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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. How to reduce excess oxytocin in brain?
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Hi doctor, Two months back, I got married. Then, I involved with excessive kissing with my wife. For the past one month, I am facing some kind of headache and heaviness in the head. I checked with the local physician and they said that there are excess of love hormones in the brain. That is excess of oxytocin and my physician informed me to consult a psychiatrist. He also informed me that there the excess oxytocin needs to be reduced to come out of the problem. Earlier, I did not accept that there are excess love hormones in my brain. However, I observed and surprisingly I have seen that after kissing my wife, my symptoms got increased. I request you to suggest a medicine to overcome this problem.
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Hi. I can understand your concern, but I differ in opinion regarding the oxytocin and headache. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, Two months back, I got married. Then, I involved with excessive kissing with my wife. For the past one month, I am facing some kind of headache and heaviness in the head. I checked with the local physician and they said that there are excess of love hormones in the brain. That is excess of oxytocin and my physician informed me to consult a psychiatrist. He also informed me that there the excess oxytocin needs to be reduced to come out of the problem. Earlier, I did not accept that there are excess love hormones in my brain. However, I observed and surprisingly I have seen that after kissing my wife, my symptoms got increased. I request you to suggest a medicine to overcome this problem. [/INST] Hi. I can understand your concern, but I differ in opinion regarding the oxytocin and headache. For further information consult a psychiatrist online -->
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Q. Can Bell's palsy cause bloated stomach, frozen shoulder, and tightness in the throat?
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Hi doctor, I am a 57 year old male, who was diagnosed with Bell's palsy about a year back. I was treated with steroids for 10 days along with antiviral medicines. I was also given Mecobalamin (Tetrafol plus) which I am still taking. I had also taken ayurvedic medicines Brihat Vatchintamani Ras, Rasraj Ras, Ashwagandha, Brahmi, and Trayodashang guggul (for shoulder pain). I was told to take Causticum 200 once a day, Biochemic Mag Phos and Kali Phos by my homeopathy doctor. My Bell's palsy is now 80 percent cured, and I can close my eye, hold water in my mouth, and puff my cheeks. However, lately, I am having some twitches in my face and sometimes in other parts of my body. I feel a burning sensation on my body. My mouth feels dry, and I feel very sleepy during the day. My stomach is bloated, have frozen shoulder, and feel tightness in my throat. My sugar level, thyroid, and BP are normal. Please help me.
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Hi. For further information consult an internal medicine physician -->
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<s>[INST]
Hi doctor, I am a 57 year old male, who was diagnosed with Bell's palsy about a year back. I was treated with steroids for 10 days along with antiviral medicines. I was also given Mecobalamin (Tetrafol plus) which I am still taking. I had also taken ayurvedic medicines Brihat Vatchintamani Ras, Rasraj Ras, Ashwagandha, Brahmi, and Trayodashang guggul (for shoulder pain). I was told to take Causticum 200 once a day, Biochemic Mag Phos and Kali Phos by my homeopathy doctor. My Bell's palsy is now 80 percent cured, and I can close my eye, hold water in my mouth, and puff my cheeks. However, lately, I am having some twitches in my face and sometimes in other parts of my body. I feel a burning sensation on my body. My mouth feels dry, and I feel very sleepy during the day. My stomach is bloated, have frozen shoulder, and feel tightness in my throat. My sugar level, thyroid, and BP are normal. Please help me. [/INST] Hi. For further information consult an internal medicine physician -->
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Q. Thyroid level is normal but, thyroglobulin antibody level is high. What does that indicate?
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Hello doctor, I had depression symptoms. When I checked thyroid, it was normal. but when I checked my thyroid antibody the result shows thyroglobulin antibody (ATG), serum: 32.77 IU/mL.
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Hello. I just read your query and from what you have mentioned, it appears that you have antithyroglobulin antibodies. The presence of antibodies only suggests that you may develop thyroid dysfunction in the future but as of now your thyroid gland is functioning well. I would suggest repeating thyroid function test every three to six months. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online -->
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<s>[INST]
Hello doctor, I had depression symptoms. When I checked thyroid, it was normal. but when I checked my thyroid antibody the result shows thyroglobulin antibody (ATG), serum: 32.77 IU/mL. [/INST] Hello. I just read your query and from what you have mentioned, it appears that you have antithyroglobulin antibodies. The presence of antibodies only suggests that you may develop thyroid dysfunction in the future but as of now your thyroid gland is functioning well. I would suggest repeating thyroid function test every three to six months. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online -->
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Q. Please explain the findings of my CT scan.
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Hello doctor, I recently got my test results back, but was not able to get any feedback yet. I had periodontal disease and my CT scan showed maxillary and sphenoid sinusitis. Therefore, I went to an ENT specialist for imaging. My findings include mucosal thickening in the right sphenoid sinus, as well as mucus retention cyst or polyp in the left maxillary sinus. Mucus retention cyst or mucocele in the right inferior maxillary sinus causing the cortical scalloping with several foci of calcification within it. Additionally, the nasal septum is mildly deviated to the right. I have been trying to find information about cortical scalloping and calcification. To my understanding, is the sphenoid sinus issue somewhat rare? I would just like to know if this is something that probably is nothing much to worry about in or if it may seem to be more serious. What does cortical scalloping indicate? I understand that I will need to speak directly to my ENT doctor again. I also have migraines and on regular medicine. Thank you for your time and assistance.
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Hi. First of all, let me tell you a few things. For further doubts consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, I recently got my test results back, but was not able to get any feedback yet. I had periodontal disease and my CT scan showed maxillary and sphenoid sinusitis. Therefore, I went to an ENT specialist for imaging. My findings include mucosal thickening in the right sphenoid sinus, as well as mucus retention cyst or polyp in the left maxillary sinus. Mucus retention cyst or mucocele in the right inferior maxillary sinus causing the cortical scalloping with several foci of calcification within it. Additionally, the nasal septum is mildly deviated to the right. I have been trying to find information about cortical scalloping and calcification. To my understanding, is the sphenoid sinus issue somewhat rare? I would just like to know if this is something that probably is nothing much to worry about in or if it may seem to be more serious. What does cortical scalloping indicate? I understand that I will need to speak directly to my ENT doctor again. I also have migraines and on regular medicine. Thank you for your time and assistance. [/INST] Hi. First of all, let me tell you a few things. For further doubts consult an ENT otolaryngologist online -->
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Q. What is the reason for anal bleeding?
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Hi doctor, I am very much worried about my girlfriend, who is 31 years old now. She tends to bleed when she urinates and also when she goes for toilet. She is having this bleeding problem for about two to three years, usually on and off. Previously, she did not have a good diet, usually eats only one meal a day and it consists of fast food. She does not drink water or eat fruits as well. The bleeding can happen up to once a week or daily, if serious. Recently, we moved in together and I am trying to improve her diet. Now, she eats at least two to three proper meals a day consisting of nourishing soup, vegetables and meat. According to her, she bled only twice in the last three months. However, today, she told me she is bleeding again after pooping and it was quite a lot. I am quite worried and hence decided to ask your help. She also told me that she did go to a specialist before and the specialist told her that there was a wound, probably due to constipation in the past. Also, she prescribed a cream and asked her to visit back after a month. She did apply and got it better, but unfortunately it was too expensive for her to go back to see the specialist. Can you tell me what is the reason for bleeding, as the wound should have healed since it has been a few years? Is this a totally new illness aside from the wound? Thank you.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am very much worried about my girlfriend, who is 31 years old now. She tends to bleed when she urinates and also when she goes for toilet. She is having this bleeding problem for about two to three years, usually on and off. Previously, she did not have a good diet, usually eats only one meal a day and it consists of fast food. She does not drink water or eat fruits as well. The bleeding can happen up to once a week or daily, if serious. Recently, we moved in together and I am trying to improve her diet. Now, she eats at least two to three proper meals a day consisting of nourishing soup, vegetables and meat. According to her, she bled only twice in the last three months. However, today, she told me she is bleeding again after pooping and it was quite a lot. I am quite worried and hence decided to ask your help. She also told me that she did go to a specialist before and the specialist told her that there was a wound, probably due to constipation in the past. Also, she prescribed a cream and asked her to visit back after a month. She did apply and got it better, but unfortunately it was too expensive for her to go back to see the specialist. Can you tell me what is the reason for bleeding, as the wound should have healed since it has been a few years? Is this a totally new illness aside from the wound? Thank you. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. I have recurrent problem of acidity and throat pain. Please help.
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Hi doctor, I am a 31 year old male. I had mild pain at the right side of my throat. I had pain while chewing something or when throat muscles contracted like while brushing teeth or touching the innermost tooth with tongue. It subsided after 15 to 20 days; I took homeopathy medicines for infection. But now, after about seven days I am feeling pain in my Adam's apple. I felt the pain while swallowing saliva only and not much while swallowing food or drinking water. I have an allergy for heat and humidity and that causes lots of sneezing and cough problem. I also have a recurrent problem of acidity. I do not smoke or drink. Please advise me on this. What should I do now?
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Hello. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a 31 year old male. I had mild pain at the right side of my throat. I had pain while chewing something or when throat muscles contracted like while brushing teeth or touching the innermost tooth with tongue. It subsided after 15 to 20 days; I took homeopathy medicines for infection. But now, after about seven days I am feeling pain in my Adam's apple. I felt the pain while swallowing saliva only and not much while swallowing food or drinking water. I have an allergy for heat and humidity and that causes lots of sneezing and cough problem. I also have a recurrent problem of acidity. I do not smoke or drink. Please advise me on this. What should I do now? [/INST] Hello. For further information consult an internal medicine physician online -->
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Q. Please suggest some ayurveda medicine for chikungunya?
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Hi doctor, My mom and my 15 year old sister are suffering from chikungunya. Please suggest some ayurveda remedies or medicine for chikungunya. Also, please suggest any preventive medicines as well.
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Hi. Mosquito bite. 1. Amrutharishtam 30 mL two times a day after food. 2. Yograj guggulu two tablet with water before food. 3. Amruthotharam Kashayam 15 mL with 60 mL water 30 minutes before breakfast and dinner. 4. Avipathy choornam tea teaspoon with one glass warm water at bedtime. 5. Kottamchukkadi thailam (oil) application to all over the body and take hot water bath after 30 minutes. Avoid cold breeze and air conditioner after oil application. 6. Treatments like Abhyangam (ayurveda massage) and pottali massage can help. 1. For adult - Amrutarishtam 30 mL daily after dinner ans For 15 year old - Amrutarishtam 20 mL daily after dinner. 2. Yoga and pranayama helps to improve your immunity. For further information consult an ayurveda specialist online.--->
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<s>[INST]
Hi doctor, My mom and my 15 year old sister are suffering from chikungunya. Please suggest some ayurveda remedies or medicine for chikungunya. Also, please suggest any preventive medicines as well. [/INST] Hi. Mosquito bite. 1. Amrutharishtam 30 mL two times a day after food. 2. Yograj guggulu two tablet with water before food. 3. Amruthotharam Kashayam 15 mL with 60 mL water 30 minutes before breakfast and dinner. 4. Avipathy choornam tea teaspoon with one glass warm water at bedtime. 5. Kottamchukkadi thailam (oil) application to all over the body and take hot water bath after 30 minutes. Avoid cold breeze and air conditioner after oil application. 6. Treatments like Abhyangam (ayurveda massage) and pottali massage can help. 1. For adult - Amrutarishtam 30 mL daily after dinner ans For 15 year old - Amrutarishtam 20 mL daily after dinner. 2. Yoga and pranayama helps to improve your immunity. For further information consult an ayurveda specialist online.--->
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Q. Does Methyltetrahydrofolate help in increasing penis length?
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Hi doctor, I am 26 years old. I am going to get married soon. But I am worried about my small penis. The length is only 2-2.3 inch in flaccid state and about 3.7-4 inch in erect state. I would like to increase the width and length of my penis. Is there any medicine to increase the penis length without any side effect? In young age, I masturbate a lot. Is that the masturbation has affected the penis size? Will it affect my marriage life? Rather this, I am having nightfall problem. It occur minimum five times a month. Earlier, the occurrence was more than seven. I am suffering from premature ejaculation too. My sperm will come out within a minute of slight sexual stimulation. Please suggest me some medicine for premature ejaculation. I would like to get a permanent solution for nightfalls. One doctor suggested me to take some multivitamin like Methyltetrahydrofolate which can increase blood flow around genitals. It will act as antioxidants and can alleviate sexual performance as well. Is the medicine Methyltetrahydrofolate helpful?
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Hi. I have read and understood your problem. For further information consult a sexologist online -->
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<s>[INST]
Hi doctor, I am 26 years old. I am going to get married soon. But I am worried about my small penis. The length is only 2-2.3 inch in flaccid state and about 3.7-4 inch in erect state. I would like to increase the width and length of my penis. Is there any medicine to increase the penis length without any side effect? In young age, I masturbate a lot. Is that the masturbation has affected the penis size? Will it affect my marriage life? Rather this, I am having nightfall problem. It occur minimum five times a month. Earlier, the occurrence was more than seven. I am suffering from premature ejaculation too. My sperm will come out within a minute of slight sexual stimulation. Please suggest me some medicine for premature ejaculation. I would like to get a permanent solution for nightfalls. One doctor suggested me to take some multivitamin like Methyltetrahydrofolate which can increase blood flow around genitals. It will act as antioxidants and can alleviate sexual performance as well. Is the medicine Methyltetrahydrofolate helpful? [/INST] Hi. I have read and understood your problem. For further information consult a sexologist online -->
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Q. How to stop my daughter's habit of stealing?
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Hi doctor, My daughter has just turned seven. She has a strange habit of stealing. She steals at school, grocery stores and home. She is not allowed to go to friend's house because I am afraid she will steal there too. She steals stupid things like candy bars, gum, erasers, pencils and lip gloss. She will go through other kid's desk while they are doing activities to steal things. When caught she will call the other student a liar and say that the item belongs to her. She blames her little sister for thefts at home. I have tried everything from buying her extra stuff to grounding. It is so embarrassing and I am very afraid if I do not help her now she will do it throughout her life. Please help me. I do not know what to do at this point.
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Hi. Please do not worry. For further information consult a psychologist counsellor online -->
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<s>[INST]
Hi doctor, My daughter has just turned seven. She has a strange habit of stealing. She steals at school, grocery stores and home. She is not allowed to go to friend's house because I am afraid she will steal there too. She steals stupid things like candy bars, gum, erasers, pencils and lip gloss. She will go through other kid's desk while they are doing activities to steal things. When caught she will call the other student a liar and say that the item belongs to her. She blames her little sister for thefts at home. I have tried everything from buying her extra stuff to grounding. It is so embarrassing and I am very afraid if I do not help her now she will do it throughout her life. Please help me. I do not know what to do at this point. [/INST] Hi. Please do not worry. For further information consult a psychologist counsellor online -->
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Q. Although I am on vitamin D supplement, why does the knee pain persist?
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Hi doctor, I am a 21 year old female with a height of 5.2 feet and weight 42 kg. I am suffering from vitamin D deficiency and having pain in knees since six months. The pain mostly arises on stress on knees using stairs and disappears with rest of a few days. On knee r-rays, the lateral tubercle of intercondylar eminence is raised. My RA factor is negative, and ESR is normal on CBC. My MCH and MCHC were slightly low. Currently, I have been taking a supplement (Indrop D) once in two weeks. Why is the pain not being relieved even with a supplement? How long will it take to have my healthy knee back? Being a medical student, I need to walk a lot, and this situation is depressing me.
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Hi. For further information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hi doctor, I am a 21 year old female with a height of 5.2 feet and weight 42 kg. I am suffering from vitamin D deficiency and having pain in knees since six months. The pain mostly arises on stress on knees using stairs and disappears with rest of a few days. On knee r-rays, the lateral tubercle of intercondylar eminence is raised. My RA factor is negative, and ESR is normal on CBC. My MCH and MCHC were slightly low. Currently, I have been taking a supplement (Indrop D) once in two weeks. Why is the pain not being relieved even with a supplement? How long will it take to have my healthy knee back? Being a medical student, I need to walk a lot, and this situation is depressing me. [/INST] Hi. For further information consult an orthopaedician and traumatologist 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. 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. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. Why do I get frequent pricking type of pain around the left upper chest area?
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Hello doctor, I frequently get a pricking type of pain on the left side, around the upper chest area, particularly behind the arm pit area. And sometimes behind the shoulder blades and in the chest area adjacent to the nipple. I have done TMT, ECG, and echocardiogram tests, and they are all normal. Only my blood cholesterol is borderline high, LDL is 156, triglycerides is 140, HDL is 40, and total cholesterol is 230. I have attached all my reports. What might be the underlying causes?
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Hello. I have seen your reports (attachment removed to protect patient identity). Your vitamin D is on the lower side, so your present problem of pricking pain can be due to this. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I frequently get a pricking type of pain on the left side, around the upper chest area, particularly behind the arm pit area. And sometimes behind the shoulder blades and in the chest area adjacent to the nipple. I have done TMT, ECG, and echocardiogram tests, and they are all normal. Only my blood cholesterol is borderline high, LDL is 156, triglycerides is 140, HDL is 40, and total cholesterol is 230. I have attached all my reports. What might be the underlying causes? [/INST] Hello. I have seen your reports (attachment removed to protect patient identity). Your vitamin D is on the lower side, so your present problem of pricking pain can be due to this. For more information consult an internal medicine physician online -->
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Q. Will I get a sore on my genitals during every HSV-1 outbreak?
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Hi doctor, I was diagnosed with HSV-1, but all other tests like HIV, HBsAg, HCV, VDRL, and TPHA are normal. I got infected with HSV through oral sex. My first outbreak was about four months back, and I got sores in the genital area, mouth, head, and my waist. Recently, a sore has erupted in my mouth, but it healed without any medicine within four days. I am a healthy person. Is it compulsory to get a sore on my genitals during every outbreak? If I take Acyclovir at the time of symptoms, will I be able to restrict the infection? Does HSV-1 have complications like ocular herpes and encephalitis in a healthy individual? Does diabetes or thyroid increase the recurrence of HSV-1?
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Hello. I hope your queries have been answered. If you still need more clarification, please revert. For further queries consult a venereologist online -->
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<s>[INST]
Hi doctor, I was diagnosed with HSV-1, but all other tests like HIV, HBsAg, HCV, VDRL, and TPHA are normal. I got infected with HSV through oral sex. My first outbreak was about four months back, and I got sores in the genital area, mouth, head, and my waist. Recently, a sore has erupted in my mouth, but it healed without any medicine within four days. I am a healthy person. Is it compulsory to get a sore on my genitals during every outbreak? If I take Acyclovir at the time of symptoms, will I be able to restrict the infection? Does HSV-1 have complications like ocular herpes and encephalitis in a healthy individual? Does diabetes or thyroid increase the recurrence of HSV-1? [/INST] Hello. I hope your queries have been answered. If you still need more clarification, please revert. For further queries consult a venereologist online -->
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Q. Kindly give a review regarding the elevated test results.
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Hello doctor, I am a 34 year old male. I have found elevated test results in my recent blood report (liver function test). Could you give a review regarding this?
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Hi. I had gone through the posted report (attachment removed to protect patient identity). Revert back with the details to an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a 34 year old male. I have found elevated test results in my recent blood report (liver function test). Could you give a review regarding this? [/INST] Hi. I had gone through the posted report (attachment removed to protect patient identity). Revert back with the details to an internal medicine physician online -->
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Q. What is the chance of pregnancy after taking ECP?
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Hi doctor, I had sex with my fiance for four times in the last 24 hours. Some of it was unprotected but we did use a condom each time and he ejaculated into it each time as well. But, in between he does not remember there was a high possibility that the pre-ejaculatory fluid contained some active sperm. It was during my most fertile window period that I had sex. I have taken a morning-after pill within the 72 hour window and lots of online forums stated that the probability of getting pregnant is really low. My worry is that I have had an accidental pregnancy before wherein even though I had taken the morning-after pill within 6 hours; it completely failed to prevent it. Please help.
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Hi. The success of emergency contraceptive pill (ECP) like an I-pill or unwanted-72 remains 99 percent when the withdrawal bleeding is experienced within next 5-7 days thereby ruling out pregnancy completely due to shedding of endometrium. Another option besides ECP is to use an intrauterine contraceptive device like copper-T within 72 hours of intercourse which can again prevent pregnancy and it is also 98-99 percent successful but not advised for women who have not delivered yet. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex with my fiance for four times in the last 24 hours. Some of it was unprotected but we did use a condom each time and he ejaculated into it each time as well. But, in between he does not remember there was a high possibility that the pre-ejaculatory fluid contained some active sperm. It was during my most fertile window period that I had sex. I have taken a morning-after pill within the 72 hour window and lots of online forums stated that the probability of getting pregnant is really low. My worry is that I have had an accidental pregnancy before wherein even though I had taken the morning-after pill within 6 hours; it completely failed to prevent it. Please help. [/INST] Hi. The success of emergency contraceptive pill (ECP) like an I-pill or unwanted-72 remains 99 percent when the withdrawal bleeding is experienced within next 5-7 days thereby ruling out pregnancy completely due to shedding of endometrium. Another option besides ECP is to use an intrauterine contraceptive device like copper-T within 72 hours of intercourse which can again prevent pregnancy and it is also 98-99 percent successful but not advised for women who have not delivered yet. For further information consult an obstetrician and gynaecologist online -->
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Q. How to cure tinnitus due to Aspirin in a hypertensive patient?
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Hello doctor, I am a BP patient. So, my doctor is giving Aspirin 75 mg from the past four months. But, due to the side effect of this, a tinnitus problem is there in the right ear. So, what can I do to cure this problem?
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Hi. Your hearing test seems to be normal majorly (in normal frequency). But, you have sensorineural hearing loss at a high frequency that is due to nerve weakness and hence, you are having tinnitus as well (most likely). To rule out any middle ear pathology I would advise you to get tympanometry done as well to tell us if middle ear pressure and ventilation is normal or not. Are you taking Aspirin only for blood pressure or do you have any cardiac problem or other comorbidities? What other medications are you on? For more information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, I am a BP patient. So, my doctor is giving Aspirin 75 mg from the past four months. But, due to the side effect of this, a tinnitus problem is there in the right ear. So, what can I do to cure this problem? [/INST] Hi. Your hearing test seems to be normal majorly (in normal frequency). But, you have sensorineural hearing loss at a high frequency that is due to nerve weakness and hence, you are having tinnitus as well (most likely). To rule out any middle ear pathology I would advise you to get tympanometry done as well to tell us if middle ear pressure and ventilation is normal or not. Are you taking Aspirin only for blood pressure or do you have any cardiac problem or other comorbidities? What other medications are you on? For more information consult an ENT otolaryngologist online -->
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Q. How do I confirm jaundice?
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Hi doctor, I am a 37 year old male. I did my medical test two days before. My liver function test reports are not good. Do I have jaundice? But I do not feel any symptoms. Do I need any further tests?
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Hi. I went through your reports (attachment removed to protect patient identity). For further information consult a medical gastroenterologist online -->
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<s>[INST]
Hi doctor, I am a 37 year old male. I did my medical test two days before. My liver function test reports are not good. Do I have jaundice? But I do not feel any symptoms. Do I need any further tests? [/INST] Hi. I went through your reports (attachment removed to protect patient identity). For further information consult a medical gastroenterologist online -->
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Q. My aunt has painful, bluish black nerves on her legs. Please help her.
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Hi doctor, My aunt is 50 years old. She has a condition of bluish black nerves on the back of her legs under the knees. I have attached the photo of her legs. This issue started a while back, and it has got worse now. She cannot stand for long even if she needs to. While walking, she can feel like something struck from calves to the hips. The pain is getting worse. Please help us.
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Hi. Please get the following tests done. 1. Ultrasonography abdomen. 2. Doppler study of lower limb vessels. Varicose veins. Surgery or stripping. For further information consult an internal medicine physician online.--->
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<s>[INST]
Hi doctor, My aunt is 50 years old. She has a condition of bluish black nerves on the back of her legs under the knees. I have attached the photo of her legs. This issue started a while back, and it has got worse now. She cannot stand for long even if she needs to. While walking, she can feel like something struck from calves to the hips. The pain is getting worse. Please help us. [/INST] Hi. Please get the following tests done. 1. Ultrasonography abdomen. 2. Doppler study of lower limb vessels. Varicose veins. Surgery or stripping. For further information consult an internal medicine physician online.--->
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Q. Please suggest tips for very dry skin.
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Hello doctor,I am a 20 year old female. I have too much dry skin. I mean extra dry skin. I use almond oil and moisturizing soap, but it is not effective.
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Hi. The skin has to be moisturized well soon after a shower. Use a moisturizer which has ceramide in it like Eucerine moisturizer. Apply to body as soon as you come out of a shower. Continue using a moisturizing soap. Avoid hot shower, use warm water. Drink two to three liters of water per day, water is very essential. The common cause of dry skin is thyroid disorders, meet your physician, and get it checked. Another cause could be ichthyosis (dry scales). Please attach your clinical picture if you have such scaling so that I can give you specific treatment options. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor,I am a 20 year old female. I have too much dry skin. I mean extra dry skin. I use almond oil and moisturizing soap, but it is not effective. [/INST] Hi. The skin has to be moisturized well soon after a shower. Use a moisturizer which has ceramide in it like Eucerine moisturizer. Apply to body as soon as you come out of a shower. Continue using a moisturizing soap. Avoid hot shower, use warm water. Drink two to three liters of water per day, water is very essential. The common cause of dry skin is thyroid disorders, meet your physician, and get it checked. Another cause could be ichthyosis (dry scales). Please attach your clinical picture if you have such scaling so that I can give you specific treatment options. For more information consult a dermatologist online -->
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Q. Periods delayed after having had unprotected sex. Can I take Unwanted 72?
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Hello doctor, I am a 19-year-old female. I had unprotected sex three days ago. He did not ejaculate inside me. He was having precum on his penis and it was his second ejaculation. He had washed and urinated before having the second session of intercourse. I am a bit scared to take Unwanted 72 because of its side effects mentioned on the website as I am having various skin and liver problems. My periods get delayed by five to seven days every month normally but last month it got delayed by 12 days. I had intercourse the very next day of the end of my period. What is the chance of me getting pregnant? Can I take Unwanted 72 now? I am really scared.
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Hello. Sexual intercourse done the very next day after the end of periods is unlikely to lead to pregnancy. This is considered to be the safe period for intercourse. Moreover, pregnancy occurs only when there are ejaculation and deposition of the semen inside the vagina. The chances of pregnancy are nil in your case. You can simply avoid taking Unwanted 72. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am a 19-year-old female. I had unprotected sex three days ago. He did not ejaculate inside me. He was having precum on his penis and it was his second ejaculation. He had washed and urinated before having the second session of intercourse. I am a bit scared to take Unwanted 72 because of its side effects mentioned on the website as I am having various skin and liver problems. My periods get delayed by five to seven days every month normally but last month it got delayed by 12 days. I had intercourse the very next day of the end of my period. What is the chance of me getting pregnant? Can I take Unwanted 72 now? I am really scared. [/INST] Hello. Sexual intercourse done the very next day after the end of periods is unlikely to lead to pregnancy. This is considered to be the safe period for intercourse. Moreover, pregnancy occurs only when there are ejaculation and deposition of the semen inside the vagina. The chances of pregnancy are nil in your case. You can simply avoid taking Unwanted 72. For more information consult an obstetrician and gynaecologist online -->
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Q. Is this treatment sufficient for stroke?
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Hi doctor, I had MR angiography of brain vessels. No flow of signals are noted in basilar and left posterior cerebral arteries. And a very minimal faint flow signal is noted in the right posterior cerebral artery. I have attached my MRA, current medication list and blood test reports for your reference. Please help.
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Hi. I have seen the attachments as well as the MRA report (attachment removed to protect patient identity). For further doubts consult a neurologist online -->
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<s>[INST]
Hi doctor, I had MR angiography of brain vessels. No flow of signals are noted in basilar and left posterior cerebral arteries. And a very minimal faint flow signal is noted in the right posterior cerebral artery. I have attached my MRA, current medication list and blood test reports for your reference. Please help. [/INST] Hi. I have seen the attachments as well as the MRA report (attachment removed to protect patient identity). For further doubts consult a neurologist online -->
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Q. I was diagnosed with an ulcer, and I have chest pain. What is happening to me?
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Good day, please i was diagnose with hep b positive 18months ago, my consulting tild me my condition iş inactive and need no medication. some month back i was feeling hurt at my chest i was later diagnose with ulcer. some some weeks now have been having pains around my chest and most especially middle of my check. please what is happening to me?
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Hello, Welcome to i cliniq You have been diagnosed with inactive hepatitis B, for that I will request you to send me all your laboratory work so that a decision about the treatment can be taken. you now having central chest pain which looks like to due to esophageal ulcer called esophagitis and you may be also having some retrosternal burning with it. For this I am prescribing some medications it will help out in this pain. You need to take Cap.Esomeprazole 40mg 1 before breakfast and Syp.Sucralfate 10ml TID. Both of these should be taken for 2 weeks and let me know incase you have no improvement. EGD if no improvement with medications. Esophagitis Chronic HBV Esophagitis Cap.Esomeprazole 40mg 1 before breakfast Syp.Sucralfate 10ml TID before meals Avoid spicy foods Needs follow up for HBV
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<s>[INST]
Good day, please i was diagnose with hep b positive 18months ago, my consulting tild me my condition iş inactive and need no medication. some month back i was feeling hurt at my chest i was later diagnose with ulcer. some some weeks now have been having pains around my chest and most especially middle of my check. please what is happening to me? [/INST] Hello, Welcome to i cliniq You have been diagnosed with inactive hepatitis B, for that I will request you to send me all your laboratory work so that a decision about the treatment can be taken. you now having central chest pain which looks like to due to esophageal ulcer called esophagitis and you may be also having some retrosternal burning with it. For this I am prescribing some medications it will help out in this pain. You need to take Cap.Esomeprazole 40mg 1 before breakfast and Syp.Sucralfate 10ml TID. Both of these should be taken for 2 weeks and let me know incase you have no improvement. EGD if no improvement with medications. Esophagitis Chronic HBV Esophagitis Cap.Esomeprazole 40mg 1 before breakfast Syp.Sucralfate 10ml TID before meals Avoid spicy foods Needs follow up for HBV
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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. Does high E/A ratio suggest diastolic dysfunction?
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Hello doctor, I want to show my echocardiogram, to know if I have diastolic dysfunction or not. I can see that the velocity is high, but the report says normal. I am not an expert, but I have read that, if E/A ratio is higher than 1.5, then it is a problem. Please help, I am worried.
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Hello. In order to diagnose a person to have diastolic dysfunction, there are factors that have to be met. Like ejection fraction more than 45%, the presence of diastolic stiffness, and heart failure symptoms, with changes in some laboratory test indexes. E/A ratio greater than 1.5, is not a criterion for diastolic dysfunction, it is not a gold standard. E/A ratio up to 2.33 is considered normal for people below 23 years. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I want to show my echocardiogram, to know if I have diastolic dysfunction or not. I can see that the velocity is high, but the report says normal. I am not an expert, but I have read that, if E/A ratio is higher than 1.5, then it is a problem. Please help, I am worried. [/INST] Hello. In order to diagnose a person to have diastolic dysfunction, there are factors that have to be met. Like ejection fraction more than 45%, the presence of diastolic stiffness, and heart failure symptoms, with changes in some laboratory test indexes. E/A ratio greater than 1.5, is not a criterion for diastolic dysfunction, it is not a gold standard. E/A ratio up to 2.33 is considered normal for people below 23 years. For more information consult a cardiologist online -->
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Q. In my 18th week of pregnancy, clubfoot was diagnosed. Should I undergo amniocentesis?
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Hi doctor, I am in my 18th week of pregnancy. The fetus has been diagnosed with clubfoot when I went for an anomaly scan on the 16th week. There is no other anomaly diagnosed so far. Please let me know if I have to undergo amniocentesis to rule out other associated anomalies. If I am not wrong, I have to undergo the amniocentesis procedure before my 20th week. Thanks in advance.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am in my 18th week of pregnancy. The fetus has been diagnosed with clubfoot when I went for an anomaly scan on the 16th week. There is no other anomaly diagnosed so far. Please let me know if I have to undergo amniocentesis to rule out other associated anomalies. If I am not wrong, I have to undergo the amniocentesis procedure before my 20th week. Thanks in advance. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. How to confirm placenta previa?
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Hello doctor, My wife is pregnant and she is feeling of placenta previa. Occasionally, she also feels the pain. How to confirm that?
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Hello. Revert back with the asked details to an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My wife is pregnant and she is feeling of placenta previa. Occasionally, she also feels the pain. How to confirm that? [/INST] Hello. Revert back with the asked details to an obstetrician and gynaecologist online -->
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Q. Why is balanitis not responding to T-Bact and Augmentin 625?
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Hello doctor,I have balanitis on the head of my penis, below the foreskin. I am applying T-Bact and taking Augmentin 625 as an oral pill. It has been four days since I have started the medication. It is not going, though itching has reduced somewhat. Please help.
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Hi. Balanitis can be either bacterial, fungal, viral or non-infectious. The most common being fungal. It is difficult to say without seeing your clinical picture. Please attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate medications. Do you have itching, burning, pain, blister or oozing? Since how many days do you have this? Are you sexually active? Is there any history of unprotected sexual contact? If so, inquire your partner for white discharge. Are you on any medications for other systemic diseases like oral systemic steroid for asthma? Have you done blood test for diabetes? For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor,I have balanitis on the head of my penis, below the foreskin. I am applying T-Bact and taking Augmentin 625 as an oral pill. It has been four days since I have started the medication. It is not going, though itching has reduced somewhat. Please help. [/INST] Hi. Balanitis can be either bacterial, fungal, viral or non-infectious. The most common being fungal. It is difficult to say without seeing your clinical picture. Please attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate medications. Do you have itching, burning, pain, blister or oozing? Since how many days do you have this? Are you sexually active? Is there any history of unprotected sexual contact? If so, inquire your partner for white discharge. Are you on any medications for other systemic diseases like oral systemic steroid for asthma? Have you done blood test for diabetes? For more information consult a dermatologist online -->
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Q. Is continuous twitching worrisome?
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Hi doctor, I had intermittent twitching all over my body for the last two months. I finally went to see my GP and he ran a plethora of blood tests and said that my vitamin B12, iron, and vitamin D were all really low. Since starting my vitamin supplements two days ago, the twitching has subsided significantly. For the last two days or so, I have just been noticing minor twitching in my left hand that will happen three to four times a day for around 10 seconds. But, there is no weakness. I have been paranoid and freaking out for the past two months over life threatening neurological diseases like ALS. I also had a creatine kinase done and my levels were well within normal range. I am just wondering if this twitching continues, then is it something to be alarmed?
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Hi. I have gone through the provided details and understand your concerns. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor, I had intermittent twitching all over my body for the last two months. I finally went to see my GP and he ran a plethora of blood tests and said that my vitamin B12, iron, and vitamin D were all really low. Since starting my vitamin supplements two days ago, the twitching has subsided significantly. For the last two days or so, I have just been noticing minor twitching in my left hand that will happen three to four times a day for around 10 seconds. But, there is no weakness. I have been paranoid and freaking out for the past two months over life threatening neurological diseases like ALS. I also had a creatine kinase done and my levels were well within normal range. I am just wondering if this twitching continues, then is it something to be alarmed? [/INST] Hi. I have gone through the provided details and understand your concerns. For further information consult a neurologist online -->
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Q. I am losing 15-20 strands of hair daily with thinning and dandruff problem. Please help.
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Hello doctor, I am a 21-year-old male. I am losing like 15-20 hair strands on a daily basis now. For the last nine months, I am facing this problem. I never had this type of hair fall or any hair fall before. Where I stay, there was hard water, so I started using drinking water for bathing. A few months later, I got to see some less hair fall than before which is around 30 hair strands a day. So now I cannot have my previous hairstyle and I can see some small patches in my crown corner. But the thing is that I do not think my new hair is growing vigorously. I got worried when I see four to five strands in my pillow cover every morning and most importantly my hairs are thin which falls and some dandruff problems nowadays. As I got no family history in baldness, I am so anxious about this issue. Please help.
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Hi. Hair fall can mainly be divided into two types, you can have increased shedding or thinning of hair. Increased shedding means seeing more than 50-100 hairs falling per day. Less than that is a normal hair fall cycle and usually grows back. Increased shedding can happen because of dietary deficiencies, stress, high fever, water change, harsh shampoos, dandruff. Since you are noticing patches of emptiness most likely it is thinning or male pattern baldness. This can happen due to genetics and male hormone testosterone acting on the roots. Smoking, thyroid issues, and consuming whey protein can accelerate it. By genetics, it need not necessarily mean your father or mother, it could be uncles or grandparents as well. Minoxidil is the treatment of choice for patterned balding. Also, checking up for deficiencies like serum ferritin, vitamin D, and B12 and TSH (thyroid-stimulating hormone) will help. Photographs are needed to exactly identify if you are having patterned balding and accordingly treatment can be started.
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<s>[INST]
Hello doctor, I am a 21-year-old male. I am losing like 15-20 hair strands on a daily basis now. For the last nine months, I am facing this problem. I never had this type of hair fall or any hair fall before. Where I stay, there was hard water, so I started using drinking water for bathing. A few months later, I got to see some less hair fall than before which is around 30 hair strands a day. So now I cannot have my previous hairstyle and I can see some small patches in my crown corner. But the thing is that I do not think my new hair is growing vigorously. I got worried when I see four to five strands in my pillow cover every morning and most importantly my hairs are thin which falls and some dandruff problems nowadays. As I got no family history in baldness, I am so anxious about this issue. Please help. [/INST] Hi. Hair fall can mainly be divided into two types, you can have increased shedding or thinning of hair. Increased shedding means seeing more than 50-100 hairs falling per day. Less than that is a normal hair fall cycle and usually grows back. Increased shedding can happen because of dietary deficiencies, stress, high fever, water change, harsh shampoos, dandruff. Since you are noticing patches of emptiness most likely it is thinning or male pattern baldness. This can happen due to genetics and male hormone testosterone acting on the roots. Smoking, thyroid issues, and consuming whey protein can accelerate it. By genetics, it need not necessarily mean your father or mother, it could be uncles or grandparents as well. Minoxidil is the treatment of choice for patterned balding. Also, checking up for deficiencies like serum ferritin, vitamin D, and B12 and TSH (thyroid-stimulating hormone) will help. Photographs are needed to exactly identify if you are having patterned balding and accordingly treatment can be started.
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Q. Can breastfeeding cause jaundice?
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Hi doctor, Our baby is 16 days old and is suffering from jaundice. Both mom and son have same B positive blood group. TSH level is normal and vitamin D oral drop is given. I have attached the bilirubin test report for your reference. Does breastfeeding affect jaundice in any way? Please advise us. Thank you.
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Hi. I have seen the reports that you have attached (attachment removed to protect patient identity). Revert back with the report to a paediatrician online -->
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<s>[INST]
Hi doctor, Our baby is 16 days old and is suffering from jaundice. Both mom and son have same B positive blood group. TSH level is normal and vitamin D oral drop is given. I have attached the bilirubin test report for your reference. Does breastfeeding affect jaundice in any way? Please advise us. Thank you. [/INST] Hi. I have seen the reports that you have attached (attachment removed to protect patient identity). Revert back with the report to a paediatrician online -->
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Q. How to cure dry and flaky skin?
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Hi doctor, My hands are dry and flaky. How to cure it?
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Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, My hands are dry and flaky. How to cure it? [/INST] Hi. I have read your concern and examined your picture (attachment removed to protect patient identity). For further information consult a dermatologist online -->
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Q. Is my back pain, a nerve problem?
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Hi doctor, I am having pain in my right side lower back only if I bend or try to wear my trouser. Also, it is there if I am standing and trying to raise my leg. Even while walking I feel little pain. If I lie in bed or stand straight, then there is no pain. What is the reason and what medicine can I take?
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Hello. Revert back with the answers to the above questions to an orthopaedician and traumatologist online -->
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<s>[INST]
Hi doctor, I am having pain in my right side lower back only if I bend or try to wear my trouser. Also, it is there if I am standing and trying to raise my leg. Even while walking I feel little pain. If I lie in bed or stand straight, then there is no pain. What is the reason and what medicine can I take? [/INST] Hello. Revert back with the answers to the above questions to an orthopaedician and traumatologist online -->
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Q. What ayurvedic medicines are used to treat hyperthyroidism?
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Hello doctor, I am a 33-year-old unmarried female. I have a colloid nodule, hyperthyroidism, and uterine fibroids. My thyroid test report shows T3 to be 2.79 ng/mL and T4 is 13.14 ug/dL. I have attached reports for your reference.
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Hello. I saw your reports (attachment removed to protect patient identity). According to Ayurveda, it is totally excess growth in the body which is kapha and vriddhi. You start following the medicines. It will take definitely very long time. I am giving you one month course.Consult your specialist doctor, discuss with him or her and with their consent take the medicines. In addition, I need your detailed history of your menstrual cycle, digestion, motion, food habits, lifestyle etc. so that I can suggest diet and exercise. Regards. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I am a 33-year-old unmarried female. I have a colloid nodule, hyperthyroidism, and uterine fibroids. My thyroid test report shows T3 to be 2.79 ng/mL and T4 is 13.14 ug/dL. I have attached reports for your reference. [/INST] Hello. I saw your reports (attachment removed to protect patient identity). According to Ayurveda, it is totally excess growth in the body which is kapha and vriddhi. You start following the medicines. It will take definitely very long time. I am giving you one month course.Consult your specialist doctor, discuss with him or her and with their consent take the medicines. In addition, I need your detailed history of your menstrual cycle, digestion, motion, food habits, lifestyle etc. so that I can suggest diet and exercise. Regards. For more information consult an ayurveda specialist online -->
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Q. How to treat spitting in 3 months old baby?
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Hi doctor, My baby is 3 months old and she is formula fed - Nan Pro 1. Her birth weight was 2.6 kg, which dropped down to 2.2 kg after 15 days of her birth. Her present weight is 4.6 kg, length is 56.5 cm and head circumference is 38.5 cm. She spits up around 6 to 7 times daily even after burping and keeping her in upright position for at least 20 minutes after each feed. She had an abdominal scan and the report was normal. She is too skinny. I am giving her Rantac 1.5 mL twice a day, Vitazyme drops once a day and Junior Lanzol 1/3 a day. I am extremely worried about her weight. Please advice.
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Hi. For further information consult a paediatrician online -->
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<s>[INST]
Hi doctor, My baby is 3 months old and she is formula fed - Nan Pro 1. Her birth weight was 2.6 kg, which dropped down to 2.2 kg after 15 days of her birth. Her present weight is 4.6 kg, length is 56.5 cm and head circumference is 38.5 cm. She spits up around 6 to 7 times daily even after burping and keeping her in upright position for at least 20 minutes after each feed. She had an abdominal scan and the report was normal. She is too skinny. I am giving her Rantac 1.5 mL twice a day, Vitazyme drops once a day and Junior Lanzol 1/3 a day. I am extremely worried about her weight. Please advice. [/INST] Hi. For further information consult a paediatrician online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Can missed period after sexual intercourse mean pregnancy?
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Hello doctor, I am a teenager and I had sex for the first time 2 weeks ago and now I am worried that I might be pregnant. We used a condom but I am not on birth control or anything else. I have had irregular periods for some years now so I do not know if missing my period would be a sign of pregnancy. Also, after a day we did it, my period came but I am not sure if it is related to the fact that I lost my virginity or it was my actual period so now I am really scared to wait another 2 weeks or who knows, maybe a month or two. I cannot talk to any adult and I really need a specialist’s opinion on this.
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Hi. How are you doing? For a young lady the only way to check for your chance of pregnancy is blood test. Lady can have a bleeding vaginally, when their hymen memberane rupture. Clinically we see bleeding, which can be mild spotting to heavy bleeding. As you mentioned that you have irregular cycles, exact date of ovulation cannot be guaranteed. Simple way out is 15-20 days after the sexual contact have a serum beta hCG test. Even the earliest of pregnancy can be detected. As you had used condom, chance of pregnancy is low. But blood test is confirmatory.
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<s>[INST]
Hello doctor, I am a teenager and I had sex for the first time 2 weeks ago and now I am worried that I might be pregnant. We used a condom but I am not on birth control or anything else. I have had irregular periods for some years now so I do not know if missing my period would be a sign of pregnancy. Also, after a day we did it, my period came but I am not sure if it is related to the fact that I lost my virginity or it was my actual period so now I am really scared to wait another 2 weeks or who knows, maybe a month or two. I cannot talk to any adult and I really need a specialist’s opinion on this. [/INST] Hi. How are you doing? For a young lady the only way to check for your chance of pregnancy is blood test. Lady can have a bleeding vaginally, when their hymen memberane rupture. Clinically we see bleeding, which can be mild spotting to heavy bleeding. As you mentioned that you have irregular cycles, exact date of ovulation cannot be guaranteed. Simple way out is 15-20 days after the sexual contact have a serum beta hCG test. Even the earliest of pregnancy can be detected. As you had used condom, chance of pregnancy is low. But blood test is confirmatory.
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Q. What is the risk of high triglycerides?
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Hi doctor, I am having high triglycerides around 250 to 500, but very low LDL around 30 to 45 for the last five years. Kindly help. What should I do? I swim five days a week for 20 minutes daily. I am currently on tablet vitamin B12 and Zinc supplement. I have also attached my laboratory reports.
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Hi. We are here to help you. For further doubts consult a cardiologist online -->
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<s>[INST]
Hi doctor, I am having high triglycerides around 250 to 500, but very low LDL around 30 to 45 for the last five years. Kindly help. What should I do? I swim five days a week for 20 minutes daily. I am currently on tablet vitamin B12 and Zinc supplement. I have also attached my laboratory reports. [/INST] Hi. We are here to help you. For further doubts consult a cardiologist online -->
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Q. What is the infection on the outside of penis with white, flaky spots?
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Hi doctor, I have developed some sort of an infection on the outside of my penis. It has been a little over a week and there are white, flaky spots now. Can you please advice?
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Hi. I request you to kindly upload a few images of the affected area so that I can have a look and guide you better. For more information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have developed some sort of an infection on the outside of my penis. It has been a little over a week and there are white, flaky spots now. Can you please advice? [/INST] Hi. I request you to kindly upload a few images of the affected area so that I can have a look and guide you better. For more information consult a dermatologist online -->
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Q. Can there be fever and chills in the postpartum period?
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Hi doctor, My wife aged 24, has fever, cough and severe chill from last 2 weeks. We had all the tests done namely typhoid, dengue, blood tests and urine test including x-ray. Everything seems normal in her reports. Yet, she has all the above mentioned symptoms. We repeated urine and blood test and found some infection in urine. I have attached the reports for your reference. We consulted a doctor here, who suggested it as a respiratory tract infection and urine infection is causing this fever, chills and cough. Her main symptoms are lot of cough with sputum, body temperature in range of 99 to 102. She sweats and temperature reduces to 99. From last two days, she has vomiting in the morning. She is a lactating mother, having a baby of 2 months old. No change in fever/chills and cough from last 2 weeks. My doubts are why fever is not reducing despite antibiotics and medicine like Relent syrup for cough? What can be the further course of diagnosis and treatment? Her period is due in next 2 days. Since she is vomiting, is it a sign of pregnancy?
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Hello. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My wife aged 24, has fever, cough and severe chill from last 2 weeks. We had all the tests done namely typhoid, dengue, blood tests and urine test including x-ray. Everything seems normal in her reports. Yet, she has all the above mentioned symptoms. We repeated urine and blood test and found some infection in urine. I have attached the reports for your reference. We consulted a doctor here, who suggested it as a respiratory tract infection and urine infection is causing this fever, chills and cough. Her main symptoms are lot of cough with sputum, body temperature in range of 99 to 102. She sweats and temperature reduces to 99. From last two days, she has vomiting in the morning. She is a lactating mother, having a baby of 2 months old. No change in fever/chills and cough from last 2 weeks. My doubts are why fever is not reducing despite antibiotics and medicine like Relent syrup for cough? What can be the further course of diagnosis and treatment? Her period is due in next 2 days. Since she is vomiting, is it a sign of pregnancy? [/INST] Hello. For further queries consult an obstetrician and gynaecologist online -->
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Q. Is it fine to have the same medicine for years together?
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Hi doctor, I am a 66 years old male. My weight is 70 kg and height is 5'4". I had lost around 5 kg over a year. I am allergic to dust and will get sneeze and nose blockage following exposure. I am suffering from diabetes, BP, cholesterol, chronic fissure, constipation, occasional gastric problem. My diet is as follow. Morning: Green tea, oats. Breakfast: Idli/dosa/roti and a cup of tea with milk and without sugar. Lunch: Fruits like musambi, watermelon, apple and orange. Rice, curry and vegetables. Evening: Snacks like biscuit, vada, ragi, etc., and tea with milk and without sugar. Dinner: Rice, curry and vegetables. I am under following medicines. Gluconorm SR 1-0-0 daily and taking this more a year. Corvadil 2.5 mg 0-0-1 daily. I am on this tablet for around 6 years. Fenotorva 10 0-0-1, occasionally. My doubts are, as the blood sugar levels are normal, can I stop taking Gluconorm SR? Or can I switch to any ayurveda medicine to control it? Are these conditions linked to my weight loss? Is it fine to have the same medicines for years together? Thanks in advance.
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Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. Do not stop or think of stopping diabetes medicine as this will lead to dangerous effects on your blood sugar levels. No other medication needed. 2. Ayurveda medicines will not work for you and discontinuing medicine will affect your blood sugar control. 3. Diabetes and blood pressure may cause weight loss. 4. Yes, the tablets are to be taken lifelong. No issues with long-term usage. 5. Please send your investigation reports and fasting lipid profile at the earliest. Revert back with the investigation report to a general medicine physician online.--->
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<s>[INST]
Hi doctor, I am a 66 years old male. My weight is 70 kg and height is 5'4". I had lost around 5 kg over a year. I am allergic to dust and will get sneeze and nose blockage following exposure. I am suffering from diabetes, BP, cholesterol, chronic fissure, constipation, occasional gastric problem. My diet is as follow. Morning: Green tea, oats. Breakfast: Idli/dosa/roti and a cup of tea with milk and without sugar. Lunch: Fruits like musambi, watermelon, apple and orange. Rice, curry and vegetables. Evening: Snacks like biscuit, vada, ragi, etc., and tea with milk and without sugar. Dinner: Rice, curry and vegetables. I am under following medicines. Gluconorm SR 1-0-0 daily and taking this more a year. Corvadil 2.5 mg 0-0-1 daily. I am on this tablet for around 6 years. Fenotorva 10 0-0-1, occasionally. My doubts are, as the blood sugar levels are normal, can I stop taking Gluconorm SR? Or can I switch to any ayurveda medicine to control it? Are these conditions linked to my weight loss? Is it fine to have the same medicines for years together? Thanks in advance. [/INST] Hi. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. Do not stop or think of stopping diabetes medicine as this will lead to dangerous effects on your blood sugar levels. No other medication needed. 2. Ayurveda medicines will not work for you and discontinuing medicine will affect your blood sugar control. 3. Diabetes and blood pressure may cause weight loss. 4. Yes, the tablets are to be taken lifelong. No issues with long-term usage. 5. Please send your investigation reports and fasting lipid profile at the earliest. Revert back with the investigation report to a general medicine physician online.--->
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Q. I have constant ear discharge after an eardrum surgery. Please advise.
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Hello doctor, I have an eardrum perforation since childhood. I had tympanoplasty done last year but, that failed. Now, the ear keeps discharging all the time. I completed a course of Ciprofloxacin and Dexatops ear drops but after a week, the discharge is back. Please advise.
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Hello. A recurrent ear discharge after a failed tympanoplasty needs to be evaluated completely. For more information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, I have an eardrum perforation since childhood. I had tympanoplasty done last year but, that failed. Now, the ear keeps discharging all the time. I completed a course of Ciprofloxacin and Dexatops ear drops but after a week, the discharge is back. Please advise. [/INST] Hello. A recurrent ear discharge after a failed tympanoplasty needs to be evaluated completely. For more information consult an ENT otolaryngologist online -->
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Q. My pregnant wife is suffering from loose motion. Please suggest a tablet.
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Hi doctor, My wife is pregnant and she is due for delivery in another one week. She is suffering from loose motion. Please suggest good tablet.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My wife is pregnant and she is due for delivery in another one week. She is suffering from loose motion. Please suggest good tablet. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. Am I suffering from achalasia or GERD?
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Hi doctor, I am a 31 year old male. I recently had a severe chest pain like heartburn and visited a gastroenterologist doctor. I am also suffering from swallowing disorder for the past seven to eight months, especially solid foods and sometime liquids too. It feels that whenever I eat food it stuck somewhere in the chest at the level of the lower esophagus. I need to drink water to take down that food in the stomach. My doctor told me that I am suffering from mild antral gastritis and esophageal candidiasis as per endoscopy. Also, the endoscopy finding says that esophagus shows white curdy precipitate with erythema at GE junction and large dilated esophagus. Now, he has suggested for manometry test. I want to know the actual problem with me. Am I suffering from achalasia with GERD? What are the treatment options? The medication I am going through is Nexpro-L, Nexpro 40 and Torfix 400 mg. Can it be treated with medication or require surgery?
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Hello. Upper GI endoscopy and esophageal manometry. 1. Achalasia cardia. 2. Esophageal dysmotility syndrome. For further information consult a medical gastroenterologist online.--->
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<s>[INST]
Hi doctor, I am a 31 year old male. I recently had a severe chest pain like heartburn and visited a gastroenterologist doctor. I am also suffering from swallowing disorder for the past seven to eight months, especially solid foods and sometime liquids too. It feels that whenever I eat food it stuck somewhere in the chest at the level of the lower esophagus. I need to drink water to take down that food in the stomach. My doctor told me that I am suffering from mild antral gastritis and esophageal candidiasis as per endoscopy. Also, the endoscopy finding says that esophagus shows white curdy precipitate with erythema at GE junction and large dilated esophagus. Now, he has suggested for manometry test. I want to know the actual problem with me. Am I suffering from achalasia with GERD? What are the treatment options? The medication I am going through is Nexpro-L, Nexpro 40 and Torfix 400 mg. Can it be treated with medication or require surgery? [/INST] Hello. Upper GI endoscopy and esophageal manometry. 1. Achalasia cardia. 2. Esophageal dysmotility syndrome. For further information consult a medical gastroenterologist online.--->
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Q. How will nicotex help in quitting smoking?
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Hello doctor, I am a regular smoker, and I would like to quit smoking. My question is what is the role of Nicotex here? Will it be useful to stop smoking? Please answer.
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Hello. For further information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a regular smoker, and I would like to quit smoking. My question is what is the role of Nicotex here? Will it be useful to stop smoking? Please answer. [/INST] Hello. For further information consult an internal medicine physician online -->
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Q. Would braces close wide gap between front teeth?
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Hi doctor, I have a wide gap between front teeth that was due to short upper and lower frenulums, which were removed nine years back. I also treated for periodontal disease as a result of these gaps. Now I have recessions (pockets), exposed root of that front tooth and also it is deviated. Do I need surgery for correction? What type of surgery? The lower front two teeth also have little recession. Please advice.
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Hi. For further information consult a periodontist online -->
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<s>[INST]
Hi doctor, I have a wide gap between front teeth that was due to short upper and lower frenulums, which were removed nine years back. I also treated for periodontal disease as a result of these gaps. Now I have recessions (pockets), exposed root of that front tooth and also it is deviated. Do I need surgery for correction? What type of surgery? The lower front two teeth also have little recession. Please advice. [/INST] Hi. For further information consult a periodontist online -->
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Q. I avoid sex as I absolutely do not want to get pregnant again. Please help.
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Hi doctor, I am a 34 year old female. I do not like sex because I am always worried that my partner will ejaculate inside me. He does not like using a condom. We always end up fighting during sex, as I ask him to use a condom and he does not want to. We have a son aged 9 years and I do not want another child. In the last 9 years, I took Unwanted 72 nearly 12 times. Please give me a remedy, so that we can enjoy sex. We have stopped having sex often because of these arguments.
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Hello. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 34 year old female. I do not like sex because I am always worried that my partner will ejaculate inside me. He does not like using a condom. We always end up fighting during sex, as I ask him to use a condom and he does not want to. We have a son aged 9 years and I do not want another child. In the last 9 years, I took Unwanted 72 nearly 12 times. Please give me a remedy, so that we can enjoy sex. We have stopped having sex often because of these arguments. [/INST] Hello. For more information consult an obstetrician and gynaecologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. What is epididymo-orchitis?
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Hi doctor, My right inguinal hernia repair was performed before six years. Before seven months, I have developed right epididymitis and right spermatic cord hardness like stone. It was diagnosed as epididymo-orchitis. There was a superficial abscess on the right side. Incision and drainage have been performed before two months. Still, I am having some pinching pain and hardness in the spermatic cord. Currently, I take Amoxicillin 500 mg twice daily. In the past, I had Ciprofloxacin, Piperacillin and Tazobactam. I had a CBC, tumor markers, urinalysis, urine culture and biopsy of the wound. All the reports were normal.
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Hello Your present condition cannot be attributed to the inguinal hernia repair done six years ago. May I know what kind of repair was done? Either laparoscopic or open repair? Acute epididymo-orchitis is a clinical syndrome consisting of pain, swelling and inflammation of the epididymis, with or without inflammation of the testes. Chronic epididymitis refers to epididymal pain and inflammation (usually without scrotal swelling) that lasts for more than six months. Symptoms of discomfort and pain at least 3 months in duration in the scrotum, testicle or epididymis are localized to one or each epididymis on clinical examination may be considered as chronic epididymitis. The most common route of infection is local extension and is mainly due to infections spreading from the urethra (sexually transmitted infections - STIs) or from the bladder that is UTI (urinary tract infection) and prostatitis. Your symptoms for the last 5 months can now be considered as chronic or acute progressed to chronic epididymitis. The causes include infections like Chlamydial, tuberculous and also post-infectious. Do you have any history of diabetes, recurrent UTI, BPH (benign prostatic hyperplasia) with prostatitis, cystitis or STDs? For diagnosis, you need to get the following tests: The treatment includes both conservative and surgical. The conservative part includes antibiotics once the culture report arrives, NSAIDS (nonsteroidal anti-inflammatory drugs) or narcotic analgesics like Tapfree (combination of Tapentadol and Paracetamol). The surgical treatment is epididymectomy. For further information consult a urologist online -->
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<s>[INST]
Hi doctor, My right inguinal hernia repair was performed before six years. Before seven months, I have developed right epididymitis and right spermatic cord hardness like stone. It was diagnosed as epididymo-orchitis. There was a superficial abscess on the right side. Incision and drainage have been performed before two months. Still, I am having some pinching pain and hardness in the spermatic cord. Currently, I take Amoxicillin 500 mg twice daily. In the past, I had Ciprofloxacin, Piperacillin and Tazobactam. I had a CBC, tumor markers, urinalysis, urine culture and biopsy of the wound. All the reports were normal. [/INST] Hello Your present condition cannot be attributed to the inguinal hernia repair done six years ago. May I know what kind of repair was done? Either laparoscopic or open repair? Acute epididymo-orchitis is a clinical syndrome consisting of pain, swelling and inflammation of the epididymis, with or without inflammation of the testes. Chronic epididymitis refers to epididymal pain and inflammation (usually without scrotal swelling) that lasts for more than six months. Symptoms of discomfort and pain at least 3 months in duration in the scrotum, testicle or epididymis are localized to one or each epididymis on clinical examination may be considered as chronic epididymitis. The most common route of infection is local extension and is mainly due to infections spreading from the urethra (sexually transmitted infections - STIs) or from the bladder that is UTI (urinary tract infection) and prostatitis. Your symptoms for the last 5 months can now be considered as chronic or acute progressed to chronic epididymitis. The causes include infections like Chlamydial, tuberculous and also post-infectious. Do you have any history of diabetes, recurrent UTI, BPH (benign prostatic hyperplasia) with prostatitis, cystitis or STDs? For diagnosis, you need to get the following tests: The treatment includes both conservative and surgical. The conservative part includes antibiotics once the culture report arrives, NSAIDS (nonsteroidal anti-inflammatory drugs) or narcotic analgesics like Tapfree (combination of Tapentadol and Paracetamol). The surgical treatment is epididymectomy. For further information consult a urologist online -->
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Q. After delivery, how long should I wait to get my tooth pulled?
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Hi doctor, I am a 25 year old female. I am 9 months pregnant with a severe toothache. My question is after delivery, how long do I have to wait to get my tooth pulled out?
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Hi. All the best for your delivery. For further doubts consult a dentist online -->
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<s>[INST]
Hi doctor, I am a 25 year old female. I am 9 months pregnant with a severe toothache. My question is after delivery, how long do I have to wait to get my tooth pulled out? [/INST] Hi. All the best for your delivery. For further doubts consult a dentist online -->
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Q. Please suggest the treatment for chlamydia trachomatis infection.
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Hi doctor, I got tested for Chlamydia trachomatis and got my report. It gives out the value as 2.2411 and the safety zone is 0.08. I would like you to suggest me the treatment. Thank you.
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Hi. Please upload your test results for my reference. Thank you. Revert back with the reports to a sexologist online -->
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<s>[INST]
Hi doctor, I got tested for Chlamydia trachomatis and got my report. It gives out the value as 2.2411 and the safety zone is 0.08. I would like you to suggest me the treatment. Thank you. [/INST] Hi. Please upload your test results for my reference. Thank you. Revert back with the reports to a sexologist online -->
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Q. Is shortness of breath related to thyroid issues?
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Hi doctor, I had little shortness of breath with thick neck gland for a month. As I was on Thyronorm 50 mcg, I underwent a blood test for thyroid and here are my results: Free T3 2.50 pg/mL ( 1.4-4.4).Free T4 1.18 ng/dL (0.8-1.8).TSH (Ultrasensitive) 8.31 μIU/mL (0.45-4.5). I had increased the dosage from 50 mcg to 100 mcg for a month and now, I have nasal congestion and dizziness. When I breathe through my mouth, I do not have that much wheezing. Only nose breathing is an issue. Could you please tell me if the dose was high. What are the next steps I need to do?
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Hello. I just read your query and from what you have mentioned it appears that you have hypothyroidism. From your tests, I would suggest that you decrease the dose of Thyronorm to 75 mcg once daily. Consult your specialist doctor, discuss with him or her and change the dosage with their consent. Repeat your thyroid function test after six weeks of any dose change and then we will review again. Regarding your congested nose, you can take Fluticasone nasal spray once at night till you feel better. Also, this nasal issue is unrelated to thyroid. For more information consult an endocrinologist online -->
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<s>[INST]
Hi doctor, I had little shortness of breath with thick neck gland for a month. As I was on Thyronorm 50 mcg, I underwent a blood test for thyroid and here are my results: Free T3 2.50 pg/mL ( 1.4-4.4).Free T4 1.18 ng/dL (0.8-1.8).TSH (Ultrasensitive) 8.31 μIU/mL (0.45-4.5). I had increased the dosage from 50 mcg to 100 mcg for a month and now, I have nasal congestion and dizziness. When I breathe through my mouth, I do not have that much wheezing. Only nose breathing is an issue. Could you please tell me if the dose was high. What are the next steps I need to do? [/INST] Hello. I just read your query and from what you have mentioned it appears that you have hypothyroidism. From your tests, I would suggest that you decrease the dose of Thyronorm to 75 mcg once daily. Consult your specialist doctor, discuss with him or her and change the dosage with their consent. Repeat your thyroid function test after six weeks of any dose change and then we will review again. Regarding your congested nose, you can take Fluticasone nasal spray once at night till you feel better. Also, this nasal issue is unrelated to thyroid. For more information consult an endocrinologist online -->
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Q. What could this pea sized lump around my scrotum be?
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Hello doctor, I have been kneed really hard in the groin 10 days ago while playing basketball. The pain is more of an ache that does not last long. There was immediate swelling in my scrotum around the veins and arteries above my left testicle and some minor discomfort but continued to play. I had minor discomfort the next few days while swelling went down. There has been no discoloration. I have been able to go to the bathroom fine. There is now a pea size lump around or in the veins or arteries that causes minor pain when pressure is applied. It is firm but soft at the same time. What could this be? Should I see a urologist?
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Hello. You have had a blunt trauma to your scrotum almost a week back and since then have had a decrease in the swelling and no urinary complaints which are good signs. Was there ever any blood in the urine immediately after the incident? From your description, it appears that what you have is a scrotal hematoma which is resolving gradually. So you need to worry. All you would need is some scrotal elevation which will ease pain and swelling. But I would still advise you to visit your urologist to make sure the pain is just in the scrotum and not involved the testes, which is not possible without a clinical exam. For more information consult a urologist online -->
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<s>[INST]
Hello doctor, I have been kneed really hard in the groin 10 days ago while playing basketball. The pain is more of an ache that does not last long. There was immediate swelling in my scrotum around the veins and arteries above my left testicle and some minor discomfort but continued to play. I had minor discomfort the next few days while swelling went down. There has been no discoloration. I have been able to go to the bathroom fine. There is now a pea size lump around or in the veins or arteries that causes minor pain when pressure is applied. It is firm but soft at the same time. What could this be? Should I see a urologist? [/INST] Hello. You have had a blunt trauma to your scrotum almost a week back and since then have had a decrease in the swelling and no urinary complaints which are good signs. Was there ever any blood in the urine immediately after the incident? From your description, it appears that what you have is a scrotal hematoma which is resolving gradually. So you need to worry. All you would need is some scrotal elevation which will ease pain and swelling. But I would still advise you to visit your urologist to make sure the pain is just in the scrotum and not involved the testes, which is not possible without a clinical exam. For more information consult a urologist online -->
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Q. How to confirm if my 1-year-old baby is addicted to the smell of Gutka taken by a relative?
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My baby is one year old, i dought that he is getting addicted to the smell of "gutka" intaken by one of my relatives and he takes my baby everyday. He is 70 year's old, whenever my baby sees him my baby gets crazy and after going to him baby never wants to come back easily even to his mother. Plz help wheather it is addiction to intoxicating smell or its normsl over attraction to old person. Plz help me snd my baby.
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Hi, The very first thing , confirm whether your relative is giving 'Gutka' to your baby also ? What kind of Gutka he is taking ? Baby may get addiction if he has got the taste of it and started taking it orally. Addiction with smell is difficult to comment on. Possibility of a normal preference and attraction with the person where your baby is feeling more confortable, more affection or some interesting action which your relative might be having and your baby is enjoying it. I suggest you just keep a close watch. Take care
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<s>[INST]
My baby is one year old, i dought that he is getting addicted to the smell of "gutka" intaken by one of my relatives and he takes my baby everyday. He is 70 year's old, whenever my baby sees him my baby gets crazy and after going to him baby never wants to come back easily even to his mother. Plz help wheather it is addiction to intoxicating smell or its normsl over attraction to old person. Plz help me snd my baby. [/INST] Hi, The very first thing , confirm whether your relative is giving 'Gutka' to your baby also ? What kind of Gutka he is taking ? Baby may get addiction if he has got the taste of it and started taking it orally. Addiction with smell is difficult to comment on. Possibility of a normal preference and attraction with the person where your baby is feeling more confortable, more affection or some interesting action which your relative might be having and your baby is enjoying it. I suggest you just keep a close watch. Take care
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Q. What are the ways to remove acne scars?
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Hi doctor, I am 24 years old. My weight is 50 kg and my height is 158 cm. I have severe acne scars on face, back, lower back, below the neck and pimples on face. Even after using Benzoyl peroxide there is no change. I have oily skin. I use to get severe menstrual pain up to 3 or 4 days and for which I am using Meftal spas. I have breast pain mostly except the period days and few days following. Also there is a small color difference in the right breast not overall. But, the pain is not specific to this area. I get pain in both breasts. Is it just premenstrual pain or something to be concerned? For allergy, I am using nasal spray and Allegra tablet. Back pain is present occasionally and not severe. I have hair fall and thinning of hair from scalp and dandruff problem. When I oil my hair for dryness I get more pimples. What else can I do for dry hair, hair fall and dandruff? Occasionally, I get a lump below the lower abdomen on the right side. A doctor once made me cough and tested, the lump was not formed. But, he said with symptoms it would be hernia. It follows with a mild pain there. Also, at times I feel like I have to give pressure while urinating. Will these be a symptom for PCOS or endometriosis or any hormonal imbalance? What are the ways to help remove acne scars? Is baking soda a good choice? Or any other home remedy? I apply lemon juice on face, even baking soda, but nothing is working for the scars. I drink milk twice a day mixing Amul pro whey protein powder. Does dairy product cause acne? At times I get a burning sensation on body, especially after afternoon sleep, and also at the back of neck when my hair touches. Is that due to severe back acne scars? How can I take care of the diet for the problems concerned? Can you suggest me a good sunscreen for my skin?
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Hi. For acne, take a course of tablet Azithromycin 500 mg daily on three consecutive days in a week for four to six weeks and continue with Benzoyl peroxide 2.5 percent gel on the pimples in the morning and Adapalene gel at night on the pimples. As far as scars are concerned, you can try using Tretinoin 0.05 percent cream on the scars at night. It will not have significant benefit, but you can give it a try. Otherwise you can consider: Besides this, avoid oiling of scalp, keep your face dry, avoid using creams and moisturizers and reduce the intake of sugary foods. Baking soda and lemon juice will not have any effect on acne scars. So, you can stop using them. Dairy products are known to aggravate acne, so reduce their intake. For dandruff, use a Ketoconazole shampoo every alternate day to start with and then taper slowly once improvement is seen. Along with this, use a good quality conditioner after hair wash and start with tablet Keraglo Eva (gamma Lenolenic acid) once daily for hair fall. This needs to be continued for a minimum of three to four months. I do not think the burning sensation is due to acne scars. You should go for La Shield sunscreen gel over your entire face at intervals of three to four hours during the daytime. For breast changes and lump, I would recommend you to consult a surgeon as he will be able to guide you better regarding these symptoms. For back pain, consult an orthopedician and for allergy consult an ENT specialist. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I am 24 years old. My weight is 50 kg and my height is 158 cm. I have severe acne scars on face, back, lower back, below the neck and pimples on face. Even after using Benzoyl peroxide there is no change. I have oily skin. I use to get severe menstrual pain up to 3 or 4 days and for which I am using Meftal spas. I have breast pain mostly except the period days and few days following. Also there is a small color difference in the right breast not overall. But, the pain is not specific to this area. I get pain in both breasts. Is it just premenstrual pain or something to be concerned? For allergy, I am using nasal spray and Allegra tablet. Back pain is present occasionally and not severe. I have hair fall and thinning of hair from scalp and dandruff problem. When I oil my hair for dryness I get more pimples. What else can I do for dry hair, hair fall and dandruff? Occasionally, I get a lump below the lower abdomen on the right side. A doctor once made me cough and tested, the lump was not formed. But, he said with symptoms it would be hernia. It follows with a mild pain there. Also, at times I feel like I have to give pressure while urinating. Will these be a symptom for PCOS or endometriosis or any hormonal imbalance? What are the ways to help remove acne scars? Is baking soda a good choice? Or any other home remedy? I apply lemon juice on face, even baking soda, but nothing is working for the scars. I drink milk twice a day mixing Amul pro whey protein powder. Does dairy product cause acne? At times I get a burning sensation on body, especially after afternoon sleep, and also at the back of neck when my hair touches. Is that due to severe back acne scars? How can I take care of the diet for the problems concerned? Can you suggest me a good sunscreen for my skin? [/INST] Hi. For acne, take a course of tablet Azithromycin 500 mg daily on three consecutive days in a week for four to six weeks and continue with Benzoyl peroxide 2.5 percent gel on the pimples in the morning and Adapalene gel at night on the pimples. As far as scars are concerned, you can try using Tretinoin 0.05 percent cream on the scars at night. It will not have significant benefit, but you can give it a try. Otherwise you can consider: Besides this, avoid oiling of scalp, keep your face dry, avoid using creams and moisturizers and reduce the intake of sugary foods. Baking soda and lemon juice will not have any effect on acne scars. So, you can stop using them. Dairy products are known to aggravate acne, so reduce their intake. For dandruff, use a Ketoconazole shampoo every alternate day to start with and then taper slowly once improvement is seen. Along with this, use a good quality conditioner after hair wash and start with tablet Keraglo Eva (gamma Lenolenic acid) once daily for hair fall. This needs to be continued for a minimum of three to four months. I do not think the burning sensation is due to acne scars. You should go for La Shield sunscreen gel over your entire face at intervals of three to four hours during the daytime. For breast changes and lump, I would recommend you to consult a surgeon as he will be able to guide you better regarding these symptoms. For back pain, consult an orthopedician and for allergy consult an ENT specialist. For further information consult a dermatologist online -->
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Q. How to consume Kalarchi Choornam to get rid of multiple ovarian cysts?
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Hi doctor, How to consume Kalarchi Choornam to completely get rid of multiple cysts in both ovaries. It is not pcod but countless multiple cysts on both ovaries. Please clarify, how much and how many times should I consume daily? And for how long? Is it fine to take the medicine during menstrual cycle? Should I have anything along with it? Is it fine to take birth control pills along with it to get rid of cysts? Please help.
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Hi. From your query, I understand that the cysts are not the PCOD (polycystic ovarian disease). In order to remove the tiny cysts, you can consume Kalarchi choornam. If you could get kalarchi (raw), remove the shell and powder it. Or else, you can buy it from siddha herbal shops. 2 g of kalarchi powder to be mixed with honey and consumed. Since it taste mild bitter, you can keep one sugar candy or chocolate on your tongue after swallowing the drug. The drug to be taken morning and evening in empty stomach (before food). The powder also can be mixed in milk or buttermilk and consumed. In Siddha, normally the gynecology related disease are treated with drugs for three cycles (90 days). Thus, you can continue the drug for 90 days. Apart from Kalarchi choornam, you can also take capsule Nandhi mezhugu in the morning and evening after food for seven days. Next three days, drug free period. Thus total of 10 days. Again 7 days capsule + 3 days free. This is to be continued for three months. During menstrual period days: you should stop both Kalarchi choornam and Nandhi mezhugu. Both the drugs to be started again on day 4, after the first day of bleeding. In some patients, Kalarchi choornam delays the periods. If it is observed in your case, stop Kalarchi before 3 days of actual periods. There is no drug interactions between Kalarchi and contraceptive pills. Thus you can take together. Please try to avoid preservatives and chemical added foods (packed food, juices, etc). If possible, continue yoga practice. For the small cysts, these two drugs are sufficient. If you are planning for conception, but there are some problem with ovarian function, follicles, endometrium, etc., then there are other medications available. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, How to consume Kalarchi Choornam to completely get rid of multiple cysts in both ovaries. It is not pcod but countless multiple cysts on both ovaries. Please clarify, how much and how many times should I consume daily? And for how long? Is it fine to take the medicine during menstrual cycle? Should I have anything along with it? Is it fine to take birth control pills along with it to get rid of cysts? Please help. [/INST] Hi. From your query, I understand that the cysts are not the PCOD (polycystic ovarian disease). In order to remove the tiny cysts, you can consume Kalarchi choornam. If you could get kalarchi (raw), remove the shell and powder it. Or else, you can buy it from siddha herbal shops. 2 g of kalarchi powder to be mixed with honey and consumed. Since it taste mild bitter, you can keep one sugar candy or chocolate on your tongue after swallowing the drug. The drug to be taken morning and evening in empty stomach (before food). The powder also can be mixed in milk or buttermilk and consumed. In Siddha, normally the gynecology related disease are treated with drugs for three cycles (90 days). Thus, you can continue the drug for 90 days. Apart from Kalarchi choornam, you can also take capsule Nandhi mezhugu in the morning and evening after food for seven days. Next three days, drug free period. Thus total of 10 days. Again 7 days capsule + 3 days free. This is to be continued for three months. During menstrual period days: you should stop both Kalarchi choornam and Nandhi mezhugu. Both the drugs to be started again on day 4, after the first day of bleeding. In some patients, Kalarchi choornam delays the periods. If it is observed in your case, stop Kalarchi before 3 days of actual periods. There is no drug interactions between Kalarchi and contraceptive pills. Thus you can take together. Please try to avoid preservatives and chemical added foods (packed food, juices, etc). If possible, continue yoga practice. For the small cysts, these two drugs are sufficient. If you are planning for conception, but there are some problem with ovarian function, follicles, endometrium, etc., then there are other medications available. For further information consult an ayurveda specialist online -->
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Q. Why does my brother get jaundice every year during summer?
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Hello doctor, My brother has jaundice, and it is occurring every year during summer. He feels very low and lazy, and his body becomes yellow. He is experiencing weakness and swelling on face and across his ankle. He also has a fever. We do not know why he gets sick every year. In addition to that, he has low IQ. Hence, he is unable to explain his situation well. We are really confused. Can you tell me what is actually happening? Please find attached the various lab reports for your review.
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Hello. I went through your post and the investigations (attachment removed to protect patient identity) that you have posted. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, My brother has jaundice, and it is occurring every year during summer. He feels very low and lazy, and his body becomes yellow. He is experiencing weakness and swelling on face and across his ankle. He also has a fever. We do not know why he gets sick every year. In addition to that, he has low IQ. Hence, he is unable to explain his situation well. We are really confused. Can you tell me what is actually happening? Please find attached the various lab reports for your review. [/INST] Hello. I went through your post and the investigations (attachment removed to protect patient identity) that you have posted. For more information consult an internal medicine physician online -->
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Q. What do sudden frequent urination and flank pain indicate?
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Hi doctor, I have been suffering from frequent urination for the last two days and slight pain in the left side abdomen. The urine test found 10-15 hpf RBC and the USG report came back normal. What does this mean?
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Hi. I suggest the following treatment. Please consult your specialist doctor, discuss with him or her and take treatment with consent. 1. Tablet Tamsulosin 0.2 mg. 2. Tablet Tolterodine 2 mg at bed time. 3. Syrup Noculi B6 (Potassium citrate) two tablespoon with half glass water twice daily for seven days. Revert after 15 days to a urologist online.--->
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<s>[INST]
Hi doctor, I have been suffering from frequent urination for the last two days and slight pain in the left side abdomen. The urine test found 10-15 hpf RBC and the USG report came back normal. What does this mean? [/INST] Hi. I suggest the following treatment. Please consult your specialist doctor, discuss with him or her and take treatment with consent. 1. Tablet Tamsulosin 0.2 mg. 2. Tablet Tolterodine 2 mg at bed time. 3. Syrup Noculi B6 (Potassium citrate) two tablespoon with half glass water twice daily for seven days. Revert after 15 days to a urologist online.--->
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Q. Can taking multiple antibiotics cause redness and dryness of vagina?
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Hello doctor, Ever since being on multiple antibiotics for a persistent UTI a year ago, I have had vaginal problems. It was first a bout of yeast infections and then BV. I have tried many pills, external and internal creams, home remedies, and diet changes, but still, I have redness and dryness externally. I have tested negative for yeast and BV, but nobody knows what is going on. Is it possible that I am just totally out of balance? I have been taking probiotics daily, but it does not seem to be working. I am desperate for help because I am literally at my wit's end.
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Hi. How are you doing? Sorry to hear what you have been through. Hope I have been of help to you, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, Ever since being on multiple antibiotics for a persistent UTI a year ago, I have had vaginal problems. It was first a bout of yeast infections and then BV. I have tried many pills, external and internal creams, home remedies, and diet changes, but still, I have redness and dryness externally. I have tested negative for yeast and BV, but nobody knows what is going on. Is it possible that I am just totally out of balance? I have been taking probiotics daily, but it does not seem to be working. I am desperate for help because I am literally at my wit's end. [/INST] Hi. How are you doing? Sorry to hear what you have been through. Hope I have been of help to you, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Please suggest treatment for flatulence, urinary incontinence, abdominal pain, and restlessness.
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Flatulence and urinary incontinence. Abdominal pain and restlessness, No medicine. Male 30, 5.6 height
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Hello. Good day. I appreciate you seeking medical help via icliniq. I have your query. So to answer to your query I want you to understand production of gas and feeling of fullness is more or less a normal phenomenon of human body. One can not completely shut down the gas production since it has its own disadvantages. However having said that gas production can be still be decreaed to help patient to have comfortable life. This gas usually produced by many bacteria within human gut. I want you to start one antibiotic which will help balance good bacteria vs. bad bacteria. Tab Rifxamin 200 mg thrice daily for 3 weeks. ait is very safe antibiotic except in it can cause diarrhea which is usually mild and does not bother a patient much. I want you to avoid gas prodcuing meals particularly avoid rice, cereals and grains in your diet. Sometime Milk can cause bloating, if this is in your case I suggest to better cut down your dairy intake. see me in 2 week time and lets see how it goes. see me after 2 week
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<s>[INST]
Flatulence and urinary incontinence. Abdominal pain and restlessness, No medicine. Male 30, 5.6 height [/INST] Hello. Good day. I appreciate you seeking medical help via icliniq. I have your query. So to answer to your query I want you to understand production of gas and feeling of fullness is more or less a normal phenomenon of human body. One can not completely shut down the gas production since it has its own disadvantages. However having said that gas production can be still be decreaed to help patient to have comfortable life. This gas usually produced by many bacteria within human gut. I want you to start one antibiotic which will help balance good bacteria vs. bad bacteria. Tab Rifxamin 200 mg thrice daily for 3 weeks. ait is very safe antibiotic except in it can cause diarrhea which is usually mild and does not bother a patient much. I want you to avoid gas prodcuing meals particularly avoid rice, cereals and grains in your diet. Sometime Milk can cause bloating, if this is in your case I suggest to better cut down your dairy intake. see me in 2 week time and lets see how it goes. see me after 2 week
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Q. Started PEP after 66 hours of unprotected sex. Will it be helpful?
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Hi doctor, I had unprotected sex and have consulted a doctor after that. He told me to go for PEP immediately. So, I started PEP after three days of exposure with one Tablet of Lamivudine and Zidovudine along with one Efavirenz tablet. I have taken PEP after 66 hours of exposure. Will it be helpful? Please let me know.
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Hello. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, I had unprotected sex and have consulted a doctor after that. He told me to go for PEP immediately. So, I started PEP after three days of exposure with one Tablet of Lamivudine and Zidovudine along with one Efavirenz tablet. I have taken PEP after 66 hours of exposure. Will it be helpful? Please let me know. [/INST] Hello. For further doubts consult a sexologist online -->
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Q. Do ovarian cysts cause pain during pregnancy?
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Hello Doctor, I am 30 years old. I am currently 8 weeks and 5 days pregnant. I went for an ultrasound at 5 weeks and there was a gestational sac and a yolk sac. However, I also had a 2 cm luteal cyst on my right ovary and what looked like a hemorrhagic cyst of 3 cm on my left ovary. I asked about it and the doctor said it did not look suspicious and she did not suggest any follow up. I have been having pain in my left side ever since ovulation, but how come the luteal cyst is on the right side? Could I have gotten a hemorrhagic cyst on the side that did not ovulate? Is the fact that I have 2 cysts at the same time a concern or should I not worry? I have a family history of breast cancer and so I am worried about ovarian cancer as well. The pain comes and goes, I have not had it for 3 weeks. But 3 days ago it started bothering me again. The pain is very mild and not interfering with anything but it makes me worry about the cyst. My next ultrasound is at 12 weeks. Is that a long time to wait to check on the cyst again? Or is it unlikely to represent a problem? Also I have read that hemorrhagic cysts usually disappear in pregnancy when ovaries stop working. But can they grow during the first 12 weeks when they are functional and shrink after the placenta takes over? If the ultrasound at 12 weeks shows it has grown, is that indicative of cancer or still most likely benign?
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Hi. Both the cysts one of 2 cm and other of 3 cm, and one luteal cyst and one hemorrhagic cyst respectively are insignificant and has no concern with cancer at this size. On and off pain during pregnancy do happen but this cannot be ignored if it is very severe. You had your USG done at 5 weeks and now you are 8 weeks 5 days, but pain is still present on and off. You have not mentioned about the cardiac activity of fetus in your last scan. So, it is better to repeat your scan to know about the cardiac activity as well as the size of both the cysts. Regarding the ovarian cyst we have to see whether the size is increasing, decreasing, or it is the same. If it's increasing then it is of concern (if more than 5 cm). If it remains the same or decreases, then nothing has to be done, as it will regress on its own. So, repeat your scan now instead of repeating it at 12 weeks. As you have told me about the family history of breast cancer, I advice you that in future you will have to be vigilant regarding the same. Revert back with the scan reports to an obstetrician and gynaecologist online.---->
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<s>[INST]
Hello Doctor, I am 30 years old. I am currently 8 weeks and 5 days pregnant. I went for an ultrasound at 5 weeks and there was a gestational sac and a yolk sac. However, I also had a 2 cm luteal cyst on my right ovary and what looked like a hemorrhagic cyst of 3 cm on my left ovary. I asked about it and the doctor said it did not look suspicious and she did not suggest any follow up. I have been having pain in my left side ever since ovulation, but how come the luteal cyst is on the right side? Could I have gotten a hemorrhagic cyst on the side that did not ovulate? Is the fact that I have 2 cysts at the same time a concern or should I not worry? I have a family history of breast cancer and so I am worried about ovarian cancer as well. The pain comes and goes, I have not had it for 3 weeks. But 3 days ago it started bothering me again. The pain is very mild and not interfering with anything but it makes me worry about the cyst. My next ultrasound is at 12 weeks. Is that a long time to wait to check on the cyst again? Or is it unlikely to represent a problem? Also I have read that hemorrhagic cysts usually disappear in pregnancy when ovaries stop working. But can they grow during the first 12 weeks when they are functional and shrink after the placenta takes over? If the ultrasound at 12 weeks shows it has grown, is that indicative of cancer or still most likely benign? [/INST] Hi. Both the cysts one of 2 cm and other of 3 cm, and one luteal cyst and one hemorrhagic cyst respectively are insignificant and has no concern with cancer at this size. On and off pain during pregnancy do happen but this cannot be ignored if it is very severe. You had your USG done at 5 weeks and now you are 8 weeks 5 days, but pain is still present on and off. You have not mentioned about the cardiac activity of fetus in your last scan. So, it is better to repeat your scan to know about the cardiac activity as well as the size of both the cysts. Regarding the ovarian cyst we have to see whether the size is increasing, decreasing, or it is the same. If it's increasing then it is of concern (if more than 5 cm). If it remains the same or decreases, then nothing has to be done, as it will regress on its own. So, repeat your scan now instead of repeating it at 12 weeks. As you have told me about the family history of breast cancer, I advice you that in future you will have to be vigilant regarding the same. Revert back with the scan reports to an obstetrician and gynaecologist online.---->
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Q. What causes burning sensation of legs in an arthritis patient?
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Hello doctor, My mother is 80 years old. She is suffering from arthritis or spondylolysis for more than 30 years. She is receiving treatment from a local orthopedician. She is having NSAID and other general medicines since five years. Her ESR level suddenly rose. From last few months she felt extreme burning sensation at both of her lower legs especially after taking lunch. Since, she is unable to walk properly due to her disease and also due to severe pain, we are facing problem to take her to a doctor like before. I would like to know which medicine will be helpful to control the burning sensation. I am attaching the MRI report for your reference. Please guide.
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Hello. I have gone through the MRI report (attachment removed to protect patient identity). For further information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, My mother is 80 years old. She is suffering from arthritis or spondylolysis for more than 30 years. She is receiving treatment from a local orthopedician. She is having NSAID and other general medicines since five years. Her ESR level suddenly rose. From last few months she felt extreme burning sensation at both of her lower legs especially after taking lunch. Since, she is unable to walk properly due to her disease and also due to severe pain, we are facing problem to take her to a doctor like before. I would like to know which medicine will be helpful to control the burning sensation. I am attaching the MRI report for your reference. Please guide. [/INST] Hello. I have gone through the MRI report (attachment removed to protect patient identity). For further information consult an orthopaedician and traumatologist online -->
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Q. How to bring down the allergic reaction I had for cough medicine?
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Hi doctor, I recently had an allergic reaction to cough medicine. Nowadays, every time I sweat and getting rash. The reaction happened about a week ago. I am just wondering how long this will last.
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Hello. I had gone through all the data posted. Revert with the details to an internal medicine physician online -->
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<s>[INST]
Hi doctor, I recently had an allergic reaction to cough medicine. Nowadays, every time I sweat and getting rash. The reaction happened about a week ago. I am just wondering how long this will last. [/INST] Hello. I had gone through all the data posted. Revert with the details to an internal medicine physician online -->
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Q. After how many days of typhoid treatment should I repeat my Widal test?
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Hi doctor, Before 20 days, I was typhoid positive. Then, I had Monocef 1 g injection once a day for seven days and then I had Zanocin 400 mg tablet once a day for seven days. Now, I am on Paraxin 500 three times a day and still I have some headache. My current Widal test report is as follows. Typhi O 1:160, Typhi H 1:80, Typhi AH 1:40 and Typhi BH 1:40. Please tell me when I should repeat my test to know whether I am typhoid positive or negative.
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Hi. I can understand your concern. For further information consult a general medicine physician online -->
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<s>[INST]
Hi doctor, Before 20 days, I was typhoid positive. Then, I had Monocef 1 g injection once a day for seven days and then I had Zanocin 400 mg tablet once a day for seven days. Now, I am on Paraxin 500 three times a day and still I have some headache. My current Widal test report is as follows. Typhi O 1:160, Typhi H 1:80, Typhi AH 1:40 and Typhi BH 1:40. Please tell me when I should repeat my test to know whether I am typhoid positive or negative. [/INST] Hi. I can understand your concern. For further information consult a general medicine physician online -->
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Q. Can I eat avocado if I am taking blood thinners?
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Hi doctor, I am taking Sintrom, but I was wondering if I can eat avocado.
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Hello. Hope it helps. Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am taking Sintrom, but I was wondering if I can eat avocado. [/INST] Hello. Hope it helps. Regards. For more information consult an internal medicine physician online -->
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Q. What can cause irregular menstrual bleeding?
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Hi doctor, I am suffering from irregular bleeding for the past six weeks. I have been using Mirena for the past 10 years for birth control and PCOD. After Mirena my periods had stopped and I would get them once in six months for a day. In six weeks, I have got this bleeding for the third time. It lasts for a maximum for a couple of days. I am diabetic too, and it is under control.
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Hi. As per your history, it appears that you are having abnormal uterine bleeding and the cause can be many. As you told that you are diabetic, I would advise you to get a transvaginal scan first and followed by endometrial sampling to rule out the cause. In your case of irregular bleeding my suspicion goes for hormonal disturbance. Please revert back after ultrasound for endometrial thickness. 1. Transvaginal scan and endometrial sampling. 2. Fasting blood sugar. Revert back with the investigation report to an obstetrician and gynaecologist online.--->
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<s>[INST]
Hi doctor, I am suffering from irregular bleeding for the past six weeks. I have been using Mirena for the past 10 years for birth control and PCOD. After Mirena my periods had stopped and I would get them once in six months for a day. In six weeks, I have got this bleeding for the third time. It lasts for a maximum for a couple of days. I am diabetic too, and it is under control. [/INST] Hi. As per your history, it appears that you are having abnormal uterine bleeding and the cause can be many. As you told that you are diabetic, I would advise you to get a transvaginal scan first and followed by endometrial sampling to rule out the cause. In your case of irregular bleeding my suspicion goes for hormonal disturbance. Please revert back after ultrasound for endometrial thickness. 1. Transvaginal scan and endometrial sampling. 2. Fasting blood sugar. Revert back with the investigation report to an obstetrician and gynaecologist online.--->
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Q. I got a UTI two years back. Do I need to check my kidney function every 15 days?
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Hello doctor, I have a question about kidney function. I had a urinary tract infection about two years ago. From that period, I am doing blood tests to evaluate the kidney function every 15 days. My urine test is always within normal range, and no protein or glucose has been found. My blood creatinine and urea are also within the normal range. Creatinine goes from 70 to 88, and urea is always steady at 4 to 5. The eGFR last time was 130 using creatinine and cystatin from the blood. My question is, can kidney function degrade so fast? Do I need to check it so often? The doctor that suggested to do checks on a regular basis is not a specialist in urology. He just told me that kidney diseases do not show symptoms until it is too late. I am not diabetic, my blood pressure is normal, and no one in my family has any issues with kidneys. How often should I check my kidney function? Thank you very much.
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Hi. For further queries consult a urologist online -->
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<s>[INST]
Hello doctor, I have a question about kidney function. I had a urinary tract infection about two years ago. From that period, I am doing blood tests to evaluate the kidney function every 15 days. My urine test is always within normal range, and no protein or glucose has been found. My blood creatinine and urea are also within the normal range. Creatinine goes from 70 to 88, and urea is always steady at 4 to 5. The eGFR last time was 130 using creatinine and cystatin from the blood. My question is, can kidney function degrade so fast? Do I need to check it so often? The doctor that suggested to do checks on a regular basis is not a specialist in urology. He just told me that kidney diseases do not show symptoms until it is too late. I am not diabetic, my blood pressure is normal, and no one in my family has any issues with kidneys. How often should I check my kidney function? Thank you very much. [/INST] Hi. For further queries consult a urologist online -->
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Q. After tooth extraction, I feel exhausted with irregular bowel movements. Why?
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Hello doctor, I had my left lower wisdom teeth extracted before a week and stitches are still there and yet to be removed. I am on Paracetamol and other painkillers. The problem is I do not have any pain in my mouth. But, I feel exhausted, restless and I just cannot wake up from my bed. Also, my bowel movements are not perfect. I feel like going to the bathroom again and again like irritable bowel syndrome. Can you please tell me about my sickness? I am a 23 year old male. My height is 5'7", and weight is 72 kg.
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Hi. I have read your complaint and the relevant details. For further doubts consult a dentist online -->
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<s>[INST]
Hello doctor, I had my left lower wisdom teeth extracted before a week and stitches are still there and yet to be removed. I am on Paracetamol and other painkillers. The problem is I do not have any pain in my mouth. But, I feel exhausted, restless and I just cannot wake up from my bed. Also, my bowel movements are not perfect. I feel like going to the bathroom again and again like irritable bowel syndrome. Can you please tell me about my sickness? I am a 23 year old male. My height is 5'7", and weight is 72 kg. [/INST] Hi. I have read your complaint and the relevant details. For further doubts consult a dentist online -->
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Q. Would it be dangerous to take Cardarine while on Nardil?
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Hello doctor, I am currently on 90 mg of Nardil (Phenelzine), which has proven to be a miracle drug for me. I have found over the years that many drugs you are supposed to avoid while on MAOIs are really acceptable. For instance, in order to counteract the daytime sleepiness side effect, I am actually on a small dose of Wellbutrin (Bupropion), which is supposedly contraindicated with Nardil. But, I take it just fine with no impact on blood pressure. In fact, I have never had a hypertensive response. Over the years, my weight has increased due to the Nardil and I am looking to do something drastic about this and very soon. Specifically, I want to do a short run cycle of Cardarine (GW501516) in order to lose weight, while preserving muscle. Would it be dangerous to take this while on Nardil? By all accounts my levels of MAOI are pretty low.
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Hello. I understand your concern. For further information consult a pharmacologist online -->
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<s>[INST]
Hello doctor, I am currently on 90 mg of Nardil (Phenelzine), which has proven to be a miracle drug for me. I have found over the years that many drugs you are supposed to avoid while on MAOIs are really acceptable. For instance, in order to counteract the daytime sleepiness side effect, I am actually on a small dose of Wellbutrin (Bupropion), which is supposedly contraindicated with Nardil. But, I take it just fine with no impact on blood pressure. In fact, I have never had a hypertensive response. Over the years, my weight has increased due to the Nardil and I am looking to do something drastic about this and very soon. Specifically, I want to do a short run cycle of Cardarine (GW501516) in order to lose weight, while preserving muscle. Would it be dangerous to take this while on Nardil? By all accounts my levels of MAOI are pretty low. [/INST] Hello. I understand your concern. For further information consult a pharmacologist online -->
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Q. My 25 months old daughter has disturbed sleep and loss of appetite. Please help.
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Hi doctor, I have 25 months girl who feels discomfort at sleep for a couple of days. For the time she has also lost some of her appetite. I have checked her symptoms and signs. Her body temperature is normal, around 34 but sometimes her hands get hot. She has attended all her vaccines and currently, we are on lockdown. While in the home, during the daytime, she feels bored and sometimes cries for no reason or feel discomfort with her toys. I am asking this, in this pandemic we cannot get outside to see a pediatrician or a consultant. Clinics and hospitals might lead to carrying a virus or infection. Please advice me in this regard. Thank
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Hello, thank you for the elaborate history. Hope you are safe. I appreciate your concern regarding your child. This behavior is normal because as the child grows he/she wants more attention becomes more aware of things.
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<s>[INST]
Hi doctor, I have 25 months girl who feels discomfort at sleep for a couple of days. For the time she has also lost some of her appetite. I have checked her symptoms and signs. Her body temperature is normal, around 34 but sometimes her hands get hot. She has attended all her vaccines and currently, we are on lockdown. While in the home, during the daytime, she feels bored and sometimes cries for no reason or feel discomfort with her toys. I am asking this, in this pandemic we cannot get outside to see a pediatrician or a consultant. Clinics and hospitals might lead to carrying a virus or infection. Please advice me in this regard. Thank [/INST] Hello, thank you for the elaborate history. Hope you are safe. I appreciate your concern regarding your child. This behavior is normal because as the child grows he/she wants more attention becomes more aware of things.
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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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