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Q. I have some skin infection on my penis. What is it?
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Hi doctor, In the past one month, I am noticing some skin infection on my penis skin when I pull it down. Should I see a skin specialist or sexual disease specialist?
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Hello. Revert back with the photos to a dermatologist online -->
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<s>[INST]
Hi doctor, In the past one month, I am noticing some skin infection on my penis skin when I pull it down. Should I see a skin specialist or sexual disease specialist? [/INST] Hello. Revert back with the photos to a dermatologist online -->
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Q. Are children with VSD more prone to infections?
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Hi doctor, I have a 6 week old child with a VSD. He has had nasal congestion for over a week and developed wet cough 3-4 days ago. Since then, it has alternated between being wet and dry. His nasal mucus has continued to be present. He grunts or yells sometimes when he coughs and coughs 3 or 4 times in a row. Due to which his face turns red. He is presently taking Lasix. He has been to urgent care who diagnosed him with a URI. I would like to have a second opinion regarding the same. Please help.
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Hello. I can understand your concerns. For further information consult a child health specialist online -->
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<s>[INST]
Hi doctor, I have a 6 week old child with a VSD. He has had nasal congestion for over a week and developed wet cough 3-4 days ago. Since then, it has alternated between being wet and dry. His nasal mucus has continued to be present. He grunts or yells sometimes when he coughs and coughs 3 or 4 times in a row. Due to which his face turns red. He is presently taking Lasix. He has been to urgent care who diagnosed him with a URI. I would like to have a second opinion regarding the same. Please help. [/INST] Hello. I can understand your concerns. For further information consult a child health specialist online -->
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Q. Do you think that a skin test is enough to diagnose scleroderma?
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Hi doctor, I traveled to a different country to get more in depth testing of multiple health problems. I was diagnosed with the start of scleroderma, because of my gastrointestinal symptoms, idiopathic angioedema, thickened skin, weird blood vessels (tiny red tree-like veins), family history of scleroderma, high CRP and high WBC. The skin test came back showing focal dermal sclerosis. Do you think that is enough to secure a diagnosis? He started me on Methotrexate and Prednisone every second day. I do not appear to have full Raynaud's and my ANA is usually negative. But, I have some intense symptoms and many of which do match the condition. My past medical history includes severe asthma, allergies, angioedema, had episodes of gout and anaphylaxis. My current medications are Cetirizine 40 mg, Zantac 300 mg, Breo ellipta, Avamys, Singulair, Prednisone and Methotrexate.
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I traveled to a different country to get more in depth testing of multiple health problems. I was diagnosed with the start of scleroderma, because of my gastrointestinal symptoms, idiopathic angioedema, thickened skin, weird blood vessels (tiny red tree-like veins), family history of scleroderma, high CRP and high WBC. The skin test came back showing focal dermal sclerosis. Do you think that is enough to secure a diagnosis? He started me on Methotrexate and Prednisone every second day. I do not appear to have full Raynaud's and my ANA is usually negative. But, I have some intense symptoms and many of which do match the condition. My past medical history includes severe asthma, allergies, angioedema, had episodes of gout and anaphylaxis. My current medications are Cetirizine 40 mg, Zantac 300 mg, Breo ellipta, Avamys, Singulair, Prednisone and Methotrexate. [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. Please advice ayurvedic treatment for cyst under frenulum of penis.
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Hello doctor,Please advice ayurvedic treatment for a pimple or cyst under frenulum.
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Hello. I just read your query. See, pimple and cyst are two different things. Pimple is a kind of comedo having bumpy appearance. It is usually painful and pus may or may not be present. A cyst is an encapsulated growth which can be filled with water or fluid. It can grow slowly and usually non-cancerous. Pain is sometimes present. There are fewer chances of a pimple under frenulum in the mouth. More chances of cyst are there. Cyst usually requires surgical management. It can be ruled out with the help of clinical examination only. So ideally you should visit a nearby physician so that he can examine you and treat you properly. But if you are sure that it is a pimple you can take the following treatment: Take it for 10 days and consult me after ten days regarding improvement and for further management or you can consult a nearby physician. But, I still recommend you to visit a physician to make sure whether it is a cyst or a pimple. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,Please advice ayurvedic treatment for a pimple or cyst under frenulum. [/INST] Hello. I just read your query. See, pimple and cyst are two different things. Pimple is a kind of comedo having bumpy appearance. It is usually painful and pus may or may not be present. A cyst is an encapsulated growth which can be filled with water or fluid. It can grow slowly and usually non-cancerous. Pain is sometimes present. There are fewer chances of a pimple under frenulum in the mouth. More chances of cyst are there. Cyst usually requires surgical management. It can be ruled out with the help of clinical examination only. So ideally you should visit a nearby physician so that he can examine you and treat you properly. But if you are sure that it is a pimple you can take the following treatment: Take it for 10 days and consult me after ten days regarding improvement and for further management or you can consult a nearby physician. But, I still recommend you to visit a physician to make sure whether it is a cyst or a pimple. For more information consult an ayurveda specialist online -->
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Q. Apart from anti-inflammatory medicine, what should I do for plantar fasciitis?
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Hi doctor, I was diagnosed with plantar fasciitis. I am having swollen feet despite taking anti-inflammatory medications. Please help.
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Hi. I do not know what anti-inflammatory medicines you were taking, but you need to take the correct medicines and the main treatment of plantar fasciitis is stretching exercises. When the pain reduces, you have to do calf stretching exercises to reduce the pain of plantar fasciitis. I suggest you the following medicines to get it cured. Consult your specialist doctor, discuss with him or her and take the medicine with consent. You need to wear silicon heels to reduce the stress over it. You need to go to a physiotherapist and do ultrasound physiotherapy for at least 10 sittings in two weeks to the affected area. Do calf stretching exercises twice daily for 15 minutes. Exercise is the main thing. Also, put your feet in hot water when you get up in the morning from bed. This treatment will surely help you. Follow up with me after 10 days. Medicines, ultrasound physio and exercises. To wear silicon heels. Revert back after 10 days to an orthopaedician and traumatologist online.--->
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<s>[INST]
Hi doctor, I was diagnosed with plantar fasciitis. I am having swollen feet despite taking anti-inflammatory medications. Please help. [/INST] Hi. I do not know what anti-inflammatory medicines you were taking, but you need to take the correct medicines and the main treatment of plantar fasciitis is stretching exercises. When the pain reduces, you have to do calf stretching exercises to reduce the pain of plantar fasciitis. I suggest you the following medicines to get it cured. Consult your specialist doctor, discuss with him or her and take the medicine with consent. You need to wear silicon heels to reduce the stress over it. You need to go to a physiotherapist and do ultrasound physiotherapy for at least 10 sittings in two weeks to the affected area. Do calf stretching exercises twice daily for 15 minutes. Exercise is the main thing. Also, put your feet in hot water when you get up in the morning from bed. This treatment will surely help you. Follow up with me after 10 days. Medicines, ultrasound physio and exercises. To wear silicon heels. Revert back after 10 days to an orthopaedician and traumatologist online.--->
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Q. My 9-month-old daughter is having frequent loose motions. How to control it?
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Hi Doctor, Kid age 9 months. weight not sure. Since Yesterday, she is having loose motion problem. Today also she is having frequent loose motion. ORS solution and paracetamol syrup given, but got little bit control again started.
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Hello Welcome to icliniq - Loose motion ( diarrhoea) is common problem in young kids. It is very important to make sure that your daughter is well hydrated till she gets better . - It is very good that you are already giving ORS solution which needs to be given frequently. Loose stools can last for some days before getting better. It will help to clear the body of germs & toxins. I need to ask you a few more questions to guide you in the right direction - How many times /day does she have loose stools ? - is there any blood in stool ? - is she is any pain ? does she cry while having stools ? - is there any vomiting ? - is there any fever ? if there is no fever , there is no need to give paracetamol. - any signs of dehydration ( lips & tongue dry, not passing urine as usual) - Is her weight gain good and within normal range ? - is she otherwise her usual self or is she ill looking, crying & confused ? Treatment plan: - Provide your daughter with frequent sips of ORS throughout the day. For every loose stool she needs to be given 10 mls/kg of ORS. Assuming her weight to be 7-8 kgs, you should give 80 mls ORS for every loose stool. ORS needs to be continued till loose stools stop -You can also give tender coconut water if available. - Give bland non-spicy food like plain idli, rice for some days. -If she is still breast feeding, it is good to continue. - If available you can give Enterogermina oral suspension 2 mini ampoules a day for 3 days. You can mix with water and give her. - Zinsy syrup 5 mls once a day for a week - Most common reason for loose stools at this age is viral , so antibiotics are not needed. But if she has fever or bloody mucusy stools she will need to be examined . Otherwise, loose motion will settle in 4-5 days IMPORTANT Due to the Coronavirus lock down, visiting hospital/clinic may be difficult. But if your daughter shows any of the following signs she needs to be taken to the nearest hospital/clinic to be examined by a paediatrician. - looks sick - not drinking ORS - lips and tongue getting dry - not passing urine even once in 6 hrs - looks dull and crying excessively - blood in stoll If you have any further concerns, you can contact us again for further advice Take care
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<s>[INST]
Hi Doctor, Kid age 9 months. weight not sure. Since Yesterday, she is having loose motion problem. Today also she is having frequent loose motion. ORS solution and paracetamol syrup given, but got little bit control again started. [/INST] Hello Welcome to icliniq - Loose motion ( diarrhoea) is common problem in young kids. It is very important to make sure that your daughter is well hydrated till she gets better . - It is very good that you are already giving ORS solution which needs to be given frequently. Loose stools can last for some days before getting better. It will help to clear the body of germs & toxins. I need to ask you a few more questions to guide you in the right direction - How many times /day does she have loose stools ? - is there any blood in stool ? - is she is any pain ? does she cry while having stools ? - is there any vomiting ? - is there any fever ? if there is no fever , there is no need to give paracetamol. - any signs of dehydration ( lips & tongue dry, not passing urine as usual) - Is her weight gain good and within normal range ? - is she otherwise her usual self or is she ill looking, crying & confused ? Treatment plan: - Provide your daughter with frequent sips of ORS throughout the day. For every loose stool she needs to be given 10 mls/kg of ORS. Assuming her weight to be 7-8 kgs, you should give 80 mls ORS for every loose stool. ORS needs to be continued till loose stools stop -You can also give tender coconut water if available. - Give bland non-spicy food like plain idli, rice for some days. -If she is still breast feeding, it is good to continue. - If available you can give Enterogermina oral suspension 2 mini ampoules a day for 3 days. You can mix with water and give her. - Zinsy syrup 5 mls once a day for a week - Most common reason for loose stools at this age is viral , so antibiotics are not needed. But if she has fever or bloody mucusy stools she will need to be examined . Otherwise, loose motion will settle in 4-5 days IMPORTANT Due to the Coronavirus lock down, visiting hospital/clinic may be difficult. But if your daughter shows any of the following signs she needs to be taken to the nearest hospital/clinic to be examined by a paediatrician. - looks sick - not drinking ORS - lips and tongue getting dry - not passing urine even once in 6 hrs - looks dull and crying excessively - blood in stoll If you have any further concerns, you can contact us again for further advice Take care
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Q. My eyes got hurt. In how many days will it become normal?
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Hi doctor, I got hit in my right eye with a ball. I went to a doctor and he prescribed Milflox, Megabrom and Homide eye drops. Also, he said that there is nothing to worry. Now, my pupil looks enlarged. In how many days it will become normal?
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Hi. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I got hit in my right eye with a ball. I went to a doctor and he prescribed Milflox, Megabrom and Homide eye drops. Also, he said that there is nothing to worry. Now, my pupil looks enlarged. In how many days it will become normal? [/INST] Hi. For further information consult an eye care ophthalmologist online -->
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Q. I am pregnant and my Hb is 8. 7. Should I receive blood to improve it?
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Hi doctor, I am 32 weeks pregnant. This is my second pregnancy and I delivered my first child through C-section. I have low Hb content. As per my blood report done before a month, my Hb was 5.2 g/dL. After a couple of days, I was given two bottles of blood through an IV and started to have iron enriched foods and vitamin C added fruits. A week later, I had my blood test done. My Hb was 7.4 g/dL and electrophoresis was normal. Now, after a month, my Hb level is increased to 8.7 g/dL. Should I receive another bottle of blood to increase my hemoglobin further?
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Hi. Hemoglobin (Hb) less than 10 g/dL during pregnancy is unfavorable. Blood transfusion should be done when Hb levels are less than 7 g/dL, so you do not need a blood transfusion now. You have to check your Hb till it reaches at least 10. The rate of increase in Hb is same either iron orally taken or through blood transfusion if provided iron gets absorbed from gut properly. Your rate of increase in Hb level is also good. I suggest you investigate the cause of anemia. You must get a serum vitamin B12 level done along with the stool examination for ova cyst as these may also be causing anemia along with iron deficiency. I advise you to have a high protein diet, iron enriched food and oral Iron supplements. 1. Iron deficiency anemia. 2. Macrocytic anemia. 3. Worm infestation. Hb levels every two weeks, serum B12 levels and stool examination for ova cyst and iron studies. Gestational anemia. Oral Iron and vitamin C supplementation. Mebendazole and vitamin B12 supplementation if required. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with reports after 15 days to an obstetrician and gynaecologist online.--->
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<s>[INST]
Hi doctor, I am 32 weeks pregnant. This is my second pregnancy and I delivered my first child through C-section. I have low Hb content. As per my blood report done before a month, my Hb was 5.2 g/dL. After a couple of days, I was given two bottles of blood through an IV and started to have iron enriched foods and vitamin C added fruits. A week later, I had my blood test done. My Hb was 7.4 g/dL and electrophoresis was normal. Now, after a month, my Hb level is increased to 8.7 g/dL. Should I receive another bottle of blood to increase my hemoglobin further? [/INST] Hi. Hemoglobin (Hb) less than 10 g/dL during pregnancy is unfavorable. Blood transfusion should be done when Hb levels are less than 7 g/dL, so you do not need a blood transfusion now. You have to check your Hb till it reaches at least 10. The rate of increase in Hb is same either iron orally taken or through blood transfusion if provided iron gets absorbed from gut properly. Your rate of increase in Hb level is also good. I suggest you investigate the cause of anemia. You must get a serum vitamin B12 level done along with the stool examination for ova cyst as these may also be causing anemia along with iron deficiency. I advise you to have a high protein diet, iron enriched food and oral Iron supplements. 1. Iron deficiency anemia. 2. Macrocytic anemia. 3. Worm infestation. Hb levels every two weeks, serum B12 levels and stool examination for ova cyst and iron studies. Gestational anemia. Oral Iron and vitamin C supplementation. Mebendazole and vitamin B12 supplementation if required. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Revert back with reports after 15 days to an obstetrician and gynaecologist online.--->
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Q. Please guide me with a homeopathy treatment for dull skin.
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Hi doctor, The days when I use moisturizer or face wash, my facial skin use to glow. But, if I did not use it for five to six days then my skin would become very dull even without skin exposure. And so, I used them daily. Now for about two months I just stopped applying anything on my face, so my facial skin stopped responding to them. I have tried scrubbing many times and chemical peel too nearly twice. But no results are seen. Now, my face is much darker than body. Could it be some kind of allergy or something else? Please guide me through homeopathy to get my skin fair.
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Hi. For further information consult a homeopathic physician online -->
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<s>[INST]
Hi doctor, The days when I use moisturizer or face wash, my facial skin use to glow. But, if I did not use it for five to six days then my skin would become very dull even without skin exposure. And so, I used them daily. Now for about two months I just stopped applying anything on my face, so my facial skin stopped responding to them. I have tried scrubbing many times and chemical peel too nearly twice. But no results are seen. Now, my face is much darker than body. Could it be some kind of allergy or something else? Please guide me through homeopathy to get my skin fair. [/INST] Hi. For further information consult a homeopathic physician online -->
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Q. Shall I take Zincofer to improve ferritin?
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Hi doctor, I am a 21 year old female. My Hb level is 13, whereas my ferritin level is 14. What shall I do to improve my ferritin? Also, I feel fatigue, mood swings and hair fall. Please suggest me some supplements? I have been suggested with Zincofer. Will that tablet cause any side effect? Will my hemoglobin elevate above normal? Please clarify.
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Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online -->
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<s>[INST]
Hi doctor, I am a 21 year old female. My Hb level is 13, whereas my ferritin level is 14. What shall I do to improve my ferritin? Also, I feel fatigue, mood swings and hair fall. Please suggest me some supplements? I have been suggested with Zincofer. Will that tablet cause any side effect? Will my hemoglobin elevate above normal? Please clarify. [/INST] Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online -->
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Q. My first radiologist found varicocele, but the second one gave it as normal. How?
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Hi doctor, I am a 32 year old male. I had a scrotal USG before three months. It said that I am having varicocele of grade1 with a pampiniform vein size 2-3 mm. When I consulted a doctor, he prescribed some medicine, and I had it. But, the dragging pain persists. Yesterday, again I had a USG of the scrotum, and the report showed that I am normal with no varicocele. During the second time of USG, the radiologist insisted me to inhale stomach full several times and said that my pampiniform flex size is 15 and it can go up to 22. And, he stated that I am normal. During the first time of USG, the radiologist insisted me to cough by turning my head to the left side. My dragging pain is present after having a meal and prolonged sitting. I am attaching my ultrasound scan report. Please clarify the report.
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Hi. For further information consult a radiologist online -->
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<s>[INST]
Hi doctor, I am a 32 year old male. I had a scrotal USG before three months. It said that I am having varicocele of grade1 with a pampiniform vein size 2-3 mm. When I consulted a doctor, he prescribed some medicine, and I had it. But, the dragging pain persists. Yesterday, again I had a USG of the scrotum, and the report showed that I am normal with no varicocele. During the second time of USG, the radiologist insisted me to inhale stomach full several times and said that my pampiniform flex size is 15 and it can go up to 22. And, he stated that I am normal. During the first time of USG, the radiologist insisted me to cough by turning my head to the left side. My dragging pain is present after having a meal and prolonged sitting. I am attaching my ultrasound scan report. Please clarify the report. [/INST] Hi. For further information consult a radiologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I have severe tooth pain with large tooth cavity. Please suggest solution.
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Hi doctor, I have a severe toothache that prevents me from sleeping and eating, and there is a big hole in my teeth. I am currently using Tylenol.
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Hi. Thanks for describing your dental pain. It clearly indicates that the tooth is visibly decayed and gone deeper to involve the nerves and blood vessels of that particular tooth. Ideally, there will be sensitivity if the first two layers of the tooth are affected (enamel and dentin). If the third layer (pulp) is involved and further the bugs percolate inside the length of the teeth, then the symptoms you feel would be there. Now the situation looks like you must visit a nearby dentist for either root canal treatment or extraction depending on your preference. The steps involved would be an x-ray first to check the shape of the roots of the tooth (two or three roots if it is a molar tooth). You sound like an emergency, please visit the hospital or ring the dental practices who attend patients with an emergency during the COVID-19 times. Also, adding that pain killers will not help you come out of this for not more than three hours. I highly recommend you to visit the dentist closely.
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<s>[INST]
Hi doctor, I have a severe toothache that prevents me from sleeping and eating, and there is a big hole in my teeth. I am currently using Tylenol. [/INST] Hi. Thanks for describing your dental pain. It clearly indicates that the tooth is visibly decayed and gone deeper to involve the nerves and blood vessels of that particular tooth. Ideally, there will be sensitivity if the first two layers of the tooth are affected (enamel and dentin). If the third layer (pulp) is involved and further the bugs percolate inside the length of the teeth, then the symptoms you feel would be there. Now the situation looks like you must visit a nearby dentist for either root canal treatment or extraction depending on your preference. The steps involved would be an x-ray first to check the shape of the roots of the tooth (two or three roots if it is a molar tooth). You sound like an emergency, please visit the hospital or ring the dental practices who attend patients with an emergency during the COVID-19 times. Also, adding that pain killers will not help you come out of this for not more than three hours. I highly recommend you to visit the dentist closely.
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Q. Does normal diet cause edema in a liver cirrhosis patient?
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Hi doctor, The patient is suffering from liver cirrhosis. Will the liver remain enlarged? Or do come back to its normal size after some time? Does having a normal diet develop edema?
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Hello. I had gone through the details posted. For further information consult a general medicine physician online -->
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<s>[INST]
Hi doctor, The patient is suffering from liver cirrhosis. Will the liver remain enlarged? Or do come back to its normal size after some time? Does having a normal diet develop edema? [/INST] Hello. I had gone through the details posted. For further information consult a general medicine physician online -->
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Q. Can I take Sildoo 8 for UTI and urine retention?
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Hello doctor, I am 36 years old suffering from UTI and urine retention. I am a father of two, height is six feet and weighing 87 kg. I was suffering from mild constipation (first poop is easy but clearing remaining used to take some time from past few months. I used to spend at least 15-20 minutes in loo. This is when I observed urine retention and mild constipation). From past few months, even my rectum was paining. History of UTI: It all started with severe pain after the passage of urine five months back. It was diagnosed as seminal vesiculitis and urologist said that it is common among men and advised sitz bath whenever it pains and advised me to have sex regularly. Though sitting in hot water tub helped me and it relieved me from pain, but the pain was recurring every 20 to 30 days. This continued for almost 18 months. Four months back, I had few drinks (I never consumed alcohol earlier) continuously for a few days, and that triggered severe pain after urination. One day it was so severe that I noticed blood in urine (hematuria) and urination was very frequent on that day. I suffered from fever also that day. The very next day I went to a urologist and got it diagnosed. This time my doctor advised for the following lab test: Hemogram (automated), glucose – random, glycated hemoglobin (HbA1c), creatinine – serum, urine routine, microscopy (qualitative method), urine culture, imaging – ultrasound abdomen (including post void residue) and uroflowmetry. It was diagnosed as UTI infection with below observations (latest report): a. Major impressions: i. Cystitis. ii. Pre void/post void – 270 cc/90 cc (significant). b. Liver – Normal. c. Gallbladder: Distended. Wall of the gallbladder is within normal limits. No calculi seen. d. Spleen: Normal in size and show normal echo pattern. No focal lesion. e. Aorta: Normal in course and caliber. f. Pancreas: Normal in size and shows normal echo pattern. g. Kidneys: Both kidneys are normal in size and shows normal corticomedullary echogenicity. No calculi or hydronephrosis seen. h. Urinary bladder: Distended. Increased wall thickening noted measuring 5 mm with mucosal irregularity and multiple floating internal echoes notes. Pre void: 270 cc and post void: 90 cc. i. Prostrate: Normal in size. Normal in shape and shows normal echotexture. No focal lesion. No paraaortic nodes or free fluid in the abdomen. j. Culture report - Organism isolate: E coli with colony count: >1,00,000 cfu/ml. k. Serum creatinine: 0.90 (within biological reference range). l. Serum glucose (Random) : 121 mg/dl. m. Glycated Hb (whole blood) : 4.90 %. n. WBC count: 17300/cu.mm. o. RBC count: 4.95 million cells/cubic mm. p. Hemoglobin: 14.90 mg/dl. q. Hematocrit: 43.10 %. r. MCV: 87.20 fl. s. MCH: 30 pg. t. MCHCV: 34.40 g/dl. u. Platelet count : 297000 / cu mm. v. Differential count. i. Neutrophils: 83.00# above range (40.00 – 75:00). ii. Lymphocytes: 12.00# less than range (20.00 – 45.00). iii. Monocytes: 4.00 % (2 -10). iv. Eosinophils: 1.0 (0.00 -7.00). v. ESR: 32.00/1st hour (0.00 -10). w. Peripheral Smear examination: i. RBCs are normocytic normochromic with an increase in rouleaux formation. ii. WBCs show neutrophilic leucocytosis. iii. Platelets are adequate. x. Routine urine analysis i. Microscopic description 1. Colour: Pale yellow. 2. Appearance: Slightly turbid. 3. Reaction (PH)- 6.5. 4. Specific gravity: 1.01. ii. Chemical examination: 1. Protein/albumin – Present 1+. 2. Glucose – NIL. 3. Ketone bodies – NIL. 4. Urobilinogen – Normal. 5. Bile salts – Negative. 6. Bile Pigments - NIL. iii. Microscopic Examination: 1. WBC/pus cells: Numerous/hpf. 2. RBC – Nil. 3. Epithelial cells – 10-15 hpf. The doctor prescribed Septra (Trimethoprim and Sulfamethoxazole) (2-0-2) for seven days & Sildoo 8 (Silodosin) once daily for one month – I took Septra course for seven days but did not take Sildoo considering its side effects and dependency. Meanwhile, I started taking ayurvedic medicine, and my urinary pain (during and post-urination pain) and rectal pain are no more, but urine retention persists. Current lifestyle changes that I have made. 1. Not having coffee or tea. 2. Only occasional outside food. 3. Having plenty of water and fluids. 4. Yoga or exercising regularly. My questions: 1. Can I take Sildoo 8? Will this harm me in future? Can I discontinue Sildoo 8 after this courseor will I be dependent on Sildoo for lifetime? 2. Can urine retention be cured completely? 3. Can recurring UTI be completely cured? 4. My prostate is normal in size, but I am prescribed Sildoo. Can I take Sildoo even without prostate enlargement? 5. Will Sildoo effect my sex life? How to overcome its side effects?
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Hi. With your elaborate history what I could make out is that you had a severe episode of acute prostatitis which was undertreated and now it is chronic prostatitis syndrome. Also, you have severe constipation. Sildoo is silodosin which is a highly potent alpha-blocker. I would like to place you on an alpha-blocker like Alfuzosin which will not produce any retrograde ejaculation in young males. Consult your specialist doctor, discuss with him or her and take medications with their consent. Also, you have to correct your constipation. Could you send a picture of uroflowmetry with the date? I would like to do a fresh uroflowmetry with post void residue for you. Prostatic symptoms at times are not related to its size rather to the alpha receptor overactivity. For more information consult a urologist online -->
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<s>[INST]
Hello doctor, I am 36 years old suffering from UTI and urine retention. I am a father of two, height is six feet and weighing 87 kg. I was suffering from mild constipation (first poop is easy but clearing remaining used to take some time from past few months. I used to spend at least 15-20 minutes in loo. This is when I observed urine retention and mild constipation). From past few months, even my rectum was paining. History of UTI: It all started with severe pain after the passage of urine five months back. It was diagnosed as seminal vesiculitis and urologist said that it is common among men and advised sitz bath whenever it pains and advised me to have sex regularly. Though sitting in hot water tub helped me and it relieved me from pain, but the pain was recurring every 20 to 30 days. This continued for almost 18 months. Four months back, I had few drinks (I never consumed alcohol earlier) continuously for a few days, and that triggered severe pain after urination. One day it was so severe that I noticed blood in urine (hematuria) and urination was very frequent on that day. I suffered from fever also that day. The very next day I went to a urologist and got it diagnosed. This time my doctor advised for the following lab test: Hemogram (automated), glucose – random, glycated hemoglobin (HbA1c), creatinine – serum, urine routine, microscopy (qualitative method), urine culture, imaging – ultrasound abdomen (including post void residue) and uroflowmetry. It was diagnosed as UTI infection with below observations (latest report): a. Major impressions: i. Cystitis. ii. Pre void/post void – 270 cc/90 cc (significant). b. Liver – Normal. c. Gallbladder: Distended. Wall of the gallbladder is within normal limits. No calculi seen. d. Spleen: Normal in size and show normal echo pattern. No focal lesion. e. Aorta: Normal in course and caliber. f. Pancreas: Normal in size and shows normal echo pattern. g. Kidneys: Both kidneys are normal in size and shows normal corticomedullary echogenicity. No calculi or hydronephrosis seen. h. Urinary bladder: Distended. Increased wall thickening noted measuring 5 mm with mucosal irregularity and multiple floating internal echoes notes. Pre void: 270 cc and post void: 90 cc. i. Prostrate: Normal in size. Normal in shape and shows normal echotexture. No focal lesion. No paraaortic nodes or free fluid in the abdomen. j. Culture report - Organism isolate: E coli with colony count: >1,00,000 cfu/ml. k. Serum creatinine: 0.90 (within biological reference range). l. Serum glucose (Random) : 121 mg/dl. m. Glycated Hb (whole blood) : 4.90 %. n. WBC count: 17300/cu.mm. o. RBC count: 4.95 million cells/cubic mm. p. Hemoglobin: 14.90 mg/dl. q. Hematocrit: 43.10 %. r. MCV: 87.20 fl. s. MCH: 30 pg. t. MCHCV: 34.40 g/dl. u. Platelet count : 297000 / cu mm. v. Differential count. i. Neutrophils: 83.00# above range (40.00 – 75:00). ii. Lymphocytes: 12.00# less than range (20.00 – 45.00). iii. Monocytes: 4.00 % (2 -10). iv. Eosinophils: 1.0 (0.00 -7.00). v. ESR: 32.00/1st hour (0.00 -10). w. Peripheral Smear examination: i. RBCs are normocytic normochromic with an increase in rouleaux formation. ii. WBCs show neutrophilic leucocytosis. iii. Platelets are adequate. x. Routine urine analysis i. Microscopic description 1. Colour: Pale yellow. 2. Appearance: Slightly turbid. 3. Reaction (PH)- 6.5. 4. Specific gravity: 1.01. ii. Chemical examination: 1. Protein/albumin – Present 1+. 2. Glucose – NIL. 3. Ketone bodies – NIL. 4. Urobilinogen – Normal. 5. Bile salts – Negative. 6. Bile Pigments - NIL. iii. Microscopic Examination: 1. WBC/pus cells: Numerous/hpf. 2. RBC – Nil. 3. Epithelial cells – 10-15 hpf. The doctor prescribed Septra (Trimethoprim and Sulfamethoxazole) (2-0-2) for seven days & Sildoo 8 (Silodosin) once daily for one month – I took Septra course for seven days but did not take Sildoo considering its side effects and dependency. Meanwhile, I started taking ayurvedic medicine, and my urinary pain (during and post-urination pain) and rectal pain are no more, but urine retention persists. Current lifestyle changes that I have made. 1. Not having coffee or tea. 2. Only occasional outside food. 3. Having plenty of water and fluids. 4. Yoga or exercising regularly. My questions: 1. Can I take Sildoo 8? Will this harm me in future? Can I discontinue Sildoo 8 after this courseor will I be dependent on Sildoo for lifetime? 2. Can urine retention be cured completely? 3. Can recurring UTI be completely cured? 4. My prostate is normal in size, but I am prescribed Sildoo. Can I take Sildoo even without prostate enlargement? 5. Will Sildoo effect my sex life? How to overcome its side effects? [/INST] Hi. With your elaborate history what I could make out is that you had a severe episode of acute prostatitis which was undertreated and now it is chronic prostatitis syndrome. Also, you have severe constipation. Sildoo is silodosin which is a highly potent alpha-blocker. I would like to place you on an alpha-blocker like Alfuzosin which will not produce any retrograde ejaculation in young males. Consult your specialist doctor, discuss with him or her and take medications with their consent. Also, you have to correct your constipation. Could you send a picture of uroflowmetry with the date? I would like to do a fresh uroflowmetry with post void residue for you. Prostatic symptoms at times are not related to its size rather to the alpha receptor overactivity. For more information consult a urologist online -->
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Q. Will anal fistula heal on its own?
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Hi doctor, I was diagnosed with fistula-in-ano before eight years. I just consulted multiple physicians and surgeons. They all said to wait and watch and put me on antibiotics. Two years later, my fistula has closed on its own and there is no pus discharge or abscess forming. The healing was fast and since then I have no problem at all. I do get some itching problem in the opening area when I do not follow a proper diet and eat any junk food or spicy food. If I sit for a long time in the same position, then I can feel some pain in the same area, but there is no pus or abscess. But, there is a scar in the area where the fistula opening was and when I touch it, it feels different than that of the other skin area. Can I consider this as my fistula has healed on its own? Is there any other problem that I should consider? What are the other precautions I have to take in order to make the area feel more comfortable? Is there any chance that the fistula can spread to other parts internally?
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Hi. Digital rectal examination, proctoscopy and fistulogram. Fistula-in-ano. Surgical excision of fistula. Prevent constipation. For further information consult a medical gastroenterologist online.--->
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<s>[INST]
Hi doctor, I was diagnosed with fistula-in-ano before eight years. I just consulted multiple physicians and surgeons. They all said to wait and watch and put me on antibiotics. Two years later, my fistula has closed on its own and there is no pus discharge or abscess forming. The healing was fast and since then I have no problem at all. I do get some itching problem in the opening area when I do not follow a proper diet and eat any junk food or spicy food. If I sit for a long time in the same position, then I can feel some pain in the same area, but there is no pus or abscess. But, there is a scar in the area where the fistula opening was and when I touch it, it feels different than that of the other skin area. Can I consider this as my fistula has healed on its own? Is there any other problem that I should consider? What are the other precautions I have to take in order to make the area feel more comfortable? Is there any chance that the fistula can spread to other parts internally? [/INST] Hi. Digital rectal examination, proctoscopy and fistulogram. Fistula-in-ano. Surgical excision of fistula. Prevent constipation. For further information consult a medical gastroenterologist online.--->
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Q. What is the difference between jaundice and hepatitis?
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Hi doctor, I was diagnosed to be suffering from hepatitis. My SGPT and bilirubin levels are high. I have been experiencing vomiting and nausea for the past one month. I had tested myself for jaundice around 15 days back; only bilirubin was high that time. Now, in the recent test taken three days ago, both SGPT and bilirubin levels are high. I am on medicine for hepatitis and also, taking antidepressant. What is the difference between jaundice and hepatitis?
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Hi. Hepatitis B and C, serum ceruloplasmin, PT (prothrombin time), aPTT (activated partial thromboplastin time), INR (international normalized ratio) and ultrasound abdomen for fatty liver. Revert back with the detailed history and investigation reports to a medical gastroenterologist online.--->
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<s>[INST]
Hi doctor, I was diagnosed to be suffering from hepatitis. My SGPT and bilirubin levels are high. I have been experiencing vomiting and nausea for the past one month. I had tested myself for jaundice around 15 days back; only bilirubin was high that time. Now, in the recent test taken three days ago, both SGPT and bilirubin levels are high. I am on medicine for hepatitis and also, taking antidepressant. What is the difference between jaundice and hepatitis? [/INST] Hi. Hepatitis B and C, serum ceruloplasmin, PT (prothrombin time), aPTT (activated partial thromboplastin time), INR (international normalized ratio) and ultrasound abdomen for fatty liver. Revert back with the detailed history and investigation reports to a medical gastroenterologist online.--->
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Q. What should I do to heal my wound?
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Hi doctor,I am a pharmacist. I am having a deep wound in my foot. Currently, I am taking Taxim-O CV 325, Lyser D and Vitamin A to Z. I am dressing the wound with Betadine and T-Bact ointment. What else should I do?
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Hi. For further information consult a general medicine physician online -->
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<s>[INST]
Hi doctor,I am a pharmacist. I am having a deep wound in my foot. Currently, I am taking Taxim-O CV 325, Lyser D and Vitamin A to Z. I am dressing the wound with Betadine and T-Bact ointment. What else should I do? [/INST] Hi. For further information consult a general medicine physician online -->
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Q. Does a mild mitral valve prolapse require a surgery?
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Hi doctor, I am 21 years old. I had been diagnosed with a mild mitral valve prolapse four years ago. I have been prescribed beta-blockers for the same. Last year when an echo was performed, it showed that the prolapse had reduced. But, in the last few months, due to an increased amount of activity and my varicocele medication, I feel a chest pain. I also feel depression, anxiety, and panic even though there is nothing to worry about. Do I need a surgery or can I continue with the same medications?
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Hello, Welcome to icliniq.com. If you have only MVP (mitral valve prolapse), and no other complication such as valve leakage, there is nothing much to worry about. Follow up with echocardiography and ECG is advised. Regards. Revert with more information to a cardiologist online -->
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<s>[INST]
Hi doctor, I am 21 years old. I had been diagnosed with a mild mitral valve prolapse four years ago. I have been prescribed beta-blockers for the same. Last year when an echo was performed, it showed that the prolapse had reduced. But, in the last few months, due to an increased amount of activity and my varicocele medication, I feel a chest pain. I also feel depression, anxiety, and panic even though there is nothing to worry about. Do I need a surgery or can I continue with the same medications? [/INST] Hello, Welcome to icliniq.com. If you have only MVP (mitral valve prolapse), and no other complication such as valve leakage, there is nothing much to worry about. Follow up with echocardiography and ECG is advised. Regards. Revert with more information to a cardiologist online -->
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Q. Is there nothing that can be done about the pain from scoliosis and hypermobility?
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Hello doctor, I am a 26 year old female. My height is 5'1" and I weigh 53 Kg. I have had pain in all joints. I also experience pain in the spine between shoulders and down to my tailbone since 2010, on and off. I have finally seen a rheumatologist. The doctor said I have scoliosis, minor spondyloarthritis and hypermobility. She gave me Sulfazine that did not work and instead I developed nausea. Hopefully in a month, I can start taking an injection which the doctor told will only help with the arthritis pain. I was also told that I need to learn to live with pain and nothing can be done about the pain related to the other disorders. The doctor also asked me to keep taking Ibuprofen. Is there nothing that can be done about the pain from scoliosis and hypermobility? Do I need to learn to live with pain that restricts me from doing any physical work (even cooking and cleaning)?
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Hi. Hope this helps and revert back to a rheumatologist online for further follow up -->
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<s>[INST]
Hello doctor, I am a 26 year old female. My height is 5'1" and I weigh 53 Kg. I have had pain in all joints. I also experience pain in the spine between shoulders and down to my tailbone since 2010, on and off. I have finally seen a rheumatologist. The doctor said I have scoliosis, minor spondyloarthritis and hypermobility. She gave me Sulfazine that did not work and instead I developed nausea. Hopefully in a month, I can start taking an injection which the doctor told will only help with the arthritis pain. I was also told that I need to learn to live with pain and nothing can be done about the pain related to the other disorders. The doctor also asked me to keep taking Ibuprofen. Is there nothing that can be done about the pain from scoliosis and hypermobility? Do I need to learn to live with pain that restricts me from doing any physical work (even cooking and cleaning)? [/INST] Hi. Hope this helps and revert back to a rheumatologist online for further follow up -->
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Q. The reports of bone marrow aspiration and biopsy differ. How?
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Hi doctor,Bone marrow aspiration twice showed hypercellular bone marrow with overgrowth of WBC and megakaryocytes with all stages of maturing including micromegakaryocytes. But at the same time, the second BMA during bone marrow biopsy showed normocellular bone marrow. Is something like that possible? Can it be due to any mistake during the reading of BMB sample? The doctor who made BMA and BMB told that the patient has no fat in the bone marrow. The health position of the patient is worsening, the bone pain, fatigue, abdominal pain is more and more intensive. Can you give an explanation for this?
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Hi. Revert with the reports to a hematologist online -->
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<s>[INST]
Hi doctor,Bone marrow aspiration twice showed hypercellular bone marrow with overgrowth of WBC and megakaryocytes with all stages of maturing including micromegakaryocytes. But at the same time, the second BMA during bone marrow biopsy showed normocellular bone marrow. Is something like that possible? Can it be due to any mistake during the reading of BMB sample? The doctor who made BMA and BMB told that the patient has no fat in the bone marrow. The health position of the patient is worsening, the bone pain, fatigue, abdominal pain is more and more intensive. Can you give an explanation for this? [/INST] Hi. Revert with the reports to a hematologist online -->
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Q. The scan report showed fetal left kidney obscured. Is there any problem for my baby?
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Hi doctor, Today I took my 36th week scan. In that they mentioned mild fullness of fetal right pelvis noted 5 mm. Fetal left kidney obscured. And, they suggested to do a scan for the baby after delivery. Is there any problem for baby? Please clarify it.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, Today I took my 36th week scan. In that they mentioned mild fullness of fetal right pelvis noted 5 mm. Fetal left kidney obscured. And, they suggested to do a scan for the baby after delivery. Is there any problem for baby? Please clarify it. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. Cataract in one eye and solar burn in other. Does solar burn occur in one eye?
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Hi doctor, My father who is 56 years old, observed reduced visibility since 8 months. On consulting a doctor, he found cataract in one eye and solar burn in the other. Does solar burn occur in one eye?
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Hello. Revert back after tests to an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, My father who is 56 years old, observed reduced visibility since 8 months. On consulting a doctor, he found cataract in one eye and solar burn in the other. Does solar burn occur in one eye? [/INST] Hello. Revert back after tests to an eye care ophthalmologist online -->
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Q. I have moderate abdominal pain on left side with white balls in stools. What is my problem?
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Hello doctor, I have a gastroenterology issue for over a month. I have a mild to moderate upper and lower abdominal pain on the left side. The pain also extended to my left leg. Also, I pass stool twice a day (diarrhea-like stool) with large white balls in it and I am facing weight loss. I took Trimebutine and Mebeverine for over four weeks (I have IBS), also I am taking probiotics and digestive enzymes. What is concerning me the most are the large white balls in the stool that are not mucus (they are quite firm) and the weight loss. Due to COVID-19, I want to avoid physically seeing a doctor, so please suggest a possible cause and treatment.
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Hello. Yes, you might be having IBS (irritable bowel syndrome) and you might have developed small intestinal bacterial overgrowth (SIBO), with IBS which can occur commonly. In SIBO you get fat malabsorption which can lead to white stools. Can you please tell me whether you get greasy stools and bloating or not? Let me tell you that greasy stools are identified by a foul smell and floating on top of commode water. Also, share how much weight have you lost in how much time? I will start you on the treatment of SIBO, but meanwhile, we have to investigate and rule out other diagnoses whenever feasible for you. SIBO. CBC (complete blood count). C-reactive protein. TSH (thyroid-stimulating hormone). Stool routine, examination, and culture. Stool for fat content. Stool for reducing substances. Colonoscopy or Sigmoidoscopy if needed in the future. Pseudomembranous colitis. Tablet Rifaximine 550 mg thrice a day for 14 days, Mebeverine thrice a day. Oral rehydration solution. Exercise. After two weeks.
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<s>[INST]
Hello doctor, I have a gastroenterology issue for over a month. I have a mild to moderate upper and lower abdominal pain on the left side. The pain also extended to my left leg. Also, I pass stool twice a day (diarrhea-like stool) with large white balls in it and I am facing weight loss. I took Trimebutine and Mebeverine for over four weeks (I have IBS), also I am taking probiotics and digestive enzymes. What is concerning me the most are the large white balls in the stool that are not mucus (they are quite firm) and the weight loss. Due to COVID-19, I want to avoid physically seeing a doctor, so please suggest a possible cause and treatment. [/INST] Hello. Yes, you might be having IBS (irritable bowel syndrome) and you might have developed small intestinal bacterial overgrowth (SIBO), with IBS which can occur commonly. In SIBO you get fat malabsorption which can lead to white stools. Can you please tell me whether you get greasy stools and bloating or not? Let me tell you that greasy stools are identified by a foul smell and floating on top of commode water. Also, share how much weight have you lost in how much time? I will start you on the treatment of SIBO, but meanwhile, we have to investigate and rule out other diagnoses whenever feasible for you. SIBO. CBC (complete blood count). C-reactive protein. TSH (thyroid-stimulating hormone). Stool routine, examination, and culture. Stool for fat content. Stool for reducing substances. Colonoscopy or Sigmoidoscopy if needed in the future. Pseudomembranous colitis. Tablet Rifaximine 550 mg thrice a day for 14 days, Mebeverine thrice a day. Oral rehydration solution. Exercise. After two weeks.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I have sudden and severe hair loss. Please help me.
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Hello doctor, I am a 34 year old female. I am suffering from severe hair loss. Almost three-quarters of my hair I lost in 15 days. I have severe itchiness on the scalp with a sensation of something crawling on my scalp and body. But, my mother says nothing can be found on the head, except some traces of dandruff. Every now and then, I suffer from a skin problem of red bumps on the body. Please help me.
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Hello. I have gone through your case. Take care. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I am a 34 year old female. I am suffering from severe hair loss. Almost three-quarters of my hair I lost in 15 days. I have severe itchiness on the scalp with a sensation of something crawling on my scalp and body. But, my mother says nothing can be found on the head, except some traces of dandruff. Every now and then, I suffer from a skin problem of red bumps on the body. Please help me. [/INST] Hello. I have gone through your case. Take care. For more information consult a dermatologist online -->
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Q. What treatment will you suggest for recurring acne?
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Hello doctor, I am having acne since a week. I used Clindamycin gel but it is not effective. I have attached my photos. My acne goes and comes. Also tell me which face wash, moisturizer and sunscreen to use? Kindly suggest treatment for my acne.
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Hello. I have reviewed the attached photographs (attachments removed to protect patient identity). I would recommend you to use Salicylic acid face wash twice daily and apply Benzoyl peroxide 2.5 percent gel twice daily on the affected areas. Along with this take a course of antibiotic tablet Azithromycin 500 mg daily before lunch or dinner for three consecutive days in a week for six weeks. Use Face Guard sunscreen gel and silk moisturizing cream as sunscreen and moisturizer respectively. Besides this keep your face dry, avoid applying oily cream or moisturizers and avoid oiling of scalp. Use cosmetics labeled as noncomedogenic and reduce the intake of sugary foods. Continue the above mentioned guidelines for six weeks. Seborrhea or hormonal disturbance. Acne vulgaris. Revert back after six weeks to a dermatologist online.--->
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<s>[INST]
Hello doctor, I am having acne since a week. I used Clindamycin gel but it is not effective. I have attached my photos. My acne goes and comes. Also tell me which face wash, moisturizer and sunscreen to use? Kindly suggest treatment for my acne. [/INST] Hello. I have reviewed the attached photographs (attachments removed to protect patient identity). I would recommend you to use Salicylic acid face wash twice daily and apply Benzoyl peroxide 2.5 percent gel twice daily on the affected areas. Along with this take a course of antibiotic tablet Azithromycin 500 mg daily before lunch or dinner for three consecutive days in a week for six weeks. Use Face Guard sunscreen gel and silk moisturizing cream as sunscreen and moisturizer respectively. Besides this keep your face dry, avoid applying oily cream or moisturizers and avoid oiling of scalp. Use cosmetics labeled as noncomedogenic and reduce the intake of sugary foods. Continue the above mentioned guidelines for six weeks. Seborrhea or hormonal disturbance. Acne vulgaris. Revert back after six weeks to a dermatologist online.--->
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Q. Is there any long-term health problem associated with TOF?
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Hi doctor, My girlfriend underwent TOF surgery at 19 years of age. I want to know the long-term prognosis associated with it. Some says it is complicated and not same as VSD or ASD types. Will it have any long-term health problem associated with it even after surgery? As an expert can you shed light into the matter from your experience? I have attached her pre and post surgery documents.
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Hi. I have thoroughly gone through your case, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. It is hopefully very positive to say that she has nothing wrong and there is nothing left behind of the heart defects. 2. She was well operated and has recovered very nicely and as expected. The prognosis is good and she is fine. 3. She is good to go for marriage and even continue to have her family extended. For further information consult a cardiologist online.--->
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<s>[INST]
Hi doctor, My girlfriend underwent TOF surgery at 19 years of age. I want to know the long-term prognosis associated with it. Some says it is complicated and not same as VSD or ASD types. Will it have any long-term health problem associated with it even after surgery? As an expert can you shed light into the matter from your experience? I have attached her pre and post surgery documents. [/INST] Hi. I have thoroughly gone through your case, reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. It is hopefully very positive to say that she has nothing wrong and there is nothing left behind of the heart defects. 2. She was well operated and has recovered very nicely and as expected. The prognosis is good and she is fine. 3. She is good to go for marriage and even continue to have her family extended. For further information consult a cardiologist online.--->
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Q. Why is my kid suffering from cough for more than 10 days?
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Hello doctor, My baby has got cough for the last 10 days. He is fine during day time. But, at night while lying down, he is again coughing. It looks like a dry cough. We are now giving Levoline and Mucolite as suggested by our family physician. Still, he is not fully recovering. Please give some suggestions to cure it.
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Hi. Cough while lying down is mostly due to cold (post nasal drip). As you have mentioned dry cough and if he does not have breathlessness, you can only give anti-allergic syrup along with honey. No need of giving Levoline and Mucolite. When cold will get over, his cough will subside. For more information consult a pediatric allergy asthma specialist online -->
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<s>[INST]
Hello doctor, My baby has got cough for the last 10 days. He is fine during day time. But, at night while lying down, he is again coughing. It looks like a dry cough. We are now giving Levoline and Mucolite as suggested by our family physician. Still, he is not fully recovering. Please give some suggestions to cure it. [/INST] Hi. Cough while lying down is mostly due to cold (post nasal drip). As you have mentioned dry cough and if he does not have breathlessness, you can only give anti-allergic syrup along with honey. No need of giving Levoline and Mucolite. When cold will get over, his cough will subside. For more information consult a pediatric allergy asthma specialist online -->
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Q. I am 14 weeks pregnant, and I suffer from severe acid reflux. Should I consult a gastroenterologist?
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Hello doctor, I am 14 weeks pregnant, and I suffer from continuous severe acid reflux, from the past 7 to 8 weeks. I consulted my gynecologist, but she did not give any medicine. Antacids are not effective at all, and I have a feeling of food stuck in my throat and chest. It is very unpleasant and uncomfortable. I have even lost 6 kg within the last month, due to acid reflux and severe food aversion. Should I consult a gastroenterologist? I have tried taking Pentab and Gelusil.
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Hello. I am sorry that you have severe discomfort. I wish you get better soon. For more information consult a medical gastroenterologist online -->
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<s>[INST]
Hello doctor, I am 14 weeks pregnant, and I suffer from continuous severe acid reflux, from the past 7 to 8 weeks. I consulted my gynecologist, but she did not give any medicine. Antacids are not effective at all, and I have a feeling of food stuck in my throat and chest. It is very unpleasant and uncomfortable. I have even lost 6 kg within the last month, due to acid reflux and severe food aversion. Should I consult a gastroenterologist? I have tried taking Pentab and Gelusil. [/INST] Hello. I am sorry that you have severe discomfort. I wish you get better soon. For more information consult a medical gastroenterologist online -->
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. I have weakness in left arm, tingling in fingers with neck and back stiffness. Please suggest exercise.
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Hello doctor, I am a 44-year-old male and I weigh about 85 kg. I have neck pain especially at the sides and arm for the last one year. My left arm feels weaker. Sometimes I feel tingling in random fingers. I have morning neck and back stiffness also. Please guide to a set of exercises that I can do regularly to free the nerves and start my earlier workouts. Currently, I am doing neck exercises including chin tucks, abd posture correction. However, nerve pain persists. I did my MRI last year. IMPRESSION: • Generalized posterior bulge of C3-C4 and C4-C5 intervertebral discs, however not causing any significant cervical cord or nerve root compression. • Generalized posterior bulge of C5-C6 intervertebral disc with indentation of bilateral exiting C6 nerve roots. • Generalized posterior bulge of C6-C7 intervertebral disc, however not causing any significant cervical cord or nerve root compression.
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Hi. I have gone through your query. As you mentioned, you are suffering from neck pain which shows as nerve pain as per your experience. As your complaints are left arm feels weaker, sometimes tingling in random fingers with morning neck and back stiffness, I feel it is compression at spinal cord root levels as that is even confirmed by MRI scan which you have already undergone. So my provisional diagnosis with view of your age, gender, height, and weight is cervical spondylotic radiculopathy which can best to be treated with physiotherapy and lifestyle modification. I will suggest some exercises and lifestyle modification. Follow it for 15 days. Do not lift heavy weight more than 2 kg. Lessen the use of mobile and computer to only two hours a day. Go for daily walking for about 1 hour, if not jog inside the house. Our primary goal should be to relieve compression and strengthen the muscles around the neck and shoulder. Chin tuck exercise is good only, in addition, you can do neck and shoulder girdle exercise also. You can lie on the belly and do the neck and shoulder elevation exercise. Pendulum exercise also will give you much relief. You lie flat on the floor or use a very thin pillow. As this lockdown finishes you need to take cervical traction and IFT (interferential therapy) at a physiotherapy center nearby. Take only warm water regularly. Another important thing is change in lifestyle. Join art of living online happiness program where all exercises with yoga can be done online. I hope this helps.
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<s>[INST]
Hello doctor, I am a 44-year-old male and I weigh about 85 kg. I have neck pain especially at the sides and arm for the last one year. My left arm feels weaker. Sometimes I feel tingling in random fingers. I have morning neck and back stiffness also. Please guide to a set of exercises that I can do regularly to free the nerves and start my earlier workouts. Currently, I am doing neck exercises including chin tucks, abd posture correction. However, nerve pain persists. I did my MRI last year. IMPRESSION: • Generalized posterior bulge of C3-C4 and C4-C5 intervertebral discs, however not causing any significant cervical cord or nerve root compression. • Generalized posterior bulge of C5-C6 intervertebral disc with indentation of bilateral exiting C6 nerve roots. • Generalized posterior bulge of C6-C7 intervertebral disc, however not causing any significant cervical cord or nerve root compression. [/INST] Hi. I have gone through your query. As you mentioned, you are suffering from neck pain which shows as nerve pain as per your experience. As your complaints are left arm feels weaker, sometimes tingling in random fingers with morning neck and back stiffness, I feel it is compression at spinal cord root levels as that is even confirmed by MRI scan which you have already undergone. So my provisional diagnosis with view of your age, gender, height, and weight is cervical spondylotic radiculopathy which can best to be treated with physiotherapy and lifestyle modification. I will suggest some exercises and lifestyle modification. Follow it for 15 days. Do not lift heavy weight more than 2 kg. Lessen the use of mobile and computer to only two hours a day. Go for daily walking for about 1 hour, if not jog inside the house. Our primary goal should be to relieve compression and strengthen the muscles around the neck and shoulder. Chin tuck exercise is good only, in addition, you can do neck and shoulder girdle exercise also. You can lie on the belly and do the neck and shoulder elevation exercise. Pendulum exercise also will give you much relief. You lie flat on the floor or use a very thin pillow. As this lockdown finishes you need to take cervical traction and IFT (interferential therapy) at a physiotherapy center nearby. Take only warm water regularly. Another important thing is change in lifestyle. Join art of living online happiness program where all exercises with yoga can be done online. I hope this helps.
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Q. Will Nano-Leo give permanent solution for erection problem?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. My ultrasound reports say 'bulky liver'. How can I get treated for that?
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Hello doctor,My SGOT level is 146, total bilirubin is 2.7, globulin is 4.5 and GGTP is 406. What should I do?
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Hello. Please revert to me with the above details. Revert with more details to an internal medicine physician online -->
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<s>[INST]
Hello doctor,My SGOT level is 146, total bilirubin is 2.7, globulin is 4.5 and GGTP is 406. What should I do? [/INST] Hello. Please revert to me with the above details. Revert with more details to an internal medicine physician online -->
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Q. How to get reassured that I do not have stomach cancer?
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Hi doctor,I will be honest and say this is primarily for reassurance from a fear of esophageal and stomach cancer as I suffer very badly from chronic hypochondriasis, for which I am getting treatment for in the form of CBT and on Venlafaxine 225 mg. I am a 43 year old male. I was a social smoker till my 30 years of age and nothing since. I watch my alcohol intake and had 6 months of abstinence in the 1st half of last year. I am 5'11", 12 stone and active.Over 8 years, I have occasionally got food stuck, normally chicken or steak when I have been shoveling it down. Three years ago I got a piece of steak stuck and had to go to A and E. This was eventually removed with the aid of a gastroscope and was embarrassingly very large. As part of this, they noticed some inflammation and took a number of biopsies as the doctor suspected I had eosinophilic esophagitis. However, they all turned up completely clear. I was prescribed 20 mg Omeprazole. Last year, following a fear I had seen blood in the stool, I got very anxious and ended up having a colonoscopy. This was also completely clear. This year during Christmas, I over indulged a little and on Christmas day got a piece of turkey temporarily stuck, although some water got it down. For some reason though I then began convincing myself I had esophageal cancer or even stomach cancer. This has lead to a number of follow on symptoms like a bit of pain behind my breastbone, belching, getting obsessed with swallowing my own spit and becoming more anxious. I went to see my GP. I explained her all my above symptoms though no vomiting, weight loss, cough, etc. She did a very thorough physical examination, felt for obstructions, tapped my chest cavity and listened to my stomach gurgling. After all of these she said there was absolutely no risk of me having esophageal cancer and told me to up the Omeprazole for a month and relax, then see her again then. However, I am still scared I now have stomach cancer as I do not think any biopsies were done in that area. Please can you provide me with reassurance that I do not have stomach or esophageal cancer?
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Hello. Your symptoms require evaluation as this could be simply gastroesophageal reflux disease (GERD), which can cause reflux and stucking of food. Since your endoscopy and biopsy reports (attachment removed to protect patient identity) are concerned, they are all not suggestive of esophageal carcinoma. In my opinion, you should go ahead for barium swallow study. It is a simple test and would evaluate any evidence of strictures or constriction, if any over the esophagus. However, a biopsy revealing esophagitis with no evidence of malignancy clears you from the presence of any cancer at present. In acid reflux disease a combination of Omeprazole and Domperidone helps greatly. You should take soft, bland diet as spicy food aggravates acidity. In case of acute pain, you can take antiflatulent syrup like Digene or Gelusil. For further information consult a medical gastroenterologist online -->
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<s>[INST]
Hi doctor,I will be honest and say this is primarily for reassurance from a fear of esophageal and stomach cancer as I suffer very badly from chronic hypochondriasis, for which I am getting treatment for in the form of CBT and on Venlafaxine 225 mg. I am a 43 year old male. I was a social smoker till my 30 years of age and nothing since. I watch my alcohol intake and had 6 months of abstinence in the 1st half of last year. I am 5'11", 12 stone and active.Over 8 years, I have occasionally got food stuck, normally chicken or steak when I have been shoveling it down. Three years ago I got a piece of steak stuck and had to go to A and E. This was eventually removed with the aid of a gastroscope and was embarrassingly very large. As part of this, they noticed some inflammation and took a number of biopsies as the doctor suspected I had eosinophilic esophagitis. However, they all turned up completely clear. I was prescribed 20 mg Omeprazole. Last year, following a fear I had seen blood in the stool, I got very anxious and ended up having a colonoscopy. This was also completely clear. This year during Christmas, I over indulged a little and on Christmas day got a piece of turkey temporarily stuck, although some water got it down. For some reason though I then began convincing myself I had esophageal cancer or even stomach cancer. This has lead to a number of follow on symptoms like a bit of pain behind my breastbone, belching, getting obsessed with swallowing my own spit and becoming more anxious. I went to see my GP. I explained her all my above symptoms though no vomiting, weight loss, cough, etc. She did a very thorough physical examination, felt for obstructions, tapped my chest cavity and listened to my stomach gurgling. After all of these she said there was absolutely no risk of me having esophageal cancer and told me to up the Omeprazole for a month and relax, then see her again then. However, I am still scared I now have stomach cancer as I do not think any biopsies were done in that area. Please can you provide me with reassurance that I do not have stomach or esophageal cancer? [/INST] Hello. Your symptoms require evaluation as this could be simply gastroesophageal reflux disease (GERD), which can cause reflux and stucking of food. Since your endoscopy and biopsy reports (attachment removed to protect patient identity) are concerned, they are all not suggestive of esophageal carcinoma. In my opinion, you should go ahead for barium swallow study. It is a simple test and would evaluate any evidence of strictures or constriction, if any over the esophagus. However, a biopsy revealing esophagitis with no evidence of malignancy clears you from the presence of any cancer at present. In acid reflux disease a combination of Omeprazole and Domperidone helps greatly. You should take soft, bland diet as spicy food aggravates acidity. In case of acute pain, you can take antiflatulent syrup like Digene or Gelusil. For further information consult a medical gastroenterologist online -->
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Q. How long does cortisone stay in the body?
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Hi doctor,I am a 53 year old female. I have had a cortisone injection for a flare up of adult-onset Still's disease. I would like to know, how long the cortisone stays in the system?
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Hello. Hope this helps you and get back if you have any doubts. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor,I am a 53 year old female. I have had a cortisone injection for a flare up of adult-onset Still's disease. I would like to know, how long the cortisone stays in the system? [/INST] Hello. Hope this helps you and get back if you have any doubts. For further information consult an internal medicine physician online -->
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Q. Why do people fix midline misalignment of teeth?
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Hello doctor, Why do people fix midline misalignment of teeth (the middle of upper and lower teeth do not line up), apart from appearance as the factor? I had undergone treatment with wire braces and removed them off just yesterday. I noticed that I have a little midline misalignment even after treatment. When I bring my jaws together (while biting) the edge of my left lower central incisor touches between (the back) of the upper central incisors. This makes me feel very uncomfortable. I have attached pictures for you to understand my issue.
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Hello. I have viewed the pictures (attachment removed to protect patient identity). Revert back to an orthodontist online for further follow up -->
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<s>[INST]
Hello doctor, Why do people fix midline misalignment of teeth (the middle of upper and lower teeth do not line up), apart from appearance as the factor? I had undergone treatment with wire braces and removed them off just yesterday. I noticed that I have a little midline misalignment even after treatment. When I bring my jaws together (while biting) the edge of my left lower central incisor touches between (the back) of the upper central incisors. This makes me feel very uncomfortable. I have attached pictures for you to understand my issue. [/INST] Hello. I have viewed the pictures (attachment removed to protect patient identity). Revert back to an orthodontist online for further follow up -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Which medicine, according to you, is best for my psychological disorders?
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Hello doctor, I would like to ask you about treatment recommendations (maybe a few variations) for my condition. I have bipolar disorder type II, social and generalized disorder, and panic disorder. However, I am in constant depression for one year. I do not cycle anymore if I do, my hypomania is very mild and short-lived. Moreover, anxiety is debilitating. I am afraid to go out from home, feeling constant anxiety physical symptoms, such as sweaty palms and feet, chest pain, blood pressure rise, racing heart, and much more. I need something to ease my depression symptoms, but also something that would affect my anxiety in a positive way. My current medications are Lamictal 200 mg, 3x5 mg Tranxene, 5 mg Olanzapine, and 75 mg Venlafaxine. I am unable to take more Venlafaxine because from 150 mg my blood pressure and heart rate were out of control. My previous medications were Lithium, Depakote, Carbamazepine, Anxiolytics, Escitalopram, Zoloft, Quetiapine (which I cannot use because of its negative effects on anxiety and blood pressure, just for me), and Risperidone. I am wondering about Paroxetine, Citalopram and Prozac. If escitalopram 20mg was without any effects for two months, is it reasonable to try out Citalopram? I tried Prozac in past, I could not bear initial side effects but that were different times. Does it affect anxiety disorders from your experience? Paroxetine suits best. Which of these medicines could benefit me the most?
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Hello. Thank you for your detailed query and history. With regards to your anxiety symptoms, you have tried out SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norepinephrine reuptake inhibitor) class of medications. So, I would like to suggest you try a TCA (tricyclic antidepressants) class of antidepressants like Amitriptyline 75-100 mg, Dosulepine 100 mg, or Nortriptyline 75-100 mg. They are indicated in people who have had partial results with SSRI or SNRI medications. If you do not wish to try out the TCA and coming back to your query about the three medicines, the best results for anxiety will be with Paroxetine between 12.5 mg to 37.5 mg, and Citalopram will also work fine at 20 mg. In addition to these, you can also consider augmenting the action of these by adding Mirtazapine 7.5 mg at night. I would like to suggest that you should consider reducing Olanzapine to 2.5 mg, since you are not in hypomania, and have depressive symptoms. Reduction to 2.5 mg will make it an augmenting agent again for the antidepressant, and also further help with your anxiety issues. Also just to mention, some people do get benefit from having a few sessions of CBT (cognitive behavioral therapy) from a Clinical Psychologist.
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<s>[INST]
Hello doctor, I would like to ask you about treatment recommendations (maybe a few variations) for my condition. I have bipolar disorder type II, social and generalized disorder, and panic disorder. However, I am in constant depression for one year. I do not cycle anymore if I do, my hypomania is very mild and short-lived. Moreover, anxiety is debilitating. I am afraid to go out from home, feeling constant anxiety physical symptoms, such as sweaty palms and feet, chest pain, blood pressure rise, racing heart, and much more. I need something to ease my depression symptoms, but also something that would affect my anxiety in a positive way. My current medications are Lamictal 200 mg, 3x5 mg Tranxene, 5 mg Olanzapine, and 75 mg Venlafaxine. I am unable to take more Venlafaxine because from 150 mg my blood pressure and heart rate were out of control. My previous medications were Lithium, Depakote, Carbamazepine, Anxiolytics, Escitalopram, Zoloft, Quetiapine (which I cannot use because of its negative effects on anxiety and blood pressure, just for me), and Risperidone. I am wondering about Paroxetine, Citalopram and Prozac. If escitalopram 20mg was without any effects for two months, is it reasonable to try out Citalopram? I tried Prozac in past, I could not bear initial side effects but that were different times. Does it affect anxiety disorders from your experience? Paroxetine suits best. Which of these medicines could benefit me the most? [/INST] Hello. Thank you for your detailed query and history. With regards to your anxiety symptoms, you have tried out SSRI (selective serotonin reuptake inhibitor) and SNRI (serotonin-norepinephrine reuptake inhibitor) class of medications. So, I would like to suggest you try a TCA (tricyclic antidepressants) class of antidepressants like Amitriptyline 75-100 mg, Dosulepine 100 mg, or Nortriptyline 75-100 mg. They are indicated in people who have had partial results with SSRI or SNRI medications. If you do not wish to try out the TCA and coming back to your query about the three medicines, the best results for anxiety will be with Paroxetine between 12.5 mg to 37.5 mg, and Citalopram will also work fine at 20 mg. In addition to these, you can also consider augmenting the action of these by adding Mirtazapine 7.5 mg at night. I would like to suggest that you should consider reducing Olanzapine to 2.5 mg, since you are not in hypomania, and have depressive symptoms. Reduction to 2.5 mg will make it an augmenting agent again for the antidepressant, and also further help with your anxiety issues. Also just to mention, some people do get benefit from having a few sessions of CBT (cognitive behavioral therapy) from a Clinical Psychologist.
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Q. My son has a small epidermal nevus. Should I worry about potential gene mutation?
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Hello doctor, You were wonderful in allaying some health anxiety over some skin issues several months ago. So, I thought I would consult with you on another question pertaining to my son. Unfortunately, a combination of my health anxiety and the big mistake of searching online has my mind imagining the worst with regard to my son. My son is 19 years old and has no diagnosed medical issues. I noticed back when he was about eight or ten years old that he had a mark resembling a cafe au lait mark on his back, in the upper shoulder area. I had always asked the pediatrician to look at it during his yearly physicals, and they made nothing of it. Throughout the years it has grown a bit and has become darker and more rough in texture. It is probably slightly less than an inch in length and looks like a few small lesions grouped together. Again, I have brought it to the pediatrician's attention and he was not concerned. Three months ago, I made an appointment for him and my other son with a dermatologist for a skin exam, and I pointed out the spots which I wanted to be checked in particular. We met with the physician's assistant there, and my younger son had a peculiar spot I pointed out, of which the PA conducted a shave biopsy, which came back as a mildly atypical junctional nevus. For my older son, I pointed out the spot on his back/shoulder, and the PA diagnosed it as a linear epidermal nevus. She said the chances of it becoming dangerous are slim to none. It may darken throughout the years, and they will simply monitor it at yearly visits. Unfortunately, I went on to research online about epidermal nevi and of course I ran into information showing a possible link to epidermal nevus syndrome and all of its associated neurological and skeletal defects. As I said, he is 19 and has no medical issues, is extremely intelligent, etc. In your opinion, is it safe to say that I should not be concerned about those syndromes? I presume it is primarily related to the numerous and systemic epidermal nevi, which he does not have, and I would think it would have presented by now? And my last even more neurotic question. My online research led me to some information saying that a certain type of epidermal nevus could be related to a gene mutation that could be passed along to an offspring, with them having possible serious skin scaling conditions, etc. Again, he has just one solitary small epidermal nevus. No biopsy was done, as the PA did not feel it was necessary. Do you feel there is any need for me to worry about that potential genetic mutation? Thank you so much for reading my long query.
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Hello. A solitary epidermal nevus is very common and does not pose any kind of serious health concern. Neither is a biopsy required. You are right. Any associated symptom should have been present since birth or early childhood in this case. Even if it is passed on to the future generations, it is harmless. A yearly medical examination is more than enough for the nevi in both your kids. Good luck.
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<s>[INST]
Hello doctor, You were wonderful in allaying some health anxiety over some skin issues several months ago. So, I thought I would consult with you on another question pertaining to my son. Unfortunately, a combination of my health anxiety and the big mistake of searching online has my mind imagining the worst with regard to my son. My son is 19 years old and has no diagnosed medical issues. I noticed back when he was about eight or ten years old that he had a mark resembling a cafe au lait mark on his back, in the upper shoulder area. I had always asked the pediatrician to look at it during his yearly physicals, and they made nothing of it. Throughout the years it has grown a bit and has become darker and more rough in texture. It is probably slightly less than an inch in length and looks like a few small lesions grouped together. Again, I have brought it to the pediatrician's attention and he was not concerned. Three months ago, I made an appointment for him and my other son with a dermatologist for a skin exam, and I pointed out the spots which I wanted to be checked in particular. We met with the physician's assistant there, and my younger son had a peculiar spot I pointed out, of which the PA conducted a shave biopsy, which came back as a mildly atypical junctional nevus. For my older son, I pointed out the spot on his back/shoulder, and the PA diagnosed it as a linear epidermal nevus. She said the chances of it becoming dangerous are slim to none. It may darken throughout the years, and they will simply monitor it at yearly visits. Unfortunately, I went on to research online about epidermal nevi and of course I ran into information showing a possible link to epidermal nevus syndrome and all of its associated neurological and skeletal defects. As I said, he is 19 and has no medical issues, is extremely intelligent, etc. In your opinion, is it safe to say that I should not be concerned about those syndromes? I presume it is primarily related to the numerous and systemic epidermal nevi, which he does not have, and I would think it would have presented by now? And my last even more neurotic question. My online research led me to some information saying that a certain type of epidermal nevus could be related to a gene mutation that could be passed along to an offspring, with them having possible serious skin scaling conditions, etc. Again, he has just one solitary small epidermal nevus. No biopsy was done, as the PA did not feel it was necessary. Do you feel there is any need for me to worry about that potential genetic mutation? Thank you so much for reading my long query. [/INST] Hello. A solitary epidermal nevus is very common and does not pose any kind of serious health concern. Neither is a biopsy required. You are right. Any associated symptom should have been present since birth or early childhood in this case. Even if it is passed on to the future generations, it is harmless. A yearly medical examination is more than enough for the nevi in both your kids. Good luck.
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Q. I have a problem with bowel movements. Kindly help me.
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Hello doctor, I am having a problem with bowel movements with soft, pasty stools. Lots of small stools after the first bowel movement in the morning. All bowel movements take hours to develop once I feel I am in need of a bowel movement. Often times I have to manipulate bowel movement with a shallow enema. Most bowel movements are difficult and are a single push that leaves me feeling as it is incomplete. The build up to a movement either assisted or not is extremely uncomfortable. No sharp pains but gassy, bloated and a feeling of inflammation in lower bowel where sigmoid colon meets rectum. I have no problem with fiber in my diet and I eat fermented foods and take probiotics.
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Hello. So, this basically occurs due to constipation and incomplete evacuation. There are certain points you need to remember. Firstly, you need to have a healthy lifestyle which includes a healthy diet and regular exercises. In diet, you should eat a high-fiber diet like fruits (apple, banana, oranges), green leafy vegetables like spinach, raw cucumber, whole wheat, etc., and plenty of water, which will help your free passage of stools. Next thing, make use of morning gastrocolic reflex. Normally when one eats breakfast, one tends to get a bowel movement. So have a good breakfast and plenty of water which will give good gastrocolic reflex. Visit washroom after this reflex comes. Most importantly, effective and physiological treatment is fiber supplementation. You should have Psyllium husk 5 to 6 g with each meal and drink plenty of water after it so as to give good volume to your stools. Gradually, we can increase the dose as needed up to 10 g with each meal. If this is not effective we can try other laxatives like syrup Lactulose 15 to begin with and increased up to 30 ml at bedtime which is also quite effective. Linzess you have already been trying, Lubiprostone we can try later. But we try to avoid this as much as possible as it can lead to laxative abuse. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am having a problem with bowel movements with soft, pasty stools. Lots of small stools after the first bowel movement in the morning. All bowel movements take hours to develop once I feel I am in need of a bowel movement. Often times I have to manipulate bowel movement with a shallow enema. Most bowel movements are difficult and are a single push that leaves me feeling as it is incomplete. The build up to a movement either assisted or not is extremely uncomfortable. No sharp pains but gassy, bloated and a feeling of inflammation in lower bowel where sigmoid colon meets rectum. I have no problem with fiber in my diet and I eat fermented foods and take probiotics. [/INST] Hello. So, this basically occurs due to constipation and incomplete evacuation. There are certain points you need to remember. Firstly, you need to have a healthy lifestyle which includes a healthy diet and regular exercises. In diet, you should eat a high-fiber diet like fruits (apple, banana, oranges), green leafy vegetables like spinach, raw cucumber, whole wheat, etc., and plenty of water, which will help your free passage of stools. Next thing, make use of morning gastrocolic reflex. Normally when one eats breakfast, one tends to get a bowel movement. So have a good breakfast and plenty of water which will give good gastrocolic reflex. Visit washroom after this reflex comes. Most importantly, effective and physiological treatment is fiber supplementation. You should have Psyllium husk 5 to 6 g with each meal and drink plenty of water after it so as to give good volume to your stools. Gradually, we can increase the dose as needed up to 10 g with each meal. If this is not effective we can try other laxatives like syrup Lactulose 15 to begin with and increased up to 30 ml at bedtime which is also quite effective. Linzess you have already been trying, Lubiprostone we can try later. But we try to avoid this as much as possible as it can lead to laxative abuse. Hope this helps you and get back if you have any doubts. For more information consult an internal medicine physician online -->
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Q. Is my headache a side effect of any medicine?
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Hi doctor, I am a CAD patient for the past 10 years with 50% blockage. I have uploaded the image for your reference. I am taking Prolomet XL 50, Monit SR 30, Deplatt A 75, Lipicard 160 and Amixide H. I am suffering from headache since one year. My neurologist prescribed me Tryptomer 10 at first and then changed to Zapiz. But, my headache has not reduced. My scan report is normal. I am in a trouble with this continuous headache. Is it a side effect of my cardiac problem medication? How to get rid of this condition? I also suffer from mild chest pain. Recently, I had a blood test and all are fine except lipid profile, HDL cholesterol 36 and SGPT 91. Also, my red cell distribution width is 16.2 and the normal range is 11.6 to 14. So, is my value dangerous? I had Deanxit for 5 years, according to the prescription and stopped before 2 years. Is my heart disease dangerous? Please help me.
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Hi. I have gone through your query in detail. There are certain things that would need more clarity for a complete diagnosis. First, it is strange that you have a blockage at such young age. I would suggest that you should get yourself revaluated for CAD (coronary artery disease). The possible reason for the headache is your medicine Monit SR (Isosorbide mononitrate) can be a cause of headache. Nitrate headaches are well known and we would need to see if this is the reason in your case. Also, since you have CAD at such a young age, there can be a possibility of carotid artery blockage which might be giving you a headache. Get that evaluated. Revert back with the reports to a cardiologist online -->
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<s>[INST]
Hi doctor, I am a CAD patient for the past 10 years with 50% blockage. I have uploaded the image for your reference. I am taking Prolomet XL 50, Monit SR 30, Deplatt A 75, Lipicard 160 and Amixide H. I am suffering from headache since one year. My neurologist prescribed me Tryptomer 10 at first and then changed to Zapiz. But, my headache has not reduced. My scan report is normal. I am in a trouble with this continuous headache. Is it a side effect of my cardiac problem medication? How to get rid of this condition? I also suffer from mild chest pain. Recently, I had a blood test and all are fine except lipid profile, HDL cholesterol 36 and SGPT 91. Also, my red cell distribution width is 16.2 and the normal range is 11.6 to 14. So, is my value dangerous? I had Deanxit for 5 years, according to the prescription and stopped before 2 years. Is my heart disease dangerous? Please help me. [/INST] Hi. I have gone through your query in detail. There are certain things that would need more clarity for a complete diagnosis. First, it is strange that you have a blockage at such young age. I would suggest that you should get yourself revaluated for CAD (coronary artery disease). The possible reason for the headache is your medicine Monit SR (Isosorbide mononitrate) can be a cause of headache. Nitrate headaches are well known and we would need to see if this is the reason in your case. Also, since you have CAD at such a young age, there can be a possibility of carotid artery blockage which might be giving you a headache. Get that evaluated. Revert back with the reports to a cardiologist online -->
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Q. What causes bleeding after sex?
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Hi doctor, Last night I had sex with my wife. It was the last day of her periods. She bled light red color with some watery fluid in it. I would like to know, is that from menstruation or virginity defloration? Does she lose her virginity?
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Hello. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, Last night I had sex with my wife. It was the last day of her periods. She bled light red color with some watery fluid in it. I would like to know, is that from menstruation or virginity defloration? Does she lose her virginity? [/INST] Hello. For further information consult an obstetrician and gynaecologist online -->
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Q. My 2. 5 months pregnant wife's TSH has reduced. Do we need to reduce Thyronorm dosage?
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Hi doctor, My wife is 2.5 months pregnant. She is 29 years old, weighs 46.2 kg and is 4.10 feet tall. She has subclinical hypothyroidism, and her TSH is 12.7. She takes Thyronorm 75 mcg. Recently, we tested her TSH, which was 10.5 and total thyroxine (T4) is 12.4 (reference value is 4.5 to 12). Do we continue the same Thyronorm 75 mcg or reduce the dose?
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Hi. Revert with more information to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My wife is 2.5 months pregnant. She is 29 years old, weighs 46.2 kg and is 4.10 feet tall. She has subclinical hypothyroidism, and her TSH is 12.7. She takes Thyronorm 75 mcg. Recently, we tested her TSH, which was 10.5 and total thyroxine (T4) is 12.4 (reference value is 4.5 to 12). Do we continue the same Thyronorm 75 mcg or reduce the dose? [/INST] Hi. Revert with more information to an obstetrician and gynaecologist online -->
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Q. I have vaginal itching and white deposits on skin. What can it be?
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Hello doctor, I am 35 year old. I have diabetes. I had dengue infection few months back and since that day I have vaginal itching. It is usually mild but gets severe sometime. I am not sure whether it is because my blood sugar, which is not in control and nothing to do with dengue. I think it as yeast infection. It is itching too much around vagina including urinal area. There is a white deposit on my skin. For itching, I scratch it and it pains. Can you please help me? Thank you.
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Hi. It seems you do have yeast infection. It looks like your blood sugar is not under control because of which you are having this problem. Dengue is unrelated to this. Try putting Canestan (Clotrimazole) ointment on the area after properly cleaning the area, four to five times a day. Keep the area dry and clean. Also insert three Candid-CL tablets (combination of Clotrimazole and Clindamycin) daily at night into the vagina. This should help you out. If not, then we need to add oral antifungal medicines. Also, if this does not control the vaginal itching, take Allegra (Fexofenadine) tablets at night. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am 35 year old. I have diabetes. I had dengue infection few months back and since that day I have vaginal itching. It is usually mild but gets severe sometime. I am not sure whether it is because my blood sugar, which is not in control and nothing to do with dengue. I think it as yeast infection. It is itching too much around vagina including urinal area. There is a white deposit on my skin. For itching, I scratch it and it pains. Can you please help me? Thank you. [/INST] Hi. It seems you do have yeast infection. It looks like your blood sugar is not under control because of which you are having this problem. Dengue is unrelated to this. Try putting Canestan (Clotrimazole) ointment on the area after properly cleaning the area, four to five times a day. Keep the area dry and clean. Also insert three Candid-CL tablets (combination of Clotrimazole and Clindamycin) daily at night into the vagina. This should help you out. If not, then we need to add oral antifungal medicines. Also, if this does not control the vaginal itching, take Allegra (Fexofenadine) tablets at night. For further queries consult an obstetrician and gynaecologist online -->
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Q. My CT abdomen is suggestive of colitis. Would you explain the symptoms?
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Hi doctor, I am a 54 year old male. My weight is 84 kg, and weight is 175 cm. I have done a CT scan before three months, and it showed mild thickening of the sigmoid colon suggestive colitis. I do not have any symptoms of colitis, diarrhea or blood in the stool. I have done stool occult blood tests several times since the report, and all came negative. Also, my CBC test fine. My complaint is a very mild abdominal pain for around two to three times a year. It would last for a week or so along with the feeling that I need to have a bowel movement. Besides the CT report, I have no sense of colitis. Would you explain my symptoms?
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Hi. For further information consult a medical gastroenterologist online -->
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<s>[INST]
Hi doctor, I am a 54 year old male. My weight is 84 kg, and weight is 175 cm. I have done a CT scan before three months, and it showed mild thickening of the sigmoid colon suggestive colitis. I do not have any symptoms of colitis, diarrhea or blood in the stool. I have done stool occult blood tests several times since the report, and all came negative. Also, my CBC test fine. My complaint is a very mild abdominal pain for around two to three times a year. It would last for a week or so along with the feeling that I need to have a bowel movement. Besides the CT report, I have no sense of colitis. Would you explain my symptoms? [/INST] Hi. For further information consult a medical gastroenterologist online -->
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Q. Kindly suggest medicines to minimize the muscle and nerve tightening and any new effective medicine for ankylosing spondylitis.
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Hello doctor, Seven years ago, I was affected by ankylosing spondylitis (HLA-B27 positive) (RF negative). And then after a year, I was affected by pulmonary tuberculosis (TB lungs). Tuberculosis was controlled within months and I continued taking medication for ankylosing spondylitis. And then for a few months I had used homeopathy and ayurvedic medicines. Now I am on SAAZ-DS and NSAIDs. Bilateral SI (sacroiliac) joint spaces are reduced and restricted forward movement and other joint movements. I am doing light exercise, but in pain. It is a bit difficult. Last month, as usual back pain knocked on my right side lower back, but this time muscles got tightened and in the morning when I wake up, pain is so severe. Pain is so severe that, even pain killer does not work. After few days, the pain disappears and one of the nerve on the same right side back feels like tightened and I feel something like electric shocks. Even during sleep, when I wake up there is too much pain. I get stuck in one position, but after standing and walking, the pain disappears gradually. Again after few days, it reduces gradually but not completely. I am now 28 years old and I weigh 66 Kg. In the past few months my weight has increased about 6 Kg, I am requesting you to kindly suggest medicines to minimize the muscle and nerve tightening and any new effective medicine for ankylosing spondylitis.
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Hi. Following are the answers for your queries: Stay healthy. Revert back with the reports to a rheumatologist online -->
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<s>[INST]
Hello doctor, Seven years ago, I was affected by ankylosing spondylitis (HLA-B27 positive) (RF negative). And then after a year, I was affected by pulmonary tuberculosis (TB lungs). Tuberculosis was controlled within months and I continued taking medication for ankylosing spondylitis. And then for a few months I had used homeopathy and ayurvedic medicines. Now I am on SAAZ-DS and NSAIDs. Bilateral SI (sacroiliac) joint spaces are reduced and restricted forward movement and other joint movements. I am doing light exercise, but in pain. It is a bit difficult. Last month, as usual back pain knocked on my right side lower back, but this time muscles got tightened and in the morning when I wake up, pain is so severe. Pain is so severe that, even pain killer does not work. After few days, the pain disappears and one of the nerve on the same right side back feels like tightened and I feel something like electric shocks. Even during sleep, when I wake up there is too much pain. I get stuck in one position, but after standing and walking, the pain disappears gradually. Again after few days, it reduces gradually but not completely. I am now 28 years old and I weigh 66 Kg. In the past few months my weight has increased about 6 Kg, I am requesting you to kindly suggest medicines to minimize the muscle and nerve tightening and any new effective medicine for ankylosing spondylitis. [/INST] Hi. Following are the answers for your queries: Stay healthy. Revert back with the reports to a rheumatologist online -->
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Q. I have abdominal pain and diarrhea thrice a day. What is wrong?
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Hello doctor,I am suffering from abdominal pain and diarrhea three to four times a day for the last four months. I have gone through colonoscopy and sigmoidoscopy followed by a biopsy. As per the biopsy, it is a mild non-specific inflammation. So, my doctor did several tests like fecal calprotectin, and ASCA-IGg to check for IBD. However, the results were negative. I have got a stool occult test done, and it came back negative as well. At present, I am taking Rifaximin 400 mg, Librax, and VSL#3, but the problem is not solved.
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Hello. Follow-up after five days. Revert after five days to a surgical gastroenterologist online -->
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<s>[INST]
Hello doctor,I am suffering from abdominal pain and diarrhea three to four times a day for the last four months. I have gone through colonoscopy and sigmoidoscopy followed by a biopsy. As per the biopsy, it is a mild non-specific inflammation. So, my doctor did several tests like fecal calprotectin, and ASCA-IGg to check for IBD. However, the results were negative. I have got a stool occult test done, and it came back negative as well. At present, I am taking Rifaximin 400 mg, Librax, and VSL#3, but the problem is not solved. [/INST] Hello. Follow-up after five days. Revert after five days to a surgical gastroenterologist online -->
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Q. Why do I have a drop of blood discharging from my penis?
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Hello doctor,I have a drop of blood discharging from my penis almost daily, but not while urinating. I did the urine test, and nothing abnormal was found in the reports except that the urine was acidic. It is happening for the past two weeks. Kindly help me.
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Hello. Blood in urine should be evaluated properly by blood reports and imaging. You require complete blood count, creatinine, serum electrolytes and ultrasound of abdomen and pelvis. It could be stone or infection but you need to get the above reports done. For more information consult a urologist online -->
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<s>[INST]
Hello doctor,I have a drop of blood discharging from my penis almost daily, but not while urinating. I did the urine test, and nothing abnormal was found in the reports except that the urine was acidic. It is happening for the past two weeks. Kindly help me. [/INST] Hello. Blood in urine should be evaluated properly by blood reports and imaging. You require complete blood count, creatinine, serum electrolytes and ultrasound of abdomen and pelvis. It could be stone or infection but you need to get the above reports done. For more information consult a urologist online -->
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Q. I am unable to fold my finger from the time I hit on it with a tennis ball. Kindly help me.
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Hi doctor, A few days back, I got hit on my finger with a tennis ball. I am unable to fold the finger from that time. I thought it as normal and applied ice. Also, I am using an ointment given by an RMP. It is almost two days now and still, I am unable to fold the finger. If there are three joints in a finger, then I am getting pain in the middle joint whenever my dad or mom does some massage with ice. Kindly help me with the above issue. Thanking you in advance.
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Hi. I know how it feels when the finger got hit and unable to fold. First of all, after applying ice for 10-15 minutes ask someone to hold the finger from hand to the first joint. As you know there are three joints in a finger, ask them to slowly move the first joint without disturbing the second joint, and then do the same with the second joint by holding the first and the third joint. Repeat this for at least four times a day. If unable to do movements, then you can visit a surgical shop and ask for a single finger grip. which helps in the immobility of fingers. If available, can take Paraffin wax used in physio treatment. Melt the wax and apply it on the finger for 10 minutes. The wax therapy will be available at any Physiotherapy Centre. I hope these remedies will provide some relief from pain and gives mobility of the finger. Follow up after a week for the further treatment plans. Thank you.
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<s>[INST]
Hi doctor, A few days back, I got hit on my finger with a tennis ball. I am unable to fold the finger from that time. I thought it as normal and applied ice. Also, I am using an ointment given by an RMP. It is almost two days now and still, I am unable to fold the finger. If there are three joints in a finger, then I am getting pain in the middle joint whenever my dad or mom does some massage with ice. Kindly help me with the above issue. Thanking you in advance. [/INST] Hi. I know how it feels when the finger got hit and unable to fold. First of all, after applying ice for 10-15 minutes ask someone to hold the finger from hand to the first joint. As you know there are three joints in a finger, ask them to slowly move the first joint without disturbing the second joint, and then do the same with the second joint by holding the first and the third joint. Repeat this for at least four times a day. If unable to do movements, then you can visit a surgical shop and ask for a single finger grip. which helps in the immobility of fingers. If available, can take Paraffin wax used in physio treatment. Melt the wax and apply it on the finger for 10 minutes. The wax therapy will be available at any Physiotherapy Centre. I hope these remedies will provide some relief from pain and gives mobility of the finger. Follow up after a week for the further treatment plans. Thank you.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I would like a feedback on my semen analysis report.
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Hello doctor,I would like to get a feedback on the semen analysis report.
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Hello. I have gone through your reports (attachment removed to protect patient identity). For more information consult a sexologist online -->
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<s>[INST]
Hello doctor,I would like to get a feedback on the semen analysis report. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). For more information consult a sexologist online -->
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Q. Why did my shoulder get dislocated for the second time? How do I treat it?
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Hello doctor, I am 30 years old. I met with an accident some nine years ago which resulted in a chip fracture of the left shoulder acromion. After nine months, I had a shoulder dislocation in the same shoulder which was corrected by a bone setter at home. Recently, the same shoulder again got dislocated while sleeping which was corrected again by a bone setter at home. Below are the conclusions from the MRI report: Avulsion of the anterior glenoid from the glenoid margin in the anteroinferior position suggestive of a Bankart lesion. Concave deformity of the posterosuperior lateral aspect of the humeral head with underlying marrow edema suggestive of a Hill-Sachs lesion. Subchondral cyst in the greater tuberosity beneath the attachment of the supraspinatus tendon. Please advise me on the above. Also, please advise if any shoulder braces or supports are available in the market which can help avoid further dislocations. Thanks a lot for the assistance.
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Hello. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with the clinical findings. Regards. For more information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, I am 30 years old. I met with an accident some nine years ago which resulted in a chip fracture of the left shoulder acromion. After nine months, I had a shoulder dislocation in the same shoulder which was corrected by a bone setter at home. Recently, the same shoulder again got dislocated while sleeping which was corrected again by a bone setter at home. Below are the conclusions from the MRI report: Avulsion of the anterior glenoid from the glenoid margin in the anteroinferior position suggestive of a Bankart lesion. Concave deformity of the posterosuperior lateral aspect of the humeral head with underlying marrow edema suggestive of a Hill-Sachs lesion. Subchondral cyst in the greater tuberosity beneath the attachment of the supraspinatus tendon. Please advise me on the above. Also, please advise if any shoulder braces or supports are available in the market which can help avoid further dislocations. Thanks a lot for the assistance. [/INST] Hello. This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with the clinical findings. Regards. For more information consult an orthopaedician and traumatologist online -->
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Q. My gym trainer is asking me to start whey protein. Do they have any side effects?
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Hello doctor, I am 29 year old male. I weigh 90 kg and my height is 5'12". I actually started going to gym 3 months back and my trainer is asking me to start whey protein. I just bought one. Now my queries are: Are they safe to consume? Do they have any side effects? I do workout not very intensely but yes to a level, so will this affect while I start drinking protein? What is the best way to consume it? What if after few months or years I stop going to gym and stop consuming whey immediately will it create any issue in future? How much necessary it is to consume whey than the natural food? Please note that I am a pure vegetarian.
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Hi. Revert back to a nutritionist online for further follow up -->
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<s>[INST]
Hello doctor, I am 29 year old male. I weigh 90 kg and my height is 5'12". I actually started going to gym 3 months back and my trainer is asking me to start whey protein. I just bought one. Now my queries are: Are they safe to consume? Do they have any side effects? I do workout not very intensely but yes to a level, so will this affect while I start drinking protein? What is the best way to consume it? What if after few months or years I stop going to gym and stop consuming whey immediately will it create any issue in future? How much necessary it is to consume whey than the natural food? Please note that I am a pure vegetarian. [/INST] Hi. Revert back to a nutritionist online for further follow up -->
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Q. Why do my eyes hurt after staring at a computer for 30 minutes?
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Hello doctor, I am a programmer, and I use the computer for 12 hours every day. My eyes start hurting after 30 minutes of staring at the computer. I do not have any vision issues, apart from the pain that I feel.
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Hello. I hope this will help you. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, I am a programmer, and I use the computer for 12 hours every day. My eyes start hurting after 30 minutes of staring at the computer. I do not have any vision issues, apart from the pain that I feel. [/INST] Hello. I hope this will help you. For more information consult an eye care ophthalmologist online -->
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Q. Am I taking my birth control pills in the right sequence?
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Hello doctor, I am a 28 year old female. I am on birth control pills (Femilon) from the last two months. I had finished the first pack on the 19th last month. After that, I got my period on the sixth pill-free day, that is, on the 25th. I have restarted the new pack on the 27th. I have taken all the pills regularly and at the same time between 10.30 to 11 PM every day without missing any pill. On the 5th of this month, I had unprotected sex with my husband, but he did not ejaculate inside me and my second pill pack finished on the 16th this month. Today is my sixth pill-free day, but I still did not get my period. I am not feeling any pre-period symptoms like legs and back pains. I have done a home pregnancy test on the fourth pill-free day, but that was negative. I am worried about pregnancy because I have a little one who is 2 years old and I do not want another baby now. I had a D and C just four months back as the emergency contraceptive pill Unwanted 72 I took failed in my case. I am worried about this. Please suggest what I should do so that I can relax. Is my sequence of taking the new pill pack of 21 pills after a gap of seven days correct?
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Hello. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am a 28 year old female. I am on birth control pills (Femilon) from the last two months. I had finished the first pack on the 19th last month. After that, I got my period on the sixth pill-free day, that is, on the 25th. I have restarted the new pack on the 27th. I have taken all the pills regularly and at the same time between 10.30 to 11 PM every day without missing any pill. On the 5th of this month, I had unprotected sex with my husband, but he did not ejaculate inside me and my second pill pack finished on the 16th this month. Today is my sixth pill-free day, but I still did not get my period. I am not feeling any pre-period symptoms like legs and back pains. I have done a home pregnancy test on the fourth pill-free day, but that was negative. I am worried about pregnancy because I have a little one who is 2 years old and I do not want another baby now. I had a D and C just four months back as the emergency contraceptive pill Unwanted 72 I took failed in my case. I am worried about this. Please suggest what I should do so that I can relax. Is my sequence of taking the new pill pack of 21 pills after a gap of seven days correct? [/INST] Hello. For further queries consult an obstetrician and gynaecologist online -->
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Q. I am facing erectile dysfunction problems for a few months now. What to do?
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Hi doctor, I am a 37-year-old male. My weight is 77.7 kg. I am facing erectile dysfunction problems. It has been going on for a few months now. I am consulting for the first time regarding my erection issue.
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Hi. I hope you are doing well. Kindly let me know a little more information to guide you better. For how long you are having this complaint? Do you have a problem while masturbation or only during intercourse? Are you able to ejaculate and penetrate into the vagina? Are you a diabetic or hypertensive and on any medications? Do you consume alcohol or smoke?
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<s>[INST]
Hi doctor, I am a 37-year-old male. My weight is 77.7 kg. I am facing erectile dysfunction problems. It has been going on for a few months now. I am consulting for the first time regarding my erection issue. [/INST] Hi. I hope you are doing well. Kindly let me know a little more information to guide you better. For how long you are having this complaint? Do you have a problem while masturbation or only during intercourse? Are you able to ejaculate and penetrate into the vagina? Are you a diabetic or hypertensive and on any medications? Do you consume alcohol or smoke?
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Q. Should I worry about my nevus spilus turning cancerous?
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Hello doctor, I have speckled lentiginous nevi, also known as nevus spilus. I have had it since I was a baby. I do not know if it is congenital. Ever since I read online that they can transform dangerous, I do not feel comfortable in my own skin. I know the nevus spilus is alright right now. Its border has not changed at all. I am not worried about it right now. But, I am scared if it can happen in the future. Should I be worried? Some of my relatives have it too, but there is no family history of skin cancer. I know that if it changes in any way, I have to go for a skin biopsy. But, should I be worried about it is what I want to know.
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Hello. I have seen your query and examined your picture (attachment removed to protect patient identity). From your descriptions and given image, it does seem you have nevus spilus. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have speckled lentiginous nevi, also known as nevus spilus. I have had it since I was a baby. I do not know if it is congenital. Ever since I read online that they can transform dangerous, I do not feel comfortable in my own skin. I know the nevus spilus is alright right now. Its border has not changed at all. I am not worried about it right now. But, I am scared if it can happen in the future. Should I be worried? Some of my relatives have it too, but there is no family history of skin cancer. I know that if it changes in any way, I have to go for a skin biopsy. But, should I be worried about it is what I want to know. [/INST] Hello. I have seen your query and examined your picture (attachment removed to protect patient identity). From your descriptions and given image, it does seem you have nevus spilus. For more information consult a dermatologist online -->
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Q. It is painful to go to the loo. Is this hemorrhoids?
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Hello doctor,For the past six months, I have had a problem where it is very painful to go to the loo. Whenever I try, there is blood on the toilet paper as well as all over the toilet. I already tried two types of medication. I used suppository as well as a cream (Anusol HC) that goes on the outside of the anus. Unfortunately, neither of them worked. What should I do? Is this hemorrhoids?
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Hello. Your bleeding per anus is because of this anal problem. As per the image provided (attachment removed to protect patient identity), it seems to be piles along with tear or fissure also. Your proctoscopy anal and rectal examination needed to check that region properly. Hope this solves your concern. For more information consult a general practitioner online -->
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<s>[INST]
Hello doctor,For the past six months, I have had a problem where it is very painful to go to the loo. Whenever I try, there is blood on the toilet paper as well as all over the toilet. I already tried two types of medication. I used suppository as well as a cream (Anusol HC) that goes on the outside of the anus. Unfortunately, neither of them worked. What should I do? Is this hemorrhoids? [/INST] Hello. Your bleeding per anus is because of this anal problem. As per the image provided (attachment removed to protect patient identity), it seems to be piles along with tear or fissure also. Your proctoscopy anal and rectal examination needed to check that region properly. Hope this solves your concern. For more information consult a general practitioner online -->
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Q. Kindly advise some medicine for anal abscess.
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Hi doctor, I am suffering from an abscess near my anal area. I am having severe pain near my anal area. I had the same two years before. I have been taking Moxclav 625 for the past two days. However, my fever has not come down. Kindly advise.
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Hello. I have read your query and understand your concern. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I am suffering from an abscess near my anal area. I am having severe pain near my anal area. I had the same two years before. I have been taking Moxclav 625 for the past two days. However, my fever has not come down. Kindly advise. [/INST] Hello. I have read your query and understand your concern. For further information consult a dermatologist online -->
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Q. I have acidity and indigestion problem. What to do?
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Hi doctor, I am a 27 year old male, who weighs 62 kg. My stomach is swollen, and it feels as if it is filled with gas. I also have low appetite, acidity, and indigestion. I used to chew tobacco from a long time, but I quit it recently. I am an occasional drinker, and I am fond of spicy foods. I am currently taking Mosiba and Famocid 40.
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Hello. I went through your post. Regards. For more information consult a general medicine physician online -->
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<s>[INST]
Hi doctor, I am a 27 year old male, who weighs 62 kg. My stomach is swollen, and it feels as if it is filled with gas. I also have low appetite, acidity, and indigestion. I used to chew tobacco from a long time, but I quit it recently. I am an occasional drinker, and I am fond of spicy foods. I am currently taking Mosiba and Famocid 40. [/INST] Hello. I went through your post. Regards. For more information consult a general medicine physician online -->
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Q. I have a tooth abscess and the pain is getting worse. Should I look for another dentist?
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Hello doctor, I have an abscess in the lower molar. There is much pain, swelling, painful jaw and lymph nodes. The dentist prescribed Amoxycillin and extraction scheduled for nine days from today. I have been on the antibiotics for 48 hours. The pain is getting worse, not better. Should I look for another dentist who has an opening for an extraction sooner?
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Hello. I can understand your problem. A tooth abscess is a painful condition and needs antibiotic cover along with painkillers for relief. So, first of all, please let me know if are you advised any painkillers along with Amoxicillin. If yes, please write the name of the painkiller. Please revert with answers. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, I have an abscess in the lower molar. There is much pain, swelling, painful jaw and lymph nodes. The dentist prescribed Amoxycillin and extraction scheduled for nine days from today. I have been on the antibiotics for 48 hours. The pain is getting worse, not better. Should I look for another dentist who has an opening for an extraction sooner? [/INST] Hello. I can understand your problem. A tooth abscess is a painful condition and needs antibiotic cover along with painkillers for relief. So, first of all, please let me know if are you advised any painkillers along with Amoxicillin. If yes, please write the name of the painkiller. Please revert with answers. For more information consult a dentist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Are vitamin A and D supplements safe to take with fatty liver?
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Hi doctor, I have low vitamin A and D levels. Are vitamin A and D supplements safe to take with liver disease? What are the highest doses that are safe to take? I have fatty liver but I do not know if it is a simple fatty liver or has progressed to NASH and fibrosis. I am a 33-year-old female. I smoke and have a history of acid reflux, low heart rates, fat indigestion, and fatty liver. Lab tests showed vitamin A 0.9 umol/L and vitamin D 37 nmol/L. Previously, I had an abdominal ultrasound and it showed liver 14.6 cm in length which gives rise to a moderately coarse dense echo pattern consistent with fatty infiltration. ALT level was 58 U/L. I am currently on N-acetyl cysteine (NAC). Thank you.
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Hello. Your vitamin A level is marginal rather than low. Less than 0.7 or 0.5 is considered low and up to 1.05 is considered marginal. So, you will probably need supplements at a very low dose. Total intake of up to 10,000 units daily is unlikely to cause any harmful effects. So, supplements of 7500 units or even 10,000 units per day for a month or two would be enough for you. I guess you do not have any symptoms of vitamin D deficiency like xerophthalmia or visual difficulties where one would need higher doses. Also, for vitamin D, supplements like Calcirol sachet are recommended in dosing of 60,000 units once a week for eight weeks with milk, and following which you may have it once a month for the next six months. Both these are unlikely to interfere with liver issues considering fatty liver and high ALT level. You are unlikely to have progressed to the severe liver disease within such a short period and without symptoms. Hope this helps you and get back if you have any doubts.
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<s>[INST]
Hi doctor, I have low vitamin A and D levels. Are vitamin A and D supplements safe to take with liver disease? What are the highest doses that are safe to take? I have fatty liver but I do not know if it is a simple fatty liver or has progressed to NASH and fibrosis. I am a 33-year-old female. I smoke and have a history of acid reflux, low heart rates, fat indigestion, and fatty liver. Lab tests showed vitamin A 0.9 umol/L and vitamin D 37 nmol/L. Previously, I had an abdominal ultrasound and it showed liver 14.6 cm in length which gives rise to a moderately coarse dense echo pattern consistent with fatty infiltration. ALT level was 58 U/L. I am currently on N-acetyl cysteine (NAC). Thank you. [/INST] Hello. Your vitamin A level is marginal rather than low. Less than 0.7 or 0.5 is considered low and up to 1.05 is considered marginal. So, you will probably need supplements at a very low dose. Total intake of up to 10,000 units daily is unlikely to cause any harmful effects. So, supplements of 7500 units or even 10,000 units per day for a month or two would be enough for you. I guess you do not have any symptoms of vitamin D deficiency like xerophthalmia or visual difficulties where one would need higher doses. Also, for vitamin D, supplements like Calcirol sachet are recommended in dosing of 60,000 units once a week for eight weeks with milk, and following which you may have it once a month for the next six months. Both these are unlikely to interfere with liver issues considering fatty liver and high ALT level. You are unlikely to have progressed to the severe liver disease within such a short period and without symptoms. Hope this helps you and get back if you have any doubts.
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Q. From yesterday, I have fever, headache, and cold. Please help.
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Hello doctor, I have fever, headache, and cold from yesterday night. I took Paracetamol. Please help.
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Hi. You are most probably suffering from common cold and flu. The headache is due to sinusitis. I suggest you try taking the following: For more information consult a general practitioner online -->
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<s>[INST]
Hello doctor, I have fever, headache, and cold from yesterday night. I took Paracetamol. Please help. [/INST] Hi. You are most probably suffering from common cold and flu. The headache is due to sinusitis. I suggest you try taking the following: For more information consult a general practitioner online -->
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Q. My husband and I are in a sexless relationship. Please help.
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Hello doctor, I have been married for almost three years now. My husband and I have not consummated our marriage. There is no intimacy and physical relationship in our marriage. Ours is a love marriage. But now, I am getting frustrated with our condition. From what I understand, my husband has a very low sexual desire and upon my extreme insistence, he tries to get physical but, the penetration does not happen at all. I want to make my marriage work but, we try to have sex only once a month and the penetration never happens. This gets my husband disappointed and he then says we have to try again next month. This once-a-month attitude frustrates me. Please help.
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Hello. Relax and do not worry. Your husband may just require some basic blood tests. All the above tests are to be done at 8 AM in the morning. For further queries consult a urologist online -->
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<s>[INST]
Hello doctor, I have been married for almost three years now. My husband and I have not consummated our marriage. There is no intimacy and physical relationship in our marriage. Ours is a love marriage. But now, I am getting frustrated with our condition. From what I understand, my husband has a very low sexual desire and upon my extreme insistence, he tries to get physical but, the penetration does not happen at all. I want to make my marriage work but, we try to have sex only once a month and the penetration never happens. This gets my husband disappointed and he then says we have to try again next month. This once-a-month attitude frustrates me. Please help. [/INST] Hello. Relax and do not worry. Your husband may just require some basic blood tests. All the above tests are to be done at 8 AM in the morning. For further queries consult a urologist online -->
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Q. Why do I have a burning sensation while passing urine?
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Hello doctor, In recent test reports, the following test values are out of range: Estimated glomerular filtration rate (eGFR) is 83, uric acid is 7.9, serum creatinine is 1.13, BUN to serum creatinine ratio is 7.59, 25-hydroxyvitamin D (total) is 8.73, homocysteine is 30, iron 57.8, and red cell distribution width - coefficient of variation (RDW-CV) of 14.6. As far as symptoms are concerned, I am feeling body pains especially stiffened neck and pain in upper shoulders, feeling drowsy in the morning, slight burning sensation near the urinary bladder while passing urine, and a burning sensation in my left calf muscle and foot sometimes. There is a feeling of a lot of gastric problems especially while waking up in the morning and sometimes constipation. I am not on any medicine. The lab reports are attached for your review.
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Hello. I have gone through your reports (attachment removed to protect patient identity). For more information consult a neurologist online -->
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<s>[INST]
Hello doctor, In recent test reports, the following test values are out of range: Estimated glomerular filtration rate (eGFR) is 83, uric acid is 7.9, serum creatinine is 1.13, BUN to serum creatinine ratio is 7.59, 25-hydroxyvitamin D (total) is 8.73, homocysteine is 30, iron 57.8, and red cell distribution width - coefficient of variation (RDW-CV) of 14.6. As far as symptoms are concerned, I am feeling body pains especially stiffened neck and pain in upper shoulders, feeling drowsy in the morning, slight burning sensation near the urinary bladder while passing urine, and a burning sensation in my left calf muscle and foot sometimes. There is a feeling of a lot of gastric problems especially while waking up in the morning and sometimes constipation. I am not on any medicine. The lab reports are attached for your review. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). For more information consult a neurologist online -->
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Q. Shall I plan for a baby while on TB treatment?
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Hi doctor, Recently I went to doctor as I was coughing up with blood. The doctor prescribed a few tests and x-ray. After that, I got to know that I am suffering from TB. Now, I am on Ethambutol, Pyrazinamide and R Cinex for at least six months. I just wanted to know whether can I still plan for a baby while on TB treatment as I am eagerly waiting to get pregnant. I was on Clomid, Duphaston, and Progynova as I was taking fertility treatment too. But, I recently stopped all fertility medicine when I got to know about TB. I felt that it is worth now thinking of the baby. Please help as we are completely confused and so many things in mind making us feel more scary.
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Hi. I can understand your situation For further information consult an infertility specialist online -->
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<s>[INST]
Hi doctor, Recently I went to doctor as I was coughing up with blood. The doctor prescribed a few tests and x-ray. After that, I got to know that I am suffering from TB. Now, I am on Ethambutol, Pyrazinamide and R Cinex for at least six months. I just wanted to know whether can I still plan for a baby while on TB treatment as I am eagerly waiting to get pregnant. I was on Clomid, Duphaston, and Progynova as I was taking fertility treatment too. But, I recently stopped all fertility medicine when I got to know about TB. I felt that it is worth now thinking of the baby. Please help as we are completely confused and so many things in mind making us feel more scary. [/INST] Hi. I can understand your situation For further information consult an infertility specialist online -->
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Q. Why do I overload my brain with so many thoughts?
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Hi doctor, I was diagnosed with essential tremors, and I am always distracted. I suffer from tics and obsessive, repetitive movement like blinking, clenching my fist, breathing tics, obsessed with personalities and how consciousness works. I always focused on my bodily sensations, like how my legs feel pressed against something. I have trouble finishing a thought. I always try to understand difficult things, such as how consciousness works, the concept of a soul, solipsism, how people learn a language as babies, time, infinity, what makes people different, the purpose of life, what makes people tic, personality disorders, etc. I am very into, the MBTI, Enneagram, global 5 type, Sigmond Freud's id, ego, and superego, Maslow's hierarchy of needs, horoscope and other personality assessments. I basically try to dissect people through observing them like you would disassemble a car and understanding how each piece works and then putting it all together and seeing how it all works together. I am always placing people into categories. I sometimes would watch a movie and carefully observe a person's tone, body language, gestures, laugh, eye movements, facial expressions and try to get deeper into who they might be and why they are like that. People give me a feeling, and I sometimes categorize them like the four elements, water, wind, earth and fire. Angry people like fire, passive people like water, happy outgoing people like water, and reserved stubborn people like fire. I am always placing myself into people's shoes and seeing a scenario as if I was them and they were me. If left alone, I could fry my brain with an overload of thoughts.
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Hi. You can review with me for further follow-up. For further queries consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I was diagnosed with essential tremors, and I am always distracted. I suffer from tics and obsessive, repetitive movement like blinking, clenching my fist, breathing tics, obsessed with personalities and how consciousness works. I always focused on my bodily sensations, like how my legs feel pressed against something. I have trouble finishing a thought. I always try to understand difficult things, such as how consciousness works, the concept of a soul, solipsism, how people learn a language as babies, time, infinity, what makes people different, the purpose of life, what makes people tic, personality disorders, etc. I am very into, the MBTI, Enneagram, global 5 type, Sigmond Freud's id, ego, and superego, Maslow's hierarchy of needs, horoscope and other personality assessments. I basically try to dissect people through observing them like you would disassemble a car and understanding how each piece works and then putting it all together and seeing how it all works together. I am always placing people into categories. I sometimes would watch a movie and carefully observe a person's tone, body language, gestures, laugh, eye movements, facial expressions and try to get deeper into who they might be and why they are like that. People give me a feeling, and I sometimes categorize them like the four elements, water, wind, earth and fire. Angry people like fire, passive people like water, happy outgoing people like water, and reserved stubborn people like fire. I am always placing myself into people's shoes and seeing a scenario as if I was them and they were me. If left alone, I could fry my brain with an overload of thoughts. [/INST] Hi. You can review with me for further follow-up. For further queries consult a psychiatrist online -->
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Q. After LASIK and flap striae surgery, when will I get normal vision?
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Hi doctor, I had LASIK on my both eyes before 10 days. The next day, my right eye was clear, but my left eye was blurry. I went to the doctor and he said that there are striae on my flap, which needs to be fixed again by a surgery. He asked me to wait for two days because he thought that the vision might come as it was cleared by 5% since the operated day. Later, I had my other surgery where the doctor raised the flap, stretched and put it back. I was told that the surgery is successful and vision will come in three days. I visit the doctor every day to show the results, but I still have no vision and it is more than five days now. Kindly please tell me when will my vision come. How much time will it take? I was told that my epithelial cells are not formed yet they needed another day. Please help me.
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Hi. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I had LASIK on my both eyes before 10 days. The next day, my right eye was clear, but my left eye was blurry. I went to the doctor and he said that there are striae on my flap, which needs to be fixed again by a surgery. He asked me to wait for two days because he thought that the vision might come as it was cleared by 5% since the operated day. Later, I had my other surgery where the doctor raised the flap, stretched and put it back. I was told that the surgery is successful and vision will come in three days. I visit the doctor every day to show the results, but I still have no vision and it is more than five days now. Kindly please tell me when will my vision come. How much time will it take? I was told that my epithelial cells are not formed yet they needed another day. Please help me. [/INST] Hi. For further information consult an eye care ophthalmologist online -->
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Q. My cough lasted only for a week and the doctor says it is tuberculosis. Please help.
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Hello doctor, There is parenchymal infiltrate on the right upper lobe of my lung. My doctor said that I have a ptb3, which looks like a serious stage of tuberculosis. I was shocked because I never had a cough since September. Before the month of September, my cough lasted only for a week and then suddenly went off and I feel all right until now. I never had a fever or cough again. I searched through internet about the symptoms of tuberculosis and I found that I experienced none of those symptoms. Please help.
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Hi. Revert back with the reports to a pulmonologist online for further follow up -->
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<s>[INST]
Hello doctor, There is parenchymal infiltrate on the right upper lobe of my lung. My doctor said that I have a ptb3, which looks like a serious stage of tuberculosis. I was shocked because I never had a cough since September. Before the month of September, my cough lasted only for a week and then suddenly went off and I feel all right until now. I never had a fever or cough again. I searched through internet about the symptoms of tuberculosis and I found that I experienced none of those symptoms. Please help. [/INST] Hi. Revert back with the reports to a pulmonologist online for further follow up -->
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Q. I have a swollen lymph node since one year. Is it something to worry about?
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Hello doctor, I am a 26 year old female. I went to my GP last year for a swollen lymph node, on the right side of the jaw. But, my GP was not concerned. Recently, I have noticed this lymph node is still there. It is movable, hard, sausage shaped and attached from under the ear. It is moveable next to the throat. I have also noticed that my tonsil on that side is very visible but the left side looks sunken and I am unable to see it at all. I do not really have any symptoms of illness. I have a headache now and again behind the eyes and temples. I have also got a single red dot on the roof of the mouth that I never had before.
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Hello. You have a unilateral enlargement of the tonsil, namely the right one. Do revert back if you need any further support. For more information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, I am a 26 year old female. I went to my GP last year for a swollen lymph node, on the right side of the jaw. But, my GP was not concerned. Recently, I have noticed this lymph node is still there. It is movable, hard, sausage shaped and attached from under the ear. It is moveable next to the throat. I have also noticed that my tonsil on that side is very visible but the left side looks sunken and I am unable to see it at all. I do not really have any symptoms of illness. I have a headache now and again behind the eyes and temples. I have also got a single red dot on the roof of the mouth that I never had before. [/INST] Hello. You have a unilateral enlargement of the tonsil, namely the right one. Do revert back if you need any further support. For more information consult an ENT otolaryngologist online -->
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Q. Which antipsychotic medicine will cause the least weight gain?
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Hi doctor, Which atypical antipsychotic will cause the least weight gain? Abilify is not an option as I am allergic to it. Also, Geodon or Zeldox gave me severe drowsiness to the point that I had to sleep or could not open my eyes. Please help me.
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Hi. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, Which atypical antipsychotic will cause the least weight gain? Abilify is not an option as I am allergic to it. Also, Geodon or Zeldox gave me severe drowsiness to the point that I had to sleep or could not open my eyes. Please help me. [/INST] Hi. For further information consult a psychiatrist online -->
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Q. Will Isotretinoin affect my HIV and syphilis tests?
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Hi doctor, I was taking Isotretinoin tablet from four months, and I stopped taking it. I had dry mouth, sores, thick line inside cheeks, some rough patches inside cheeks and lips also. But even after stopping Isotretinoin, I still have these problems. I have a lot of hair loss, nearly 300 to 400 per day. I also have a bump in the vaginal region. Whenever I search these symptoms online, it shows HIV or herpes. I am very scared. But, I took an HIV and syphilis tests after one month of possible exposure, which was negative. I again took the test after three months, which was also negative. Last month, that is after four months of exposure, the test was negative. But, most experts say that chemotherapy can affect HIV test. So, I think Isotretinoin can affect my HIV test to show a false negative. I am very scared of HIV, syphilis, and herpes. I am just 24 years old and planning to get pregnant. Please clear my doubts. What can I do?
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Hi. All the best. Best wishes. For more information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I was taking Isotretinoin tablet from four months, and I stopped taking it. I had dry mouth, sores, thick line inside cheeks, some rough patches inside cheeks and lips also. But even after stopping Isotretinoin, I still have these problems. I have a lot of hair loss, nearly 300 to 400 per day. I also have a bump in the vaginal region. Whenever I search these symptoms online, it shows HIV or herpes. I am very scared. But, I took an HIV and syphilis tests after one month of possible exposure, which was negative. I again took the test after three months, which was also negative. Last month, that is after four months of exposure, the test was negative. But, most experts say that chemotherapy can affect HIV test. So, I think Isotretinoin can affect my HIV test to show a false negative. I am very scared of HIV, syphilis, and herpes. I am just 24 years old and planning to get pregnant. Please clear my doubts. What can I do? [/INST] Hi. All the best. Best wishes. For more information consult an internal medicine physician online -->
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Q. My urine output is low, except when I exercise or do abdominal massage. Please help.
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Hi doctor, I am a 30-year-old male. I have urination problem. It started a day ago. I observed low output of urine that is only a small amount every time I have urinated. But, when I exercise or do some abdominal massage, the urine output level is more. I also uploaded the lab test report. Kindly check and suggest medicines. Thank you doctor.
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Hi. Your reports are grossly normal except for isolated ketonuria. I think you get repeat urine for ketones test done as I do not find a cause for it (it can be lab miscalculation). Mostly ketonuria occurs in uncontrolled diabetes, starvation, prolonged vomiting and diarrhea, glycogen storage diseases, severe sustained exercise, dietary imbalance (high fat or low carbohydrate diet), and high-grade fever. So, repeat the test and we will discuss it if still positive for ketones. I will prescribe medication for your urinary problem and just a few questions. Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Is there any history of surgery or catheterization in the past? Do you have any history of recurrent UTI? I am looking forward to your answers. Thank you.
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<s>[INST]
Hi doctor, I am a 30-year-old male. I have urination problem. It started a day ago. I observed low output of urine that is only a small amount every time I have urinated. But, when I exercise or do some abdominal massage, the urine output level is more. I also uploaded the lab test report. Kindly check and suggest medicines. Thank you doctor. [/INST] Hi. Your reports are grossly normal except for isolated ketonuria. I think you get repeat urine for ketones test done as I do not find a cause for it (it can be lab miscalculation). Mostly ketonuria occurs in uncontrolled diabetes, starvation, prolonged vomiting and diarrhea, glycogen storage diseases, severe sustained exercise, dietary imbalance (high fat or low carbohydrate diet), and high-grade fever. So, repeat the test and we will discuss it if still positive for ketones. I will prescribe medication for your urinary problem and just a few questions. Do you have any urinary complaints like frequency, urgency, poor stream, nocturia, dribbling, or burning micturation? Is there any history of surgery or catheterization in the past? Do you have any history of recurrent UTI? I am looking forward to your answers. Thank you.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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