kidney stones (5 to 6) in both sides. This is the fourth time of formation. In the LFT test, OT and PT are very high. Please prescribe some medicine for fatty liver, cholesterol and other problems you find from my history and blood test. [/INST] Hi. You need to modify your diet and lifestyle consistently and avoid all medicines and foods which can potentially damage the liver. You need to be on a diet high in protein and low in fat or carbohydrates. You should have regular physical activity. Regarding medicines, I need to see the liver function tests to comment. Can you give the exact SGOT and SGPT values?
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Q. Chest pain, arm pain, and shortness of breath worsening with time. Please advise.
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Hello doctor, From past one month, I am suffering from chest pain, left arm pain, jaw pain, shortness of breath, sweating and weakness. Day by day, it is worsening and my fear is also increasing day by day. I am 19 years old with no bad habit and with a healthy diet and BMI. I used to go to the gym but due to this problem, I am not able to do all my activities. Recently, I had ECG, echo and stress test and blood tests all tests were normal but after 15 minutes of stress test I had chest pain five minutes and sweating for 20 minutes. My resting heart beat has also decreased. I was in anxiety two years back but my ECG at that time was better than this time.
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Hello. I noted your symptoms and reports (attachment removed to protect patient identity). Frankly, they are all normal. I would like to suggest the following medicines and to see if the problem persists. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Please inform your blood pressure. Good day. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, From past one month, I am suffering from chest pain, left arm pain, jaw pain, shortness of breath, sweating and weakness. Day by day, it is worsening and my fear is also increasing day by day. I am 19 years old with no bad habit and with a healthy diet and BMI. I used to go to the gym but due to this problem, I am not able to do all my activities. Recently, I had ECG, echo and stress test and blood tests all tests were normal but after 15 minutes of stress test I had chest pain five minutes and sweating for 20 minutes. My resting heart beat has also decreased. I was in anxiety two years back but my ECG at that time was better than this time. [/INST] Hello. I noted your symptoms and reports (attachment removed to protect patient identity). Frankly, they are all normal. I would like to suggest the following medicines and to see if the problem persists. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Please inform your blood pressure. Good day. For more information consult a cardiologist online -->
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Q. I used epilator on my face, which has caused redness. Please help.
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Hello Doctor, Two days ago I used an epilator on my upper lip, it became red and hurts a bit. Then I applied a cream to moisturize it. Today, after shower, I peeled it off. But the redness is still present. What do I do?
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Hello. If it does not heal, consult a dermatologist online with a detailed history -->
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<s>[INST]
Hello Doctor, Two days ago I used an epilator on my upper lip, it became red and hurts a bit. Then I applied a cream to moisturize it. Today, after shower, I peeled it off. But the redness is still present. What do I do? [/INST] Hello. If it does not heal, consult a dermatologist online with a detailed history -->
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Q. Why is my 1-month-old baby constantly crying and not sleeping?
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Hi doctor, I am having a 1-month-old baby and been facing several issues. He is crying a lot even after feeding him properly, burping him, checking his diaper, making him comfortable and ruling out other health issues and having a hard time in consoling him. We have tried pacifiers for him but avoiding it as I was told they are not good for the baby as they take in more air through pacifiers. White noise is working well but I am afraid he may become dependent on it for sleeping and will not sleep if I do not keep white noise. I am having poor sleep because of this and depending on coffee to control sleep. I am having several queries. How to console him so that he can sleep properly? Is it fine to use white noise to calm him? Is it fine to breastfeed him while I am having a fever? I am expressing milk sometimes and feeding him through a bottle. Can I express milk and store for future usage? If so how long can I store and use it? I am having one or two cups of coffee each day does this effect the baby through milk? Also, my milk production is less and depending more on formula milk. Please advise me.
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Hi. From your history, it seems you are taking excellent care of the child. Good. Now for your queries. Children below the age of 6 months sleep in the day and stay awake at night. It is normal. There is no medicine for the same. As regards to consoling a baby, you can use white noise (no dependency or harm) or whisper songs in the babies ear, give the baby pacifier (no issue of taking in the air or anything like that. The child is anyways going to pass gas like a big person. It is normal). Swing the baby in a light to and fro motion, swaddle the baby in some cloth wrapping. Important point: Another reason for the child to keep crying continuously may be poor feeding. As you have mentioned, the milk production is less, it is expected since you are under stress. So do not worry. Also, you can try giving breastfeeding first followed by top feeds. If the child is still hungry the child will consume the top feeds. Let the child consume as much as it wants. Advisable to avoid breastfeeding while having a fever as you may transmit the organism by close contact with the baby. In such cases, you can give expressed milk or top feeds. Use a mask when coughing if you are feeding the baby. Yes, you can theoretically store milk at room temperature up to three hours, fridge up to 12 hours and deep freezer up to 24 to 48 hours minimum. However, I personally do not advise to do this because there are chances the milk may get contaminated by the various organisms in the surroundings of the house. There is no effect of coffee on the milk taken by the baby. Golden rule: Sleep when the baby sleeps and stay awake when the baby is awake for at least the first few months if you want to have peace of mind.
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<s>[INST]
Hi doctor, I am having a 1-month-old baby and been facing several issues. He is crying a lot even after feeding him properly, burping him, checking his diaper, making him comfortable and ruling out other health issues and having a hard time in consoling him. We have tried pacifiers for him but avoiding it as I was told they are not good for the baby as they take in more air through pacifiers. White noise is working well but I am afraid he may become dependent on it for sleeping and will not sleep if I do not keep white noise. I am having poor sleep because of this and depending on coffee to control sleep. I am having several queries. How to console him so that he can sleep properly? Is it fine to use white noise to calm him? Is it fine to breastfeed him while I am having a fever? I am expressing milk sometimes and feeding him through a bottle. Can I express milk and store for future usage? If so how long can I store and use it? I am having one or two cups of coffee each day does this effect the baby through milk? Also, my milk production is less and depending more on formula milk. Please advise me. [/INST] Hi. From your history, it seems you are taking excellent care of the child. Good. Now for your queries. Children below the age of 6 months sleep in the day and stay awake at night. It is normal. There is no medicine for the same. As regards to consoling a baby, you can use white noise (no dependency or harm) or whisper songs in the babies ear, give the baby pacifier (no issue of taking in the air or anything like that. The child is anyways going to pass gas like a big person. It is normal). Swing the baby in a light to and fro motion, swaddle the baby in some cloth wrapping. Important point: Another reason for the child to keep crying continuously may be poor feeding. As you have mentioned, the milk production is less, it is expected since you are under stress. So do not worry. Also, you can try giving breastfeeding first followed by top feeds. If the child is still hungry the child will consume the top feeds. Let the child consume as much as it wants. Advisable to avoid breastfeeding while having a fever as you may transmit the organism by close contact with the baby. In such cases, you can give expressed milk or top feeds. Use a mask when coughing if you are feeding the baby. Yes, you can theoretically store milk at room temperature up to three hours, fridge up to 12 hours and deep freezer up to 24 to 48 hours minimum. However, I personally do not advise to do this because there are chances the milk may get contaminated by the various organisms in the surroundings of the house. There is no effect of coffee on the milk taken by the baby. Golden rule: Sleep when the baby sleeps and stay awake when the baby is awake for at least the first few months if you want to have peace of mind.
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Q. Is anejaculation a side effect of Silodal?
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Hello doctor, I have enlarged prostate and some lesion on the prostate. The report has been attached. For the past four years, I have been suffering from urinary tract infections and kidney stones and my life is very much disturbed. I am attaching the files of my reports and the medicines which I am taking. I am recovering, but my nephrologist advised me to consult for the prostate lesion. I am having frequent urination and sometimes ejaculation does not happen after sex. I have hydronephrosis in left kidney which is by birth and was disturbed by kidney stones three years back. In the past, I had some homeopathy medicines. I am taking medicine Utforte (1-0-1), Silodal (0-0-1) and Soliten (0-0-1) for the past two months as prescribed. I just want know the concern about the lesion on my prostate.
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Hi. Infection. 1. Per rectal examination by urologist. 2. Uroflow test. 3. DTPA scan (Diethylenetriamine pentaacetic acid scan) for pujo (pelvi-ureteric junction obstruction). CPPS (chronic pelvic pain syndrome). Chronic prostatitis. Antibiotics. Revert back with the investigation reports to a urologist online.--->
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<s>[INST]
Hello doctor, I have enlarged prostate and some lesion on the prostate. The report has been attached. For the past four years, I have been suffering from urinary tract infections and kidney stones and my life is very much disturbed. I am attaching the files of my reports and the medicines which I am taking. I am recovering, but my nephrologist advised me to consult for the prostate lesion. I am having frequent urination and sometimes ejaculation does not happen after sex. I have hydronephrosis in left kidney which is by birth and was disturbed by kidney stones three years back. In the past, I had some homeopathy medicines. I am taking medicine Utforte (1-0-1), Silodal (0-0-1) and Soliten (0-0-1) for the past two months as prescribed. I just want know the concern about the lesion on my prostate. [/INST] Hi. Infection. 1. Per rectal examination by urologist. 2. Uroflow test. 3. DTPA scan (Diethylenetriamine pentaacetic acid scan) for pujo (pelvi-ureteric junction obstruction). CPPS (chronic pelvic pain syndrome). Chronic prostatitis. Antibiotics. Revert back with the investigation reports to a urologist online.--->
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Q. Shaking the whole body during the night sleeps at times. What is it?
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Hello doctor, My brother-in-law, aged 15 years was seen to be shaking the whole body during the night sleeps at times during the last six months. But during this problem, he remains unconscious. He does so only when he is in deep sleep. We consulted a doctor locally and he suggested MRI of the brain and EEG. He also prescribed some medicines and said that he will have to take the medicines for at least three years, and then only the problem can be cured and also suggested that he should not sleep for more than six hours at night. So I want to seek your opinion in this regard and what is the disease and could it be cured? Also advice on the medicines prescribed by our local doctor and any other precautions to be taken.
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Hi. The diagnosis seems to be correct (attachment removed to protect patient identity). It indeed looks like epilepsy. Sometimes, the cause is unclear. Sometimes it is due to an underlying genetic problem. However, MRI being normal there is no need for any kind of surgical treatment for this problem. EEG is abnormal and he would definitely require antiepileptic treatment for 2 to 3 years at least. After that, repeat EEG and see for improvement. If no seizure recurrence during these three years, then antiepileptics can be tapered off.
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<s>[INST]
Hello doctor, My brother-in-law, aged 15 years was seen to be shaking the whole body during the night sleeps at times during the last six months. But during this problem, he remains unconscious. He does so only when he is in deep sleep. We consulted a doctor locally and he suggested MRI of the brain and EEG. He also prescribed some medicines and said that he will have to take the medicines for at least three years, and then only the problem can be cured and also suggested that he should not sleep for more than six hours at night. So I want to seek your opinion in this regard and what is the disease and could it be cured? Also advice on the medicines prescribed by our local doctor and any other precautions to be taken. [/INST] Hi. The diagnosis seems to be correct (attachment removed to protect patient identity). It indeed looks like epilepsy. Sometimes, the cause is unclear. Sometimes it is due to an underlying genetic problem. However, MRI being normal there is no need for any kind of surgical treatment for this problem. EEG is abnormal and he would definitely require antiepileptic treatment for 2 to 3 years at least. After that, repeat EEG and see for improvement. If no seizure recurrence during these three years, then antiepileptics can be tapered off.
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Q. I am possessive with my girlfriend and feel insecured about her. Why?
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Hi doctor, I feel irritated on deep thinking about people who are cheating me. I am possessive with my girlfriend and feel insecured about her. I am getting anger for very small reasons and answering in very serious mode. I need mental relaxation for myself. Please help.
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Hi. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I feel irritated on deep thinking about people who are cheating me. I am possessive with my girlfriend and feel insecured about her. I am getting anger for very small reasons and answering in very serious mode. I need mental relaxation for myself. Please help. [/INST] Hi. For further information consult a psychiatrist online -->
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Q. I procrastinate a lot. Is it psychological? Can it be rectified?
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Dear doctor,I am 34 years old and am married with two kids, the youngest of the two is 5 months. I have three queries.I procrastinate a lot. Is it psychological? Can it be rectified?I have low self-esteem. Things which happened in my past keep coming to my mind and it hurts me. My mum has told me that I am a good for nothing and I cannot do anything. Is there a way out from feeling so worthless?My husband is an awesome guy. He is very caring and kind. He is the perfect match for me except the fact that he is not interested in sex. Right from when we got married, he never was interested in sex. He has sex when I force him too much and for having kids. Is it due to a low amount of testosterone in him? Can it be rectified via a testosterone injection? If that is the case, will he be interested in sex only or will his whole personality change? He is very emotional and helps out with everything. I do not want that to be changed.Thanks for your time.
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Hello. I can understand your concern. 1 & 2. A lot of individuals have the habit of procrastinating. If there are no other associated symptoms, we cannot label this as psychological. You have mentioned that you have low self-esteem and you think a lot about past. Sometimes, you feel worthless and these symptoms might be associated symptoms. Delaying anything without any reason could be due to lack of motivation, initiative or judgment. This should be properly evaluated. This might be due to underlying mood disturbance. Mild depression can cause similar presentation. If there are no such symptoms and you just have the issue of procrastination, then this is not an alarming thing. Try to remain relaxed, make a proper routine of your day to day activities and follow that routine. This will help improve the functioning. Once you are engaged in your routine, the problem of feeling worthless will also go. Try to get pleasure by finishing the work on time and this will motivate you to do more and ultimately the worthlessness symptoms will go. 3. You have mentioned that your husband is an awesome guy and is emotionally very supportive. But, one issue is that he is not very interested in sex. If he has low interest in sex but during sex, if he is getting good erections, then I do not think there is a problem of low testosterone. I hope he is not overweight and has mesomorphic build. In obese individuals, low testosterone could cause problems. Still, to get a clear picture, you can talk with him and get his serum testosterone and prolactin levels done. This will rule out any hormonal cause. Testosterone injections are given for hypogonadism and this will improve the libido and erection of individual. You can give him herbal medicines containing supplements like L-arginine and yohimbine. Both these supplements will increase his libido and erection. You can find these in supplements stores. For more information consult a psychiatrist online -->
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<s>[INST]
Dear doctor,I am 34 years old and am married with two kids, the youngest of the two is 5 months. I have three queries.I procrastinate a lot. Is it psychological? Can it be rectified?I have low self-esteem. Things which happened in my past keep coming to my mind and it hurts me. My mum has told me that I am a good for nothing and I cannot do anything. Is there a way out from feeling so worthless?My husband is an awesome guy. He is very caring and kind. He is the perfect match for me except the fact that he is not interested in sex. Right from when we got married, he never was interested in sex. He has sex when I force him too much and for having kids. Is it due to a low amount of testosterone in him? Can it be rectified via a testosterone injection? If that is the case, will he be interested in sex only or will his whole personality change? He is very emotional and helps out with everything. I do not want that to be changed.Thanks for your time. [/INST] Hello. I can understand your concern. 1 & 2. A lot of individuals have the habit of procrastinating. If there are no other associated symptoms, we cannot label this as psychological. You have mentioned that you have low self-esteem and you think a lot about past. Sometimes, you feel worthless and these symptoms might be associated symptoms. Delaying anything without any reason could be due to lack of motivation, initiative or judgment. This should be properly evaluated. This might be due to underlying mood disturbance. Mild depression can cause similar presentation. If there are no such symptoms and you just have the issue of procrastination, then this is not an alarming thing. Try to remain relaxed, make a proper routine of your day to day activities and follow that routine. This will help improve the functioning. Once you are engaged in your routine, the problem of feeling worthless will also go. Try to get pleasure by finishing the work on time and this will motivate you to do more and ultimately the worthlessness symptoms will go. 3. You have mentioned that your husband is an awesome guy and is emotionally very supportive. But, one issue is that he is not very interested in sex. If he has low interest in sex but during sex, if he is getting good erections, then I do not think there is a problem of low testosterone. I hope he is not overweight and has mesomorphic build. In obese individuals, low testosterone could cause problems. Still, to get a clear picture, you can talk with him and get his serum testosterone and prolactin levels done. This will rule out any hormonal cause. Testosterone injections are given for hypogonadism and this will improve the libido and erection of individual. You can give him herbal medicines containing supplements like L-arginine and yohimbine. Both these supplements will increase his libido and erection. You can find these in supplements stores. For more information consult a psychiatrist online -->
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Q. Could my father's bradycardia be linked to his thyroid gland disorder?
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Hello doctor, My father was diagnosed with thyroid gland disorder wherein T3 and T4 levels come as normal in results while TSH is pretty much high. Sometimes, the TSH value rises to 100. He has been on Levothyroxine or Eltroxin 100 mcg for the last 17 to 18 years now. Lately, he was hospitalized for emergency due to low heart rate and breathlessness. After many tests like Holter test, the bradycardia or arrhythmia was seen.
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Hi. Firstly, from the reports (attachment removed to protect patient identity) it appears that he is having bradycardia and sinus arrhythmia, but no tachycardia. So, according to me, electrophysiology (EP) studies may be helpful, but not necessary. It could be due to thyroid illness as well. Your father's TSH (thyroid stimulating hormone) is slightly elevated and not very common to cause bradycardia at this TSH levels. Before going ahead, I think the dose of Thyroxine should be increased to 125 mcg and get TSH levels in normal range. Another possibility is sick sinus syndrome (sinoatrial node disease) if it persists after normalizing thyroid level. Treatment of which is pacemaker and EP study is not necessary if established he should go for it. You have mentioned about Epsolin (Phenytoin) to control heart rate. He already has low heart rate, so this should be reconfirmed. Because, he will need medicines to increase heart rate like Deriphyllin, Alupent (Metaproterenol), Asthalin (Salbutamol), etc., and not decrease heart rate. For further information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, My father was diagnosed with thyroid gland disorder wherein T3 and T4 levels come as normal in results while TSH is pretty much high. Sometimes, the TSH value rises to 100. He has been on Levothyroxine or Eltroxin 100 mcg for the last 17 to 18 years now. Lately, he was hospitalized for emergency due to low heart rate and breathlessness. After many tests like Holter test, the bradycardia or arrhythmia was seen. [/INST] Hi. Firstly, from the reports (attachment removed to protect patient identity) it appears that he is having bradycardia and sinus arrhythmia, but no tachycardia. So, according to me, electrophysiology (EP) studies may be helpful, but not necessary. It could be due to thyroid illness as well. Your father's TSH (thyroid stimulating hormone) is slightly elevated and not very common to cause bradycardia at this TSH levels. Before going ahead, I think the dose of Thyroxine should be increased to 125 mcg and get TSH levels in normal range. Another possibility is sick sinus syndrome (sinoatrial node disease) if it persists after normalizing thyroid level. Treatment of which is pacemaker and EP study is not necessary if established he should go for it. You have mentioned about Epsolin (Phenytoin) to control heart rate. He already has low heart rate, so this should be reconfirmed. Because, he will need medicines to increase heart rate like Deriphyllin, Alupent (Metaproterenol), Asthalin (Salbutamol), etc., and not decrease heart rate. For further information consult an internal medicine physician online -->
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Q. After switching to insulin injection, my dad gets stomach pain and swollen feet. Why?
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Hello doctor, My dad has type 2 diabetes. He is on insulin 14 mg a day and twice on some days. He has been having severe stomach pain for weeks and now he has lost a lot of weight. Since being on insulin his feet have become swollen, and his eyes yellow. Prior to insulin, he was on Metformin but his blood sugar was still high. Now he is suffering more, I really do not know what to do now. Please help. Should he go back to Metformin?
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Hi. From your history, it seems your father is suffering from uncontrolled Diabetes mellitus for seven months or more which was not controlled with Metformin. The present complaints you have mentioned after starting insulin, may not be actually related to insulin rather may be due to uncontrolled diabetes or else a systemic disease most probably involving liver in view of jaundice. Or even a renal problem can cause the same because he is on pain killers (Ibuprofen) which may effects negatively to kidneys in such patients. First, stop Ibuprofen at the earliest. Make sure insulin is injected at proper site, rule out insulin site infections. Rule out kidney and liver involvement by doing RFT (renal function test) and LFT (liver function test) along with blood routine. Why insulin was directly started after Metformin is also a doubt? There are many good oral tablets which are stronger than Metformin that may be tried before insulin if no contraindications. Weight loss may be due to uncontrolled sugars which are signified by blood sugars postmeal. Liver function test. Renal function test. Complete blood count with ESR (erythrocyte sedimentation rate). HBA1c (glycated hemoglobin). Proper diabetic diet. Regular aerobic exercises for 30 minutes per day. Insulin maybe continued-special care on storage, site of injection, methods of injecting. May be shifted to anti-diabetic tablets once the patient is stable.
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<s>[INST]
Hello doctor, My dad has type 2 diabetes. He is on insulin 14 mg a day and twice on some days. He has been having severe stomach pain for weeks and now he has lost a lot of weight. Since being on insulin his feet have become swollen, and his eyes yellow. Prior to insulin, he was on Metformin but his blood sugar was still high. Now he is suffering more, I really do not know what to do now. Please help. Should he go back to Metformin? [/INST] Hi. From your history, it seems your father is suffering from uncontrolled Diabetes mellitus for seven months or more which was not controlled with Metformin. The present complaints you have mentioned after starting insulin, may not be actually related to insulin rather may be due to uncontrolled diabetes or else a systemic disease most probably involving liver in view of jaundice. Or even a renal problem can cause the same because he is on pain killers (Ibuprofen) which may effects negatively to kidneys in such patients. First, stop Ibuprofen at the earliest. Make sure insulin is injected at proper site, rule out insulin site infections. Rule out kidney and liver involvement by doing RFT (renal function test) and LFT (liver function test) along with blood routine. Why insulin was directly started after Metformin is also a doubt? There are many good oral tablets which are stronger than Metformin that may be tried before insulin if no contraindications. Weight loss may be due to uncontrolled sugars which are signified by blood sugars postmeal. Liver function test. Renal function test. Complete blood count with ESR (erythrocyte sedimentation rate). HBA1c (glycated hemoglobin). Proper diabetic diet. Regular aerobic exercises for 30 minutes per day. Insulin maybe continued-special care on storage, site of injection, methods of injecting. May be shifted to anti-diabetic tablets once the patient is stable.
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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 have three big oral ulcers. Please help me out.
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Hi doctor, I have an oral ulcer problem. I always get big oral ulcers. Presently, I have three big ulcers. Please help me out.
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Hi. As per your statement, it seems that you are having recurrent oral ulcers. Well, I would like to inform you that most commonly, we have two types of oral ulcers. If it is a herpetic ulcer, then it will be associated with mild fever and most commonly situated near the lips. An aphthous ulcer is due to mental stress. It mostly occurs over the tongue, oral mucosa region, and is very painful with a lot of saliva secretion. Aphthous is of two types - major and minor. Presently, you have got three minor aphthous ulcers. Now, coming to the treatment of your aphthous. It is only symptomatic. I suggest taking painkillers with antacids. Also, apply a topical anesthetic gel over the ulcer for relief. It will subside in seven to 10 days. You will completely get rid of it only at the age of 35 to 40 years. For further information consult a dentist online -->
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<s>[INST]
Hi doctor, I have an oral ulcer problem. I always get big oral ulcers. Presently, I have three big ulcers. Please help me out. [/INST] Hi. As per your statement, it seems that you are having recurrent oral ulcers. Well, I would like to inform you that most commonly, we have two types of oral ulcers. If it is a herpetic ulcer, then it will be associated with mild fever and most commonly situated near the lips. An aphthous ulcer is due to mental stress. It mostly occurs over the tongue, oral mucosa region, and is very painful with a lot of saliva secretion. Aphthous is of two types - major and minor. Presently, you have got three minor aphthous ulcers. Now, coming to the treatment of your aphthous. It is only symptomatic. I suggest taking painkillers with antacids. Also, apply a topical anesthetic gel over the ulcer for relief. It will subside in seven to 10 days. You will completely get rid of it only at the age of 35 to 40 years. For further information consult a dentist online -->
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Q. Is there a permanent cure for pulmonary hypertension?
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Hi doctor, I am suffering from rheumatoid arthritis for past 15 years, which has now affected my whole body. Since one and a half year, I am getting shortness of breath and cough. Last year, when I was admitted in the hospital to get this treated, my doctor advised me to use external oxygen for long term. Since then, I am using oxygen concentrator. Over a month, my shortness of breath and cough has increased and I am finding difficulty even in speaking. Please help.
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Hi. For further information consult a pulmonologist online -->
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<s>[INST]
Hi doctor, I am suffering from rheumatoid arthritis for past 15 years, which has now affected my whole body. Since one and a half year, I am getting shortness of breath and cough. Last year, when I was admitted in the hospital to get this treated, my doctor advised me to use external oxygen for long term. Since then, I am using oxygen concentrator. Over a month, my shortness of breath and cough has increased and I am finding difficulty even in speaking. Please help. [/INST] Hi. For further information consult a pulmonologist online -->
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Q. I want to know whether my liver is in bad condition.
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Hi doctor, I am a 33 year old male. My body weight is 64.5 kg and height is 5'3". My USG report shows that the liver is mildly enlarged in size (liver span is 123 mm), but has normal shape and outline. There is a mild diffuse homogenous increase of hepatic parenchymal echogenicity suggesting mild fatty liver. No focal area of altered echogenicity is seen. The intrahepatic tubular structures are normal. The porta hepatis is normal. Portal vein measures 7 mm. The biliary tree is not dilated. The common duct at porta hepatis measures 3 mm in diameter. The gallbladder is normally distended. The gallbladder wall is normal. No calculus or mass is seen in the gall bladder. All other organs are normal in shape and size. The overall impression is mild fatty liver. My SGOT is 43 u/L and SGPT is 35 u/L. I was a social drinker, but I gave up before five years. I want to know whether my liver is in bad condition.
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Hi. Diet and alcohol. LFT (liver function tests) and ultrasonography abdomen. Fatty liver. Conservative treatment. 1. Regular exercise. 2. Intermittent fasting. 3. Use of Omega fatty acids containing oils in the diet. 4. Reducing fat content in diet. 5. Avoiding alcohol. For further information consult a medical gastroenterologist online.--->
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<s>[INST]
Hi doctor, I am a 33 year old male. My body weight is 64.5 kg and height is 5'3". My USG report shows that the liver is mildly enlarged in size (liver span is 123 mm), but has normal shape and outline. There is a mild diffuse homogenous increase of hepatic parenchymal echogenicity suggesting mild fatty liver. No focal area of altered echogenicity is seen. The intrahepatic tubular structures are normal. The porta hepatis is normal. Portal vein measures 7 mm. The biliary tree is not dilated. The common duct at porta hepatis measures 3 mm in diameter. The gallbladder is normally distended. The gallbladder wall is normal. No calculus or mass is seen in the gall bladder. All other organs are normal in shape and size. The overall impression is mild fatty liver. My SGOT is 43 u/L and SGPT is 35 u/L. I was a social drinker, but I gave up before five years. I want to know whether my liver is in bad condition. [/INST] Hi. Diet and alcohol. LFT (liver function tests) and ultrasonography abdomen. Fatty liver. Conservative treatment. 1. Regular exercise. 2. Intermittent fasting. 3. Use of Omega fatty acids containing oils in the diet. 4. Reducing fat content in diet. 5. Avoiding alcohol. For further information consult a medical gastroenterologist online.--->
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Q. I have TGL 530. Do I need to go for an angioplasty?
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Hi doctor, I have TGL 530. When I consulted doctors, many opinion like angioplasty were given. Do I need to go for an angioplasty? Without medicine, food controller, and exercise, can I reduce TGL to 60 to 170?
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Hello. I guess you did not have any chest pain or any shortness of breath. Need for angiography and angioplasty depends not on the lipid level but on other tests like ECG and echo which helps to predict the possibility of blockages, and whether you had any chest pain or not. Also, the need for angiography depends on troponin level as well which is a marker of heart attack, which is elevated there (attachment removed to protect patient identity). So if it is truly elevated, then you will need an angiography. So overall, you need to undergo ECG, echo as well and if they show any abnormalities, then you will need angiography. If already undergone, then please upload here. If normal, then you will need stress tests like stress thallium or CT coronary angiography. Next, you need to be on medications for both deranged lipid profile like Rosuvastatin, Fenofibrate, maybe Aspirin and for deranged sugars. Without medications, unlikely to control these derangements, so should get started on medications. Need to have a healthy lifestyle like low calorie, sugar, fat and oily diet. Regular exercise like walking or brisk walking according to your capacity. Need to achieve weight loss.
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<s>[INST]
Hi doctor, I have TGL 530. When I consulted doctors, many opinion like angioplasty were given. Do I need to go for an angioplasty? Without medicine, food controller, and exercise, can I reduce TGL to 60 to 170? [/INST] Hello. I guess you did not have any chest pain or any shortness of breath. Need for angiography and angioplasty depends not on the lipid level but on other tests like ECG and echo which helps to predict the possibility of blockages, and whether you had any chest pain or not. Also, the need for angiography depends on troponin level as well which is a marker of heart attack, which is elevated there (attachment removed to protect patient identity). So if it is truly elevated, then you will need an angiography. So overall, you need to undergo ECG, echo as well and if they show any abnormalities, then you will need angiography. If already undergone, then please upload here. If normal, then you will need stress tests like stress thallium or CT coronary angiography. Next, you need to be on medications for both deranged lipid profile like Rosuvastatin, Fenofibrate, maybe Aspirin and for deranged sugars. Without medications, unlikely to control these derangements, so should get started on medications. Need to have a healthy lifestyle like low calorie, sugar, fat and oily diet. Regular exercise like walking or brisk walking according to your capacity. Need to achieve weight loss.
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Q. What is the difference between heart attack and costochondritis chest pain?
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Hi doctor, I am 21 years old, and I visited my GP today, who thinks that I may have chondritis. I just have a question regarding the difference between this and heart attacks. The pain has been varying from the right side of my left pectoral to the left side of my left pectoral muscle. Being fairly young, this had made be worry a lot. Please help.
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Hello. Firstly, to begin with, the probability of heart attack is very less at this age. Costochondritis pain will increases on applying pressure over the area, if yes, it could be costochondritis. This is the most important sign of costochondritis. Heart attack pain will be very severe on the left side, which is associated with radiating pain to the left arm and a lot of sweating. It will not last more than 24 to 48 hours in severe heart attack and more than 20 minutes in a minor heart attack. To clear your doubt, you can get an ECG (electrocardiogram) done. Overall, I do not think it to be a cardiac pain. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
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<s>[INST]
Hi doctor, I am 21 years old, and I visited my GP today, who thinks that I may have chondritis. I just have a question regarding the difference between this and heart attacks. The pain has been varying from the right side of my left pectoral to the left side of my left pectoral muscle. Being fairly young, this had made be worry a lot. Please help. [/INST] Hello. Firstly, to begin with, the probability of heart attack is very less at this age. Costochondritis pain will increases on applying pressure over the area, if yes, it could be costochondritis. This is the most important sign of costochondritis. Heart attack pain will be very severe on the left side, which is associated with radiating pain to the left arm and a lot of sweating. It will not last more than 24 to 48 hours in severe heart attack and more than 20 minutes in a minor heart attack. To clear your doubt, you can get an ECG (electrocardiogram) done. Overall, I do not think it to be a cardiac pain. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
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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. Why do I have a strong urge to urinate?
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Hi doctor, In the morning, I have a strong and frequent urge to pass urine. It continues for an hour or two. After urinating normally, only droppings take place. Today, a few drops of blood also came. My intake of water is about 2 liters a day. There is no discharge or itching. Throughout the day it is normal. This symptom is persisting for the last three to four days. I am a thyroid patient as well as diabetic and also on medication for high BP.
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Hi. It seems you have developed urinary tract infection (UTI). It is common in diabetic patients to develop infection despite good water intake. I suggest you get urine routine and microscopy along with urine culture sensitivity done. Take antibiotics accordingly. Let me know the result, so that I can help you with the prescription. All the best. Hope you get well soon. Revert back after the test to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, In the morning, I have a strong and frequent urge to pass urine. It continues for an hour or two. After urinating normally, only droppings take place. Today, a few drops of blood also came. My intake of water is about 2 liters a day. There is no discharge or itching. Throughout the day it is normal. This symptom is persisting for the last three to four days. I am a thyroid patient as well as diabetic and also on medication for high BP. [/INST] Hi. It seems you have developed urinary tract infection (UTI). It is common in diabetic patients to develop infection despite good water intake. I suggest you get urine routine and microscopy along with urine culture sensitivity done. Take antibiotics accordingly. Let me know the result, so that I can help you with the prescription. All the best. Hope you get well soon. Revert back after the test to an obstetrician and gynaecologist online -->
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Q. I am on Levothyroxine but still have hair loss, and weight gain. Please help.
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Hello doctor,I was diagnosed with Hashimoto's 10 years ago. I have been on Levothyroxine, and current dose is 125 mcg. During that time I have been hospitalized four times because of heart palpitations. Even though I am on medicine I still have coarse hair, hair loss, weight gain, puffy face, hoarse voice, and constipation. I was wondering if I should switch to a different thyroid medicine? The other medicines that I take are Welbutrin 150 mg, Cymbalta 90 mg, Probiotic, stool softener, and Vitamin B12.
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Hello. I just read your query and from what you have mentioned it appears that you are having very good thyroid function test results. I would not recommend that you change the form of Thyroxine at any cost. Regarding your hair, face and constipation I understand it is hard having these side effects from Thyroxine which will still be there in spite of switching to an alternative form but the risk is more in switching the drug. For more information consult an endocrinologist online -->
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<s>[INST]
Hello doctor,I was diagnosed with Hashimoto's 10 years ago. I have been on Levothyroxine, and current dose is 125 mcg. During that time I have been hospitalized four times because of heart palpitations. Even though I am on medicine I still have coarse hair, hair loss, weight gain, puffy face, hoarse voice, and constipation. I was wondering if I should switch to a different thyroid medicine? The other medicines that I take are Welbutrin 150 mg, Cymbalta 90 mg, Probiotic, stool softener, and Vitamin B12. [/INST] Hello. I just read your query and from what you have mentioned it appears that you are having very good thyroid function test results. I would not recommend that you change the form of Thyroxine at any cost. Regarding your hair, face and constipation I understand it is hard having these side effects from Thyroxine which will still be there in spite of switching to an alternative form but the risk is more in switching the drug. For more information consult an endocrinologist online -->
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Q. Kindly suggest an ointment for quick relief of these itchy bumps.
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Hi doctor, I have this skin reaction for around a month now. They are itchy, red and tiny bumps. My doctor gave my Zatamil ointment to use but after that ointment I feel it as spreading. Is there any other ointment that can help to get rid of it quickly?
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Hi. I feel sorry for this situation. Revert back with the answers to the above questions to an internal medicine physician online -->
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<s>[INST]
Hi doctor, I have this skin reaction for around a month now. They are itchy, red and tiny bumps. My doctor gave my Zatamil ointment to use but after that ointment I feel it as spreading. Is there any other ointment that can help to get rid of it quickly? [/INST] Hi. I feel sorry for this situation. Revert back with the answers to the above questions to an internal medicine physician online -->
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Q. My problem is low sexual drive. Please help me overcome this.
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Hello, I am a 30 year old male, got married before 2 years. My problem is low sexual drive. Previously I used to masturbate a lot. But before 2 months I had quit these activities. Also I have strong erection in the beginning of the foreplay, but before penetration I will lose my erection. Because of this I am not able to use condoms. My penis is circumcised and I do not feel any sensitivity in my glans penis. I had an online consultation with a doctor. She prescribed me bupropion hydrochloride XL 150 mg for a month. It is an antidepressant. Is it safe for me to have this pill on a regular basis? Are there any side effects? Does it increase the sex drive? I have a very good relationship with my wife, but when it comes to sex, nothing seems to work out. Please help me overcome this situation.
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Hi. Do get back with details to a sexologist online -->
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<s>[INST]
Hello, I am a 30 year old male, got married before 2 years. My problem is low sexual drive. Previously I used to masturbate a lot. But before 2 months I had quit these activities. Also I have strong erection in the beginning of the foreplay, but before penetration I will lose my erection. Because of this I am not able to use condoms. My penis is circumcised and I do not feel any sensitivity in my glans penis. I had an online consultation with a doctor. She prescribed me bupropion hydrochloride XL 150 mg for a month. It is an antidepressant. Is it safe for me to have this pill on a regular basis? Are there any side effects? Does it increase the sex drive? I have a very good relationship with my wife, but when it comes to sex, nothing seems to work out. Please help me overcome this situation. [/INST] Hi. Do get back with details to a sexologist online -->
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Q. Why do I have bumps under my penis area?
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Hi doctor, I have HSV 1 orally. Recently, I got little bumps under my penis area. I can see them only when I erect or when I pull them hard on the skin. Please help me.
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Hi. Without a clear photograph, we are not in a position to help you. So please send a good quality photograph taken in natural light.
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<s>[INST]
Hi doctor, I have HSV 1 orally. Recently, I got little bumps under my penis area. I can see them only when I erect or when I pull them hard on the skin. Please help me. [/INST] Hi. Without a clear photograph, we are not in a position to help you. So please send a good quality photograph taken in natural light.
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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. What treatment will help recurrent stye?
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Hi doctor, I am an 18 year old female. I am getting a stye in the corner of my left eye, right under the lower eyelid. It is recurrent for the past six months and itchy sometimes. What would you recommend to get rid of it?
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Hi. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I am an 18 year old female. I am getting a stye in the corner of my left eye, right under the lower eyelid. It is recurrent for the past six months and itchy sometimes. What would you recommend to get rid of it? [/INST] Hi. For further information consult an eye care ophthalmologist online -->
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Q. My tongue is whiter than normal and I have pain in the tongue. Please help.
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Hello doctor, I have an issue with my tongue pain for about one month. I am having this issue where my tongue is red in the middle and painful when it is pushing around spit or food or when it is pushing itself to the roof of the mouth. I have a burning sensation. It is hardly noticeable in the morning but by evening it is irritating and it hurts again. The tongue is also much whiter than normal and it retains the colors of what is eaten. For example, something red stains the tongue. There is no pain when talking or when the tongue is simply resting. I have been to an ENT specialist recently for this. Diagnosis is median rhomboid glossitis caused by suspected candidiasis. This is pending culture. I am currently on Voriconazole 200 mg two times daily for 14 days. I am on the verge of completing the course, but I see no results. I had a similar issue last year but it did not look like this. I ended up having strep which may have caused the issue. So, I had a rapid strep test which came back negative. I have also been to a general practician and got Nystatin swish and swallow for seven days with no results. I was then put on Diflucan for 14 days, yet no results. I have a past history of ulcerative colitis which is controlled. I am currently using Humira for colitis (one pen) twice monthly. I am also on Zyrtec one daily, Prilosec 20 mg daily for heartburn, and a daily multivitamin. I am looking for a second opinion as my doctor is perplexed. I have attached pictures for your reference. Please help.
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Hello. I have gone through the images (attachment removed to protect patient identity). For more information consult an ENT Otolaryngologist online -->
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<s>[INST]
Hello doctor, I have an issue with my tongue pain for about one month. I am having this issue where my tongue is red in the middle and painful when it is pushing around spit or food or when it is pushing itself to the roof of the mouth. I have a burning sensation. It is hardly noticeable in the morning but by evening it is irritating and it hurts again. The tongue is also much whiter than normal and it retains the colors of what is eaten. For example, something red stains the tongue. There is no pain when talking or when the tongue is simply resting. I have been to an ENT specialist recently for this. Diagnosis is median rhomboid glossitis caused by suspected candidiasis. This is pending culture. I am currently on Voriconazole 200 mg two times daily for 14 days. I am on the verge of completing the course, but I see no results. I had a similar issue last year but it did not look like this. I ended up having strep which may have caused the issue. So, I had a rapid strep test which came back negative. I have also been to a general practician and got Nystatin swish and swallow for seven days with no results. I was then put on Diflucan for 14 days, yet no results. I have a past history of ulcerative colitis which is controlled. I am currently using Humira for colitis (one pen) twice monthly. I am also on Zyrtec one daily, Prilosec 20 mg daily for heartburn, and a daily multivitamin. I am looking for a second opinion as my doctor is perplexed. I have attached pictures for your reference. Please help. [/INST] Hello. I have gone through the images (attachment removed to protect patient identity). For more information consult an ENT Otolaryngologist online -->
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Q. I have a pain behind my left eye and a headache in the base of the skull. What could it be?
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Hello doctor, I do not know if you would be able to help. I just want to be pointed in the right direction. I am 25 years old. My height is 5 feet and 2 inches. I weigh about 127 kg. I have underactive thyroids, but they are not treatable by NHS standards. I have a mixed connective tissue disorder. Currently, I have a contraceptive implant and constant vitamin D deficiency. I am fairly active, as I have to run around for my disabled mother, as well as lift a 55 kg mobility scooter in and out of a car daily. Also, my TSH was 3.25 and my T4 was 13.5.But, for the last two to three years, I have been getting a lot of pain behind my left eye, to the point that I feel like taking it out would be the only release of pain. However, putting pressure on it helps a little. I also tend to get a dull pain or a headache in the base of my skull, at the top of my neck. But that may be due to a bad bed and pillows. I have had it tested by two opticians. One of them said that I should get checked for MS, which my doctors and neurologist scoffed at, and the other said he could not see any symptoms of a tumor. The only thing that seems to take the edge off the pain is strong co-codamol 30/500. I have also noticed recently that sometimes I do lose grip in my dominant hand, and sometimes struggle to put sentences in the right order, or just lose my balance. I also struggle to eat and sometimes feel sick after eating, even more so if I eat in the morning. But, my doctors do not seem to care about my eye at this point. And, I am worried it might be something serious. I would just like some advice.
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Hello. I would like to know further details about your symptoms: Revert with more information to a neurologist online -->
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<s>[INST]
Hello doctor, I do not know if you would be able to help. I just want to be pointed in the right direction. I am 25 years old. My height is 5 feet and 2 inches. I weigh about 127 kg. I have underactive thyroids, but they are not treatable by NHS standards. I have a mixed connective tissue disorder. Currently, I have a contraceptive implant and constant vitamin D deficiency. I am fairly active, as I have to run around for my disabled mother, as well as lift a 55 kg mobility scooter in and out of a car daily. Also, my TSH was 3.25 and my T4 was 13.5.But, for the last two to three years, I have been getting a lot of pain behind my left eye, to the point that I feel like taking it out would be the only release of pain. However, putting pressure on it helps a little. I also tend to get a dull pain or a headache in the base of my skull, at the top of my neck. But that may be due to a bad bed and pillows. I have had it tested by two opticians. One of them said that I should get checked for MS, which my doctors and neurologist scoffed at, and the other said he could not see any symptoms of a tumor. The only thing that seems to take the edge off the pain is strong co-codamol 30/500. I have also noticed recently that sometimes I do lose grip in my dominant hand, and sometimes struggle to put sentences in the right order, or just lose my balance. I also struggle to eat and sometimes feel sick after eating, even more so if I eat in the morning. But, my doctors do not seem to care about my eye at this point. And, I am worried it might be something serious. I would just like some advice. [/INST] Hello. I would like to know further details about your symptoms: Revert with more information to a neurologist online -->
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Q. Please suggest the best cure for xerosis.
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Hi doctor, I am suffering with xerosis. I had consulted many doctors and wasted so much money without any use. I am really fed up with this. Please suggest the best way to cure this.
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I am suffering with xerosis. I had consulted many doctors and wasted so much money without any use. I am really fed up with this. Please suggest the best way to cure this. [/INST] Hi. For further information consult a dermatologist online -->
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Q. Noticed strange peripheral flashes and eye floaters. Why?
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Hello doctor, For the past three weeks, I have had my normal right eye floaters seem strange. I noticed peripheral flashes when blinking and walking and quick black narrow lines. I saw an ophthalmologist. He found the retina to be fine. I now have some flashes around peripheral in the right eye and a new large annoying floater, no curtain or loss of vision. Talked to an ophthalmologist last night. Said not to move eyes much. Should I go to ER? No vision loss. Just flashes and fast moving stringy floaters and flashes when moving eyes and walking.
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Hi. The hollow of the eye is filled with vitreous jelly. With aging, the jelly starts to liquify and separates from its attachments to the retina. This results in a little tug on the retina, resulting in flashes. This phenomenon is known as posterior vitreous detachment or PVD in short. The large floater appears when the PVD is complete, that is, it detaches from its final strong attachment on the optic nerve head in the retina. What you are experiencing is normal aging of the vitreous jelly. Now in this process, sometimes breaks may form in the retina leading to floaters. Floaters may be due to the cells from the back of the retina gaining access to the vitreous cavity through the breaks in the retina. Sometimes floaters may result when the break involves a retinal blood vessel. It is extremely important to get a dilated fundus examination done on an urgent basis to rule out any of the breaks. If found, they can be lasered to prevent further progression to complete retinal detachment. So kindly do see a retina specialist. Let me know how it went. Take care.
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<s>[INST]
Hello doctor, For the past three weeks, I have had my normal right eye floaters seem strange. I noticed peripheral flashes when blinking and walking and quick black narrow lines. I saw an ophthalmologist. He found the retina to be fine. I now have some flashes around peripheral in the right eye and a new large annoying floater, no curtain or loss of vision. Talked to an ophthalmologist last night. Said not to move eyes much. Should I go to ER? No vision loss. Just flashes and fast moving stringy floaters and flashes when moving eyes and walking. [/INST] Hi. The hollow of the eye is filled with vitreous jelly. With aging, the jelly starts to liquify and separates from its attachments to the retina. This results in a little tug on the retina, resulting in flashes. This phenomenon is known as posterior vitreous detachment or PVD in short. The large floater appears when the PVD is complete, that is, it detaches from its final strong attachment on the optic nerve head in the retina. What you are experiencing is normal aging of the vitreous jelly. Now in this process, sometimes breaks may form in the retina leading to floaters. Floaters may be due to the cells from the back of the retina gaining access to the vitreous cavity through the breaks in the retina. Sometimes floaters may result when the break involves a retinal blood vessel. It is extremely important to get a dilated fundus examination done on an urgent basis to rule out any of the breaks. If found, they can be lasered to prevent further progression to complete retinal detachment. So kindly do see a retina specialist. Let me know how it went. Take care.
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Q. Can nicotine in vape worsen OCD?
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Hi doctor, I am bipolar with OCD. I also suffer from psychotic symptoms and also and I currently smoke a nicotine vape which I feel is keeping my moods stable and psychosis at bay. The only problem is that I feel my OCD is much worse. Could this be due to the nicotine in the vape? I would like to give up but worried I will become unstable. Is it possible the vape is making my OCD symptoms worse? I am currently on 75 mg of Chlorpromazine and a low dose of Diazepam for panic attacks.
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Hello. Nicotine smoke could increase the stress and might make OCD (obsessive-compulsive disorder) symptoms worse. You have to stop this. You are on Chlorpromazine for mood and psychotic symptoms but there is no specific drug to control anxiety and obsessive thoughts. Drugs like Fluoxetine should be added to your prescription in order to improve the OCD symptoms and anxiety. A low dose can be used safely in bipolar disorder too. Please talk to your psychiatrist about this.
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<s>[INST]
Hi doctor, I am bipolar with OCD. I also suffer from psychotic symptoms and also and I currently smoke a nicotine vape which I feel is keeping my moods stable and psychosis at bay. The only problem is that I feel my OCD is much worse. Could this be due to the nicotine in the vape? I would like to give up but worried I will become unstable. Is it possible the vape is making my OCD symptoms worse? I am currently on 75 mg of Chlorpromazine and a low dose of Diazepam for panic attacks. [/INST] Hello. Nicotine smoke could increase the stress and might make OCD (obsessive-compulsive disorder) symptoms worse. You have to stop this. You are on Chlorpromazine for mood and psychotic symptoms but there is no specific drug to control anxiety and obsessive thoughts. Drugs like Fluoxetine should be added to your prescription in order to improve the OCD symptoms and anxiety. A low dose can be used safely in bipolar disorder too. Please talk to your psychiatrist about this.
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Q. Should I go for a cervical cerclage during my next pregnancy?
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Hello doctor, I need your opinion regarding my future pregnancy. Five years ago, I gave birth to my son and had to have an emergency C-section. The doctor's report read 'upon entering the abdominal cavity, the patient was found to have a large uterine window consistent with a uterine rupture. However, there was a small thin area covered by serosa, with a blood clot underneath. The rupture extended along the upper right side into the right broad ligament and round ligament. The incision was closed in two layers, and most of the extension areas were closed and imbricated in two layers as well.' My question to you is with all I went through with my son, would you recommend that I get a cerclage if I decide to have another baby or will I be alright without one?
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Hello. How are you doing? Hope I have been of help to you. Do write back in case of more queries. All the best. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I need your opinion regarding my future pregnancy. Five years ago, I gave birth to my son and had to have an emergency C-section. The doctor's report read 'upon entering the abdominal cavity, the patient was found to have a large uterine window consistent with a uterine rupture. However, there was a small thin area covered by serosa, with a blood clot underneath. The rupture extended along the upper right side into the right broad ligament and round ligament. The incision was closed in two layers, and most of the extension areas were closed and imbricated in two layers as well.' My question to you is with all I went through with my son, would you recommend that I get a cerclage if I decide to have another baby or will I be alright without one? [/INST] Hello. How are you doing? Hope I have been of help to you. Do write back in case of more queries. All the best. For more information consult an obstetrician and gynaecologist online -->
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Q. What is the ayurveda treatment for psoriasis?
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Hi doctor, I have joint eczema for the past seven to eight years in both knee, the lower portion of leg and back of hand joints. My doctor says that it is psoriasis. Please clarify.
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Hello. I just read your query. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I have joint eczema for the past seven to eight years in both knee, the lower portion of leg and back of hand joints. My doctor says that it is psoriasis. Please clarify. [/INST] Hello. I just read your query. For further information consult an ayurveda specialist online -->
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Q. Please help me understand the outcome of my brain tumor surgery.
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Hi doctor, Three months back, I had CyberKnife surgery for a brain tumor. Today, I had my MRI again. I want to know the report. Please explain.
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Hi. Revert back with the detailed reports to an internal medicine physician online -->
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<s>[INST]
Hi doctor, Three months back, I had CyberKnife surgery for a brain tumor. Today, I had my MRI again. I want to know the report. Please explain. [/INST] Hi. Revert back with the detailed reports to an internal medicine physician online -->
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Q. Is Pantoprazole allergy something to be concerned about?
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Hello doctor, I had indigestion problems last month and I was given a Pan 40 injection in a 24/7 hospital in my locality. The moment I was given the injection, my body developed rashes, redness, and itching. My doctor immediately gave Avil injection after which rashes and redness subsided. Two days back, I again had got indigestion problems after a week of having junk food outside. This time I had Pan D tablet, but this time after an hour I developed rashes, itching, and the whole body turned red. I again went to the 24/7 hospital and the doctor again injected Avil after which the redness and itching subsided. The doctor also told me never to take Pantoprazole tablets as I am allergic and reacting very badly. Now, I have been given Rantac and I have no problems now. So, here are my questions: As my doctor told PAN tablets will be regularly prescribed for other illness too to avoid acidity and other stomach ailments, do I have to tell that I have Pantoprazole allergy whenever I visit a doctor? Is Pantoprazole allergy something I need to be concerned about? Should I have to do anything?
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Hello. I have gone through your question and I understand your concerns but yes Pantoprazole allergy is a permanent condition that you will need to report to any doctor you visit before prescribing medications. Also, this allergy is nothing to worry about as long as you avoid taking Pantoprazole but can get very serious and even fatal if you take it again. I hope you find this helpful. For more information consult a general medicine physician online -->
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<s>[INST]
Hello doctor, I had indigestion problems last month and I was given a Pan 40 injection in a 24/7 hospital in my locality. The moment I was given the injection, my body developed rashes, redness, and itching. My doctor immediately gave Avil injection after which rashes and redness subsided. Two days back, I again had got indigestion problems after a week of having junk food outside. This time I had Pan D tablet, but this time after an hour I developed rashes, itching, and the whole body turned red. I again went to the 24/7 hospital and the doctor again injected Avil after which the redness and itching subsided. The doctor also told me never to take Pantoprazole tablets as I am allergic and reacting very badly. Now, I have been given Rantac and I have no problems now. So, here are my questions: As my doctor told PAN tablets will be regularly prescribed for other illness too to avoid acidity and other stomach ailments, do I have to tell that I have Pantoprazole allergy whenever I visit a doctor? Is Pantoprazole allergy something I need to be concerned about? Should I have to do anything? [/INST] Hello. I have gone through your question and I understand your concerns but yes Pantoprazole allergy is a permanent condition that you will need to report to any doctor you visit before prescribing medications. Also, this allergy is nothing to worry about as long as you avoid taking Pantoprazole but can get very serious and even fatal if you take it again. I hope you find this helpful. For more information consult a general medicine physician 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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