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Q. Is there an ayurvedic remedy for vitamin D deficiency and body pain?
Hello doctor, I have vitamin D deficiency. The test report says that the count is 2 ng/mL. I had an oil massage last week. Now I have joint pain, tiredness and I get depressed very soon. Is it related to the body massage? Is there any cure for it in ayurveda?
Hi. According to your attached reports (attachment removed to protect patient identity), your BMI (Body Mass Index) is 27. This suggests that your weight is more than normal. You need to reduce your weight. Obesity also leads to low level of vitamin D in blood and increases joint pain. You have mentioned that you have undergone body massage. As of now you can start with Bonton granules 1 teaspoon with milk twice a day and tablet Asthiposhak 2 tablets after food twice a day. Continue with your current medication. Revert back with the answers to the above questions to an ayurveda specialist online -->
<s>[INST] Hello doctor, I have vitamin D deficiency. The test report says that the count is 2 ng/mL. I had an oil massage last week. Now I have joint pain, tiredness and I get depressed very soon. Is it related to the body massage? Is there any cure for it in ayurveda? [/INST] Hi. According to your attached reports (attachment removed to protect patient identity), your BMI (Body Mass Index) is 27. This suggests that your weight is more than normal. You need to reduce your weight. Obesity also leads to low level of vitamin D in blood and increases joint pain. You have mentioned that you have undergone body massage. As of now you can start with Bonton granules 1 teaspoon with milk twice a day and tablet Asthiposhak 2 tablets after food twice a day. Continue with your current medication. Revert back with the answers to the above questions to an ayurveda specialist online -->
Q. Can an unchanged mole actually be an early melanoma?
Hello doctor, Is this melanoma? Does it look bad?
Hello. I have noted your concern and have viewed the image (attachment removed to protect patient identity). This could be an atypical/ dysplastic nevus - has irregular borders, looks asymmetric in shape and is perhaps bigger than 5 mm. It certainly requires a dermoscopic examination or a biopsy. Dysplastic nevi may be confused with early melanoma. Has it changed in anyway recently - in terms of size, shape, color or thickness? How long since you have it? Regards. Revert with more information to a dermatologist online -->
<s>[INST] Hello doctor, Is this melanoma? Does it look bad? [/INST] Hello. I have noted your concern and have viewed the image (attachment removed to protect patient identity). This could be an atypical/ dysplastic nevus - has irregular borders, looks asymmetric in shape and is perhaps bigger than 5 mm. It certainly requires a dermoscopic examination or a biopsy. Dysplastic nevi may be confused with early melanoma. Has it changed in anyway recently - in terms of size, shape, color or thickness? How long since you have it? Regards. Revert with more information to a dermatologist online -->
Q. Is it possible to get genital wart without sexual exposure?
Hello doctor, I am a 21 year old girl. I saw a cauliflower shape growth in my vulva which was diagnosed as warts. I was given Acivir tablet 800 mg despite the fact that I had no sexual contact with anyone. Then, I got my menstruation for seven days. I used to apply vaginal wash and tea tree oil and had Acivir for five days. Now, I have dandruff like on my pubic hair, left part of vulva, on my thigh crease and buttock line. This dryness also appeared on my scalp with lot of dryness, but it subsided few months back. I also have hypothyroidism. The wart almost subsided. Once when I used tea tree oil in vulva at night I got a burning sensation, so I guess it maybe allergy. I have no yellowish discharge and I clean my vagina three to four times a day. I have hair loss too for a longer period along with complain of dandruff. When I use milk cream like Vaseline, dryness goes for half a day or so but then later it appears again. I got a checkup two months back for reticulocyte count and thyroid T3, T4 and TSH too after medication and my thyroid is almost normal now. Please help for my condition.
Hi. Surprising fact is that you have a genital wart, but without any history of sexual exposure. Then it is not a wart. And it has subsided as I could not find it in the picture (attachment removed to protect patient identity). But, what a miserable condition you have done with your private organ. The whole area is inflamed, red as well as dry. And the cause is the use of so many substances to this highly sensitive skin. Do you consider your genitalia a very dirty place or expect from it to emit the odor of flowers all the time? Trust me those substances and your practice of repeated washing is the cause of this. Just stop those substances and also stop frequent washing which could damage the normal vaginal defense. Apply only Calamine or Caladryl lotion (Diphenhydramine) twice a day over the skin. Let it heal by its own. Continue all your other oral medications including thyroid. Contact dermatitis. Blood sugar fasting and postprandial. Fungal infection. Vulvovaginitis due to contact dermatitis. Emollients like Caladryl ointment. Stop all skin application. Revert back after a week to an obstetrician and gynaecologist online.--->
<s>[INST] Hello doctor, I am a 21 year old girl. I saw a cauliflower shape growth in my vulva which was diagnosed as warts. I was given Acivir tablet 800 mg despite the fact that I had no sexual contact with anyone. Then, I got my menstruation for seven days. I used to apply vaginal wash and tea tree oil and had Acivir for five days. Now, I have dandruff like on my pubic hair, left part of vulva, on my thigh crease and buttock line. This dryness also appeared on my scalp with lot of dryness, but it subsided few months back. I also have hypothyroidism. The wart almost subsided. Once when I used tea tree oil in vulva at night I got a burning sensation, so I guess it maybe allergy. I have no yellowish discharge and I clean my vagina three to four times a day. I have hair loss too for a longer period along with complain of dandruff. When I use milk cream like Vaseline, dryness goes for half a day or so but then later it appears again. I got a checkup two months back for reticulocyte count and thyroid T3, T4 and TSH too after medication and my thyroid is almost normal now. Please help for my condition. [/INST] Hi. Surprising fact is that you have a genital wart, but without any history of sexual exposure. Then it is not a wart. And it has subsided as I could not find it in the picture (attachment removed to protect patient identity). But, what a miserable condition you have done with your private organ. The whole area is inflamed, red as well as dry. And the cause is the use of so many substances to this highly sensitive skin. Do you consider your genitalia a very dirty place or expect from it to emit the odor of flowers all the time? Trust me those substances and your practice of repeated washing is the cause of this. Just stop those substances and also stop frequent washing which could damage the normal vaginal defense. Apply only Calamine or Caladryl lotion (Diphenhydramine) twice a day over the skin. Let it heal by its own. Continue all your other oral medications including thyroid. Contact dermatitis. Blood sugar fasting and postprandial. Fungal infection. Vulvovaginitis due to contact dermatitis. Emollients like Caladryl ointment. Stop all skin application. Revert back after a week to an obstetrician and gynaecologist online.--->
Q. Do you think the treatment given for my father is right?
Hi doctor, My father, who is 58 years old, having diabetes for the last 23 years. He always takes Insulin and other sugar tablets. His weight is 67 kg and height is 5'5". For the last two months, he has been taking Aspirin 75 mg. He had a minor headache for the last few days. Also, he had a cold and cough and took Azithromycin. Six days back, some blood came out through cough and he was advised to stop Aspirin. So, he did not take Aspirin for the last five days. Yesterday, he felt nauseous and vomited continuously. He had blurred vision, felt an imbalance while standing and had severe headaches. Then, he had a CT scan and a subdural blood clot was found. CT scan report summary NCCT of the brain suggests subacute on chronic subdural hemorrhage in right cerebral convexity with mass effect. So, our neurosurgeon suggests for operation, but due to Aspirin he kept the operation on hold for four to five days. But, my father is still unconscious. He is in ICU and under observation. But, in this condition, is it right decision to keep the operation on hold? In this condition, can we move the patient by flight to another place for better treatment?
Hi. For further information consult a neuro surgeon online -->
<s>[INST] Hi doctor, My father, who is 58 years old, having diabetes for the last 23 years. He always takes Insulin and other sugar tablets. His weight is 67 kg and height is 5'5". For the last two months, he has been taking Aspirin 75 mg. He had a minor headache for the last few days. Also, he had a cold and cough and took Azithromycin. Six days back, some blood came out through cough and he was advised to stop Aspirin. So, he did not take Aspirin for the last five days. Yesterday, he felt nauseous and vomited continuously. He had blurred vision, felt an imbalance while standing and had severe headaches. Then, he had a CT scan and a subdural blood clot was found. CT scan report summary NCCT of the brain suggests subacute on chronic subdural hemorrhage in right cerebral convexity with mass effect. So, our neurosurgeon suggests for operation, but due to Aspirin he kept the operation on hold for four to five days. But, my father is still unconscious. He is in ICU and under observation. But, in this condition, is it right decision to keep the operation on hold? In this condition, can we move the patient by flight to another place for better treatment? [/INST] Hi. For further information consult a neuro surgeon online -->
Q. Why am I having severe itching beneath the belly and between thighs?
Hi doctor,My problem is severe itching beneath the belly and between thighs. There are also marks. When I first consulted, the doctor prescribed Onabet cream. It did not go. The second time, another doctor prescribed Permethrin cream. It did not go. Later I consulted a doctor directly and he gave me Ebernet cream. Still, I have the issue. I also used Clotrimazole cream. It did not go. I maintain good hygene. It is almost like dermatophytes as one of the doctors said. Please prescribe me a strong ointment.
Hi. I have gone through your case. Marks could be scratch marks due to dryness, it could be due to scabies for which you have been given Permethrin and it could be a fungal infection for which you have used Clotrimazole cream. Sometimes fungal infection may require six weeks of treatment. And problem arises when the patient leaves treatment halfway considering it is not effective and then it becomes resistant, and require even prolong treatment. Similarly, itching due to dryness may require prolonged and continuous moisturizing. So, in my opinion, continue to apply Clotrimazole cream 2 to 3 times a day, do not use Onabet (Sertaconazole). Avoid sweating and friction and apply vaseline lotion at night. For more information consult a dermatologist online -->
<s>[INST] Hi doctor,My problem is severe itching beneath the belly and between thighs. There are also marks. When I first consulted, the doctor prescribed Onabet cream. It did not go. The second time, another doctor prescribed Permethrin cream. It did not go. Later I consulted a doctor directly and he gave me Ebernet cream. Still, I have the issue. I also used Clotrimazole cream. It did not go. I maintain good hygene. It is almost like dermatophytes as one of the doctors said. Please prescribe me a strong ointment. [/INST] Hi. I have gone through your case. Marks could be scratch marks due to dryness, it could be due to scabies for which you have been given Permethrin and it could be a fungal infection for which you have used Clotrimazole cream. Sometimes fungal infection may require six weeks of treatment. And problem arises when the patient leaves treatment halfway considering it is not effective and then it becomes resistant, and require even prolong treatment. Similarly, itching due to dryness may require prolonged and continuous moisturizing. So, in my opinion, continue to apply Clotrimazole cream 2 to 3 times a day, do not use Onabet (Sertaconazole). Avoid sweating and friction and apply vaseline lotion at night. For more information consult a dermatologist online -->
Q. How can swelling in the anus area be treated?
Hi doctor, I am facing swelling in anus area which is not getting shrunk even after trying some medicine and cream for piles.
Hello, Welcome to ilciniq.com. Good day. I have reviewed your history and picture that you have uploaded (attachment removed to protect patient identity). It seems to me a sentinal pile. They are not actually pile (hemorrhoids/ blood sac) but a anal fissure that has been present for so long and leading to bulging appearance resembling a pile. Well having said that, the treatment you are on is majorily ayervedic but there are avaialble allopathic medicines which can be used instead. I would give you some treatment but I want that you should be examined in person by a local general surgeon, if any need of surgical removal of this. Otherwise at moment take following treatment. 1. Ispagol Husk 2 tsp/ daily with water irrespective of if you have soft stools or hard stools. Fibre has to do with many other things in your gut besides just stool softening effect. 2. Tablet Ciprofloaxcin 500 mg twice daily for 5 days. 3. Tablet Flagyl 400 mg thrice daily for 5 days (can cause some gut upset and mettalic taste in mouth but fairly low side effect profile). 4. Sitz bath. Put approximately 5 ml of dettol or any antiseptic and put in bath tub filled almost half with tapid water and at least try it 3 times a day. 5. Keep your area clean near your bottom. 6. Remove hairs. 7. Reduce weight. Increasing weight would impair your defecation (stooling) mechanism and that would abnormally high presure over your bottom. This worsens anal fissure in long term. Let me know in one week time if symptoms improve.
<s>[INST] Hi doctor, I am facing swelling in anus area which is not getting shrunk even after trying some medicine and cream for piles. [/INST] Hello, Welcome to ilciniq.com. Good day. I have reviewed your history and picture that you have uploaded (attachment removed to protect patient identity). It seems to me a sentinal pile. They are not actually pile (hemorrhoids/ blood sac) but a anal fissure that has been present for so long and leading to bulging appearance resembling a pile. Well having said that, the treatment you are on is majorily ayervedic but there are avaialble allopathic medicines which can be used instead. I would give you some treatment but I want that you should be examined in person by a local general surgeon, if any need of surgical removal of this. Otherwise at moment take following treatment. 1. Ispagol Husk 2 tsp/ daily with water irrespective of if you have soft stools or hard stools. Fibre has to do with many other things in your gut besides just stool softening effect. 2. Tablet Ciprofloaxcin 500 mg twice daily for 5 days. 3. Tablet Flagyl 400 mg thrice daily for 5 days (can cause some gut upset and mettalic taste in mouth but fairly low side effect profile). 4. Sitz bath. Put approximately 5 ml of dettol or any antiseptic and put in bath tub filled almost half with tapid water and at least try it 3 times a day. 5. Keep your area clean near your bottom. 6. Remove hairs. 7. Reduce weight. Increasing weight would impair your defecation (stooling) mechanism and that would abnormally high presure over your bottom. This worsens anal fissure in long term. Let me know in one week time if symptoms improve.
Q. What is the treatment for head injury with a blood clot?
Hello doctor, My cousin suffered a massive blow to his head, which resulted in a terrible injury above his ears which extends to the back of his head. He is not responding, but he can breathe on his own, and his body is responding to commands. The doctors said that there is a blood clot in the injury. How can this be treated?
Hello. For more information consult an internal medicine physician online -->
<s>[INST] Hello doctor, My cousin suffered a massive blow to his head, which resulted in a terrible injury above his ears which extends to the back of his head. He is not responding, but he can breathe on his own, and his body is responding to commands. The doctors said that there is a blood clot in the injury. How can this be treated? [/INST] Hello. For more information consult an internal medicine physician online -->
Q. How will herpes labialis spread?
Hi doctor, Before a month, someone who has labial herpes kissed me on my cheek. After that, my lips were burning, but I did not apply any lotion on the lips till now. I am a little bit hypochondriac. Before two days I met my boyfriend and I kissed him on the cheeks. The next day, I feel pain on my chin and after that I had something like acne there and then I had two aphthous ulcers at an interval of two to three days. One under my tongue and another inside the cheek or lip. Now, my boyfriend has headache and throat pain. He thinks it is the beginning of an upper respiratory tract infection. Could it be his primary infection? Did I pass herpes to him? Can we do a viral culture of his throat to know whether HSV-1 is present or not? Is am I HSV positive? Please help.
Hi. As I understand you are conscious about you and your friend's health. But, no need to worry. First, I would like to tell you that herpes infection are transmitted by direct contact like kissing and manifest with multiple painful vesicle, which may develop to ulceration associated with pharyngitis or ulcer over oral mucosa. So, if you had a kiss by a confirm case of Herpes labialis, you may get such infection. But, it is not always an infection to convert into a disease as body's immune system protects us from such kind of pathogen. I do not think to go for viral culture as it will not help in deciding treatment plan. Viral infection usually gets cured itself within 10 to 14 days. We need to do symptomatic treatment and maintain good nutrition and hydration. You may be having a herpes infection, but do not worry. For further information consult a microbiologist online -->
<s>[INST] Hi doctor, Before a month, someone who has labial herpes kissed me on my cheek. After that, my lips were burning, but I did not apply any lotion on the lips till now. I am a little bit hypochondriac. Before two days I met my boyfriend and I kissed him on the cheeks. The next day, I feel pain on my chin and after that I had something like acne there and then I had two aphthous ulcers at an interval of two to three days. One under my tongue and another inside the cheek or lip. Now, my boyfriend has headache and throat pain. He thinks it is the beginning of an upper respiratory tract infection. Could it be his primary infection? Did I pass herpes to him? Can we do a viral culture of his throat to know whether HSV-1 is present or not? Is am I HSV positive? Please help. [/INST] Hi. As I understand you are conscious about you and your friend's health. But, no need to worry. First, I would like to tell you that herpes infection are transmitted by direct contact like kissing and manifest with multiple painful vesicle, which may develop to ulceration associated with pharyngitis or ulcer over oral mucosa. So, if you had a kiss by a confirm case of Herpes labialis, you may get such infection. But, it is not always an infection to convert into a disease as body's immune system protects us from such kind of pathogen. I do not think to go for viral culture as it will not help in deciding treatment plan. Viral infection usually gets cured itself within 10 to 14 days. We need to do symptomatic treatment and maintain good nutrition and hydration. You may be having a herpes infection, but do not worry. For further information consult a microbiologist online -->
Q. One of the twins got miscarried. Are my reports worrying?
Hello doctor, I am 29 years old. 19 weeks and four days pregnant. My LMP was four months ago. Two months back, I had slight bleeding and passing of some brown tissue. I had a scan and the report showed an empty sac with bleeding and no cardiac activity. Another sac was also present with cardiac activity. And the doctor said one of the twins got miscarried. To survive the other, I took Prolactin injection and was given Susten tablets. Had one shot of hCG too. I had my NT scan which showed everything normal, nasal bone was present and NT was 1.5 mm. Though the doctor did not suggest any test, I chose to do the double marker test. In the result, my trisomy 21 risk was 1: 438. hCG level was 167. 793 ng/ml (3.44 MoM) and Papp-a was 0.53 MoM. This is really worrying me. In my anomaly scan this week everything was normal except the femur length (26 mm) which is exactly the fifth percentile. The doctor advised for follow up scans. I am 5' 2" and my husband is 5' 4". I did not go for any other test for reassurance as I am really worried about my chances of trisomy. My doubt is am I at risk for trisomy? And I read short femur length is connected with trisomy. I am worried about taking any further test. Would you please clarify my doubts on this, doctor?
Hello. How are you doing? What you had, in the beginning, was a vanishing twin syndrome. The healthier of the twin survived. The baby which disappeared mostly had some genetic problem, which was not compatible with life. The brown discharge you had was implantation blood. Altered blood is passed without any pain. As your NT scan was normal with normal appearing NT and nasal bone, this nearly rules out chances of Down's syndrome. Single soft tissue marker at this time is not significant. This could just be an error of measurement of the sonologist. Your age is also of low risk. If I may suggest do have a 3D scan to rule out the anomaly of the baby. There is really no need to worry, with everything in low risk, why are you worried about one factor, which could just be an error? Do have a second opinion 3D scan. It will be normal. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an infertility specialist online -->
<s>[INST] Hello doctor, I am 29 years old. 19 weeks and four days pregnant. My LMP was four months ago. Two months back, I had slight bleeding and passing of some brown tissue. I had a scan and the report showed an empty sac with bleeding and no cardiac activity. Another sac was also present with cardiac activity. And the doctor said one of the twins got miscarried. To survive the other, I took Prolactin injection and was given Susten tablets. Had one shot of hCG too. I had my NT scan which showed everything normal, nasal bone was present and NT was 1.5 mm. Though the doctor did not suggest any test, I chose to do the double marker test. In the result, my trisomy 21 risk was 1: 438. hCG level was 167. 793 ng/ml (3.44 MoM) and Papp-a was 0.53 MoM. This is really worrying me. In my anomaly scan this week everything was normal except the femur length (26 mm) which is exactly the fifth percentile. The doctor advised for follow up scans. I am 5' 2" and my husband is 5' 4". I did not go for any other test for reassurance as I am really worried about my chances of trisomy. My doubt is am I at risk for trisomy? And I read short femur length is connected with trisomy. I am worried about taking any further test. Would you please clarify my doubts on this, doctor? [/INST] Hello. How are you doing? What you had, in the beginning, was a vanishing twin syndrome. The healthier of the twin survived. The baby which disappeared mostly had some genetic problem, which was not compatible with life. The brown discharge you had was implantation blood. Altered blood is passed without any pain. As your NT scan was normal with normal appearing NT and nasal bone, this nearly rules out chances of Down's syndrome. Single soft tissue marker at this time is not significant. This could just be an error of measurement of the sonologist. Your age is also of low risk. If I may suggest do have a 3D scan to rule out the anomaly of the baby. There is really no need to worry, with everything in low risk, why are you worried about one factor, which could just be an error? Do have a second opinion 3D scan. It will be normal. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an infertility specialist online -->
Q. My vitamin D is very low and I am feeling malaise. What to do?
Hi doctor, I am a 21 year old final year medical student. I started feeling malaise since four weeks associated with fatigue. I thought it was a subclinical viral infection and took bed rest. Slowly my limbs started to pain, only the thigh. It gradually progressed over two weeks and now I cannot walk for 50 feet or stand for more than three minutes without resting my thigh. The pain gets relieved on resting, but soon twitching starts all over the legs and face. This pain is aching in type and is severe. Investigations I had are complete hemogram, liver function test, thyroid profile, ECG, serum electrolytes, calcium, phosphorus, creatinine phosphokinase, B6, folic acid and nerve conduction study. All were normal except vitamin D, which is very low at 14 ng/dL. I have been diagnosed with OCD and I am taking Escitalopram for the past two years and Fluvoxamine and Clofranil for three years before that. Now, I am taking Felicita once in the afternoon and Clonazepam 0.25 mg (1-1-2) and Escitalopram (1-0-0). My thigh pain is too much. Please help me.
Hi. Revert back with the test reports to a general practitioner -->
<s>[INST] Hi doctor, I am a 21 year old final year medical student. I started feeling malaise since four weeks associated with fatigue. I thought it was a subclinical viral infection and took bed rest. Slowly my limbs started to pain, only the thigh. It gradually progressed over two weeks and now I cannot walk for 50 feet or stand for more than three minutes without resting my thigh. The pain gets relieved on resting, but soon twitching starts all over the legs and face. This pain is aching in type and is severe. Investigations I had are complete hemogram, liver function test, thyroid profile, ECG, serum electrolytes, calcium, phosphorus, creatinine phosphokinase, B6, folic acid and nerve conduction study. All were normal except vitamin D, which is very low at 14 ng/dL. I have been diagnosed with OCD and I am taking Escitalopram for the past two years and Fluvoxamine and Clofranil for three years before that. Now, I am taking Felicita once in the afternoon and Clonazepam 0.25 mg (1-1-2) and Escitalopram (1-0-0). My thigh pain is too much. Please help me. [/INST] Hi. Revert back with the test reports to a general practitioner -->
Q. I accidentally pressed the soft spot on my 40 days old baby's head. Should I be worried?
Hello doctor, I had accidentally pressed the soft spot in the head of my 40 days old baby while taking him out of the crib. He was crying before and after, and he had not made any special responses. Is there anything to worry? Please help. I am so tensed.
Hi. Thank you and have a nice day. For further queries consult a paediatrician online -->
<s>[INST] Hello doctor, I had accidentally pressed the soft spot in the head of my 40 days old baby while taking him out of the crib. He was crying before and after, and he had not made any special responses. Is there anything to worry? Please help. I am so tensed. [/INST] Hi. Thank you and have a nice day. For further queries consult a paediatrician online -->
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
<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 -->
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
<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 -->
Q. I have painful swollen lymph nodes in groin. Please help?
Hello doctor, My lymph nodes in the groin region became swollen last night and I am irritated. Please help.
Hello. First of all, please do not freak out. If we have adequate information, it would be easy to figure out the cause for such groin node enlargement. It would have been a little more informative if you could mention the size of the node that you could feel, whether on single or both sides? Whether it is a single node or multiple? If multiple, whether they could be felt discreetly or they are stuck together? Also, if you had any history of fever recently? That could have given some idea about the nature of these groin nodal swelling. The most common causes for the enlargement of the groin nodes is any infection or inflammation in the sites they drain the lymph fluid, which includes the genital area (including the lower third of vagina) and legs. So, I would like to know if there is any genital infection or ulcers, or any infection or wound in your legs. Many times, in sexually active individuals, it could represent a presentation of sexually transmitted infections like chancroids, syphilis, or sometimes in herpes too. Please get back to me with details so that appropriate cause can be identified and treated appropriately.
<s>[INST] Hello doctor, My lymph nodes in the groin region became swollen last night and I am irritated. Please help. [/INST] Hello. First of all, please do not freak out. If we have adequate information, it would be easy to figure out the cause for such groin node enlargement. It would have been a little more informative if you could mention the size of the node that you could feel, whether on single or both sides? Whether it is a single node or multiple? If multiple, whether they could be felt discreetly or they are stuck together? Also, if you had any history of fever recently? That could have given some idea about the nature of these groin nodal swelling. The most common causes for the enlargement of the groin nodes is any infection or inflammation in the sites they drain the lymph fluid, which includes the genital area (including the lower third of vagina) and legs. So, I would like to know if there is any genital infection or ulcers, or any infection or wound in your legs. Many times, in sexually active individuals, it could represent a presentation of sexually transmitted infections like chancroids, syphilis, or sometimes in herpes too. Please get back to me with details so that appropriate cause can be identified and treated appropriately.
Q. Missing periods after having sex on first day of cycle. Please help.
Hi doctor, I had intercourse with my girlfriend on the fourth day of her cycle. The next morning she took Unwanted 72 (emergency birth control pill) since it was unprotected. After one week around she had light periods, which continued for three to four days. The next month she got a delayed period. Now, on the first day of her cycle we had intercourse again. This time too without any protection. But this time she did not take any pill and did not get periods yet. She took home pregnancy test twice, but it came as negative. First one was three days after intercourse and the second one three days after her due date of periods. Both of us are tensed now. Please suggest. She is 25 years now. Is there any chance for pregnancy? Or any other complication is waiting?
Hi. I have gone through your history and understand your concerns. For further information consult an obstetrician and gynaecologist online -->
<s>[INST] Hi doctor, I had intercourse with my girlfriend on the fourth day of her cycle. The next morning she took Unwanted 72 (emergency birth control pill) since it was unprotected. After one week around she had light periods, which continued for three to four days. The next month she got a delayed period. Now, on the first day of her cycle we had intercourse again. This time too without any protection. But this time she did not take any pill and did not get periods yet. She took home pregnancy test twice, but it came as negative. First one was three days after intercourse and the second one three days after her due date of periods. Both of us are tensed now. Please suggest. She is 25 years now. Is there any chance for pregnancy? Or any other complication is waiting? [/INST] Hi. I have gone through your history and understand your concerns. For further information consult an obstetrician and gynaecologist online -->
Q. How to diagnose alcoholic cardiomyopathy?
Hi doctor, I am a heavy drinker. I have been getting heart pain and fast heart rate. How to get diagnosed with alcoholic cardiomyopathy when the echo test result is normal, and 24-hour ECG test shows tachycardia?
Hi. Alcohol effects on left ventricular function can be reversible. A number of small studies have demonstrated that if it is started before fibrosis, abstinence from alcohol can result in significant improvement in left ventricular function. A short duration of symptoms of heart failure and abstinence from alcohol are the two factors associated with favourable outcomes. The prognosis of patients with alcohol-induced cardiomyopathy is poor with the continuous use of alcohol. The reported mortality rates are as high as 42% in three years. Light microscopic altered structure and function of myocardial fibers can detect alcohol cardiomyopathy, where echo failed to reveal any abnormality in early stages. For further information consult a cardiologist online -->
<s>[INST] Hi doctor, I am a heavy drinker. I have been getting heart pain and fast heart rate. How to get diagnosed with alcoholic cardiomyopathy when the echo test result is normal, and 24-hour ECG test shows tachycardia? [/INST] Hi. Alcohol effects on left ventricular function can be reversible. A number of small studies have demonstrated that if it is started before fibrosis, abstinence from alcohol can result in significant improvement in left ventricular function. A short duration of symptoms of heart failure and abstinence from alcohol are the two factors associated with favourable outcomes. The prognosis of patients with alcohol-induced cardiomyopathy is poor with the continuous use of alcohol. The reported mortality rates are as high as 42% in three years. Light microscopic altered structure and function of myocardial fibers can detect alcohol cardiomyopathy, where echo failed to reveal any abnormality in early stages. For further information consult a cardiologist online -->
Q. Should I start taking BP medicines?
Hello doctor, I am 25 years old. My blood pressure generally ranges between 125/60 mmHg and 133/65 mmHg. Sometimes if I am nervous, my BP goes up to 145/80 mmHg. When I am calm, the BP usually stays at 117/60 mmHg. Should I take BP medicine like Propranolol for hypertension? I have already made changes in the lifestyle. I do not drink or smoke and I avoid sodium. I am also practicing meditation.
Hi. I have noted all your details. Revert back after 21 days to a cardiologist online -->
<s>[INST] Hello doctor, I am 25 years old. My blood pressure generally ranges between 125/60 mmHg and 133/65 mmHg. Sometimes if I am nervous, my BP goes up to 145/80 mmHg. When I am calm, the BP usually stays at 117/60 mmHg. Should I take BP medicine like Propranolol for hypertension? I have already made changes in the lifestyle. I do not drink or smoke and I avoid sodium. I am also practicing meditation. [/INST] Hi. I have noted all your details. Revert back after 21 days to a cardiologist online -->
Q. How to manage post spinal headache?
Hello doctor, I am 31 years old. Four days ago, I had a C-section to deliver my baby. I had a spinal anesthesia and they also tried to put in an epidural catheter, but they could not. They just kept poking at me and eventually gave up. They told me that I had a difficult spine since I have a bit of scoliosis. Two days after the surgery, I started getting headaches when sitting up and less so when standing, which progressively got worse. Today, these headaches are very intense. I cannot really stand or sit for a long time as the pain becomes too intense. Also, when I put my chin to my chest or when I move my head left or right the pain becomes more intense. When I put my chin to my chest, I also feel pain in my thoracic spine area. I can only lie-down basically and I have a newborn to care. Is it normal to have more intense pain when putting my chin to my chest with postdural puncture headache? I am worried about this symptom, but I do not have any fever. Can it be meningitis? How long will it last? How can I make it better? The anesthesiologist told me not to worry that it will pass. But, she did not know about the chin to chest symptom because I did not have it until today. I feel very sad and distressed. I do not know if this is normal for a post spinal anesthesia headache.
Hi. For further information consult a neurologist online -->
<s>[INST] Hello doctor, I am 31 years old. Four days ago, I had a C-section to deliver my baby. I had a spinal anesthesia and they also tried to put in an epidural catheter, but they could not. They just kept poking at me and eventually gave up. They told me that I had a difficult spine since I have a bit of scoliosis. Two days after the surgery, I started getting headaches when sitting up and less so when standing, which progressively got worse. Today, these headaches are very intense. I cannot really stand or sit for a long time as the pain becomes too intense. Also, when I put my chin to my chest or when I move my head left or right the pain becomes more intense. When I put my chin to my chest, I also feel pain in my thoracic spine area. I can only lie-down basically and I have a newborn to care. Is it normal to have more intense pain when putting my chin to my chest with postdural puncture headache? I am worried about this symptom, but I do not have any fever. Can it be meningitis? How long will it last? How can I make it better? The anesthesiologist told me not to worry that it will pass. But, she did not know about the chin to chest symptom because I did not have it until today. I feel very sad and distressed. I do not know if this is normal for a post spinal anesthesia headache. [/INST] Hi. For further information consult a neurologist online -->
Q. Why would I be BCR-ABL positive and Philadelphia chromosome negative?
Hello doctor, Can you please explain why I would have the gene and not the chromosome? Ph-negative, BCR-ABL-positive CML. The labs pointed to this. I had bone marrow aspiration and biopsy. I saw the doctor again. From all the labs, it looks like there is CD4 and CD8 elevated ratio 16.5, 8 % NK, lymphocytes 4 %, 1 % polyclonal B cells, 90 % mature T cells, no CD 34. Granulocytosis. PBS shows increased granulocytes. Flow the differential diagnosis includes a reactive granulocytosis or a myeloproliferative IE CML. BCR/ABL translocation in 18 % of the cells on FISH 36/200.My report is attached.
Hello. Chronic myeloid leukemia (CML) is a hematopoietic disorder, almost always characterized by the presence of the Philadelphia chromosome (Ph), usually due to t(9;22)(q34;q11) or its variants. The Ph results in the formation of the BCR/ABL1 fusion gene, which is a constitutively activated tyrosine kinase. Around 1 % of CML patients appear to have a Ph-negative karyotype but carry a cryptic BCR/ABL1 fusion that can be located by fluorescence in situ hybridization (FISH) at chromosome 22q11, 9q34 or a third chromosome. Hence, the cytogenetic profile is normal by karyotyping in Ph-negative patients but they have the BCR/ABL fusion gene which is detected by molecular methods like FISH and PCR. For further queries consult a hematologist online -->
<s>[INST] Hello doctor, Can you please explain why I would have the gene and not the chromosome? Ph-negative, BCR-ABL-positive CML. The labs pointed to this. I had bone marrow aspiration and biopsy. I saw the doctor again. From all the labs, it looks like there is CD4 and CD8 elevated ratio 16.5, 8 % NK, lymphocytes 4 %, 1 % polyclonal B cells, 90 % mature T cells, no CD 34. Granulocytosis. PBS shows increased granulocytes. Flow the differential diagnosis includes a reactive granulocytosis or a myeloproliferative IE CML. BCR/ABL translocation in 18 % of the cells on FISH 36/200.My report is attached. [/INST] Hello. Chronic myeloid leukemia (CML) is a hematopoietic disorder, almost always characterized by the presence of the Philadelphia chromosome (Ph), usually due to t(9;22)(q34;q11) or its variants. The Ph results in the formation of the BCR/ABL1 fusion gene, which is a constitutively activated tyrosine kinase. Around 1 % of CML patients appear to have a Ph-negative karyotype but carry a cryptic BCR/ABL1 fusion that can be located by fluorescence in situ hybridization (FISH) at chromosome 22q11, 9q34 or a third chromosome. Hence, the cytogenetic profile is normal by karyotyping in Ph-negative patients but they have the BCR/ABL fusion gene which is detected by molecular methods like FISH and PCR. For further queries consult a hematologist online -->
Q. I have a painful nodule on my breast. What is it?
Hi doctor, I have a nodule on my breast. It is present for more than two years. I feel pain on touching the nodule. I had an ultrasound of the breast nodule and attached the same for your reference.
Hi. For further information consult a general surgeon online -->
<s>[INST] Hi doctor, I have a nodule on my breast. It is present for more than two years. I feel pain on touching the nodule. I had an ultrasound of the breast nodule and attached the same for your reference. [/INST] Hi. For further information consult a general surgeon online -->
Q. Is surgery the only option to cure pilonidal sinus?
Hello doctor,I am a 26-year-old male. I have a sitting job (mostly eight to 10 hours a day with no exercise). I was diagnosed with pilonidal sinus a few months ago and was suggested a surgery. As it comes with a long recovery time, I never opted for it. One of the doctors suggested that I just live with it as it causes no harm if there is not much discomfort and pain. It is situated at the back (tailbone) photos attached. It normally pains (drain with pus/ blood) once a month and causes discomfort. So, I just apply betadine ointment till it is cured. It again comes back after few weeks or a month's time. So, I need your help and got few questions: What can be the possible cause of it?Is surgery the only option to cure this or can I try something that can help me to escape from surgery? Someone suggested me to use salicylic acid pads to wipe the area twice a day. Will this work? Can you please suggest me anything else that can help me to get rid of it?One doctor suggested that he will be keeping the wound open after surgery and other doctor suggested to use stitches once the surgery is done. Which method is more beneficial in case of a surgery? Also is there any chance of recurrence even after surgery?I want to get a scan done of the area just to know if it is not critical as it has been more than one or two years I am having this problem. What scan is the best for this? MRI or CT scan? I will share the scan results with you in the next query.Please share your consultation on the same. What do you suggest, please? Any medications, etc.? Can it worsen and damage other parts if delayed? Just worried as it has been long. Thanks and regards.
Hello. I have gone through the clinical images (attachment removed to protect patient identity). The reason why this occurs is elusive, although many hypothetical explanations are given. Surgery is the best and only curative option. The wound can be closed without any problems after surgery. Keeping the wound open is an outdated technique of operation. Generally, no scan is advised. You can get an MRI if you want to get it done but it will not be of great help. Do not worry. It is not a life-threatening condition. It will not spread to other parts of the body. It is an easily treatable condition. You should go and get it operated. I would advise you to reduce weight, and check blood sugars, and BP. For more information consult a general surgeon online -->
<s>[INST] Hello doctor,I am a 26-year-old male. I have a sitting job (mostly eight to 10 hours a day with no exercise). I was diagnosed with pilonidal sinus a few months ago and was suggested a surgery. As it comes with a long recovery time, I never opted for it. One of the doctors suggested that I just live with it as it causes no harm if there is not much discomfort and pain. It is situated at the back (tailbone) photos attached. It normally pains (drain with pus/ blood) once a month and causes discomfort. So, I just apply betadine ointment till it is cured. It again comes back after few weeks or a month's time. So, I need your help and got few questions: What can be the possible cause of it?Is surgery the only option to cure this or can I try something that can help me to escape from surgery? Someone suggested me to use salicylic acid pads to wipe the area twice a day. Will this work? Can you please suggest me anything else that can help me to get rid of it?One doctor suggested that he will be keeping the wound open after surgery and other doctor suggested to use stitches once the surgery is done. Which method is more beneficial in case of a surgery? Also is there any chance of recurrence even after surgery?I want to get a scan done of the area just to know if it is not critical as it has been more than one or two years I am having this problem. What scan is the best for this? MRI or CT scan? I will share the scan results with you in the next query.Please share your consultation on the same. What do you suggest, please? Any medications, etc.? Can it worsen and damage other parts if delayed? Just worried as it has been long. Thanks and regards. [/INST] Hello. I have gone through the clinical images (attachment removed to protect patient identity). The reason why this occurs is elusive, although many hypothetical explanations are given. Surgery is the best and only curative option. The wound can be closed without any problems after surgery. Keeping the wound open is an outdated technique of operation. Generally, no scan is advised. You can get an MRI if you want to get it done but it will not be of great help. Do not worry. It is not a life-threatening condition. It will not spread to other parts of the body. It is an easily treatable condition. You should go and get it operated. I would advise you to reduce weight, and check blood sugars, and BP. For more information consult a general surgeon online -->
Q. Kindly give your suggestion on vitamin supplements for a 15 months old.
Hi doctor, My daughter is 15 months old. Her weight is 8.2 kg and height is 80 cm. One of the Pediatricians suggested me to give two supplements to her as follows. Osteocalcium 5 mL per day, which contains Vitamin D3, Vitamin B12 and Calcium phosphate and JusDee 60K granules one sachet per month, 1 sachet = 60000 IU. Is it fine to give? Instead of Jusdee 60K sachet can I give JusDee 400 drops per day? If yes, how much can I give per day? Also, recently, I have noticed that my daughter's first four upper teeth having some white discoloration of enamel during demineralization. Could you please provide your valuable suggestions on it? Thank you.
Hello. Undernutrition. JusDee drops, 1 mL once a day for a month. Continue the other as prescribed. For further information consult a paediatrician online.--->
<s>[INST] Hi doctor, My daughter is 15 months old. Her weight is 8.2 kg and height is 80 cm. One of the Pediatricians suggested me to give two supplements to her as follows. Osteocalcium 5 mL per day, which contains Vitamin D3, Vitamin B12 and Calcium phosphate and JusDee 60K granules one sachet per month, 1 sachet = 60000 IU. Is it fine to give? Instead of Jusdee 60K sachet can I give JusDee 400 drops per day? If yes, how much can I give per day? Also, recently, I have noticed that my daughter's first four upper teeth having some white discoloration of enamel during demineralization. Could you please provide your valuable suggestions on it? Thank you. [/INST] Hello. Undernutrition. JusDee drops, 1 mL once a day for a month. Continue the other as prescribed. For further information consult a paediatrician online.--->
Q. What are the bony fragments left after tooth extraction?
Hello doctor,My partner had extracted a tooth today at the dentist but there are bony fragments left and he is in a lot of pain. What are the bony fragments? Are they bones of the tooth?
Hello. If the bony fragments can be seen outside the wound and are painful to touch with tongue then you should go back to your dentist. Your dentist should have prescribed you painkillers and antibiotics for some relief. Do not touch the wound at all. Today definitely will be painful so take two to three tablets of painkillers at four hours interval. By tomorrow pain will decrease. Bony fragments are chipped bone which surrounds the teeth and may get broken when teeth are being pulled out. If it is outside the wound and can be seen clearly you may go back to the dentist for taking it out or grinding it down. For more information consult a dentist online -->
<s>[INST] Hello doctor,My partner had extracted a tooth today at the dentist but there are bony fragments left and he is in a lot of pain. What are the bony fragments? Are they bones of the tooth? [/INST] Hello. If the bony fragments can be seen outside the wound and are painful to touch with tongue then you should go back to your dentist. Your dentist should have prescribed you painkillers and antibiotics for some relief. Do not touch the wound at all. Today definitely will be painful so take two to three tablets of painkillers at four hours interval. By tomorrow pain will decrease. Bony fragments are chipped bone which surrounds the teeth and may get broken when teeth are being pulled out. If it is outside the wound and can be seen clearly you may go back to the dentist for taking it out or grinding it down. For more information consult a dentist online -->
Q. I have PVC after starting Methadone. Will beta blockers help?
Hi doctor, I am a 35 year old male, and I am currently on Methadone for chronic pain. I currently have PVC, and my last EKG showed a long QT (over 500 ms). The doctor recommended that I take Magnesium and Potassium supplements as he believes that Methadone may be reducing my magnesium and potassium levels. It has been a week now since I have been following the regime and currently the PVC is nearly gone. I do not have the option of reducing the Methadone due to my injury. The doctor said he wanted me to get an opinion from a cardiologist if I may need a beta blocker or not. He wants to wait to see how the supplementation works out first. Is there any advice you can give me? I get an EKG done twice a year.
Hello. I have gone through your explanation in detail, and I understand your worries. Best regards. For further queries consult a cardiologist online -->
<s>[INST] Hi doctor, I am a 35 year old male, and I am currently on Methadone for chronic pain. I currently have PVC, and my last EKG showed a long QT (over 500 ms). The doctor recommended that I take Magnesium and Potassium supplements as he believes that Methadone may be reducing my magnesium and potassium levels. It has been a week now since I have been following the regime and currently the PVC is nearly gone. I do not have the option of reducing the Methadone due to my injury. The doctor said he wanted me to get an opinion from a cardiologist if I may need a beta blocker or not. He wants to wait to see how the supplementation works out first. Is there any advice you can give me? I get an EKG done twice a year. [/INST] Hello. I have gone through your explanation in detail, and I understand your worries. Best regards. For further queries consult a cardiologist online -->
Q. Will Nano-Leo give permanent solution for erection problem?
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
Hi. For further doubts consult a sexologist online -->
<s>[INST] Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
Q. I have sore throat along with gastric problem and constipation. What could cause this?
Hello doctor, I am facing acute sore throat for the last one month and now feeling pain also in the left side from centre of the throat. I am doing gargle with salt water and taken TUSQ D also but no good relief. In addition to this I am facing gastic problem and constipation also.
Hi Only this syrup and gargling will not help you completely, it say some kind of throat infection maybe acute pharyngitis or tonsillitis and you need antibiotics for that otherwise this may progress. Are you allergic to any particular medicines, so that I will prescribe you some medication?
<s>[INST] Hello doctor, I am facing acute sore throat for the last one month and now feeling pain also in the left side from centre of the throat. I am doing gargle with salt water and taken TUSQ D also but no good relief. In addition to this I am facing gastic problem and constipation also. [/INST] Hi Only this syrup and gargling will not help you completely, it say some kind of throat infection maybe acute pharyngitis or tonsillitis and you need antibiotics for that otherwise this may progress. Are you allergic to any particular medicines, so that I will prescribe you some medication?
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
<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 -->
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
<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 -->
Q. My wife could notice blood in her stools. Could you please advise us with proper guidance?
Hello doctor, My wife (age 33 years) has been suffering from piles related issues since last 10 years. It occurred after her delivery (in 2003) and was harmless at that time. We are having an eleven year old daughter. Recently she started experiencing pain and itching while going to toilet. Also she could notice blood in stool (occasionally). So, we decided to visit a hospital and there she had a couple of tests including rectal scanning. After investigation, doctor informed us that she has been affected by second degree piles, skin-tag and fissure and hence laser surgery is inevitable. We are really worried. Is there any alternate treatment without surgery? Presently, an ayurvedic specialist (who is located near our village) has prescribed few medicines (mentioned below) for reducing the pain and itching but not for cure, Hamamelis virginiana ointment at night (to be used on the affected area), ayurvedic medicine for internal intake like Arsohari lehyam and Smooth laxative. Could you please advise us with proper guidance? Is there any doctor to whom we can consult for a second opinion? My wife is a thyroid patient. Looking forward to your valuable suggestion.
Hello. I understand your concern. It seems like your wife has second degree hemorrhoids which has also led to her fissure. The good news is that it can be managed medically. The first line of management is medical management. Itching is a very common manifestation, which is also known as pruritus. There are certain guidelines: Before all this you need to go and get yourself examined by a good reputed general surgeon in your area. Ayurveda is outside my field of expertise and I am not convinced about you using ayurvedic medicines to treat hemorrhoids at this stage. There are other various possibilties like rubber band ligation, sclerotherapy, cryotherapy, etc. The doctor who examines her may advise a colonoscopy to find out the status of the fissure. My final advise to you is that her condition is treatable and you need not have to worry. She needs to be under a good surgeon. There are various other modalities, which can be decided based on her local findings. Hope this was helpful. consult a general surgeon online for further follow up -->
<s>[INST] Hello doctor, My wife (age 33 years) has been suffering from piles related issues since last 10 years. It occurred after her delivery (in 2003) and was harmless at that time. We are having an eleven year old daughter. Recently she started experiencing pain and itching while going to toilet. Also she could notice blood in stool (occasionally). So, we decided to visit a hospital and there she had a couple of tests including rectal scanning. After investigation, doctor informed us that she has been affected by second degree piles, skin-tag and fissure and hence laser surgery is inevitable. We are really worried. Is there any alternate treatment without surgery? Presently, an ayurvedic specialist (who is located near our village) has prescribed few medicines (mentioned below) for reducing the pain and itching but not for cure, Hamamelis virginiana ointment at night (to be used on the affected area), ayurvedic medicine for internal intake like Arsohari lehyam and Smooth laxative. Could you please advise us with proper guidance? Is there any doctor to whom we can consult for a second opinion? My wife is a thyroid patient. Looking forward to your valuable suggestion. [/INST] Hello. I understand your concern. It seems like your wife has second degree hemorrhoids which has also led to her fissure. The good news is that it can be managed medically. The first line of management is medical management. Itching is a very common manifestation, which is also known as pruritus. There are certain guidelines: Before all this you need to go and get yourself examined by a good reputed general surgeon in your area. Ayurveda is outside my field of expertise and I am not convinced about you using ayurvedic medicines to treat hemorrhoids at this stage. There are other various possibilties like rubber band ligation, sclerotherapy, cryotherapy, etc. The doctor who examines her may advise a colonoscopy to find out the status of the fissure. My final advise to you is that her condition is treatable and you need not have to worry. She needs to be under a good surgeon. There are various other modalities, which can be decided based on her local findings. Hope this was helpful. consult a general surgeon online for further follow up -->
Q. How to quit exhibitionism and frotteurism?
Hello doctor, Recently, I started exhibitionism. I had not known what I was doing until I read on the internet that it is a psychiatric disorder. I also came to know that it is an abnormal behavior. My first abnormal behavior before I started exhibitionism was frotteurism and masturbation, which began when I was 17 years old. I feel that this is not right, and I always vow myself not to engage in this weird practise. But, I find myself doing it whenever I get the chance. I want to quit because I feel ashamed of it. I get worried thinking that I never going to quit these habits. Currently, my girlfriend does not know about this, and I am not planning to tell her, but I will tell her years after I have quit. I feel it is the right thing to do because telling her might jeopardize our relationship. I would very much appreciate it if you could help.
Hi. All the best. For more information consult a psychiatrist online -->
<s>[INST] Hello doctor, Recently, I started exhibitionism. I had not known what I was doing until I read on the internet that it is a psychiatric disorder. I also came to know that it is an abnormal behavior. My first abnormal behavior before I started exhibitionism was frotteurism and masturbation, which began when I was 17 years old. I feel that this is not right, and I always vow myself not to engage in this weird practise. But, I find myself doing it whenever I get the chance. I want to quit because I feel ashamed of it. I get worried thinking that I never going to quit these habits. Currently, my girlfriend does not know about this, and I am not planning to tell her, but I will tell her years after I have quit. I feel it is the right thing to do because telling her might jeopardize our relationship. I would very much appreciate it if you could help. [/INST] Hi. All the best. For more information consult a psychiatrist online -->
Q. Is it true that the size of stone increases after ESWL?
Hello doctor, I had my ESWL done 14 days ago. I was not completely sedated and felt some pain so I was shaking a bit. The day after ESWL, I started feeling severe pain in kidney, irritation and burning in stomach. Pain was dealt with but burning in stomach continued and I was constipated too. Due to the above reasons I got admitted in a Gastro hospital for 4 days. They told me it was a case of gastritis. When my condition got better, I was discharged. I visited my urologist and he suggested for inserting stent as I had blockage. He suggested it for pain relief and easy passage of stones, so I had it inserted. I feel very little pain now after stent. But, the problem is that I am still constipated and mild burning in stomach. Is this a kind of complication after ESWL? I had ESWL for a 10 mm stone which was broken into fragments. But, after that I had an ultrasound and was diagnosed with an 11 mm stone which was never present before. When I asked my urologist about it, he said that it is not a complete stone but fragments looking enlarged. Is it true?
Hi. For further information consult a urologist online -->
<s>[INST] Hello doctor, I had my ESWL done 14 days ago. I was not completely sedated and felt some pain so I was shaking a bit. The day after ESWL, I started feeling severe pain in kidney, irritation and burning in stomach. Pain was dealt with but burning in stomach continued and I was constipated too. Due to the above reasons I got admitted in a Gastro hospital for 4 days. They told me it was a case of gastritis. When my condition got better, I was discharged. I visited my urologist and he suggested for inserting stent as I had blockage. He suggested it for pain relief and easy passage of stones, so I had it inserted. I feel very little pain now after stent. But, the problem is that I am still constipated and mild burning in stomach. Is this a kind of complication after ESWL? I had ESWL for a 10 mm stone which was broken into fragments. But, after that I had an ultrasound and was diagnosed with an 11 mm stone which was never present before. When I asked my urologist about it, he said that it is not a complete stone but fragments looking enlarged. Is it true? [/INST] Hi. For further information consult a urologist online -->
Q. My lips are swollen. What might be the cause for it?
Hello doctor, My age is 17 years. A part of my upper lip is swollen. There is no pain in it. What might be the cause for it?
Hi. The swelling of upper lip might be due to allergy, insect bite, or a small trauma. You can take anti-allergy medications to reduce the swelling. I suggest taking tablet Allegra (Fexofenadine) 120 mg has to be taken, one tablet in the morning and a half at night. The total dose in a day should be 180 mg. Consult a specialist doctor, discuss with him or her and start taking the medicine with their consent. If the swelling persists even after taking the medications, consult a family physician online -->
<s>[INST] Hello doctor, My age is 17 years. A part of my upper lip is swollen. There is no pain in it. What might be the cause for it? [/INST] Hi. The swelling of upper lip might be due to allergy, insect bite, or a small trauma. You can take anti-allergy medications to reduce the swelling. I suggest taking tablet Allegra (Fexofenadine) 120 mg has to be taken, one tablet in the morning and a half at night. The total dose in a day should be 180 mg. Consult a specialist doctor, discuss with him or her and start taking the medicine with their consent. If the swelling persists even after taking the medications, consult a family physician online -->
Q. Why am I not able to hold my urine lately?
Hi doctor, I am 20 years old, so this is embarrassing. Lately, I have not been able to hold my urine. Sometimes I pee on the way to the toilet or even at night. There are instances where I will be in the grocery store and all of the sudden I would have to run across the store, but still not make it in time. Please help.
Hi. No need to be embarrassed. Discussing your problem with a doctor will be helpful in solving it, so please be free while communicating. For further queries consult an internal medicine physician online -->
<s>[INST] Hi doctor, I am 20 years old, so this is embarrassing. Lately, I have not been able to hold my urine. Sometimes I pee on the way to the toilet or even at night. There are instances where I will be in the grocery store and all of the sudden I would have to run across the store, but still not make it in time. Please help. [/INST] Hi. No need to be embarrassed. Discussing your problem with a doctor will be helpful in solving it, so please be free while communicating. For further queries consult an internal medicine physician online -->
Q. What does abutment of the nerve root mean?
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
<s>[INST] Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
Q. When can I do an angiography after a heart attack?
Hi doctor, Can you tell me within how many days angiography must be done after a heart attack?
Hello. After a heart attack, angiography should be done within the first 24 hours. But, if it is not done and if the patient is on thrombolytic medicines like streptokinase medicine, and no symptoms, then it can be delayed. There is no exact time, but it is better to get it done as soon as possible. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
<s>[INST] Hi doctor, Can you tell me within how many days angiography must be done after a heart attack? [/INST] Hello. After a heart attack, angiography should be done within the first 24 hours. But, if it is not done and if the patient is on thrombolytic medicines like streptokinase medicine, and no symptoms, then it can be delayed. There is no exact time, but it is better to get it done as soon as possible. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
Q. How can I cure syphilis through medication?
Hi doctor, I have the first stage of syphilis. I came to know about this last month. From the past three weeks, I am under treatment and taking Doxycycline 100 mg capsule twice a day. I took this medication for 15 days. Yesterday, I had a blood test done for VDRL and my value is reactive (1:4). Also, the ulcer on my penis head has not yet healed. I was asked to apply povidone-iodine 10 % ointment on the ulcer. Should I go for Penicillin treatment? I got tested for HIV 1 and 2 tests and CMIA a month back with a value of 0.15 and before ten days, the value was 0.13. Currently, I am consulting a dermatologist. Should I switch to sexologist for syphilis treatment? Also, please suggest what diet should I follow to overcome this disease?
Hi. Please continue treatment with a dermatologist only. There is no medical degree which qualifies one to be a sexologist. Penicillin is the most definitive treatment for syphilis but get the allergy test done before taking the full treatment. Apply Mupirocin ointment twice a day on the ulcer. Continue your doctor's treatment as he or she is examining you in-person so is the best judge for the line of management. For more information consult a HIV AIDS specialist online -->
<s>[INST] Hi doctor, I have the first stage of syphilis. I came to know about this last month. From the past three weeks, I am under treatment and taking Doxycycline 100 mg capsule twice a day. I took this medication for 15 days. Yesterday, I had a blood test done for VDRL and my value is reactive (1:4). Also, the ulcer on my penis head has not yet healed. I was asked to apply povidone-iodine 10 % ointment on the ulcer. Should I go for Penicillin treatment? I got tested for HIV 1 and 2 tests and CMIA a month back with a value of 0.15 and before ten days, the value was 0.13. Currently, I am consulting a dermatologist. Should I switch to sexologist for syphilis treatment? Also, please suggest what diet should I follow to overcome this disease? [/INST] Hi. Please continue treatment with a dermatologist only. There is no medical degree which qualifies one to be a sexologist. Penicillin is the most definitive treatment for syphilis but get the allergy test done before taking the full treatment. Apply Mupirocin ointment twice a day on the ulcer. Continue your doctor's treatment as he or she is examining you in-person so is the best judge for the line of management. For more information consult a HIV AIDS specialist online -->
Q. What can be the reason for my penis pain?
Hi doctor, I have some pain in the right side of my penis for the past six years. I never injured it during sex, but I have squeezed it too hard after urination. I can get an erection, but it is uncomfortable. The discomfort extends from the tip of the penis to the testicles, but only on the right side. I have never had any bruising or discharge. I visited my GP and he referred me to a hospital. They made an artificial erection and filled my penis with dye to check blood circulation and said everything was normal. So, what can be the reason for the pain?
Hi. For further information consult a urologist online -->
<s>[INST] Hi doctor, I have some pain in the right side of my penis for the past six years. I never injured it during sex, but I have squeezed it too hard after urination. I can get an erection, but it is uncomfortable. The discomfort extends from the tip of the penis to the testicles, but only on the right side. I have never had any bruising or discharge. I visited my GP and he referred me to a hospital. They made an artificial erection and filled my penis with dye to check blood circulation and said everything was normal. So, what can be the reason for the pain? [/INST] Hi. For further information consult a urologist online -->
Q. I am facing problem with leakage of urine. Is there any medicine to help?
Hi doctor, I am 26 years old. I have been to the urologist and had a cystoscopy because I was having problems with leakage of urine after I pee and urgency. The doctor said my prostate was slightly larger than normal and gave me some medicines. Those medicines did not help with the symptoms, and he gave me another medicine called Rapaflo and that did not help either. The leaking still has not gone away, and it hurts to ejaculate sometimes. I had the cystoscopy done about five months ago. Is there some medicine to help with this? The leaking is very embarrassing, and my sex drive is much lower. I do not feel like I get erections. What do you think is going on with me?
Hi. USG pvr (post-void residual) and prevoid residual volume. 1. Capsule Roliflo 2 mg once daily. 2. Tablet Modula 5 mg once daily for 15 days. Revert after seven days to a urologist online.--->
<s>[INST] Hi doctor, I am 26 years old. I have been to the urologist and had a cystoscopy because I was having problems with leakage of urine after I pee and urgency. The doctor said my prostate was slightly larger than normal and gave me some medicines. Those medicines did not help with the symptoms, and he gave me another medicine called Rapaflo and that did not help either. The leaking still has not gone away, and it hurts to ejaculate sometimes. I had the cystoscopy done about five months ago. Is there some medicine to help with this? The leaking is very embarrassing, and my sex drive is much lower. I do not feel like I get erections. What do you think is going on with me? [/INST] Hi. USG pvr (post-void residual) and prevoid residual volume. 1. Capsule Roliflo 2 mg once daily. 2. Tablet Modula 5 mg once daily for 15 days. Revert after seven days to a urologist online.--->
Q. Can low testosterone levels cause fatigue and increased heart rate?
Hi doctor, I am a 21 year old male, and I am studying nutritional science. Over the past year, I have been experiencing these symptoms. I have a fast pounding heart, especially after a night of drinking. The following morning, I always wake up early to a pounding heart, and it scares me. This happens after big meals and while exercising also. When I exercise, my heart feels like it is going to explode. I also have fatigue and mental fogginess, my concentration is low, and I feel like I am just overall slow or have low energy. I have anxiety, and I have been diagnosed with anxiety in the past. I was in a dark place for awhile, but things seem to be getting better. The doctor wanted to put me on Zoloft, but I declined and had thankfully found peace with daily meditation. I have a low libido, and I am just not that interested anymore. My testosterone levels are low for my age. My last readings were 302 ng/dL, 290 ng/dL, and 270 ng/dL, which were all taken in the morning. As a person who exercises a good amount, I find it hard to gain strength or any muscle. I want to fix this, and I have consulted many doctors, but none are willing to help me. I honestly believe that my testosterone level is the main cause with all this. I have thought about taking matters into my hands and starting a treatment regimen but, I would rather do so under the supervision of a doctor.
Hello. As your BMI (body mass index) is 34, in obesity, the decreased levels of testosterone-binding protein cause a decrease in the total testosterone levels, but not the normal free level. Before we evaluate you for low testosterone, we need to confirm it by doing free testosterone levels. If free is also low, then we need to find the cause, for that, we need FSH (follicle-stimulating hormone) and LH (luteinizing hormone) level. So, you first get free testosterone levels done. Also, any anxiety, depression, or any psychological issues can cause loss of libido. You can visit an endocrinologist for the same. Secondly, regarding your heart rate, it is certainly not related to testosterone. But it can be related to anxiety, alcohol, and heart. There are two possibilities, one is anxiety related and secondly due to heart arrhythmia. Many individuals who drink, tend to have a weakening of the heart and atrial fibrillation, in which heart beats irregularly and fast, especially after drinks. Hope this helps you. Get back if you have any further doubts. For more information consult an internal medicine physician online -->
<s>[INST] Hi doctor, I am a 21 year old male, and I am studying nutritional science. Over the past year, I have been experiencing these symptoms. I have a fast pounding heart, especially after a night of drinking. The following morning, I always wake up early to a pounding heart, and it scares me. This happens after big meals and while exercising also. When I exercise, my heart feels like it is going to explode. I also have fatigue and mental fogginess, my concentration is low, and I feel like I am just overall slow or have low energy. I have anxiety, and I have been diagnosed with anxiety in the past. I was in a dark place for awhile, but things seem to be getting better. The doctor wanted to put me on Zoloft, but I declined and had thankfully found peace with daily meditation. I have a low libido, and I am just not that interested anymore. My testosterone levels are low for my age. My last readings were 302 ng/dL, 290 ng/dL, and 270 ng/dL, which were all taken in the morning. As a person who exercises a good amount, I find it hard to gain strength or any muscle. I want to fix this, and I have consulted many doctors, but none are willing to help me. I honestly believe that my testosterone level is the main cause with all this. I have thought about taking matters into my hands and starting a treatment regimen but, I would rather do so under the supervision of a doctor. [/INST] Hello. As your BMI (body mass index) is 34, in obesity, the decreased levels of testosterone-binding protein cause a decrease in the total testosterone levels, but not the normal free level. Before we evaluate you for low testosterone, we need to confirm it by doing free testosterone levels. If free is also low, then we need to find the cause, for that, we need FSH (follicle-stimulating hormone) and LH (luteinizing hormone) level. So, you first get free testosterone levels done. Also, any anxiety, depression, or any psychological issues can cause loss of libido. You can visit an endocrinologist for the same. Secondly, regarding your heart rate, it is certainly not related to testosterone. But it can be related to anxiety, alcohol, and heart. There are two possibilities, one is anxiety related and secondly due to heart arrhythmia. Many individuals who drink, tend to have a weakening of the heart and atrial fibrillation, in which heart beats irregularly and fast, especially after drinks. Hope this helps you. Get back if you have any further doubts. For more information consult an internal medicine physician online -->
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
<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 -->
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
<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 -->
Q. Will Nano-Leo give permanent solution for erection problem?
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
Hi. For further doubts consult a sexologist online -->
<s>[INST] Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
Q. My sperm count is zero. Can I go ahead with ICSI?
Hi doctor, I had an issue of hypogonadotropic hypogonadism. Due to that my sperm count was zero. As per my doctor's advice, I am taking HCG 5000 and HMG 150 weekly twice over the last 12 months. I took semen analysis test at two centers and it shows sperm production has started. I shared the result to my doctor and he suggested me that I can father a child either using IUI or ICSI. Please check the reports and let me know about your opinion. Please help me in this. Am I in the right path?
Hi. For further clarifications consult an infertility specialist online -->
<s>[INST] Hi doctor, I had an issue of hypogonadotropic hypogonadism. Due to that my sperm count was zero. As per my doctor's advice, I am taking HCG 5000 and HMG 150 weekly twice over the last 12 months. I took semen analysis test at two centers and it shows sperm production has started. I shared the result to my doctor and he suggested me that I can father a child either using IUI or ICSI. Please check the reports and let me know about your opinion. Please help me in this. Am I in the right path? [/INST] Hi. For further clarifications consult an infertility specialist online -->
Q. Is laparoscopy needed for retention cyst in the ovary?
Hello doctor, I am a 33 year old woman weighing 56 kg and 5 feet tall. We are trying for a baby for more than a year. Recently I underwent treatment and have completed two cycles of Clomid with no positive outcome. I had another unsuccessful try at IUI along with Clomid. From the last couple of months, I am taking L-Thyroxine and Cabergoline tablets for high prolactin treatment. I had a regular menstrual cycle except from the past year where I gained 5 kg. This week I went for a scan on the second day of my menstrual cycle, and the doctor noticed a retention cyst of 6.4 x 3.7 cm in my left ovary, for which the doctor suggested laparoscopic surgery. Do I need laparoscopy? Can medicines cure it or can the cyst disappear on its own? I have attached my reports, kindly suggest what should be done.
Hi, Welcome to iclinq.com. For further queries consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, I am a 33 year old woman weighing 56 kg and 5 feet tall. We are trying for a baby for more than a year. Recently I underwent treatment and have completed two cycles of Clomid with no positive outcome. I had another unsuccessful try at IUI along with Clomid. From the last couple of months, I am taking L-Thyroxine and Cabergoline tablets for high prolactin treatment. I had a regular menstrual cycle except from the past year where I gained 5 kg. This week I went for a scan on the second day of my menstrual cycle, and the doctor noticed a retention cyst of 6.4 x 3.7 cm in my left ovary, for which the doctor suggested laparoscopic surgery. Do I need laparoscopy? Can medicines cure it or can the cyst disappear on its own? I have attached my reports, kindly suggest what should be done. [/INST] Hi, Welcome to iclinq.com. For further queries consult an obstetrician and gynaecologist online -->
Q. I was put on Yaz recently and have not stopped bleeding at all. What can I take?
Hello doctor,I am an 18 year old female. I was recently put on the contraceptive pill Yaz for 12 days and have not stopped bleeding in that time. The blood varies from dark red and stringy to black and is reasonably heavy (about the same as the first few days of period). Is there anything I can do to stop the bleeding? I was on Levlen before and was taken off because I had continual bleeding for the whole month on it along with severe stomach and abdominal pains where I was admitted to ER and placed on Tranexamic acid. I have leftover Tranexamic acid. Would it be safe to take?
Hello. How are you doing? You can definitely have tablet Tranexamic acid, but I do not think it will stop the bleeding. To immediately stop bleeding, I suggest you take tablet Norethisterone 5 mg (Primolut-N or Norgest or Regestrone or Regulate or Carina-NCR). Have two tablets thrice a day till the bleeding stops. It will surely stop in one or two days. Then have two tablets twice a day for two days. Then have one tablet twice a day for 18 days.You will have your periods after the last pill. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Once the bleeding has stopped, you can get an investigation for the reason for the bleeding. Have thyroid profile and serum prolactin. Do an ultrasound scan to look for any problem inside the uterus. If you are sexually active, have a local examination by the doctor to rule out any cervical erosion or polyp. Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor,I am an 18 year old female. I was recently put on the contraceptive pill Yaz for 12 days and have not stopped bleeding in that time. The blood varies from dark red and stringy to black and is reasonably heavy (about the same as the first few days of period). Is there anything I can do to stop the bleeding? I was on Levlen before and was taken off because I had continual bleeding for the whole month on it along with severe stomach and abdominal pains where I was admitted to ER and placed on Tranexamic acid. I have leftover Tranexamic acid. Would it be safe to take? [/INST] Hello. How are you doing? You can definitely have tablet Tranexamic acid, but I do not think it will stop the bleeding. To immediately stop bleeding, I suggest you take tablet Norethisterone 5 mg (Primolut-N or Norgest or Regestrone or Regulate or Carina-NCR). Have two tablets thrice a day till the bleeding stops. It will surely stop in one or two days. Then have two tablets twice a day for two days. Then have one tablet twice a day for 18 days.You will have your periods after the last pill. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Once the bleeding has stopped, you can get an investigation for the reason for the bleeding. Have thyroid profile and serum prolactin. Do an ultrasound scan to look for any problem inside the uterus. If you are sexually active, have a local examination by the doctor to rule out any cervical erosion or polyp. Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online -->
Q. Kindly suggest an ointment for pain around the anus.
Hi doctor, I am an obese person. I have hemorrhoids, which is slightly between outer and inner anus. I have pain around the anus occasionally during passing stool. Can you suggest any ointment? I am also suffering with constipation. Please help.
Hello. 1. Constipation. 2. Hemorrhoids. Proctoscopy. For further information consult a medical gastroenterologist online.--->
<s>[INST] Hi doctor, I am an obese person. I have hemorrhoids, which is slightly between outer and inner anus. I have pain around the anus occasionally during passing stool. Can you suggest any ointment? I am also suffering with constipation. Please help. [/INST] Hello. 1. Constipation. 2. Hemorrhoids. Proctoscopy. For further information consult a medical gastroenterologist online.--->
Q. Can you please go through my electrophoresis report and tell me if I have thalassemia minor?
Hi doctor, Could you please go through my reports and tell me if I have thalassemia minor? I have attached my electrophoresis test reports. Some of the values in the report are Hb F - 0.8 %, Hb adult - 66.0 %, Hb A2 - 30.8 % and other non-specific - 2.4 %.
Hi. Revert with more information to a hematologist online -->
<s>[INST] Hi doctor, Could you please go through my reports and tell me if I have thalassemia minor? I have attached my electrophoresis test reports. Some of the values in the report are Hb F - 0.8 %, Hb adult - 66.0 %, Hb A2 - 30.8 % and other non-specific - 2.4 %. [/INST] Hi. Revert with more information to a hematologist online -->
Q. Other than cochlear implant, is there any other way to treat hearing loss in a kid?
Hi doctor, My niece is 4 years old now. A year back we realized that she was not catching up how to speak and consulted an ENT doctor. Doctor performed few tests like BERA, OAE and hearing assessment. Then he confirmed that my niece is suffering from profound hearing loss. Doctor suggested hearing aids could help her in listening temporarily but advised cochlear implant as permanent solution. Though my niece grabbed very few words to speak with the help of hearing aids, she could not completely mingle with us. We still neither could digest the news nor can imagine that she wearing external devices for her entire life. Also that none of us or our ancestors had such problem. We consulted few more doctors for further confirmation and I browsed over the internet but everyone says cochlear implant is the only solution. We would like to take a final opinion from the doctors around the world before she goes under the surgery and hence drafting this. Can we have a hope that the problem could be different and doctor identifies the actual problem (if any) while operating the ear for cochlear implant? I figured out from few blogs that research is going on few devices which do not require wearing external device. Can you please let me know if they are available outside? If not, how many yet more years to pass to get those devices into the world and save many children with this problem? I have attached the BERA, OAE and hearing assessment reports for your reference. Please have a look at them and advice. Thank you very much for your valuable time and your help is definitely admirable and cannot be unnoticed.
Hi. Reports (attachment removed to protect patient identity) clearly explains about the problems. I clearly understand your concern and worries. CT and MRI scan for cochlear implant. 1. Speech therapy after cochlear implant, minimum three days in a week, only by speech language pathologist. 2. Regular mapping by an audiologist. For further information consult an audiologist online.--->
<s>[INST] Hi doctor, My niece is 4 years old now. A year back we realized that she was not catching up how to speak and consulted an ENT doctor. Doctor performed few tests like BERA, OAE and hearing assessment. Then he confirmed that my niece is suffering from profound hearing loss. Doctor suggested hearing aids could help her in listening temporarily but advised cochlear implant as permanent solution. Though my niece grabbed very few words to speak with the help of hearing aids, she could not completely mingle with us. We still neither could digest the news nor can imagine that she wearing external devices for her entire life. Also that none of us or our ancestors had such problem. We consulted few more doctors for further confirmation and I browsed over the internet but everyone says cochlear implant is the only solution. We would like to take a final opinion from the doctors around the world before she goes under the surgery and hence drafting this. Can we have a hope that the problem could be different and doctor identifies the actual problem (if any) while operating the ear for cochlear implant? I figured out from few blogs that research is going on few devices which do not require wearing external device. Can you please let me know if they are available outside? If not, how many yet more years to pass to get those devices into the world and save many children with this problem? I have attached the BERA, OAE and hearing assessment reports for your reference. Please have a look at them and advice. Thank you very much for your valuable time and your help is definitely admirable and cannot be unnoticed. [/INST] Hi. Reports (attachment removed to protect patient identity) clearly explains about the problems. I clearly understand your concern and worries. CT and MRI scan for cochlear implant. 1. Speech therapy after cochlear implant, minimum three days in a week, only by speech language pathologist. 2. Regular mapping by an audiologist. For further information consult an audiologist online.--->
Q. What are the treatment options for heart block?
Hello doctor, My 72 year old father, recently got some breathing problem, so we went to the doctor. The doctor said that his cholesterol is high, and told my dad to take medicines. After a month he went for angiography and the reports show some blockages in the arteries. He got a minor heart attack 20 years back, and he is hypertensive. I would like to know the treatment options. I am attaching his ECG, blood test, and angiography reports.
Hello. His reports (attachment removed to protect patient identity) certainly show significant blockages in the arteries. It is not possible to comment on the treatment from the photos alone. You need to upload the final report of the angiography, mentioning the vessel and percentage of the blockages. Get an echocardiogram done, to know the functioning of the heart, as decreased function can lead to shortness of breath. He should have a healthy lifestyle like avoiding fatty, oily, high-calorie diet meat, smoking and alcohol. I advise him to have low salt diet, lots of green leafy vegetables, fruits and fish. Monitor his blood pressure regularly. BP should not be persistently more than 140/90 mmHg. Regular exercises like brisk walking according to his capacity for at least 30 minutes a day and five days a week will help him. Hope this helps you and get back with the report. Revert with more information to a cardiologist online -->
<s>[INST] Hello doctor, My 72 year old father, recently got some breathing problem, so we went to the doctor. The doctor said that his cholesterol is high, and told my dad to take medicines. After a month he went for angiography and the reports show some blockages in the arteries. He got a minor heart attack 20 years back, and he is hypertensive. I would like to know the treatment options. I am attaching his ECG, blood test, and angiography reports. [/INST] Hello. His reports (attachment removed to protect patient identity) certainly show significant blockages in the arteries. It is not possible to comment on the treatment from the photos alone. You need to upload the final report of the angiography, mentioning the vessel and percentage of the blockages. Get an echocardiogram done, to know the functioning of the heart, as decreased function can lead to shortness of breath. He should have a healthy lifestyle like avoiding fatty, oily, high-calorie diet meat, smoking and alcohol. I advise him to have low salt diet, lots of green leafy vegetables, fruits and fish. Monitor his blood pressure regularly. BP should not be persistently more than 140/90 mmHg. Regular exercises like brisk walking according to his capacity for at least 30 minutes a day and five days a week will help him. Hope this helps you and get back with the report. Revert with more information to a cardiologist online -->
Q. I am not an alcoholic, but my liver is fatty. Is it NAFLD?
Hi doctor, I am a 39 year old male. My height is 5'2"and weight is 62 kg. Today through USG I came to know that my liver is fatty (grade 1 diffuse fatty liver). I am very much worried and I do not drink alcohol. I have been taking Omega-3, protein powder and multivitamin supplements for the last one and half a year. Is it NAFLD? Please suggest me to cure the disease.
Hi. Revert back with the test reports to a medical gastroenterologist online -->
<s>[INST] Hi doctor, I am a 39 year old male. My height is 5'2"and weight is 62 kg. Today through USG I came to know that my liver is fatty (grade 1 diffuse fatty liver). I am very much worried and I do not drink alcohol. I have been taking Omega-3, protein powder and multivitamin supplements for the last one and half a year. Is it NAFLD? Please suggest me to cure the disease. [/INST] Hi. Revert back with the test reports to a medical gastroenterologist online -->
Q. I have constant body pain and weakness. What could be the reason?
Hi doctor, My arms and legs hurt every time I move around too much or stand too long or lift my hand up. I cannot even do exercises, because my muscles burn when I try to do some exercise. My knees also hurt when I stand too long or carry weight. My knees hurt and give a twig breaking sound when I bend them. I also have back pain. A few months ago, the area of tail bone started aching whenever I sit down. The pain has lessened now. I am 25 years old and have been with these problems since I was 21 and I feel like I am 125. I have met a general practitioner and had some scans. He said that my bone structure was fine and my spine was a little curvy at the end. He told me that it was probably a nerve caught in between my bones and had worn out over time. He advised me to meet an orthodontist. Could you advise me on what I should do further?
Hi. I have gone through your query in detail (attachment removed to protect patient identity) and understand your concern. For further information consult a physiotherapist online -->
<s>[INST] Hi doctor, My arms and legs hurt every time I move around too much or stand too long or lift my hand up. I cannot even do exercises, because my muscles burn when I try to do some exercise. My knees also hurt when I stand too long or carry weight. My knees hurt and give a twig breaking sound when I bend them. I also have back pain. A few months ago, the area of tail bone started aching whenever I sit down. The pain has lessened now. I am 25 years old and have been with these problems since I was 21 and I feel like I am 125. I have met a general practitioner and had some scans. He said that my bone structure was fine and my spine was a little curvy at the end. He told me that it was probably a nerve caught in between my bones and had worn out over time. He advised me to meet an orthodontist. Could you advise me on what I should do further? [/INST] Hi. I have gone through your query in detail (attachment removed to protect patient identity) and understand your concern. For further information consult a physiotherapist online -->
Q. Is it advisable to take Amoxyclav for infection and swelling in foot?
Hello doctor,I have got an infection in my foot and it is on my right foot above the ankle. That particular part is a bit swollen and sometimes pus and some blood come out when I clean it. And because of that infection, my foot is swollen and I am experiencing pain while walking. I am going to a clinic tomorrow but till then is it advisable to take Amoxyclav 625 (one tablet) to reduce the swelling?
Hello. Yes certainly, you will need antibiotics to kill the bacterias. So Amoxyclav 625 (Amoxicillin and Clavulanic acid) is a good choice. So you need to have it three times a day for five to seven days depending on the response. You can certainly take it now and it should be taken after food and it is better if you have it with some antacids like Rantac 150 (Ranitidine) or Pantoprazole or Rabeprazole. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Also, it will not act immediately to reduce the swelling but its action will take 24 to 48 hours. For immediate relief, you need to have some painkiller medicine like tablet Diclofenac or Ibuprofen, or Paracetamol 500 mg whenever needed. Also, you need to apply some powder like Neosporin thrice a day till the wound heals. For more information consult an internal medicine physician online -->
<s>[INST] Hello doctor,I have got an infection in my foot and it is on my right foot above the ankle. That particular part is a bit swollen and sometimes pus and some blood come out when I clean it. And because of that infection, my foot is swollen and I am experiencing pain while walking. I am going to a clinic tomorrow but till then is it advisable to take Amoxyclav 625 (one tablet) to reduce the swelling? [/INST] Hello. Yes certainly, you will need antibiotics to kill the bacterias. So Amoxyclav 625 (Amoxicillin and Clavulanic acid) is a good choice. So you need to have it three times a day for five to seven days depending on the response. You can certainly take it now and it should be taken after food and it is better if you have it with some antacids like Rantac 150 (Ranitidine) or Pantoprazole or Rabeprazole. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Also, it will not act immediately to reduce the swelling but its action will take 24 to 48 hours. For immediate relief, you need to have some painkiller medicine like tablet Diclofenac or Ibuprofen, or Paracetamol 500 mg whenever needed. Also, you need to apply some powder like Neosporin thrice a day till the wound heals. For more information consult an internal medicine physician online -->
Q. Every time I eat spicy food, I poop blood. Why?
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
<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 -->
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
<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 -->
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
<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 -->
Q. I have been getting period cramps but have not got periods. What can it be?
Hi doctor, I am a 20 year old female. My period is delayed and I am sexually active. I have not had unprotected sex. The problem is 2 years back I was diagnosed with fibroadenoma . No biopsy was done but doctor told it was probably that. Now when my period got delayed, I started having period cramp like pain. I get lots of pain in the right pelvic region. When this started, I noticed I got pain in same place in my breast when I was diagnosed with fibroadenoma and now the pain is also in the other breast and I have been getting abdominal pain as well. The breast pain is only felt when I touch the area. I was also diagnosed with ovarian cyst once. Currently I am taking Sodium valproate for depression. Please help.
Hello. For further queries consult an obstetrician and gynaecologist online -->
<s>[INST] Hi doctor, I am a 20 year old female. My period is delayed and I am sexually active. I have not had unprotected sex. The problem is 2 years back I was diagnosed with fibroadenoma . No biopsy was done but doctor told it was probably that. Now when my period got delayed, I started having period cramp like pain. I get lots of pain in the right pelvic region. When this started, I noticed I got pain in same place in my breast when I was diagnosed with fibroadenoma and now the pain is also in the other breast and I have been getting abdominal pain as well. The breast pain is only felt when I touch the area. I was also diagnosed with ovarian cyst once. Currently I am taking Sodium valproate for depression. Please help. [/INST] Hello. For further queries consult an obstetrician and gynaecologist online -->
Q. How to treat breathlessness in a metastatic breast cancer patient?
Hi doctor, The patient is oxygen dependent because of pleurodesis since 1 month. She is suffering from breathlessness after talc pleurodesis. She has metastatic breast cancer with distant spread to the lung and liver. There is residual pleural effusion along with bilateral lower lobe consolidation. She has pleurodesis related inflammation, interstitial pneumonia as well as interstitial lung disease due to pleural disease showing ground glass opacification. She has talc related leg injury. Patient is currently on tablet Methylprednisolone 16 mg every day. Along with this, she is taking tablet Mucinac 600 mg daily thrice a day. Blood reports, current x-rays and CT scans are attached for your reference. His CT chest is suggestive of patchy areas of consolidation along with bilateral pleural effusion. Doctors are not sure about the reason for breathlessness. I need your valuable opinion to treat this breathlessness. Kindly help.
Hello. I have read all the reports (attachment removed to protect patient identity) including your CT scan. It is very sad to be in such a situation with multiple problems. For further information consult a pulmonologist online -->
<s>[INST] Hi doctor, The patient is oxygen dependent because of pleurodesis since 1 month. She is suffering from breathlessness after talc pleurodesis. She has metastatic breast cancer with distant spread to the lung and liver. There is residual pleural effusion along with bilateral lower lobe consolidation. She has pleurodesis related inflammation, interstitial pneumonia as well as interstitial lung disease due to pleural disease showing ground glass opacification. She has talc related leg injury. Patient is currently on tablet Methylprednisolone 16 mg every day. Along with this, she is taking tablet Mucinac 600 mg daily thrice a day. Blood reports, current x-rays and CT scans are attached for your reference. His CT chest is suggestive of patchy areas of consolidation along with bilateral pleural effusion. Doctors are not sure about the reason for breathlessness. I need your valuable opinion to treat this breathlessness. Kindly help. [/INST] Hello. I have read all the reports (attachment removed to protect patient identity) including your CT scan. It is very sad to be in such a situation with multiple problems. For further information consult a pulmonologist online -->
Q. Does absence of fetal heartbeat on ultrasound confirm abortion?
Hello doctor, My wife is six weeks and five days pregnant. In the fourth week, she got pain in the stomach and back. So, there were two ultrasound reports. The first was taken in five weeks and six days where the gestational sac was 2.33 cm with no heartbeats found. The second ultrasound was six weeks and five days. In this ultrasound, the doctor said there was no heartbeat. He said for abortion. What should I do? Shall I send you the ultrasound reports? Please help.
Hello. This looks mostly look like a missed abortion. Usually by six weeks or later, the heartbeat appears on the scan provided. You seem to have regular periods. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, My wife is six weeks and five days pregnant. In the fourth week, she got pain in the stomach and back. So, there were two ultrasound reports. The first was taken in five weeks and six days where the gestational sac was 2.33 cm with no heartbeats found. The second ultrasound was six weeks and five days. In this ultrasound, the doctor said there was no heartbeat. He said for abortion. What should I do? Shall I send you the ultrasound reports? Please help. [/INST] Hello. This looks mostly look like a missed abortion. Usually by six weeks or later, the heartbeat appears on the scan provided. You seem to have regular periods. For more information consult an obstetrician and gynaecologist online -->
Q. Could you please review my ECG and explain the report?
Hello doctor, I had to take an ECG for employment purposes. As the cardiologist is not around, I would like to know the result of the ECG, as soon as possible. Could you please review my ECG and explain the statements in the upper right corner? I have never had any heart problems, and I do not present any symptoms of heart disease.
Hi. There is conduction system in the heart, and it consists of various wires called bundle and fascicles. Due to various reasons like coronary artery disease, hypertension or a block or interruption of conduction, it may lead to changes in the ECG (attachment removed to protect patient identity). Not a matter of worry, still one stress test and echo test should be done to rule out coronary artery disease. I guess there is no history of hypertension. Also get a lipid profile test done. For further information consult a cardiologist online -->
<s>[INST] Hello doctor, I had to take an ECG for employment purposes. As the cardiologist is not around, I would like to know the result of the ECG, as soon as possible. Could you please review my ECG and explain the statements in the upper right corner? I have never had any heart problems, and I do not present any symptoms of heart disease. [/INST] Hi. There is conduction system in the heart, and it consists of various wires called bundle and fascicles. Due to various reasons like coronary artery disease, hypertension or a block or interruption of conduction, it may lead to changes in the ECG (attachment removed to protect patient identity). Not a matter of worry, still one stress test and echo test should be done to rule out coronary artery disease. I guess there is no history of hypertension. Also get a lipid profile test done. For further information consult a cardiologist online -->
Q. Can I take Dexorange to increase my low platelet count?
Hi doctor, My platelet count is 1.38 to 1.51 platelets per microliter of blood. I need to increase my platelet count at least 1.65 to 1.70 platelets per microliter of blood for some medical purpose. I am taking papaya leaf juice. Can I take Dexorange?
Hi. I need to know for which purpose you have done CBC (complete blood count) investigation. Kindly mention any clinical complaint if present for giving more comment and also want to know how long your platelet count remains low? Or is this only for the first time? Platelet count should be at least 1.5 platelets per microliter of blood, and your platelet count is slightly low that is 1.38 platelets per microliter of blood. If you have no clinical complaint, then I do not think you have to investigate further. Papaya leaf extract syrup and papaya fruits can be taken to improve platelet count. Peripheral smear examination report can be done to check platelet morphology. Your all other parameters are within the range. For more information consult a hematologist online -->
<s>[INST] Hi doctor, My platelet count is 1.38 to 1.51 platelets per microliter of blood. I need to increase my platelet count at least 1.65 to 1.70 platelets per microliter of blood for some medical purpose. I am taking papaya leaf juice. Can I take Dexorange? [/INST] Hi. I need to know for which purpose you have done CBC (complete blood count) investigation. Kindly mention any clinical complaint if present for giving more comment and also want to know how long your platelet count remains low? Or is this only for the first time? Platelet count should be at least 1.5 platelets per microliter of blood, and your platelet count is slightly low that is 1.38 platelets per microliter of blood. If you have no clinical complaint, then I do not think you have to investigate further. Papaya leaf extract syrup and papaya fruits can be taken to improve platelet count. Peripheral smear examination report can be done to check platelet morphology. Your all other parameters are within the range. For more information consult a hematologist online -->
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
<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.
Q. Please explain my further treatment based on the report.
Hi doctor, I have my serum creatinine, serum uric acid, creatinine urine and protein urine test done. The result indicates that I have creatinine 1.37, uric acid 9.6, creatinine urine 169.84 and protein urine 31.9. My current medication is Amlovas 5 mg tablet once daily and Seloken XL 50 mg once daily. Please explain me.
Hi. It seems that you are suffering from hypertensive nephropathy. You would need to know and understand that you need strict control of blood pressure and the addition of an agent. I suggest you to take an ACE (angiotensin-converting enzyme) inhibitors like Ramipril, which helps greatly in controlling the protein in urine, as a result of nephropathy. Consult your specialist doctor, discuss with them and take the medicine with their consent. I would also suggest you for an ultrasound abdomen to check for the status of the kidneys along with the prostate. A lot many times, the enlarged prostate can also cause kidney dysfunction. I hope your blood sugar has been checked and is normal. Revert back with the test report to a nephrologist online -->
<s>[INST] Hi doctor, I have my serum creatinine, serum uric acid, creatinine urine and protein urine test done. The result indicates that I have creatinine 1.37, uric acid 9.6, creatinine urine 169.84 and protein urine 31.9. My current medication is Amlovas 5 mg tablet once daily and Seloken XL 50 mg once daily. Please explain me. [/INST] Hi. It seems that you are suffering from hypertensive nephropathy. You would need to know and understand that you need strict control of blood pressure and the addition of an agent. I suggest you to take an ACE (angiotensin-converting enzyme) inhibitors like Ramipril, which helps greatly in controlling the protein in urine, as a result of nephropathy. Consult your specialist doctor, discuss with them and take the medicine with their consent. I would also suggest you for an ultrasound abdomen to check for the status of the kidneys along with the prostate. A lot many times, the enlarged prostate can also cause kidney dysfunction. I hope your blood sugar has been checked and is normal. Revert back with the test report to a nephrologist online -->
Q. My mom has been suffering from head spinning. Why?
Hi doctor, My mom is suffering from sciatica pain. She is 45 years old. Her doctor suggested complete bed rest for two months. It has been a month for now. She is facing trouble to take breath properly (night times). She is having head spinning and a sensation of falling from bed. She is having high blood pressure and is a diabetis patient. She is on regular tablets. What to do for the head spinning while sleeping on bed?
Hi. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second possibility is as she is diabetic and hypertensive, we have to think about circulation deficiency to the brainstem, which controls balance. It can be evaluated by doing MRI brain and adding Ecosprin to improve circulation to the brain. It may also be drug induced. If she is taking Gabapentin or Pregabalin for neuropathic pain, then it may cause giddiness and sway while walking. It can also be due to hypotension secondary to the hypertensive at night. Vitamin B12 deficiency also can produce swaying and giddiness. You can confirm it by asking about peripheral numbness and increase in giddiness on standing with closed eyes. It can be corrected by vitamin B12 supplementation. Consult your specialist doctor, discuss with him or her and ask to add Vertin or Stugeron. See the response. If your mom is not improving, then think about other possibilities. For further information consult an internal medicine physician online -->
<s>[INST] Hi doctor, My mom is suffering from sciatica pain. She is 45 years old. Her doctor suggested complete bed rest for two months. It has been a month for now. She is facing trouble to take breath properly (night times). She is having head spinning and a sensation of falling from bed. She is having high blood pressure and is a diabetis patient. She is on regular tablets. What to do for the head spinning while sleeping on bed? [/INST] Hi. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second possibility is as she is diabetic and hypertensive, we have to think about circulation deficiency to the brainstem, which controls balance. It can be evaluated by doing MRI brain and adding Ecosprin to improve circulation to the brain. It may also be drug induced. If she is taking Gabapentin or Pregabalin for neuropathic pain, then it may cause giddiness and sway while walking. It can also be due to hypotension secondary to the hypertensive at night. Vitamin B12 deficiency also can produce swaying and giddiness. You can confirm it by asking about peripheral numbness and increase in giddiness on standing with closed eyes. It can be corrected by vitamin B12 supplementation. Consult your specialist doctor, discuss with him or her and ask to add Vertin or Stugeron. See the response. If your mom is not improving, then think about other possibilities. For further information consult an internal medicine physician online -->
Q. What can be the cure for the break outs around my groin and vagina?
Hello doctor, I am breaking out around my groin and vagina. I have never had an unsafe sex. So, I do not think it can be an STD. I am on a birth control pill. I have attached images for your reference. Kindly suggest treatment?
Hello. I understand your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online -->
<s>[INST] Hello doctor, I am breaking out around my groin and vagina. I have never had an unsafe sex. So, I do not think it can be an STD. I am on a birth control pill. I have attached images for your reference. Kindly suggest treatment? [/INST] Hello. I understand your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online -->
Q. I am struggling with acne. Please suggest a treatment.
Hello doctor,I have been struggling with acne for a while now and have been postponing going to my general physician. I have been very hesitant on what to use and do not ever apply anything apart from a light cleanser on my face. I am not even sure what the term would be for it except the loose term rosacea. I am looking for advice on what prescription or non-prescription medication would be safe and effective for my acne with concerns of my nose getting worse. I also have very pale skin.
Hello. Your concern is acne rosacea and sensitive, acne-prone skin. For more information consult a dermatologist online -->
<s>[INST] Hello doctor,I have been struggling with acne for a while now and have been postponing going to my general physician. I have been very hesitant on what to use and do not ever apply anything apart from a light cleanser on my face. I am not even sure what the term would be for it except the loose term rosacea. I am looking for advice on what prescription or non-prescription medication would be safe and effective for my acne with concerns of my nose getting worse. I also have very pale skin. [/INST] Hello. Your concern is acne rosacea and sensitive, acne-prone skin. For more information consult a dermatologist online -->
Q. Are OCT results related with light sensitivity?
Hi doctor, Since 5 years, I have significant floater 3 to 4 numbers in both eyes. I have mild light sensitivity photophobia. I was on stress medicine Escitalopram (Cipralex) 10 mg, an SSRI, for the past 5 years and presently not taking any medicine. Perimetry and eye pressure done regularly every year for the past 5 years. Got an MRI brain and CT scan done two years back and the results were normal. My eye pressure was between 18-20 and the normal vision with floaters is 6/6. Present scenario is recently I have got OCT done for eyes. Please refer the OCT results and let me know, is there any threat for loss of vision? Are OCT results related with light sensitivity? Kindly explain in detail or describe about borderline results of OCT? What does it mean? Does Novoret - Lutein, Zeaxanthin, Omega-3 will help to improve borderline thickness region? How to improve borderline thickness area? Please help.
Hi. At the outset I want to assure you that, after going through your history and the OCT results (attachment removed to protect patient identity) there is no possibility of any threat to your vision. I would suggest you to; continue monitoring your eye pressure with periodic OCT and perimetry, preferably automated perimetry. Nowadays there is something called as low pressure glaucoma, the possibility of which should be kept in mind. Lastly, regarding the floaters, fortunately 90% of the time eye floaters are innocent and outcome of the usual wear and tear process. The only time when there can be an indication of something serious is, when there is a sudden sharp increase in their numbers especially accompanied by flashes of light. For further information consult an eye care ophthalmologist online -->
<s>[INST] Hi doctor, Since 5 years, I have significant floater 3 to 4 numbers in both eyes. I have mild light sensitivity photophobia. I was on stress medicine Escitalopram (Cipralex) 10 mg, an SSRI, for the past 5 years and presently not taking any medicine. Perimetry and eye pressure done regularly every year for the past 5 years. Got an MRI brain and CT scan done two years back and the results were normal. My eye pressure was between 18-20 and the normal vision with floaters is 6/6. Present scenario is recently I have got OCT done for eyes. Please refer the OCT results and let me know, is there any threat for loss of vision? Are OCT results related with light sensitivity? Kindly explain in detail or describe about borderline results of OCT? What does it mean? Does Novoret - Lutein, Zeaxanthin, Omega-3 will help to improve borderline thickness region? How to improve borderline thickness area? Please help. [/INST] Hi. At the outset I want to assure you that, after going through your history and the OCT results (attachment removed to protect patient identity) there is no possibility of any threat to your vision. I would suggest you to; continue monitoring your eye pressure with periodic OCT and perimetry, preferably automated perimetry. Nowadays there is something called as low pressure glaucoma, the possibility of which should be kept in mind. Lastly, regarding the floaters, fortunately 90% of the time eye floaters are innocent and outcome of the usual wear and tear process. The only time when there can be an indication of something serious is, when there is a sudden sharp increase in their numbers especially accompanied by flashes of light. For further information consult an eye care ophthalmologist online -->
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
<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 -->
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
<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 -->
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
Hi. For further doubts consult a sexologist online -->
<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 -->
Q. Is it safe to take Glutathione when one is planning to conceive?
Hello doctor, My 25-year-old wife is planning to use Glutathione as one of her dietary supplements. She is still trying to conceive. Is that okay? Is it safe? Will it still be okay to take Glutathione during pregnancy? What other dietary supplements would you recommend?
Hello. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, My 25-year-old wife is planning to use Glutathione as one of her dietary supplements. She is still trying to conceive. Is that okay? Is it safe? Will it still be okay to take Glutathione during pregnancy? What other dietary supplements would you recommend? [/INST] Hello. For more information consult an obstetrician and gynaecologist online -->
Q. Fetal heartbeats are not visualized on ultrasound. Should I be worried?
Hello doctor, I am eight weeks and five days pregnant. My ultrasonography report says fetal heartbeats not visualized even with the help of a color Doppler. Is it normal? I am very scared. Please reply.
Hello. If you are sure that it is eight weeks then it is not a good sign. Usually, the scan can detect the pregnancy and the heartbeat as early as six weeks.But it is advisable to wait for seven to 10 days and repeat the scan. If there is still no sign of heartbeat then it will mean an unhealthy pregnancy. But if you have ovulated a few days later, your baby is not yet six weeks and you will be able to appreciate fetal heartbeat on the next scan.You will have to keep your fingers crossed until the next scan. If you are very anxious to know about the health of your baby, the other option is to have a serum beta hCG (human chorionic gonadotropin) tomorrow morning and repeat it after 48 hours. In this period, the blood levels will double if the baby is healthy. If the baby is not healthy, the second value of hCG will be lesser than the original value or it will be almost the same. Hope I have clarified your query. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, I am eight weeks and five days pregnant. My ultrasonography report says fetal heartbeats not visualized even with the help of a color Doppler. Is it normal? I am very scared. Please reply. [/INST] Hello. If you are sure that it is eight weeks then it is not a good sign. Usually, the scan can detect the pregnancy and the heartbeat as early as six weeks.But it is advisable to wait for seven to 10 days and repeat the scan. If there is still no sign of heartbeat then it will mean an unhealthy pregnancy. But if you have ovulated a few days later, your baby is not yet six weeks and you will be able to appreciate fetal heartbeat on the next scan.You will have to keep your fingers crossed until the next scan. If you are very anxious to know about the health of your baby, the other option is to have a serum beta hCG (human chorionic gonadotropin) tomorrow morning and repeat it after 48 hours. In this period, the blood levels will double if the baby is healthy. If the baby is not healthy, the second value of hCG will be lesser than the original value or it will be almost the same. Hope I have clarified your query. For more information consult an obstetrician and gynaecologist online -->
Q. What ayurvedic supplements can I take for hypothyroid?
Hello doctor,I am a 38 year old female. Recently I was diagnosed with hypothyroid. I am on Levothyroxine and having lots of side effects with my current medication. So wondering any alternate Ayurveda supplement that I can take instead?
Hello. So, first of all, you do one blood test called anti-TPO so that we come to know that your problem is autoimmune or just only because of hormonal changes. By the time take following medicines. Regards. For more information consult an ayurveda specialist online -->
<s>[INST] Hello doctor,I am a 38 year old female. Recently I was diagnosed with hypothyroid. I am on Levothyroxine and having lots of side effects with my current medication. So wondering any alternate Ayurveda supplement that I can take instead? [/INST] Hello. So, first of all, you do one blood test called anti-TPO so that we come to know that your problem is autoimmune or just only because of hormonal changes. By the time take following medicines. Regards. For more information consult an ayurveda specialist online -->
Q. My wife has urticaria. Please help.
Hello doctor, My wife has been getting a rash which the doctor has termed as urticaria. What could have caused this? I feel she could be having a yeast intolerance. Please help.
Hello. Your wife has been treated for urticaria. I would keep a possibility of idiopathic urticaria/hives. It presents as sudden skin welts/swellings, which can be distributed all over the body. Itching is usually severe; however it is subjective in individuals. The causes of urticaria includes various factors such as infections (bacterial, viral or fungal), drugs like painkillers and also certain foods, additives and preservatives. Physical urticaria can occur due to cold temperature, heat, dermographism, etc., and cholinergic urticaria will occur in response to strong emotions, exercise, spicy food, etc. Autoimmune urticaria associated usually associated with autoimmune disease such as thyroid, rheumatoid arthritis, systemic lupus erythematosus, etc. The most common one is idiopathic urticaria, where there will be no underlying identifiable cause. Regarding treatment, I suggest oral antihistamines like Montelukast and Levocetirizine once daily. Also she can take tablet Allegra 120 mg (Fexofenadine) once daily. Treatment may sometimes last for months or years. A topical soothing lotion like calamine would help her symptomatically. Kindly get the food allergy tests and thyroid tests to rule out yeast intolerance. Revert back with the reports to a dermatologist online -->
<s>[INST] Hello doctor, My wife has been getting a rash which the doctor has termed as urticaria. What could have caused this? I feel she could be having a yeast intolerance. Please help. [/INST] Hello. Your wife has been treated for urticaria. I would keep a possibility of idiopathic urticaria/hives. It presents as sudden skin welts/swellings, which can be distributed all over the body. Itching is usually severe; however it is subjective in individuals. The causes of urticaria includes various factors such as infections (bacterial, viral or fungal), drugs like painkillers and also certain foods, additives and preservatives. Physical urticaria can occur due to cold temperature, heat, dermographism, etc., and cholinergic urticaria will occur in response to strong emotions, exercise, spicy food, etc. Autoimmune urticaria associated usually associated with autoimmune disease such as thyroid, rheumatoid arthritis, systemic lupus erythematosus, etc. The most common one is idiopathic urticaria, where there will be no underlying identifiable cause. Regarding treatment, I suggest oral antihistamines like Montelukast and Levocetirizine once daily. Also she can take tablet Allegra 120 mg (Fexofenadine) once daily. Treatment may sometimes last for months or years. A topical soothing lotion like calamine would help her symptomatically. Kindly get the food allergy tests and thyroid tests to rule out yeast intolerance. Revert back with the reports to a dermatologist online -->
Q. My lymphocyte percentage is 44%. Should I be worried?
Hello doctor, I just got a blood test conducted and the results indicate that my hemoglobin is 17.9 g/dL. My packed cell volume is 52.5%, RBC is 6.42 milliliter/mm3. Total leukocyte count is 14.3 thou/mm3. In differential leukocyte count, lymphocytes are 44% and in absolute leucocyte count, leucocytes are 6 thou/mm3 and ESR is 16 mm/hr. Should I be worried?
Hello. There is nothing to worry about your investigations. The number of red cells normally present varies according to person's age and sex. The normal hemoglobin value in an adult male can range up to 18 g/dL. It can be raised due to many reasons and these causes may be subdivided into whether there is a true or absolute erythrocytosis (polycythemia) due to an increase in red cells or an apparent erythrocytosis when the red cells are not increased but are instead more concentrated. The secondary increase can be due to dehydration, diuretic drugs, burns, stress, or high blood pressure, high altitude etc. Your lymphocyte percentage is a little high. There is a possibility of viral infection. If you have a fever, headache, dizziness, shortness of breath, itching all over the body, bleeding gums, fatigue, and excessive sweating then kindly consult your physician. For more information consult an internal medicine physician online -->
<s>[INST] Hello doctor, I just got a blood test conducted and the results indicate that my hemoglobin is 17.9 g/dL. My packed cell volume is 52.5%, RBC is 6.42 milliliter/mm3. Total leukocyte count is 14.3 thou/mm3. In differential leukocyte count, lymphocytes are 44% and in absolute leucocyte count, leucocytes are 6 thou/mm3 and ESR is 16 mm/hr. Should I be worried? [/INST] Hello. There is nothing to worry about your investigations. The number of red cells normally present varies according to person's age and sex. The normal hemoglobin value in an adult male can range up to 18 g/dL. It can be raised due to many reasons and these causes may be subdivided into whether there is a true or absolute erythrocytosis (polycythemia) due to an increase in red cells or an apparent erythrocytosis when the red cells are not increased but are instead more concentrated. The secondary increase can be due to dehydration, diuretic drugs, burns, stress, or high blood pressure, high altitude etc. Your lymphocyte percentage is a little high. There is a possibility of viral infection. If you have a fever, headache, dizziness, shortness of breath, itching all over the body, bleeding gums, fatigue, and excessive sweating then kindly consult your physician. For more information consult an internal medicine physician online -->
Q. What can be the reason for prolonged fever?
Hi doctor, My brother is suffering from fever for more than 45 days. All the tests and scans are done. Bone marrow and hepatitis report came as negative. AB culture and TB culture report are yet to come. There was a bacteria Weil-Felix - rickettsia came as positive. His WBC count is 22000. He had medication for two weeks (Doxy tablet), but there was no improvement in fever. On assumption doctor has given AKT-4, which is making him tired day by day. He had stopped all the tablets now and the fever was below 100 degree in the last five days, but again now he is having fever. Please help.
Hi. For further information consult an internal medicine physician online -->
<s>[INST] Hi doctor, My brother is suffering from fever for more than 45 days. All the tests and scans are done. Bone marrow and hepatitis report came as negative. AB culture and TB culture report are yet to come. There was a bacteria Weil-Felix - rickettsia came as positive. His WBC count is 22000. He had medication for two weeks (Doxy tablet), but there was no improvement in fever. On assumption doctor has given AKT-4, which is making him tired day by day. He had stopped all the tablets now and the fever was below 100 degree in the last five days, but again now he is having fever. Please help. [/INST] Hi. For further information consult an internal medicine physician online -->
Q. Can skipping Lexapro tablets cause suicidal thoughts?
Hello doctor, I have taken antidepressants, in particular, Lexapro 20/10 mg for about five years for Generalized Anxiety Disorder. Unfortunately, I had stopped taking the anti-depressants cold turkey for about a month and a half due to negligence on my part. During the month and a half, I only experienced heightened anxiety or palpitations. When I realized on Thursday that I had not been taking the anti-depressants, I started taking them again. On Friday, I took my second dose of 10 mg because I have been weaning off the 20 mg for about six months now. Then, I had this scary thought of killing myself. Now mind you, I love my life and I do not ever want to kill myself. With that said, I never experienced this disturbing thought before during my five years of taking Lexapro. I called my psychiatrist who told me that it is withdrawal and that my brain is deprived of the medicines. Now, I tend to disagree. My question is, do you think it is the Lexapro that is causing these disturbing thoughts? Meaning that, since I have re-administered the Lexapro 10 mg, can it cause new symptoms that I have never experienced before or is it like she says withdrawal? Mind you, during the withdrawals, I never had this suicidal thought before as well as not having it while on Lexapro for five years. And neither my psychologist nor my psychiatrist has ever diagnosed me with depression.
Hello.  Hope this solves your query. Feel free to ask if you have any further queries. For more information consult a psychiatrist online -->
<s>[INST] Hello doctor, I have taken antidepressants, in particular, Lexapro 20/10 mg for about five years for Generalized Anxiety Disorder. Unfortunately, I had stopped taking the anti-depressants cold turkey for about a month and a half due to negligence on my part. During the month and a half, I only experienced heightened anxiety or palpitations. When I realized on Thursday that I had not been taking the anti-depressants, I started taking them again. On Friday, I took my second dose of 10 mg because I have been weaning off the 20 mg for about six months now. Then, I had this scary thought of killing myself. Now mind you, I love my life and I do not ever want to kill myself. With that said, I never experienced this disturbing thought before during my five years of taking Lexapro. I called my psychiatrist who told me that it is withdrawal and that my brain is deprived of the medicines. Now, I tend to disagree. My question is, do you think it is the Lexapro that is causing these disturbing thoughts? Meaning that, since I have re-administered the Lexapro 10 mg, can it cause new symptoms that I have never experienced before or is it like she says withdrawal? Mind you, during the withdrawals, I never had this suicidal thought before as well as not having it while on Lexapro for five years. And neither my psychologist nor my psychiatrist has ever diagnosed me with depression. [/INST] Hello.  Hope this solves your query. Feel free to ask if you have any further queries. For more information consult a psychiatrist online -->
Q. Do you agree that gallbladder stone and polyp together increase the risk of malignancy?
Hi doctor, My recent ultrasound of the gallbladder showed a 4 mm polyp, a 1.7 cm stone and a small amount of sludge. Though I am asymptomatic, I visited my gastroenterologist. His opinion was that though rare, having a stone and polyp increases my risk to malignancy and suggested removal. I am very hesitant to removal and seeking your input regarding the increased malignancy risk. Would Ursodiol be useful? If so, how long would it take to work?
Hi. For further information consult a medical gastroenterologist online -->
<s>[INST] Hi doctor, My recent ultrasound of the gallbladder showed a 4 mm polyp, a 1.7 cm stone and a small amount of sludge. Though I am asymptomatic, I visited my gastroenterologist. His opinion was that though rare, having a stone and polyp increases my risk to malignancy and suggested removal. I am very hesitant to removal and seeking your input regarding the increased malignancy risk. Would Ursodiol be useful? If so, how long would it take to work? [/INST] Hi. For further information consult a medical gastroenterologist online -->
Q. What may be the cause of pinching pain in the chest?
Hello doctor, I am writing this query for my father. He is 62 years old. He has BP and sugar but both are very much in control. He gets a slight pinching like pain on left chest and rarely on right chest. It stays only for few seconds. In a day, it comes like five to six times for every three to four weeks. We took ECG and I am attaching the file. Our general physician says that it is normal but in the ECG it is mentioned as undefined abnormal ECG. It says flat T and left axis deviation (please refer the file). Our physician says it is nothing to worry about. He says the pain is because of gastric problem. My dad goes for walking every day. He walks for 45 mins and covers four km. Our doctor says if the heart has any problem, then one cannot walk that much. Kindly refer the attached ECG and please explain if there is any problem. Kindly explain the reason for flat T and if it is something to worry about.
Hi. I have studied the attached reports (attachments removed to protect patient identity). For further information consult a cardiologist online -->
<s>[INST] Hello doctor, I am writing this query for my father. He is 62 years old. He has BP and sugar but both are very much in control. He gets a slight pinching like pain on left chest and rarely on right chest. It stays only for few seconds. In a day, it comes like five to six times for every three to four weeks. We took ECG and I am attaching the file. Our general physician says that it is normal but in the ECG it is mentioned as undefined abnormal ECG. It says flat T and left axis deviation (please refer the file). Our physician says it is nothing to worry about. He says the pain is because of gastric problem. My dad goes for walking every day. He walks for 45 mins and covers four km. Our doctor says if the heart has any problem, then one cannot walk that much. Kindly refer the attached ECG and please explain if there is any problem. Kindly explain the reason for flat T and if it is something to worry about. [/INST] Hi. I have studied the attached reports (attachments removed to protect patient identity). For further information consult a cardiologist online -->
Q. My eye power is high. Please guide me with any solution.
Dear Doctor, My eye power is very high. re sph 4.25 cycl 4.75 axis 180. le sph 5.25 cycl 3.50 axis is 10. Weight 60 kg, Age 19 years, male, height 6 feet, vegetarian. Guide me with any solution.
Hi. Hope, I have answered your query. For further queries, revert back to an eye care ophthalmologist online -->
<s>[INST] Dear Doctor, My eye power is very high. re sph 4.25 cycl 4.75 axis 180. le sph 5.25 cycl 3.50 axis is 10. Weight 60 kg, Age 19 years, male, height 6 feet, vegetarian. Guide me with any solution. [/INST] Hi. Hope, I have answered your query. For further queries, revert back to an eye care ophthalmologist online -->
Q. Is it safe to take tablet Januvia to control blood sugar levels?
Have hypothyroidism last 2 years down to 75mg levothyroxine. The issue now is blood sugar levels. Over last one yr dr has put me on several meds which I reacted to. At that time level under 200. This yr changed dr. He said no medication. Lifestyle change . Has been difficult. Weight up sugar levels 299. Dr put me on januvia last week. Scared cuz of reviews n side effects of the medication I read online. Already feeling like neck swollen n pain in chest sometimes. Cant go to hospital now because of covid. Dont want to get infected. Is Januvia ok. What do you suggest
Hi. Good day. Thanks for your query Ur weight is quite high with uncontrolled diabetes. Definitely u need to change lifestyle and thinking pattern as well. U need to trust a doctor and follow his advice. Every medication has effects otherwise it will not be effective but we always weigh risk and benefits. If ur sugar will not be controlled it can lead to badly effect all ur body especially it can lead to kidney failure stroke heart attack nerve problem and many more. Modification of lifestyle is the main stay of diabetes treatment. U need to reduce carbohydrates especially simple carbohydrates like sugar ice cream sugary juices. If can’t stop u have to 70% reduce bread rice pasta and potatoes. Eat fruits only as a sweet dish. Mango grapes and banana especially can increase sugar quickly. U have tried many medications and I’m not sure which are those medications. I will advise u to take Glyxambi 25/5 one tablet daily Check ur fasting sugars for few days and let me know to modify dose accordingly Ur fasting should be 100-130 Thanks
<s>[INST] Have hypothyroidism last 2 years down to 75mg levothyroxine. The issue now is blood sugar levels. Over last one yr dr has put me on several meds which I reacted to. At that time level under 200. This yr changed dr. He said no medication. Lifestyle change . Has been difficult. Weight up sugar levels 299. Dr put me on januvia last week. Scared cuz of reviews n side effects of the medication I read online. Already feeling like neck swollen n pain in chest sometimes. Cant go to hospital now because of covid. Dont want to get infected. Is Januvia ok. What do you suggest [/INST] Hi. Good day. Thanks for your query Ur weight is quite high with uncontrolled diabetes. Definitely u need to change lifestyle and thinking pattern as well. U need to trust a doctor and follow his advice. Every medication has effects otherwise it will not be effective but we always weigh risk and benefits. If ur sugar will not be controlled it can lead to badly effect all ur body especially it can lead to kidney failure stroke heart attack nerve problem and many more. Modification of lifestyle is the main stay of diabetes treatment. U need to reduce carbohydrates especially simple carbohydrates like sugar ice cream sugary juices. If can’t stop u have to 70% reduce bread rice pasta and potatoes. Eat fruits only as a sweet dish. Mango grapes and banana especially can increase sugar quickly. U have tried many medications and I’m not sure which are those medications. I will advise u to take Glyxambi 25/5 one tablet daily Check ur fasting sugars for few days and let me know to modify dose accordingly Ur fasting should be 100-130 Thanks
Q. How long should my husband and I wait to try for a baby if we did cocaine?
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
Q. Please explain the poisonous effect of phenol ingestion.
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
<s>[INST] Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
<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 -->
Q. Why do periods get delayed after first time sex?
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
<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 -->