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Q. Kindly suggest a diet plan to reduce weight and belly fat.
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Hello doctor, I am trying to reduce my weight and belly fat, but I am not able to reduce my belly fat successfully. I am also getting kidney stones frequently and undergone surgery just two weeks back and also six months back. I want to reduce my belly fat without getting kidney stones. Let me brief about my details. I work for 12 hours, 15 days day shift and other 15 days I have night shifts. During day shifts, morning I have oats, afternoon I used to take fruits (mix of papaya, sweet melon and apple) and dinner (banana and an apple). Sometimes, I take avocado, pomegranate in the place of sweet melon. Weekly once I do have non-vegetarian like chicken and sea foods. I am 31 years old and a bachelor. My physical activities are walking during the break time (15 minutes walk during three breaks). My nature of job is sitting in the control room and no physical activity involved. Kindly suggest me whether my diet is proper and how to balance it for better results.
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Hi. High protein, high fat containing foods and rich junk foods. 1. Diet. 2. Exercises mild to moderate. Follow up after 15 days to a dietician online.--->
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<s>[INST]
Hello doctor, I am trying to reduce my weight and belly fat, but I am not able to reduce my belly fat successfully. I am also getting kidney stones frequently and undergone surgery just two weeks back and also six months back. I want to reduce my belly fat without getting kidney stones. Let me brief about my details. I work for 12 hours, 15 days day shift and other 15 days I have night shifts. During day shifts, morning I have oats, afternoon I used to take fruits (mix of papaya, sweet melon and apple) and dinner (banana and an apple). Sometimes, I take avocado, pomegranate in the place of sweet melon. Weekly once I do have non-vegetarian like chicken and sea foods. I am 31 years old and a bachelor. My physical activities are walking during the break time (15 minutes walk during three breaks). My nature of job is sitting in the control room and no physical activity involved. Kindly suggest me whether my diet is proper and how to balance it for better results. [/INST] Hi. High protein, high fat containing foods and rich junk foods. 1. Diet. 2. Exercises mild to moderate. Follow up after 15 days to a dietician online.--->
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Q. A sudden toothache started last night. What could have caused this?
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Hello doctor, A sudden toothache started last night in the front left tooth. It is really painful this morning. The pain is constant. I have attached a picture of the affected tooth. What could have caused this?
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Hello, Take care. Consult a dentist online for further clarifications -->
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<s>[INST]
Hello doctor, A sudden toothache started last night in the front left tooth. It is really painful this morning. The pain is constant. I have attached a picture of the affected tooth. What could have caused this? [/INST] Hello, Take care. Consult a dentist online for further clarifications -->
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Q. How to get treatment for my memory and concentration problem?
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Hello doctor, My doctor suggested me to have cognitive testing for my problems with memory and concentration. I also cry for no reason. I was let go from work for making too many mistakes and forgetting tasks. I cannot get over that. I feel I will not be able to find other work because I have Lupus SLE arthritis and fibromyalgia. I am really depressed and crying constantly. Currently I am on Wellbutrin for anxiety, Plaquenil for lupus, Procardia for Raynaud's, Lialda for colitis, Lisinopril for high blood pressure and Alendronate for arthritis. I have been taking the same medication for the past six years. Please help me.
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Hello. I can understand your concern. The symptoms like forgetfulness, lack of focus, poor concentration, memory issues, etc., are seen commonly in depression and should be evaluated properly. You have mentioned that you also cry for no reasons and you are 53 years old. It is not very common to have dementia at this age. Secondly, memory impairment in dementia start with memory issues in day-to-day thing. Mood symptoms, crying, focus issues, etc., are seen commonly in late stage of dementia. For further information consult a psychiatrist online -->
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<s>[INST]
Hello doctor, My doctor suggested me to have cognitive testing for my problems with memory and concentration. I also cry for no reason. I was let go from work for making too many mistakes and forgetting tasks. I cannot get over that. I feel I will not be able to find other work because I have Lupus SLE arthritis and fibromyalgia. I am really depressed and crying constantly. Currently I am on Wellbutrin for anxiety, Plaquenil for lupus, Procardia for Raynaud's, Lialda for colitis, Lisinopril for high blood pressure and Alendronate for arthritis. I have been taking the same medication for the past six years. Please help me. [/INST] Hello. I can understand your concern. The symptoms like forgetfulness, lack of focus, poor concentration, memory issues, etc., are seen commonly in depression and should be evaluated properly. You have mentioned that you also cry for no reasons and you are 53 years old. It is not very common to have dementia at this age. Secondly, memory impairment in dementia start with memory issues in day-to-day thing. Mood symptoms, crying, focus issues, etc., are seen commonly in late stage of dementia. For further information consult a psychiatrist online -->
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Q. I have urethritis from the last two months. Am I on the correct treatment?
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Hello doctor, I have had urethritis going on for almost two months. I have been tested for all major STDs and have come back negative. My current symptoms are burning sensation in the penis, inflamed meatus, a burning and itchy sensation around the meatus, on and off aching of urethra, no obvious dischargeand a pain when sitting for extended periods. I have been put on Ciprofloxacin and two separate rounds of Azithromycin 1000 mg. The symptoms go for a while but end up coming back. The urologist suspects it to be Mycoplasma genitalium and has put me on Doxiclat 200 mg one per day for two weeks. I am on day four and still have the symptoms of urethritis. Does this mean it is not working either? I am not sure what to do next. Would Moxifloxacin 400 mg for seven days be a better option? Looking forward to your response.
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Hello. For more information consult a urologist online -->
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<s>[INST]
Hello doctor, I have had urethritis going on for almost two months. I have been tested for all major STDs and have come back negative. My current symptoms are burning sensation in the penis, inflamed meatus, a burning and itchy sensation around the meatus, on and off aching of urethra, no obvious dischargeand a pain when sitting for extended periods. I have been put on Ciprofloxacin and two separate rounds of Azithromycin 1000 mg. The symptoms go for a while but end up coming back. The urologist suspects it to be Mycoplasma genitalium and has put me on Doxiclat 200 mg one per day for two weeks. I am on day four and still have the symptoms of urethritis. Does this mean it is not working either? I am not sure what to do next. Would Moxifloxacin 400 mg for seven days be a better option? Looking forward to your response. [/INST] Hello. For more information consult a urologist online -->
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Q. Will it be wise to use Melbild lotion for vitiligo?
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Hi doctor, A white patch is seen on the lower lip of my daughter. The patch probably came into being during last three to four months. The doctors are saying it as vitiligo. She is also having acne on the nose and both arms. The details of my daughter are as follows: Age 14 years, height 5’3” (160 cm) and weight 52 kg. I have consulted two doctors and the prescriptions of both doctors have been uploaded. I am following the first prescription. According to this advice, my daughter is taking Aziok one tablet daily for five days, applying Candid mouth paint lotion and using Aha glow face wash four times a day. For acne on the nose and arms, she is applying Retino AC gel on the nose and arms, using Nizoral Shampoo and Moyzen Plus Bar during bathing and Aveeno moisturizer lotion on the whole body. The blood test report (uploaded herewith) of my daughter is showing high eosinophil. For this, she is using tablet once daily, tablet Xyzal once daily at night for a month and tablet Banocide forte twice daily for 14 days. Now, I would request you to let me know if I have taken right decision by following the first prescription. I am too much worried about the white patch on the lower lip.
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Hello. I have gone through your query (attachment removed to protect patient identity) and I have noted your concern. The patch on the lip is definitely vitiligo. As far as treatment for vitiligo is concerned, Dicaris (Levamisole) is one of the treatment options for vitiligo in addition to other options. Dicaris has to be taken on two consecutive days in a week that is, every Saturday and Sunday, at night. Dicaris may have to be continued for weeks. In addition, I suggest her Tacroz forte 0.1% lotion (Tacrolimus) for the white patch on the lip, twice daily. Tacrolimus may have to be continued for weeks. Please consult her specialist doctor, discuss with him or her and take medicine with consent. Her prescription for acne and high eosinophil count is excellent. She may continue with it. For further doubts consult a dermatologist online -->
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<s>[INST]
Hi doctor, A white patch is seen on the lower lip of my daughter. The patch probably came into being during last three to four months. The doctors are saying it as vitiligo. She is also having acne on the nose and both arms. The details of my daughter are as follows: Age 14 years, height 5’3” (160 cm) and weight 52 kg. I have consulted two doctors and the prescriptions of both doctors have been uploaded. I am following the first prescription. According to this advice, my daughter is taking Aziok one tablet daily for five days, applying Candid mouth paint lotion and using Aha glow face wash four times a day. For acne on the nose and arms, she is applying Retino AC gel on the nose and arms, using Nizoral Shampoo and Moyzen Plus Bar during bathing and Aveeno moisturizer lotion on the whole body. The blood test report (uploaded herewith) of my daughter is showing high eosinophil. For this, she is using tablet once daily, tablet Xyzal once daily at night for a month and tablet Banocide forte twice daily for 14 days. Now, I would request you to let me know if I have taken right decision by following the first prescription. I am too much worried about the white patch on the lower lip. [/INST] Hello. I have gone through your query (attachment removed to protect patient identity) and I have noted your concern. The patch on the lip is definitely vitiligo. As far as treatment for vitiligo is concerned, Dicaris (Levamisole) is one of the treatment options for vitiligo in addition to other options. Dicaris has to be taken on two consecutive days in a week that is, every Saturday and Sunday, at night. Dicaris may have to be continued for weeks. In addition, I suggest her Tacroz forte 0.1% lotion (Tacrolimus) for the white patch on the lip, twice daily. Tacrolimus may have to be continued for weeks. Please consult her specialist doctor, discuss with him or her and take medicine with consent. Her prescription for acne and high eosinophil count is excellent. She may continue with it. For further doubts consult a dermatologist online -->
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Q. What does abutment of the nerve root mean?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Q. How to bring down my BP to normal?Taking Concor Cor 2. 5 and Cilaheart 10 for High BP.
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Hi doctor, I am a 23 year old obese guy. I am suffering with high BP for five to six months. Earlier, I had 140/90 mmHg and then 150/90 mmHg. Now, It is 160/90 mmHg. I am taking Cilaheart 10 mg in the morning and Concor Cor 2.5 mg in the afternoon. I am doing exercise also to control weight gain and also following a diet. I want to get rid of the high BP. Please help.
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Hi. We are here to help you. At the age of 23 to 24 years, if you have high blood pressure, then we need to first of all evaluate you for secondary hypertension. My strong recommendations would be to go for, Getting blood pressure normal on medicines is not at all an issue, but we should make sure that there is no other cause that is causing the high blood pressure. So, first of all get these investigations done and write back to me with the reports. Revert back with the reports to a cardiologist online -->
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<s>[INST]
Hi doctor, I am a 23 year old obese guy. I am suffering with high BP for five to six months. Earlier, I had 140/90 mmHg and then 150/90 mmHg. Now, It is 160/90 mmHg. I am taking Cilaheart 10 mg in the morning and Concor Cor 2.5 mg in the afternoon. I am doing exercise also to control weight gain and also following a diet. I want to get rid of the high BP. Please help. [/INST] Hi. We are here to help you. At the age of 23 to 24 years, if you have high blood pressure, then we need to first of all evaluate you for secondary hypertension. My strong recommendations would be to go for, Getting blood pressure normal on medicines is not at all an issue, but we should make sure that there is no other cause that is causing the high blood pressure. So, first of all get these investigations done and write back to me with the reports. Revert back with the reports to a cardiologist online -->
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Q. Does Cabergoline increase prolactin secretion?
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Hello doctor, I am a 26 year old female. My periods were slightly irregular, so I checked in with a gynecologist who prescribed blood tests. My TSH, FSH and LH were at normal levels, but my prolactin was high at 72 ng/mL. I have been taking Domperidone prior to the test for 15 days. My doctor suggested that I should stop this for a month and he prescribed me 0.25 mg Cabergoline for a month (8 doses). I got stomach pain and my periods are more delayed than usual after taking this tablet, I took four doses. Should I complete the course or stop the tablets? Please guide.
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Hi. For further doubts consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a 26 year old female. My periods were slightly irregular, so I checked in with a gynecologist who prescribed blood tests. My TSH, FSH and LH were at normal levels, but my prolactin was high at 72 ng/mL. I have been taking Domperidone prior to the test for 15 days. My doctor suggested that I should stop this for a month and he prescribed me 0.25 mg Cabergoline for a month (8 doses). I got stomach pain and my periods are more delayed than usual after taking this tablet, I took four doses. Should I complete the course or stop the tablets? Please guide. [/INST] Hi. For further doubts consult an internal medicine physician online -->
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Q. How difficult is it to remove a cyst from a testicle?
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Hi doctor, I am a 33 year old healthy male. I have had cyst in my testicle as long as I can remember. It just aggravates me and bothers me. But, I am too embarrassed to go in person to get it looked at. They say basically you will have to live with it. There is really nothing much to do about it. What is the procedure for removing a cyst from a testicle? How difficult it is?
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Hello. I am sorry to hear about your problem. Revert back with the reports to a urologist online -->
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<s>[INST]
Hi doctor, I am a 33 year old healthy male. I have had cyst in my testicle as long as I can remember. It just aggravates me and bothers me. But, I am too embarrassed to go in person to get it looked at. They say basically you will have to live with it. There is really nothing much to do about it. What is the procedure for removing a cyst from a testicle? How difficult it is? [/INST] Hello. I am sorry to hear about your problem. Revert back with the reports to a urologist online -->
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Q. We are planning for a baby. Will my penis size affect this in any way?
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Hi doctor, Please help me get rid of the following issues. I got married before two months. I have 2.5 inch flaccid penis and when erected it is around 5 inches. Is this normal? Can I make my wife pregnant? While masturbating, I am able to erect up to 5 inches and also produce sperm. But during intercourse, I could not ejaculate. Recently (for past two days), I am a bit worried of these issues. As a result of my worries, my penis is not getting stiffer. Now we are planning for a baby. I am a bit confused because of fear, anxiety and worries. I am not able to have sex even though I feel that I am normal. Please help me get a baby.
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Hi. I have read your problem. Penis size is not an issue. Because of penis size, your wife will not get any problem with pregnancy. So be relaxed. Your problem is delayed ejaculation, probably due to your anxiety. So I am prescribing you some medications for erectile dysfunction, delayed ejaculation and anxiety. Anxiety. Delayed ejaculation. Tablet Bupron XL (Bupropion Hydrochloride) 150 mg in the morning for 7 days and then twice a day. Tablet Buspin (Buspirone Hydrochloride) 10 mg twice a day. You should do deep breathing exercise such as 15 deep breath 4 times a day. You should start yoga/meditation. Revert back after 15 days to adjust the dose of medication, to a sexologist online.--->
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<s>[INST]
Hi doctor, Please help me get rid of the following issues. I got married before two months. I have 2.5 inch flaccid penis and when erected it is around 5 inches. Is this normal? Can I make my wife pregnant? While masturbating, I am able to erect up to 5 inches and also produce sperm. But during intercourse, I could not ejaculate. Recently (for past two days), I am a bit worried of these issues. As a result of my worries, my penis is not getting stiffer. Now we are planning for a baby. I am a bit confused because of fear, anxiety and worries. I am not able to have sex even though I feel that I am normal. Please help me get a baby. [/INST] Hi. I have read your problem. Penis size is not an issue. Because of penis size, your wife will not get any problem with pregnancy. So be relaxed. Your problem is delayed ejaculation, probably due to your anxiety. So I am prescribing you some medications for erectile dysfunction, delayed ejaculation and anxiety. Anxiety. Delayed ejaculation. Tablet Bupron XL (Bupropion Hydrochloride) 150 mg in the morning for 7 days and then twice a day. Tablet Buspin (Buspirone Hydrochloride) 10 mg twice a day. You should do deep breathing exercise such as 15 deep breath 4 times a day. You should start yoga/meditation. Revert back after 15 days to adjust the dose of medication, to a sexologist online.--->
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Q. My TSH level was 11. 768 U/mL, do I have to start taking Synthroid again?
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Hi doctor, I had a thyroid test three years back, and my levels were 7.043 U/mL, so I was put on thyroid medication for hypothyroidism. After experiencing some side effects from the Synthroid drug, I discussed alternatives with an endocrinologist. He advised me to stop my medication and retest after six weeks. When I retested, my levels were 2.7 U/mL. My primary care doctor advised I test once per year, just in case. I had a test this month, and the levels were at 11.768 U/mL. I do not want to take pills again if this is just a random fluctuation. Why would my levels fluctuate this way and what do you suggest my course of action be? I started my period the day of my blood test, could that have affected the levels? Synthroid made my hair fall out, and I do not want to take it if I do not have to. Please advise.
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Hello. For further queries consult an endocrinologist online -->
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<s>[INST]
Hi doctor, I had a thyroid test three years back, and my levels were 7.043 U/mL, so I was put on thyroid medication for hypothyroidism. After experiencing some side effects from the Synthroid drug, I discussed alternatives with an endocrinologist. He advised me to stop my medication and retest after six weeks. When I retested, my levels were 2.7 U/mL. My primary care doctor advised I test once per year, just in case. I had a test this month, and the levels were at 11.768 U/mL. I do not want to take pills again if this is just a random fluctuation. Why would my levels fluctuate this way and what do you suggest my course of action be? I started my period the day of my blood test, could that have affected the levels? Synthroid made my hair fall out, and I do not want to take it if I do not have to. Please advise. [/INST] Hello. For further queries consult an endocrinologist 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. 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. Does Flucloxacillin help in case of a dental abscess?
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Hello doctor, I have a dental abscess. Will Flucloxacillin help?
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Hello. Firstly, I would like to know if you are sure it is a dental abscess or could it be another tooth infection. I do not know if you have visited a dentist for this problem. Also, if available, forward me your X-ray or any other investigation reports. Coming to your question, Flucloxacillin does help in case of a dental abscess, but it is always advisable to visit your dentist for a thorough check up and get treated accordingly. Flucloxacillin 500 mg twice daily for at least three days should help. Lastly, have you been allergic to any medicines in the past? Regards. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, I have a dental abscess. Will Flucloxacillin help? [/INST] Hello. Firstly, I would like to know if you are sure it is a dental abscess or could it be another tooth infection. I do not know if you have visited a dentist for this problem. Also, if available, forward me your X-ray or any other investigation reports. Coming to your question, Flucloxacillin does help in case of a dental abscess, but it is always advisable to visit your dentist for a thorough check up and get treated accordingly. Flucloxacillin 500 mg twice daily for at least three days should help. Lastly, have you been allergic to any medicines in the past? Regards. For more information consult a dentist online -->
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Q. Please clarify if dry, cracked hand is a symptom of eczema.
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Hi doctor, I have had severely dry, cracked hands for the last six months. Sometimes, I sleep with Aquaphor and gloves on my hands. There have been two occasions where I have noticed one or two tiny bumps or blisters on the side of one of my fingers. It was on a different finger each time and is towards the bottom of the finger. I was just wondering if it is a symptom of eczema or perhaps something more. Please explain.
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Hi. It can be either eczema or palmar psoriasis. Please send images for further information. Revert back with photos to a dermatologist online -->
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<s>[INST]
Hi doctor, I have had severely dry, cracked hands for the last six months. Sometimes, I sleep with Aquaphor and gloves on my hands. There have been two occasions where I have noticed one or two tiny bumps or blisters on the side of one of my fingers. It was on a different finger each time and is towards the bottom of the finger. I was just wondering if it is a symptom of eczema or perhaps something more. Please explain. [/INST] Hi. It can be either eczema or palmar psoriasis. Please send images for further information. Revert back with photos to a dermatologist online -->
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Q. What should be done to prevent pregnancy after unprotected sex?
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Hi doctor, I and my fiancee do use condoms but sometimes condoms cause me pain due to size issues. So, we get into an intercourse without it. Basically, I never came inside her but I wanted to get educated about the facts like how to avoid pregnancy if I came inside her? I mean what should be our first step? Even if I pull out, is there any chances that she will get pregnant? Which condom is a perfect fit for starters like us? Is there any natural ways too to make sure no sperm left inside?
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Hello. I shall answer your query in the order that you have asked. If you have had unprotected sex and have come inside her, and she is in her unsafe period, then the next best step to avoid pregnancy would be for her to opt for an emergency contraceptive pill like an I-pill or an Unwanted 72 pill within 72 hours of intercourse to avoid unplanned pregnancy. You have to understand that even pre-cum, which is ejaculated before the actual ejaculation occurs also contains live active motile sperms, which can also get her pregnant even if you follow the withdrawal technique during intercourse. So chances shall remain unless you ensure pre-cum control as well. The condom size is mentioned on the pack and one can decide that based on his penile length and thickness at full erection. There are standard size condoms available but that is completely user's preference. Natural ways like washing with water immediately or wiping with tissues do not help much, but if you can opt for a spermicidal vaginal cream before initiating intercourse mixed with a vaginal lubricant like KY jelly, then chances of pregnancy can be substantially decreased even with an unprotected intercourse episode. But you cannot ensure even after cleaning post ejaculation that the vaginal cavity has been cleaned off of all sperms completely.
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<s>[INST]
Hi doctor, I and my fiancee do use condoms but sometimes condoms cause me pain due to size issues. So, we get into an intercourse without it. Basically, I never came inside her but I wanted to get educated about the facts like how to avoid pregnancy if I came inside her? I mean what should be our first step? Even if I pull out, is there any chances that she will get pregnant? Which condom is a perfect fit for starters like us? Is there any natural ways too to make sure no sperm left inside? [/INST] Hello. I shall answer your query in the order that you have asked. If you have had unprotected sex and have come inside her, and she is in her unsafe period, then the next best step to avoid pregnancy would be for her to opt for an emergency contraceptive pill like an I-pill or an Unwanted 72 pill within 72 hours of intercourse to avoid unplanned pregnancy. You have to understand that even pre-cum, which is ejaculated before the actual ejaculation occurs also contains live active motile sperms, which can also get her pregnant even if you follow the withdrawal technique during intercourse. So chances shall remain unless you ensure pre-cum control as well. The condom size is mentioned on the pack and one can decide that based on his penile length and thickness at full erection. There are standard size condoms available but that is completely user's preference. Natural ways like washing with water immediately or wiping with tissues do not help much, but if you can opt for a spermicidal vaginal cream before initiating intercourse mixed with a vaginal lubricant like KY jelly, then chances of pregnancy can be substantially decreased even with an unprotected intercourse episode. But you cannot ensure even after cleaning post ejaculation that the vaginal cavity has been cleaned off of all sperms completely.
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Q. Suffering from eye strain with mild headache around eyes. What is it?
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Hi doctor, I am 39 years old. In postal department, I am working continuously with computer from 9 AM to 6 PM daily. For the last three months, I have been suffering from eye strain with mild headache around the eyes (near eyebrows). Almost the whole day I am feeling the pressure on my eyes. Sometimes, it gives me relief if I blink deeply. Two to three years back too suffered with the same, but this time it is prolonged. I have my power checked, it is 0.25. Doctors have told that it is CVS and gave me Refresh tears or Extralube (Carboxymethyl cellulose sodium eye drops), Toba (Tobramycin) along with some vitamins and no spectacles were prescribed. But, I have not seen any improvement. So, I cannot work properly in the office. Please suggest some other eye drops for me. Thank you.
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Hi. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I am 39 years old. In postal department, I am working continuously with computer from 9 AM to 6 PM daily. For the last three months, I have been suffering from eye strain with mild headache around the eyes (near eyebrows). Almost the whole day I am feeling the pressure on my eyes. Sometimes, it gives me relief if I blink deeply. Two to three years back too suffered with the same, but this time it is prolonged. I have my power checked, it is 0.25. Doctors have told that it is CVS and gave me Refresh tears or Extralube (Carboxymethyl cellulose sodium eye drops), Toba (Tobramycin) along with some vitamins and no spectacles were prescribed. But, I have not seen any improvement. So, I cannot work properly in the office. Please suggest some other eye drops for me. Thank you. [/INST] Hi. For further information consult an eye care ophthalmologist online -->
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Q. Is this brown spot I developed, a wart or a symptom of HPV?
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Hello doctor, A few months ago, a doctor told me that I had a genital wart. It looked like a flat mole to me. Eventually, it was removed. I want to know if this brown spot I developed recently is also a wart or a symptom of HPV.
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Hello. Genital wart is caused by a virus, human papillomavirus (HPV). It is contagious, can spread from one person to another and can also spread to surrounding areas of the skin. I saw the picture (attachment removed to protect patient identity). It looks like a flat brown macule. The wart will have a rough surface with finger-like projections or cauliflower-like. During the initial stage, when it starts to appear, it will be flat. Later, it becomes elevated and rough. I am afraid I am not able to say if it is a wart or not because the picture is becoming blurred when I try to zoom in to appreciate the finer details. Thedermoscope examination will reveal the features. A mole will have pigmentation in a pattern, where dotted vessels are seen if it is a wart. For more information consult a venereologist online -->
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<s>[INST]
Hello doctor, A few months ago, a doctor told me that I had a genital wart. It looked like a flat mole to me. Eventually, it was removed. I want to know if this brown spot I developed recently is also a wart or a symptom of HPV. [/INST] Hello. Genital wart is caused by a virus, human papillomavirus (HPV). It is contagious, can spread from one person to another and can also spread to surrounding areas of the skin. I saw the picture (attachment removed to protect patient identity). It looks like a flat brown macule. The wart will have a rough surface with finger-like projections or cauliflower-like. During the initial stage, when it starts to appear, it will be flat. Later, it becomes elevated and rough. I am afraid I am not able to say if it is a wart or not because the picture is becoming blurred when I try to zoom in to appreciate the finer details. Thedermoscope examination will reveal the features. A mole will have pigmentation in a pattern, where dotted vessels are seen if it is a wart. For more information consult a venereologist online -->
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Q. Can I drink water while fasting for a thyroid profile test?
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Hello doctor, Since the last 10 months, my periods are very irregular. I get periods only once every three to four months. I am on treatment for abdominal TB since the last one and a half years. I take Sompraz D20 on an empty stomach in the morning. I take Duonase nasal spray (two puffs in each nostril) twice a day. I take Immunace Forte after lunch and Libotryp at bedtime. So, why are my periods not regular? Is this a side effect of my medicine or could it be due to a disease? Recently, I was also prescribed Uprise-D3 (60000) once a month for six months. My recent 25-OH vitamin D total is 21.1 ng/mL. I also have sudden weight gain. My weight in the last one and a half years increased from 57 kg to 81 kg. I also have a chronic nose block.
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Hello. Your irregular periods can be due to your obesity. You need to lose some weight. You have a history of TB (tuberculosis). So, there may be chances that your uterus might have got affected due to that. I suggest the following tests: For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, Since the last 10 months, my periods are very irregular. I get periods only once every three to four months. I am on treatment for abdominal TB since the last one and a half years. I take Sompraz D20 on an empty stomach in the morning. I take Duonase nasal spray (two puffs in each nostril) twice a day. I take Immunace Forte after lunch and Libotryp at bedtime. So, why are my periods not regular? Is this a side effect of my medicine or could it be due to a disease? Recently, I was also prescribed Uprise-D3 (60000) once a month for six months. My recent 25-OH vitamin D total is 21.1 ng/mL. I also have sudden weight gain. My weight in the last one and a half years increased from 57 kg to 81 kg. I also have a chronic nose block. [/INST] Hello. Your irregular periods can be due to your obesity. You need to lose some weight. You have a history of TB (tuberculosis). So, there may be chances that your uterus might have got affected due to that. I suggest the following tests: For more information consult an obstetrician and gynaecologist online -->
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Q. Do my cardiac issues put me at risk for sudden cardiac death?
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Hello doctor, I have a long, complicated cardiac history and currently seeing a cardiologist. It started with chest pains, and I ended up having an episode of NSVT last year. I am now on Bisoprolol and Amlodipine. The cardiologist thinks my condition is coronary artery spasm and just an ectopic focus causing the NSVT. I have had a normal CT angiogram with no luminal narrowing and no signs of any blockages or atherosclerotic changes, and a negative stress echo. I have had a normal echo after the NSVT with everything normal and a cardiac MRI. The MRI showed a very mild dilation of left and right ventricle (the cardiologist looked up studies and said mine is not dilated and it falls within the normal range for my age). I had a normal echo just taken yesterday, which showed no dilation ventricle with normal wall thickness, size, and normal function with 66 % EF. The only finding at all on the echo was a mild tri-leaflet aortic valve, normal cusp excursion, and no regurgitation. I also noticed that every time I am stressed or anxious, my T waves in leads III and AVF on ECG flip. As my other echo did not mention this sclerosis of the aortic valve, has this always been here and because of my NSVT does this put me at risk of an SCD? Also, is it likely for me to have blockages in my arteries now even after a clear CT angiogram less than a year ago? Since the one episode of NSVT, it has not happened again although I have had on Holter, premature atrial, junctional ectopics, and ventricular trigeminy, all of which are very infrequent. One episode of trigeminy with emotional stress on three-day Holter. Total ectopic beats in 24 hour period less than 30. I am a 31 year old male, who does not smoke and. All the best.
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Hi. An excellent narrative history. I think you had only one episode of tachycardia of ventricular origin, which was nonsustained. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I have a long, complicated cardiac history and currently seeing a cardiologist. It started with chest pains, and I ended up having an episode of NSVT last year. I am now on Bisoprolol and Amlodipine. The cardiologist thinks my condition is coronary artery spasm and just an ectopic focus causing the NSVT. I have had a normal CT angiogram with no luminal narrowing and no signs of any blockages or atherosclerotic changes, and a negative stress echo. I have had a normal echo after the NSVT with everything normal and a cardiac MRI. The MRI showed a very mild dilation of left and right ventricle (the cardiologist looked up studies and said mine is not dilated and it falls within the normal range for my age). I had a normal echo just taken yesterday, which showed no dilation ventricle with normal wall thickness, size, and normal function with 66 % EF. The only finding at all on the echo was a mild tri-leaflet aortic valve, normal cusp excursion, and no regurgitation. I also noticed that every time I am stressed or anxious, my T waves in leads III and AVF on ECG flip. As my other echo did not mention this sclerosis of the aortic valve, has this always been here and because of my NSVT does this put me at risk of an SCD? Also, is it likely for me to have blockages in my arteries now even after a clear CT angiogram less than a year ago? Since the one episode of NSVT, it has not happened again although I have had on Holter, premature atrial, junctional ectopics, and ventricular trigeminy, all of which are very infrequent. One episode of trigeminy with emotional stress on three-day Holter. Total ectopic beats in 24 hour period less than 30. I am a 31 year old male, who does not smoke and. All the best. [/INST] Hi. An excellent narrative history. I think you had only one episode of tachycardia of ventricular origin, which was nonsustained. For more information consult a cardiologist online -->
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Q. When will my grandmother come out of coma?
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Hi doctor, My 82 year old grandmother is in a coma from the past 15 days. The doctors are suspecting a brain stroke. I am attaching all her reports. When will she come out of the coma?
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Hello. I have seen all the attached reports (attachment removed to protect patient identity). For more information consult a neurologist online -->
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<s>[INST]
Hi doctor, My 82 year old grandmother is in a coma from the past 15 days. The doctors are suspecting a brain stroke. I am attaching all her reports. When will she come out of the coma? [/INST] Hello. I have seen all the attached reports (attachment removed to protect patient identity). For more information consult a neurologist online -->
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Q. Can dehydration result in dizzy feel and lightheadedness?
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Hi doctor, I am 23 years old. For about four weeks, I have been experiencing lightheadedness. It happens a few times each week. I never pass out, but I get very hot and feel like I might pass out. I have also not had an appetite. I have lost about 5 pounds from not being hungry. I went to the doctor and he said that I was very dehydrated. I drink water throughout the day, but began to drink even more now hoping my symptoms would go away. One week later, I am still having the same problem. When I am out for a run, I often have to stop because I feel very dizzy. When I eat, I often have an upset stomach and have loose bowel movement. After eating, I feel very nauseous. Should I try to make another appointment with my doctor or wait to see if my symptoms improve?
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Hello. You are too young to have high blood pressure. There could be many reasons for dizziness. The most important one is being orthostatic hypotension if you are on a blood pressure (BP) medication. Others could be thyroid disorder, anemia, vitamin B12 deficiency and diabetes. If all the work up are negative; it could be problems related to inner ear like benign positional vertigo or Meniere's disease. You should be investigated for secondary causes of hypertension. Remember the BP goal has been changed to more than 140/90 mmHg if you have no other medical conditions other than hypertension. Consult your PCP (primary care physician) or endocrinologist for secondary hypertension. If all investigations and BP are fine then consult an ENT (ear, nose and throat) specialist. CBC (complete blood count), TSH (thyroid stimulating hormone), CMP (comprehensive metabolic panel), angiotensin or renin activity, morning AM cortisol level, VMA (vanillylmandelic acid) in the urine or metanephrines. 1. Consider reducing the dose of antihypertensive medication. 2. Use Meclizine on as needed basis. Please do not drive while taking it. For further information consult an internal medicine physician online.--->
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<s>[INST]
Hi doctor, I am 23 years old. For about four weeks, I have been experiencing lightheadedness. It happens a few times each week. I never pass out, but I get very hot and feel like I might pass out. I have also not had an appetite. I have lost about 5 pounds from not being hungry. I went to the doctor and he said that I was very dehydrated. I drink water throughout the day, but began to drink even more now hoping my symptoms would go away. One week later, I am still having the same problem. When I am out for a run, I often have to stop because I feel very dizzy. When I eat, I often have an upset stomach and have loose bowel movement. After eating, I feel very nauseous. Should I try to make another appointment with my doctor or wait to see if my symptoms improve? [/INST] Hello. You are too young to have high blood pressure. There could be many reasons for dizziness. The most important one is being orthostatic hypotension if you are on a blood pressure (BP) medication. Others could be thyroid disorder, anemia, vitamin B12 deficiency and diabetes. If all the work up are negative; it could be problems related to inner ear like benign positional vertigo or Meniere's disease. You should be investigated for secondary causes of hypertension. Remember the BP goal has been changed to more than 140/90 mmHg if you have no other medical conditions other than hypertension. Consult your PCP (primary care physician) or endocrinologist for secondary hypertension. If all investigations and BP are fine then consult an ENT (ear, nose and throat) specialist. CBC (complete blood count), TSH (thyroid stimulating hormone), CMP (comprehensive metabolic panel), angiotensin or renin activity, morning AM cortisol level, VMA (vanillylmandelic acid) in the urine or metanephrines. 1. Consider reducing the dose of antihypertensive medication. 2. Use Meclizine on as needed basis. Please do not drive while taking it. For further information consult an internal medicine physician online.--->
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Q. Should I worry for albumin in urine?
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Hi doctor, There is no specific complaint, but albumin is noticed in urine. Is it something to worry? I am currently on Liv 52.
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Hi. We are here to help you. Revert back with the answers to the above questions to a nephrologist online -->
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<s>[INST]
Hi doctor, There is no specific complaint, but albumin is noticed in urine. Is it something to worry? I am currently on Liv 52. [/INST] Hi. We are here to help you. Revert back with the answers to the above questions to a nephrologist online -->
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Q. Every time I eat spicy food, I poop blood. Why?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. What test should I do for smelly and yellow urine?
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Hi doctor, I have been suffering from prostate infection for the past six months. It started with blood in urine and then burning sensation while urinating. I am also having smelly and yellow urine. Before this, I got mouth ulcers. Also, I had itching sensation throughout the body mainly in the chest, hand and back. It comes in the evening and night. I had lots of antibiotics, but still the issue has not resolved. It seems like STI. I have done the tests for HIV, HSV, Chlamydia, THPA and I have attached the test results for your reference. Everything is fine. Can it be Gonorrhea? As there is no test available for it. Also, can you please tell me the antibiotics course to be taken for Gonorrhea? I can try and check if it is resolving the problem.
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Hi. Revert back with the answers to the above questions to a venereologist online -->
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<s>[INST]
Hi doctor, I have been suffering from prostate infection for the past six months. It started with blood in urine and then burning sensation while urinating. I am also having smelly and yellow urine. Before this, I got mouth ulcers. Also, I had itching sensation throughout the body mainly in the chest, hand and back. It comes in the evening and night. I had lots of antibiotics, but still the issue has not resolved. It seems like STI. I have done the tests for HIV, HSV, Chlamydia, THPA and I have attached the test results for your reference. Everything is fine. Can it be Gonorrhea? As there is no test available for it. Also, can you please tell me the antibiotics course to be taken for Gonorrhea? I can try and check if it is resolving the problem. [/INST] Hi. Revert back with the answers to the above questions to a venereologist online -->
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Q. There is itching and accumulated dirt in my foreskin. Why?
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Hi doctor, I am having itching and some accumulated dirt in my penis foreskin. Please help.
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Hello. Follow up with the pictures to a dermatologist online -->
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<s>[INST]
Hi doctor, I am having itching and some accumulated dirt in my penis foreskin. Please help. [/INST] Hello. Follow up with the pictures to a dermatologist online -->
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Q. Suffering from anxiety, and panic attacks for the last 3 years. Need second opinion on the prescription.
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Dear Doctor, I am suffering from anxiety and panic attacks for the last 3 years. I went to a neurologist 2 years back and he advised me to take REXIPRA 10 for 3 months, SOLTUS 50 for 6 months, HEMIDAP PLUS for 9 months & ZEPAM .5 for 12 months. Upon following these medications, I was improving but was not absolutely fine. And after 1 year I visited the same doctor again and he advised me to take ZEPAM .5, REXIPRA 5 & AMIXIDE. Now I am absolutely feeling restless, sleep deprived and very anxious. When I leave these medicine, I feel addicted and I am in immediate need of it. Absolute anxiety and nervousness, high pulse rate and high BP. I am not able to understand whether I am suffering from a neurological or a psychological problem. Should I consult a neurologist or a psychiatrist? 25 years/ male, height 6 feet, weight 70 kg. Please help.
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Hi. I read your query and understood your concern. As per your diagnosis of anxiety and panic attacks, there should be no doubt whether you need neurologist or psychiatrist. Both these conditions come under the domain of psychiatrist and they are more able to treat these conditions. Other than anxiety and panic attacks you have got addiction problem because of the wrong use of medicines. In my view there is no role of SOLTUS in case of anxiety and panic attacks. If you feel fine with an online psychiatry consultation session (via phone or video chat), then I will be happy to help you. You con contact me by either putting a detailed query or booking an online consultation.
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<s>[INST]
Dear Doctor, I am suffering from anxiety and panic attacks for the last 3 years. I went to a neurologist 2 years back and he advised me to take REXIPRA 10 for 3 months, SOLTUS 50 for 6 months, HEMIDAP PLUS for 9 months & ZEPAM .5 for 12 months. Upon following these medications, I was improving but was not absolutely fine. And after 1 year I visited the same doctor again and he advised me to take ZEPAM .5, REXIPRA 5 & AMIXIDE. Now I am absolutely feeling restless, sleep deprived and very anxious. When I leave these medicine, I feel addicted and I am in immediate need of it. Absolute anxiety and nervousness, high pulse rate and high BP. I am not able to understand whether I am suffering from a neurological or a psychological problem. Should I consult a neurologist or a psychiatrist? 25 years/ male, height 6 feet, weight 70 kg. Please help. [/INST] Hi. I read your query and understood your concern. As per your diagnosis of anxiety and panic attacks, there should be no doubt whether you need neurologist or psychiatrist. Both these conditions come under the domain of psychiatrist and they are more able to treat these conditions. Other than anxiety and panic attacks you have got addiction problem because of the wrong use of medicines. In my view there is no role of SOLTUS in case of anxiety and panic attacks. If you feel fine with an online psychiatry consultation session (via phone or video chat), then I will be happy to help you. You con contact me by either putting a detailed query or booking an online consultation.
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Q. My mom's BP medications are causing sleeping difficulties. Please suggest a suitable medicine.
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Hello doctor,I am posting this query on behalf of my mum. She was said to have a high blood pressure three years ago and placed on medication by the doctor here. But, the problem is, she does not sleep at nights when she is on medication. She would have to stop taking her medicines for five to six days sometimes which makes her blood pressure very inconsistent. The medicine she takes is called Nifecure (Nifedipine 20 mg). Kindly advice a suitable medication to control her blood pressure that would also allow her to sleep at nights.
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Hello. Get her lipid profile and sugars tested. Hope this helps you and get back if you have any other doubts. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor,I am posting this query on behalf of my mum. She was said to have a high blood pressure three years ago and placed on medication by the doctor here. But, the problem is, she does not sleep at nights when she is on medication. She would have to stop taking her medicines for five to six days sometimes which makes her blood pressure very inconsistent. The medicine she takes is called Nifecure (Nifedipine 20 mg). Kindly advice a suitable medication to control her blood pressure that would also allow her to sleep at nights. [/INST] Hello. Get her lipid profile and sugars tested. Hope this helps you and get back if you have any other doubts. For more information consult a cardiologist online -->
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Q. Why does my heartburn go away when I lay down in the bed and increases when I sit upright?
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Hi, Why does my heartburn go away when I lay down in the bed and increases when I sit upright? This seems to contradict the advice of raising the head while sleeping.
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Hi. Consult a surgical gatroenterologist online for further queries -->
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<s>[INST]
Hi, Why does my heartburn go away when I lay down in the bed and increases when I sit upright? This seems to contradict the advice of raising the head while sleeping. [/INST] Hi. Consult a surgical gatroenterologist online for further queries -->
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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 burning, swelling, peeling, and bleeding of lips. Please advice.
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Hello doctor,Something is wrong with my lips. It all started a couple of days ago- burning, swelling, peeling, oozing and bleeding. There are also tiny, fluid-filled blisters. I went to the doctor today, but she wasn't sure whether there was a bacterial infection. She prescribed me antibiotics just in case. Should I take them? I also have another question about my clitoris. For over two months the skin has been peeling off under the hood, leaving it like raw, itching wounds and some kind of red dots. What could this be? Currently, I am taking Somac and Klonopin.
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Hello. I have viewed the images (attachment removed to protect patient identity). It could be an allergic reaction to some lip cosmetics or it could be a sun-induced eruption that is a phototoxic reaction. I suggest you use a topical antibiotic like either Neosporin ointment Or Mupirocin ointment 2 % on lips Or maybe a mild OTC (over-the-counter) topical steroid like Cortisone cream (Hydrocortisone) would be a better option. Do not yet take oral antibiotics. Avoid sun. The rash on the clitoris seems like a yeast infection. I would suggest Clotrimazole 1 % cream, twice daily for a week or Clotrimazole vaginal tablets for a week along with an oral antifungal like tablet Fluconazole 150 mg, single dose. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor,Something is wrong with my lips. It all started a couple of days ago- burning, swelling, peeling, oozing and bleeding. There are also tiny, fluid-filled blisters. I went to the doctor today, but she wasn't sure whether there was a bacterial infection. She prescribed me antibiotics just in case. Should I take them? I also have another question about my clitoris. For over two months the skin has been peeling off under the hood, leaving it like raw, itching wounds and some kind of red dots. What could this be? Currently, I am taking Somac and Klonopin. [/INST] Hello. I have viewed the images (attachment removed to protect patient identity). It could be an allergic reaction to some lip cosmetics or it could be a sun-induced eruption that is a phototoxic reaction. I suggest you use a topical antibiotic like either Neosporin ointment Or Mupirocin ointment 2 % on lips Or maybe a mild OTC (over-the-counter) topical steroid like Cortisone cream (Hydrocortisone) would be a better option. Do not yet take oral antibiotics. Avoid sun. The rash on the clitoris seems like a yeast infection. I would suggest Clotrimazole 1 % cream, twice daily for a week or Clotrimazole vaginal tablets for a week along with an oral antifungal like tablet Fluconazole 150 mg, single dose. For more information consult a dermatologist online -->
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Q. Is nasal bone length an indicator of Down's syndrome?
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Hi doctor, My quadruple test is normal. After 23 weeks of gestation, I took an anomaly scan, which shows 3.6 mm nasal bone. Is the nasal bone underdeveloped? What are the chances of Down's syndrome? We do not want to get an amniocentesis test done as it increases the chance of miscarriage. Previously, I had a miscarriage as the fetus did not have a heartbeat. Is there any other way to diagnose Down's syndrome?
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Hi. For further information consult a fetal medicine specialist online -->
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<s>[INST]
Hi doctor, My quadruple test is normal. After 23 weeks of gestation, I took an anomaly scan, which shows 3.6 mm nasal bone. Is the nasal bone underdeveloped? What are the chances of Down's syndrome? We do not want to get an amniocentesis test done as it increases the chance of miscarriage. Previously, I had a miscarriage as the fetus did not have a heartbeat. Is there any other way to diagnose Down's syndrome? [/INST] Hi. For further information consult a fetal medicine specialist online -->
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Q. There was condom slippage after intercourse. Can this lead to pregancy?
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Hello doctor, I had sex with my partner two months back using a condom. After ejaculation, she was getting off from me, and as she got up, the condom slipped off. I, however, pulled it out of her. When I did this, the semen leaked on my leg. As she was on top of me (due to gravity), all the semen fell on my leg. At that time I was 80 % confident that no semen had gone near her. To be careful, I recommended her to take the morning after pill, and she took it 12 hours later. Approximately eight days after sex, we did a pregnancy test which was negative. She usually has her period around the 17th of the month. Her period is now four days late. Can you advise why this could be? This is the first time she has taken any pill.
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Hello. It is normal to see delayed periods after taking morning after pill. There is no need to get worried. For more information consult a sexologist online -->
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<s>[INST]
Hello doctor, I had sex with my partner two months back using a condom. After ejaculation, she was getting off from me, and as she got up, the condom slipped off. I, however, pulled it out of her. When I did this, the semen leaked on my leg. As she was on top of me (due to gravity), all the semen fell on my leg. At that time I was 80 % confident that no semen had gone near her. To be careful, I recommended her to take the morning after pill, and she took it 12 hours later. Approximately eight days after sex, we did a pregnancy test which was negative. She usually has her period around the 17th of the month. Her period is now four days late. Can you advise why this could be? This is the first time she has taken any pill. [/INST] Hello. It is normal to see delayed periods after taking morning after pill. There is no need to get worried. For more information consult a sexologist online -->
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Q. I am in dire need to reduce my eye power to be declared fit for my recruitment. Please explain the treatment options and potential risks involved.
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Hello doctor, I had retinal vasculitis 8 years ago (no recent activity confirmed by doctors). I am 23 years old and my eye power has been constant in the last 4 years (-8D). I am in dire need to reduce my eye power to be declared fit for my recruitment. Please explain the treatment options and potential risks involved.
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Hello. I reviewed your history. Hope this information is helpful to you. Revert back to an eye care ophthalmologist online for further follow up -->
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<s>[INST]
Hello doctor, I had retinal vasculitis 8 years ago (no recent activity confirmed by doctors). I am 23 years old and my eye power has been constant in the last 4 years (-8D). I am in dire need to reduce my eye power to be declared fit for my recruitment. Please explain the treatment options and potential risks involved. [/INST] Hello. I reviewed your history. Hope this information is helpful to you. Revert back to an eye care ophthalmologist online for further follow up -->
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Q. My jaw is stuck and I am unable to close my mouth. What should I do?
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Hello doctor,My upper jaw is stuck and I am unable to close my mouth. Do you have any advice?
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Hello. I have gone through your query and understand your concern. For more information consult a dentist online -->
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<s>[INST]
Hello doctor,My upper jaw is stuck and I am unable to close my mouth. Do you have any advice? [/INST] Hello. I have gone through your query and understand your concern. 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. Every time I eat spicy food, I poop blood. Why?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. Why am I having leg cramps after taking a gluten-free diet?
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Hi doctor,I am having leg cramps, especially after taking lunch. I am on a gluten-free diet because of irritable bowel syndrome. This gluten-free diet helped cure my loose motion.
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Hi. Hope it helps. Please feel free to ask more queries if there are any doubts. I would be happy to assist. For more information consult a general medicine physician online -->
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<s>[INST]
Hi doctor,I am having leg cramps, especially after taking lunch. I am on a gluten-free diet because of irritable bowel syndrome. This gluten-free diet helped cure my loose motion. [/INST] Hi. Hope it helps. Please feel free to ask more queries if there are any doubts. I would be happy to assist. For more information consult a general medicine physician online -->
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Q. I brush my teeth twice daily. Even then my teeth are yellow. What to do?
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Hello Doctor, I am 18 years old. I brush my teeth twice daily. Even then my teeth are yellow. What can I do to make my teeth appear white?
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Hi. Consult a dentist online to know more about scaling -->
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<s>[INST]
Hello Doctor, I am 18 years old. I brush my teeth twice daily. Even then my teeth are yellow. What can I do to make my teeth appear white? [/INST] Hi. Consult a dentist online to know more about scaling -->
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Q. I have a terrible jock itch. How can I be treated?
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Hello doctor, I am a 30-year-old unmarried male. I am sexually active and I have been using commercial sex workers for the past few years. However, from last year, I started myself getting tested regularly for different STD infections etc. and all my reports have come negative. I have got HIV 1 and 2, hepatitis B, syphilis (VDRL) and HSV 1 and 2 tests done. The point of attention is the recent test result that I just got today. My HIV, hepatitis B, VDRL are all negative as usual. My HSV 1 IgG, HSV 1 IgM, HSV 2 IgM are all negative but my HSV 2 IgG is positive with a value of 3.61. Also, another problem is this specific jock itch type of infection that I am facing for the past two months. It itches terribly. I have tried all creams like itch guard, ring guard etc. but I get relief only by applying Betadine ointment on it two times a day. Betadine is helping me to ooze off my terrible itch in that area but the condition of the skin and symptom of the infection is continuously going on. I have clicked snaps of all my test reports and also I have clicked about three pictures of my infection in my thighs close to my penis. I am sending all these pictures in a hope that you would treat me only to have let me get a kind true genuine consultation. Please go through these pictures of my infection and all my test reports and then please answer my queries. Do I have active herpes? Can I transmit herpes to my future wife? Can this infection go to my child when I impregnate my wife? Can this herpes IgG count of 3.61 be forced to roll back to below 1.20 so that I can become normal using some medicines? What is this infection in my thigh area? Can it be cured permanently? What medicines and ointments etc. will I have to take to solve my problem? Please go through my questions, reports, and snaps nicely and then let me have your expert opinion.
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Hello. I have gone through your reports and clinical photographs (attachment removed to protect patient identity). Best regards. For more information consult a cosmetologist online -->
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<s>[INST]
Hello doctor, I am a 30-year-old unmarried male. I am sexually active and I have been using commercial sex workers for the past few years. However, from last year, I started myself getting tested regularly for different STD infections etc. and all my reports have come negative. I have got HIV 1 and 2, hepatitis B, syphilis (VDRL) and HSV 1 and 2 tests done. The point of attention is the recent test result that I just got today. My HIV, hepatitis B, VDRL are all negative as usual. My HSV 1 IgG, HSV 1 IgM, HSV 2 IgM are all negative but my HSV 2 IgG is positive with a value of 3.61. Also, another problem is this specific jock itch type of infection that I am facing for the past two months. It itches terribly. I have tried all creams like itch guard, ring guard etc. but I get relief only by applying Betadine ointment on it two times a day. Betadine is helping me to ooze off my terrible itch in that area but the condition of the skin and symptom of the infection is continuously going on. I have clicked snaps of all my test reports and also I have clicked about three pictures of my infection in my thighs close to my penis. I am sending all these pictures in a hope that you would treat me only to have let me get a kind true genuine consultation. Please go through these pictures of my infection and all my test reports and then please answer my queries. Do I have active herpes? Can I transmit herpes to my future wife? Can this infection go to my child when I impregnate my wife? Can this herpes IgG count of 3.61 be forced to roll back to below 1.20 so that I can become normal using some medicines? What is this infection in my thigh area? Can it be cured permanently? What medicines and ointments etc. will I have to take to solve my problem? Please go through my questions, reports, and snaps nicely and then let me have your expert opinion. [/INST] Hello. I have gone through your reports and clinical photographs (attachment removed to protect patient identity). Best regards. For more information consult a cosmetologist online -->
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Q. Why do I have a bloody spot near the back of my throat?
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Hi doctor, I have been having some issues with my throat from the past couple of months. I feel a tightness in the neck. I do not have a runny nose, but I have post-nasal drip and lots of phlegm or mucus in the mornings. I feel like I need to clear my throat a lot. The symptoms seemed to go away for a week or so, but now they are back. There seems to be a bloody spot near the back of my throat, and I have attached a picture of the same.
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Hello. I have seen the picture (attachment removed to protect patient identity). Do revert back to me if you require any further support. Hope to see you in good health soon. For further queries consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, I have been having some issues with my throat from the past couple of months. I feel a tightness in the neck. I do not have a runny nose, but I have post-nasal drip and lots of phlegm or mucus in the mornings. I feel like I need to clear my throat a lot. The symptoms seemed to go away for a week or so, but now they are back. There seems to be a bloody spot near the back of my throat, and I have attached a picture of the same. [/INST] Hello. I have seen the picture (attachment removed to protect patient identity). Do revert back to me if you require any further support. Hope to see you in good health soon. For further queries consult an ENT otolaryngologist online -->
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Q. For chest pain, is it necessary to get an ECG or can I manage with medicine?
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Hi doctor,I am feeling a slight pain in the left side of my chest while taking a deep breath. Can you help me with the medicine to cure this pain?
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Hello, Welcome back to icliniq.com. I had gone through all the data posted. We need more details of the problem. Revert back with the answers to the above questions to an internal medicine physician online -->
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<s>[INST]
Hi doctor,I am feeling a slight pain in the left side of my chest while taking a deep breath. Can you help me with the medicine to cure this pain? [/INST] Hello, Welcome back to icliniq.com. I had gone through all the data posted. We need more details of the problem. Revert back with the answers to the above questions to an internal medicine physician online -->
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Q. I have taken Harmoni-F for three months. Now planning for a baby. When will I get pregnant?
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Dear Doctor, I have taken Harmoni F for the past three months. Now I stopped taking it and planning for a baby. When will I get pregnant?
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Hi, Thanks for writing to us. It will take 3-6 months for you to get pregnant. Start taking folic acid tablet. Hope it helps. Consult an obstetrician and gynaecologist online for further help -->
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<s>[INST]
Dear Doctor, I have taken Harmoni F for the past three months. Now I stopped taking it and planning for a baby. When will I get pregnant? [/INST] Hi, Thanks for writing to us. It will take 3-6 months for you to get pregnant. Start taking folic acid tablet. Hope it helps. Consult an obstetrician and gynaecologist online for further help -->
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Q. My kid's eyeball size is quite big. What could it be?
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Hello doctor, Yesterday we had a consultation with an eye doctor for my kid. After diagnosis the doctor said "kid's eyeball size is quite big". He also said left and right eye have "-4" power (not cylindrical) and retina is good. He also added that, at this stage we cannot do any thing and asked us to come back after 6 months. He said the power may go tentatively up to "-6". Above all he said that spectacles is also optional. Please suggest me what to do now, as I do not want my kid's eye power even more. Do we have any other approaches to control this? Will swinging of eyes be controlled on its own after some time?
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Hello. I reviewed your history. Do write back to an eye care ophthalmologist online after consulting your pediatric ophthalmologist so that we can plan the next treatment -->
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<s>[INST]
Hello doctor, Yesterday we had a consultation with an eye doctor for my kid. After diagnosis the doctor said "kid's eyeball size is quite big". He also said left and right eye have "-4" power (not cylindrical) and retina is good. He also added that, at this stage we cannot do any thing and asked us to come back after 6 months. He said the power may go tentatively up to "-6". Above all he said that spectacles is also optional. Please suggest me what to do now, as I do not want my kid's eye power even more. Do we have any other approaches to control this? Will swinging of eyes be controlled on its own after some time? [/INST] Hello. I reviewed your history. Do write back to an eye care ophthalmologist online after consulting your pediatric ophthalmologist so that we can plan the next treatment -->
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Q. My uncle had a heart attack. What are the chances of recovery based on his report?
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Hello doctor,My uncle had a heart attack four days back. The balloon was put, and he had three stents. The balloon is being removed tomorrow. The reports are three days old and were taken before two stents are inserted. I just want to know what are the chances of recovery based on the report and damage. Is it very severe?
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Hello. I understand you are worried about your uncle's health. He will be fine hopefully. I had gone through the reports (attachment removed to protect patient identity). For further information consult a cardiologist online -->
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<s>[INST]
Hello doctor,My uncle had a heart attack four days back. The balloon was put, and he had three stents. The balloon is being removed tomorrow. The reports are three days old and were taken before two stents are inserted. I just want to know what are the chances of recovery based on the report and damage. Is it very severe? [/INST] Hello. I understand you are worried about your uncle's health. He will be fine hopefully. I had gone through the reports (attachment removed to protect patient identity). For further information consult a cardiologist online -->
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Q. I feel that my right-sided abdominal pain is not due to UTI alone. What can it be?
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Hello doctor, Five days ago, I had sudden pain in my lower right abdomen, along with nausea, vomiting, and fever. The pain subsided to a dull ache, which I still have now, the pressure is bad at the moment. I have been to the doctors twice, and I have had a urine test, which came back positive for a UTI. I am on Trimethoprim for three days, and the pain has not gone. As well as this, I am finding it very difficult to pass gas and stools. I am not convinced this is just a UTI. Any advice? Thank you.
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Hello. I went through your post. You have pain in right lower abdomen along with the history of vomiting. The differential diagnosis are many, but I will mention two important diagnoses: Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, Five days ago, I had sudden pain in my lower right abdomen, along with nausea, vomiting, and fever. The pain subsided to a dull ache, which I still have now, the pressure is bad at the moment. I have been to the doctors twice, and I have had a urine test, which came back positive for a UTI. I am on Trimethoprim for three days, and the pain has not gone. As well as this, I am finding it very difficult to pass gas and stools. I am not convinced this is just a UTI. Any advice? Thank you. [/INST] Hello. I went through your post. You have pain in right lower abdomen along with the history of vomiting. The differential diagnosis are many, but I will mention two important diagnoses: Regards. For more information consult an internal medicine physician online -->
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Q. My husband has azoospermia. Please suggest what to do.
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Hi doctor,My husband is suffering from azoospermia. I do not know what to do. I do not know any good infertility center and specialized doctor. I want a biological child only. Please suggest what to do. How can I come to know whether it is obstructive or non-obstructive? Please reply. He has hard pimples on his testicle. Are these the reason of blockage?
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Hi. Is there any report of your husband? Smoking, cocaine and other recreational drugs and few other medicines like anti-cancerous can affect male fertility. It is better to quit all recreational drugs. If he has been treated for any disease better to have full assessment and treatment. Drugs that he has been on should be discussed in detail in view of infertility. Have healthy lifestyle with nutritious balanced diet, exercise yoga, and other recreational activities. Non-obstructive azoospermia is no sperm in semen due to abnormal production of sperm. The reason for this is hormonal imbalance, testicular failure or varicocele and dilated vein in testicles (varicose veins), genetic abnormalities, cryptorchidism (presence of small testicles), etc. The treatment could be testicular sperm extraction with ICSI (intracytoplasmic sperm injection). In obstructive azoospermia, reasons could be due to obstructed epididymis or congenital absence of vas deferens as in cystic fibrosis but normal healthy sperm production is there. So sperm retrieval is advised for ICSI. Better to contact infertility centers. As detailed examination and history are needed for treatment and then for conception. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor,My husband is suffering from azoospermia. I do not know what to do. I do not know any good infertility center and specialized doctor. I want a biological child only. Please suggest what to do. How can I come to know whether it is obstructive or non-obstructive? Please reply. He has hard pimples on his testicle. Are these the reason of blockage? [/INST] Hi. Is there any report of your husband? Smoking, cocaine and other recreational drugs and few other medicines like anti-cancerous can affect male fertility. It is better to quit all recreational drugs. If he has been treated for any disease better to have full assessment and treatment. Drugs that he has been on should be discussed in detail in view of infertility. Have healthy lifestyle with nutritious balanced diet, exercise yoga, and other recreational activities. Non-obstructive azoospermia is no sperm in semen due to abnormal production of sperm. The reason for this is hormonal imbalance, testicular failure or varicocele and dilated vein in testicles (varicose veins), genetic abnormalities, cryptorchidism (presence of small testicles), etc. The treatment could be testicular sperm extraction with ICSI (intracytoplasmic sperm injection). In obstructive azoospermia, reasons could be due to obstructed epididymis or congenital absence of vas deferens as in cystic fibrosis but normal healthy sperm production is there. So sperm retrieval is advised for ICSI. Better to contact infertility centers. As detailed examination and history are needed for treatment and then for conception. For more information consult an obstetrician and gynaecologist online -->
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Q. I have hypothyroidism and Hashimoto's and feel fatigued after a year of treatment. Why?
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Hi doctor, I have hypothyroidism and Hashimoto's. My doctor currently only tests my TSH and treats me with Levothyroxine. I feel extreme fatigue after a year of this treatment, even with my TSH in the normal range. My doctor says free T4 and reverse T3 are not important labs to run. I am wondering if I should see an endocrinologist or just continue the treatment I am on. My TSH started at 9.8 last year, got down to 0.08. I feel great when it was that low. Mow my TSH is 3.8 and I feel extreme fatigue. I am taking 112 mcg Levothyroxine daily. Thank you.
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Hi. Good day and thanks for your query. Some people treated for hypothyroidism may still experience symptoms even if blood tests show that their thyroid-stimulating hormone (TSH) levels are well within the normal range. The reasons for this are complex, but the bottom line is that having a normal TSH value does not necessarily mean that all of your symptoms will go away. Evidence suggests that situations like this are not as uncommon as one may think. Even when placed on Levothyroxine, the drug considered the gold standard of hypothyroid treatment, many people fail to reap the physical benefits of treatment. So, first, you can lower down your TSH target if you are still having symptoms. For that, we can increase your medication. If still symptomatic, the next choice is to change the brand of Thyroxine, and if still not feeling well, then think to go to T3 supplement rather than T4, that is Thyroxine. Thanks.
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<s>[INST]
Hi doctor, I have hypothyroidism and Hashimoto's. My doctor currently only tests my TSH and treats me with Levothyroxine. I feel extreme fatigue after a year of this treatment, even with my TSH in the normal range. My doctor says free T4 and reverse T3 are not important labs to run. I am wondering if I should see an endocrinologist or just continue the treatment I am on. My TSH started at 9.8 last year, got down to 0.08. I feel great when it was that low. Mow my TSH is 3.8 and I feel extreme fatigue. I am taking 112 mcg Levothyroxine daily. Thank you. [/INST] Hi. Good day and thanks for your query. Some people treated for hypothyroidism may still experience symptoms even if blood tests show that their thyroid-stimulating hormone (TSH) levels are well within the normal range. The reasons for this are complex, but the bottom line is that having a normal TSH value does not necessarily mean that all of your symptoms will go away. Evidence suggests that situations like this are not as uncommon as one may think. Even when placed on Levothyroxine, the drug considered the gold standard of hypothyroid treatment, many people fail to reap the physical benefits of treatment. So, first, you can lower down your TSH target if you are still having symptoms. For that, we can increase your medication. If still symptomatic, the next choice is to change the brand of Thyroxine, and if still not feeling well, then think to go to T3 supplement rather than T4, that is Thyroxine. Thanks.
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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 had solar retinopathy in the past. Should I get my eyes checked frequently?
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Hello doctor, I had been diagnosed with solar retinopathy. I went for an eye exam and the OCT results came up great. However, I am worried about the prevalence of it popping up when I least expect it. The retina looks fine. Should I take heart in knowing that I am fine or be vigilant and continue to go back and get the exams and OCTs completed? Also, my eyes are crazy dry and I need to use drops. But, that may be from staying up all night researching this consistently.
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Hello. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, I had been diagnosed with solar retinopathy. I went for an eye exam and the OCT results came up great. However, I am worried about the prevalence of it popping up when I least expect it. The retina looks fine. Should I take heart in knowing that I am fine or be vigilant and continue to go back and get the exams and OCTs completed? Also, my eyes are crazy dry and I need to use drops. But, that may be from staying up all night researching this consistently. [/INST] Hello. For more information consult an eye care ophthalmologist online -->
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Q. I have a whitish lesion on the lateral side of tongue. Is it leukoplakia?
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Hi doctor, I have a mild whitish lesion on the lateral side of tongue. I am afraid that it might be hairy leukoplakia. Thank you.
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Hi. Thanks for your query on this platform. You noticed recently a white lesion on your tongue. For further queries consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I have a mild whitish lesion on the lateral side of tongue. I am afraid that it might be hairy leukoplakia. Thank you. [/INST] Hi. Thanks for your query on this platform. You noticed recently a white lesion on your tongue. For further queries consult an internal medicine physician online -->
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Q. After running, I could not breathe for an hour. Why?
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Hi doctor, I am an 18 year old female. My height is 5'6" and I weigh about 120 pounds. I live in a city where we do not have much air pollution. I have no records of medical problems except a few years back I had some mild acid reflux. I believe it was reflux, since it went away after using Gaviscon. But, my general physician did not diagnose me. About two months ago, after I went for a very fast run I felt like I could not breathe for an hour. Since then, I have been having the feeling of not being able to get enough air when I take deep breaths. I also have been constantly clearing my throat due to mucus in the back of my throat. I have been experiencing some burn in my upper abdomen. It is not so severe and it goes away with some Gaviscon. I feel nauseous when I feel the burning. I am worrying myself by thinking that there is something wrong with my heart or my lungs. If you could help me that would be great. Thank you.
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Hello. There are two important elements here that need treatment. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am an 18 year old female. My height is 5'6" and I weigh about 120 pounds. I live in a city where we do not have much air pollution. I have no records of medical problems except a few years back I had some mild acid reflux. I believe it was reflux, since it went away after using Gaviscon. But, my general physician did not diagnose me. About two months ago, after I went for a very fast run I felt like I could not breathe for an hour. Since then, I have been having the feeling of not being able to get enough air when I take deep breaths. I also have been constantly clearing my throat due to mucus in the back of my throat. I have been experiencing some burn in my upper abdomen. It is not so severe and it goes away with some Gaviscon. I feel nauseous when I feel the burning. I am worrying myself by thinking that there is something wrong with my heart or my lungs. If you could help me that would be great. Thank you. [/INST] Hello. There are two important elements here that need treatment. For further information consult an internal medicine physician online -->
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Q. I have been on Isotretinoin for four months. How to stop it?
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Hello doctor, I had a severe skin infection and almost cured under my doctor's medication. I have been prescribed Sotret 20 mg (Isotretinoin) for four months. I am married. So, should I continue this? Already four months are done, and progress is 80%. Whenever I am under Isotretinoin medication, pimples are not coming back. Recently I have stopped it, and some are appearing. But, the severe infection has gone. The scars on my face are still there, and not turning into the state as I had before. I am using Kojivit gel and Faceclin gel. Please suggest some way of removing the scars. Also, which sunscreen shall I use to remove the tan from my hand?
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Hello. For further information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I had a severe skin infection and almost cured under my doctor's medication. I have been prescribed Sotret 20 mg (Isotretinoin) for four months. I am married. So, should I continue this? Already four months are done, and progress is 80%. Whenever I am under Isotretinoin medication, pimples are not coming back. Recently I have stopped it, and some are appearing. But, the severe infection has gone. The scars on my face are still there, and not turning into the state as I had before. I am using Kojivit gel and Faceclin gel. Please suggest some way of removing the scars. Also, which sunscreen shall I use to remove the tan from my hand? [/INST] Hello. For further information consult a dermatologist online -->
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Q. I have a swelling on gums and it bleeds when I touch. Please help.
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Hi doctor, I woke up this morning with this dried up blood in between my upper front teeth and blood comes out when I touch it. It does not hurt, and when I brush my teeth, I can see it move. I have not noticed any changes in my gums or teeth. My gums usually bleed when the bristles of my toothbrush scrape against them. I am going to make an appointment with a dentist. But, I am a little freaked out about this as I am only 20. When I ate something earlier, it inflated a little bit, popped and bled without any pain.
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Hi. I have viewed the images attached (attachment removed to protect patient identity). Periodontitis. Deep gum infection. Use a soft toothbrush to brush your teeth. For further information consult a dentist online.--->
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<s>[INST]
Hi doctor, I woke up this morning with this dried up blood in between my upper front teeth and blood comes out when I touch it. It does not hurt, and when I brush my teeth, I can see it move. I have not noticed any changes in my gums or teeth. My gums usually bleed when the bristles of my toothbrush scrape against them. I am going to make an appointment with a dentist. But, I am a little freaked out about this as I am only 20. When I ate something earlier, it inflated a little bit, popped and bled without any pain. [/INST] Hi. I have viewed the images attached (attachment removed to protect patient identity). Periodontitis. Deep gum infection. Use a soft toothbrush to brush your teeth. For further information consult a dentist online.--->
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Q. I have slight itchiness in throat during mornings with a history of acidity and thyroid. Please help.
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Hello doctor, I have been experiencing slight itchiness in my throat for the past one and a half months. I do not feel it at night while sleeping. In the morning, when I wake up and eat something, the itchiness or abrasion starts again. There is a slight redness in the throat and sometimes it pains feebly. When I cough sometimes the throat feels slightly scratched and it feels prickly when I take deep breaths. There is no problem with swallowing food and water. I have had issues with thyroid, and acidity problems as well. I am taking Pantosec and took 1 HCQS pill for Corona before this itching starts.
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Hello. I need a few more details before we can come to a conclusion. Did you travel outside the country? Any contact with COVID positive patient? Did you take HCQS on your own or with a doctor's prescription? Have you completed the course? Do you smoke or drink? Is there throat pain or difficulty in swallowing or lump sensation? Is there chest congestion or difficulty in breathing or wheezing? Can you please take a picture of your throat with open mouth showing details of the back of the throat and send me? I want to see the area which you said is red. Please answer my questions to help you further.
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<s>[INST]
Hello doctor, I have been experiencing slight itchiness in my throat for the past one and a half months. I do not feel it at night while sleeping. In the morning, when I wake up and eat something, the itchiness or abrasion starts again. There is a slight redness in the throat and sometimes it pains feebly. When I cough sometimes the throat feels slightly scratched and it feels prickly when I take deep breaths. There is no problem with swallowing food and water. I have had issues with thyroid, and acidity problems as well. I am taking Pantosec and took 1 HCQS pill for Corona before this itching starts. [/INST] Hello. I need a few more details before we can come to a conclusion. Did you travel outside the country? Any contact with COVID positive patient? Did you take HCQS on your own or with a doctor's prescription? Have you completed the course? Do you smoke or drink? Is there throat pain or difficulty in swallowing or lump sensation? Is there chest congestion or difficulty in breathing or wheezing? Can you please take a picture of your throat with open mouth showing details of the back of the throat and send me? I want to see the area which you said is red. Please answer my questions to help you further.
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Q. Can drug abuse cause memory blackouts?
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Hello doctor, I have a 23 year old son. He admits to current marijuana use once or twice a week. He admits to a variety of drugs including cocaine, meth, heroin, LSD in the past year. His ex-mother in law says he currently uses cocaine and meth. He denies current drug use beyond pot. He says he has not done cocaine for a few months. He swears he is only currently using pot occasionally now and no other drugs. I realize he may be lying. In the last month, he has had several extended blackouts where he was fully functioning, walking around town, having conversations with people, damaging property, etc. Sometimes friends cannot wake him, and they think he is having a seizure. He does not remember drinking any alcohol on that day. In fact, he has no memory of that day, until waking up at home. Everyone told him about the events the next day. He has no memory of these events. Some are as short as an hour. Some are as long as 48 hours or more. I live 6,000 miles away from him and flew in this week to see him. I only have a few days with him to try to convince him to see a doctor, and I am trying to see if this is just drug use, him lying, being in denial or if there is a severe neurological condition that is not being treated because everyone is assuming he is on drugs. He has a history of serious sleepwalking when he was a child. He would rush out of his room, frantically searching for something but unable to describe it. He would carry on whole conversations, very agitated, would go outside, walk around the house and come to the back door crying and try to get in but be unable to turn the knob. It was like a walking nightmare or dream. We would get him back to bed and back to sleep. The next day he would have no memory of it. This current behavior sounds similar to me but on a much more extreme level. His sister had night terrors similar to this when she was a child. I, as their biological father, have a history of talking in my sleep, and some sleepwalking when I was a child but never this extreme. So, there seems to be some family history as a possible explanation outside of drug use being the probable cause. He sleeps very little. His current girlfriend says he is extremely sleep deprived. He lived with me until a few months ago and was extremely sleep deprived then. I realize you cannot give a definitive answer without personal examination and tests and such. What I am looking for right now is the answer to these three questions. Can cocaine and meth use actually result in these kinds of fully functional blackouts? Can just marijuana, (without any other drugs) or just alcohol or just marijuana and alcohol, combined with sleep deprivation and extreme stress cause these kinds of blackouts? Are there any other possible explanations for this kind of blackouts that are not drug related, for example, sleep deprivation and stress, a tumor, or other neurological or medical conditions? What might some of those possibilities be? Thank you for your help. I am distraught and confused.
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Hello. I understand your concern. For more information consult a neurologist online -->
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<s>[INST]
Hello doctor, I have a 23 year old son. He admits to current marijuana use once or twice a week. He admits to a variety of drugs including cocaine, meth, heroin, LSD in the past year. His ex-mother in law says he currently uses cocaine and meth. He denies current drug use beyond pot. He says he has not done cocaine for a few months. He swears he is only currently using pot occasionally now and no other drugs. I realize he may be lying. In the last month, he has had several extended blackouts where he was fully functioning, walking around town, having conversations with people, damaging property, etc. Sometimes friends cannot wake him, and they think he is having a seizure. He does not remember drinking any alcohol on that day. In fact, he has no memory of that day, until waking up at home. Everyone told him about the events the next day. He has no memory of these events. Some are as short as an hour. Some are as long as 48 hours or more. I live 6,000 miles away from him and flew in this week to see him. I only have a few days with him to try to convince him to see a doctor, and I am trying to see if this is just drug use, him lying, being in denial or if there is a severe neurological condition that is not being treated because everyone is assuming he is on drugs. He has a history of serious sleepwalking when he was a child. He would rush out of his room, frantically searching for something but unable to describe it. He would carry on whole conversations, very agitated, would go outside, walk around the house and come to the back door crying and try to get in but be unable to turn the knob. It was like a walking nightmare or dream. We would get him back to bed and back to sleep. The next day he would have no memory of it. This current behavior sounds similar to me but on a much more extreme level. His sister had night terrors similar to this when she was a child. I, as their biological father, have a history of talking in my sleep, and some sleepwalking when I was a child but never this extreme. So, there seems to be some family history as a possible explanation outside of drug use being the probable cause. He sleeps very little. His current girlfriend says he is extremely sleep deprived. He lived with me until a few months ago and was extremely sleep deprived then. I realize you cannot give a definitive answer without personal examination and tests and such. What I am looking for right now is the answer to these three questions. Can cocaine and meth use actually result in these kinds of fully functional blackouts? Can just marijuana, (without any other drugs) or just alcohol or just marijuana and alcohol, combined with sleep deprivation and extreme stress cause these kinds of blackouts? Are there any other possible explanations for this kind of blackouts that are not drug related, for example, sleep deprivation and stress, a tumor, or other neurological or medical conditions? What might some of those possibilities be? Thank you for your help. I am distraught and confused. [/INST] Hello. I understand your concern. For more information consult a neurologist online -->
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Q. My face is looking very uneven after laser treatment. Is it hypopigmentation?
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Hello doctor, I had taken 3 peel and 3 lasers (Q-switching) for skin lightening. I have dark skin. After the treatment my cheeks have become very fair and it does not get tanned also. However the rest of the face is still dark. It has developed after the Q-switching session. I want to know is this hypopigmentation? Is it going to be permanent? My face is looking very uneven now. Currently, I am using DesOwen cream. Please help me understand.
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Hi. It is post-inflammatory hypopigmentation. In most cases it is temporary and will automatically revert back to normal in few weeks and sometimes in few months. If possible please do upload the pretreatment photographs for further evaluation. Revert back with the photographs to a dermatologist online -->
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<s>[INST]
Hello doctor, I had taken 3 peel and 3 lasers (Q-switching) for skin lightening. I have dark skin. After the treatment my cheeks have become very fair and it does not get tanned also. However the rest of the face is still dark. It has developed after the Q-switching session. I want to know is this hypopigmentation? Is it going to be permanent? My face is looking very uneven now. Currently, I am using DesOwen cream. Please help me understand. [/INST] Hi. It is post-inflammatory hypopigmentation. In most cases it is temporary and will automatically revert back to normal in few weeks and sometimes in few months. If possible please do upload the pretreatment photographs for further evaluation. Revert back with the photographs to a dermatologist online -->
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Q. What is the solution for segmented sleep?
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Hi doctor,What is the solution for segmented sleep? How to get rid of this?
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Hello. For further information consult a sleep medicine physician online -->
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<s>[INST]
Hi doctor,What is the solution for segmented sleep? How to get rid of this? [/INST] Hello. For further information consult a sleep medicine physician online -->
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Q. I have an infection on my penis that is not healing. What could it be?
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Hello doctor, I am a 35 year old unmarried male. I have a patch on the inner part of the skin that covers the penis. I consulted a doctor. He asked me to take Cefix 200 twice daily, Atazis 1/2 morning and 1 in the evening for five days and MF Sudif ointment. He then asked me to continue these for two more days, but the infection is still present. The doctor said it is a side effect of Signoflam tablet and asked me to use Ultracet instead as pain killer next time. I have a medical history of having a moderate heart attack nine months ago while playing cricket following which a stent was placed. Since then, I am using Met XL 25 twice daily, Clopilet A 75mg in the noon, Atorvastatin 80 mg in the night. I have a BMI of 24.2. I do not have any other complications. Please find an image attached.
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Hello. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I am a 35 year old unmarried male. I have a patch on the inner part of the skin that covers the penis. I consulted a doctor. He asked me to take Cefix 200 twice daily, Atazis 1/2 morning and 1 in the evening for five days and MF Sudif ointment. He then asked me to continue these for two more days, but the infection is still present. The doctor said it is a side effect of Signoflam tablet and asked me to use Ultracet instead as pain killer next time. I have a medical history of having a moderate heart attack nine months ago while playing cricket following which a stent was placed. Since then, I am using Met XL 25 twice daily, Clopilet A 75mg in the noon, Atorvastatin 80 mg in the night. I have a BMI of 24.2. I do not have any other complications. Please find an image attached. [/INST] Hello. For more information consult a dermatologist online -->
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Q. I feel bloated and get loose motion just after eating food. Why?
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Hi doctor, Whenever I sit or lay down to rest or sleep just after taking food I get loose motion. Often, it is mucus loose motion and high headache. Also, I get vomit. What is my problem? What treatment should I take for this?
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Hello. Revert back with the answers to the above questions to an internal medicine physician online -->
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<s>[INST]
Hi doctor, Whenever I sit or lay down to rest or sleep just after taking food I get loose motion. Often, it is mucus loose motion and high headache. Also, I get vomit. What is my problem? What treatment should I take for this? [/INST] Hello. Revert back with the answers to the above questions to an internal medicine physician online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Is stent procedure recommended for severe atherosclerosis in 92-year-old patient?
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Hello doctor, My mom is a 92 years old with congestive heart failure. CT scan showed extensive atherosclerosis of the aorta. Probable high-grade stenosis of the right common iliac artery and the bilateral common femoral artery. She also has kidney disease in the left kidney and extreme fatigue for two years. Would she be a candidate for a stent or some other procedure to unblock the artery? And could this condition be causing her fatigue? None of her doctors can figure out the reason for fatigue. Please help.
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Hello, Welcome to icliniq.com. This is a non-contrast CT (computed tomography) so it is not accurate in estimating the extent of stenosis. (attachment removed to protect patient identity). She will need a contrast CT angiography of abdominal vessels. However, the common iliac artery and femoral arteries are usually amenable to stenting, unless CT angiography shows diffuse disease (whole of the artery is involved with no normal segment) where stenting would be difficult. However, a disease involving these arteries is unlikely to cause generalized fatigue, but it can cause pain or weakness in the lower limbs while walking. Regarding the cause for fatigue, I guess the common causes like low hemoglobin, BP issues, any medications, deranged kidney function, low Vitamin D, deranged blood sugar are ruled out. One important cause that should be ruled out in her is the cardiac cause, because her CT scan shows mild fluid in bilateral lungs which may be related to heart and also with such extensive aortic disease, cardiac arteries are also expected to be involved. Cardiac disease may cause fatigue, shortness of breath on exertion. So, she should undergo ECG (electrocardiography), echo, and also CT angiography of heart vessels, if possible along with CT angiography of abdominal vessels. Also, some routine tests like hemogram, LFT (liver function test), RFT (renal function test), vitamin D, thyroid profile, sugar, lipid profile, ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) should also be performed if not done recently. I hope this helps.
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<s>[INST]
Hello doctor, My mom is a 92 years old with congestive heart failure. CT scan showed extensive atherosclerosis of the aorta. Probable high-grade stenosis of the right common iliac artery and the bilateral common femoral artery. She also has kidney disease in the left kidney and extreme fatigue for two years. Would she be a candidate for a stent or some other procedure to unblock the artery? And could this condition be causing her fatigue? None of her doctors can figure out the reason for fatigue. Please help. [/INST] Hello, Welcome to icliniq.com. This is a non-contrast CT (computed tomography) so it is not accurate in estimating the extent of stenosis. (attachment removed to protect patient identity). She will need a contrast CT angiography of abdominal vessels. However, the common iliac artery and femoral arteries are usually amenable to stenting, unless CT angiography shows diffuse disease (whole of the artery is involved with no normal segment) where stenting would be difficult. However, a disease involving these arteries is unlikely to cause generalized fatigue, but it can cause pain or weakness in the lower limbs while walking. Regarding the cause for fatigue, I guess the common causes like low hemoglobin, BP issues, any medications, deranged kidney function, low Vitamin D, deranged blood sugar are ruled out. One important cause that should be ruled out in her is the cardiac cause, because her CT scan shows mild fluid in bilateral lungs which may be related to heart and also with such extensive aortic disease, cardiac arteries are also expected to be involved. Cardiac disease may cause fatigue, shortness of breath on exertion. So, she should undergo ECG (electrocardiography), echo, and also CT angiography of heart vessels, if possible along with CT angiography of abdominal vessels. Also, some routine tests like hemogram, LFT (liver function test), RFT (renal function test), vitamin D, thyroid profile, sugar, lipid profile, ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein) should also be performed if not done recently. I hope this helps.
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Q. What should I do to reduce my OCD?
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Hi doctor, I am observing obsession since last two to three years. I discussed my symptoms with a doctor at icliniq and he told me it is due to OCD (obsessive-compulsive disorder). Firstly, I have this problem if a topic or matter emotionally bothers me. I keep calling my mother frequently on phone and start talking for long duration. I cannot be without calling as we both stay in different state. If I do not get a chance to call my mother then I call to any of my friend and talk about the same topic. When a topic or thought rotates in my head my focus tends to go there only so current work gets disturbed. I do will start cooking and then forget and go to other room to start another work. Even though in office I always works good, recently observing that my focus is diverting from my work to other work where my mind tends to stay. Because of this, my current task is getting affected. Secondly, I am very absent minded at home. In office also I sometimes forget to attend daily meetings where all project teams come and give updates regarding their progress of tasks. I also forget sometimes to check fingerprint in office which is for security purpose. I have stopped taking care of myself. My life is not routine oriented at all. I am poor in time management also. When I am at home, I generally walk and keep eating something. In office whenever I call mother from my mobile I cannot relax or stay at same area and I keep walking and talking over phone. Please guide me. What should I do to reduce my OCD, absent mindedness, anxiety and restless nature? These are immensely bothering me. Do you offer psychotherapy online for these? What is the procedure to attend psychotherapy sessions online? Please guide. Thanks.
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Hi. I read your query with keen interest and agree with your doctor who suggested OCD (Obsessive-Compulsive Disorder) for current symptoms. In addition, it appears to me that there is secondary depression. So, your diagnosis for current condition can be called OCD with secondary depression. Regarding treatment part, both psychotherapy and medications are effective for control of symptoms. I do offer psychotherapy for OCD and depression on weekly basis lasting for 10-12 weeks. Majority of the patients get benefited with psychotherapy of such duration. In addition, few patients who have moderate to severe symptoms need medications in addition to therapy. Revert back with the detailed information to a psychotherapist online -->
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<s>[INST]
Hi doctor, I am observing obsession since last two to three years. I discussed my symptoms with a doctor at icliniq and he told me it is due to OCD (obsessive-compulsive disorder). Firstly, I have this problem if a topic or matter emotionally bothers me. I keep calling my mother frequently on phone and start talking for long duration. I cannot be without calling as we both stay in different state. If I do not get a chance to call my mother then I call to any of my friend and talk about the same topic. When a topic or thought rotates in my head my focus tends to go there only so current work gets disturbed. I do will start cooking and then forget and go to other room to start another work. Even though in office I always works good, recently observing that my focus is diverting from my work to other work where my mind tends to stay. Because of this, my current task is getting affected. Secondly, I am very absent minded at home. In office also I sometimes forget to attend daily meetings where all project teams come and give updates regarding their progress of tasks. I also forget sometimes to check fingerprint in office which is for security purpose. I have stopped taking care of myself. My life is not routine oriented at all. I am poor in time management also. When I am at home, I generally walk and keep eating something. In office whenever I call mother from my mobile I cannot relax or stay at same area and I keep walking and talking over phone. Please guide me. What should I do to reduce my OCD, absent mindedness, anxiety and restless nature? These are immensely bothering me. Do you offer psychotherapy online for these? What is the procedure to attend psychotherapy sessions online? Please guide. Thanks. [/INST] Hi. I read your query with keen interest and agree with your doctor who suggested OCD (Obsessive-Compulsive Disorder) for current symptoms. In addition, it appears to me that there is secondary depression. So, your diagnosis for current condition can be called OCD with secondary depression. Regarding treatment part, both psychotherapy and medications are effective for control of symptoms. I do offer psychotherapy for OCD and depression on weekly basis lasting for 10-12 weeks. Majority of the patients get benefited with psychotherapy of such duration. In addition, few patients who have moderate to severe symptoms need medications in addition to therapy. Revert back with the detailed information to a psychotherapist online -->
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Q. Please suggest a medicine for jaundice.
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Hi doctor, I am a 22 year old male. I am suffering from jaundice. I used to smoke and drink. But, since 15 days I have quit. Last week my eyes became yellow and after that I had my blood test and hepatitis test. I am uploading the report. Please suggest me medicine and further diet plan.
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Hi. Alcohol. Ultrasound abdomen. 1. Alcohol abstinence 2. Rest 3. Low fat and high protein diet. Revert back for further information to an internal medicine physician online.--->
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<s>[INST]
Hi doctor, I am a 22 year old male. I am suffering from jaundice. I used to smoke and drink. But, since 15 days I have quit. Last week my eyes became yellow and after that I had my blood test and hepatitis test. I am uploading the report. Please suggest me medicine and further diet plan. [/INST] Hi. Alcohol. Ultrasound abdomen. 1. Alcohol abstinence 2. Rest 3. Low fat and high protein diet. Revert back for further information to an internal medicine physician online.--->
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Q. I get paranoid and scared when I am alone in a dark room. What should I do?
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Hello doctor, If my wife sleeps before me, I get paranoid and then cannot sleep till morning. I am generally paranoid when I am alone or in dark, otherwise. everything is normal with me. When I was a kid around 6 years old, I was attacked by a relative who was supposed to be possessed by a ghost. I was almost strangled to death by him, and after that, I never felt safe being alone. I am most paranoid while sleeping between 3 to 6 AM. Even the smallest noise scares me. I sleep 5 to 6 hours and on weekends, I sleep for 8 to 10 hours. I love sleeping, but the problem is I get paranoid and scared if my wife sleeps before me. I feel alone and scared. I only have half a teaspoon of coffee in the morning, so that I do not get too alert or paranoid at night, but some days, I am not able to sleep at night. I do sleep at 6 AM in the morning, and then get up late around 12 PM for my office. Caffeine seems to increase my paranoia. I can never sleep alone in a room, day or night. If I have to sleep, I need music or the TV on. Whenever I am alone in the dark, I keep thinking about dead people and ghosts. What should I do to turn off my paranoia?
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Hello. For further queries consult a psychiatrist online -->
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<s>[INST]
Hello doctor, If my wife sleeps before me, I get paranoid and then cannot sleep till morning. I am generally paranoid when I am alone or in dark, otherwise. everything is normal with me. When I was a kid around 6 years old, I was attacked by a relative who was supposed to be possessed by a ghost. I was almost strangled to death by him, and after that, I never felt safe being alone. I am most paranoid while sleeping between 3 to 6 AM. Even the smallest noise scares me. I sleep 5 to 6 hours and on weekends, I sleep for 8 to 10 hours. I love sleeping, but the problem is I get paranoid and scared if my wife sleeps before me. I feel alone and scared. I only have half a teaspoon of coffee in the morning, so that I do not get too alert or paranoid at night, but some days, I am not able to sleep at night. I do sleep at 6 AM in the morning, and then get up late around 12 PM for my office. Caffeine seems to increase my paranoia. I can never sleep alone in a room, day or night. If I have to sleep, I need music or the TV on. Whenever I am alone in the dark, I keep thinking about dead people and ghosts. What should I do to turn off my paranoia? [/INST] Hello. For further queries consult a psychiatrist online -->
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Q. Please suggest natural ways to shrink an ovarian cyst.
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Hello doctor, I have a 6 cm cyst in my left ovary. From the last one week, I am taking Kalachi Kai as I read that it helps shrink the cyst. An 18 cm cyst was removed through a laparoscopic treatment two years ago. Please tell me how to get rid of the cyst as well as prevent new ones.
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Hello. I read your query. For an ovarian cyst along with Kalachi Kai, start taking the following medicines: Try these regularly and you will see positive results very soon. Follow up after two or three weeks regarding improvement. I hope you are satisfied with my answer. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I have a 6 cm cyst in my left ovary. From the last one week, I am taking Kalachi Kai as I read that it helps shrink the cyst. An 18 cm cyst was removed through a laparoscopic treatment two years ago. Please tell me how to get rid of the cyst as well as prevent new ones. [/INST] Hello. I read your query. For an ovarian cyst along with Kalachi Kai, start taking the following medicines: Try these regularly and you will see positive results very soon. Follow up after two or three weeks regarding improvement. I hope you are satisfied with my answer. For more information consult an ayurveda specialist online -->
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Q. Is tablet Thyroxine enough to cure hypothyroidism?
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Hello doctor, I have hypothyroidism. My TSH level is 124.5, T3 - 3.16 and T4 - 45.6. My doctor advised me to take Thyroxine 100 mg tablet two times a day. I am taking that right now. Is Thyroxine enough to cure hypothyroidism? Do I need any other medical attention? But, I feel better now after taking Thyroxine. Please guide.
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Hello. TSH only in six weeks. 150 mcg a day of Thyroxine in the morning. Revert back in six weeks with TSH report to an endocrinologist online.--->
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<s>[INST]
Hello doctor, I have hypothyroidism. My TSH level is 124.5, T3 - 3.16 and T4 - 45.6. My doctor advised me to take Thyroxine 100 mg tablet two times a day. I am taking that right now. Is Thyroxine enough to cure hypothyroidism? Do I need any other medical attention? But, I feel better now after taking Thyroxine. Please guide. [/INST] Hello. TSH only in six weeks. 150 mcg a day of Thyroxine in the morning. Revert back in six weeks with TSH report to an endocrinologist online.--->
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Q. Should I undergo varicocelectomy?
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Hello doctor, I am a 23 year old male. I have no BP, diabetes or thyroid problems. Last month, I was diagnosed with grade 1 varicocele. I consulted my home town doctor for treatments, and he prescribed few medicines. However, he did not say anything to my queries. Is my testicles size normal? I am experiencing mild dragging sensation at the left side of the lower abdomen and left pelvis area even after medication. And also I observed that my left testicle is shrinking in size. Should I undergo varicocelectomy surgery? If gone through the surgery, can my testicle size regains its original size? Which is the better option- a varicocelectomy or emboilization or laparoscopy? How much is the average surgery cost at normal hospitals? Please clarify my each and every doubt. I was taking Hetrazan100. I used to take this medicine thrice per day, and I took it for one month. After that, I had Levomac 500. I am currently taking this one per day and has been taking for past five days.
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Hi. For further information consult a urologist online -->
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<s>[INST]
Hello doctor, I am a 23 year old male. I have no BP, diabetes or thyroid problems. Last month, I was diagnosed with grade 1 varicocele. I consulted my home town doctor for treatments, and he prescribed few medicines. However, he did not say anything to my queries. Is my testicles size normal? I am experiencing mild dragging sensation at the left side of the lower abdomen and left pelvis area even after medication. And also I observed that my left testicle is shrinking in size. Should I undergo varicocelectomy surgery? If gone through the surgery, can my testicle size regains its original size? Which is the better option- a varicocelectomy or emboilization or laparoscopy? How much is the average surgery cost at normal hospitals? Please clarify my each and every doubt. I was taking Hetrazan100. I used to take this medicine thrice per day, and I took it for one month. After that, I had Levomac 500. I am currently taking this one per day and has been taking for past five days. [/INST] Hi. For further information consult a urologist online -->
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Q. I have pain and a white tissue layer forming on my penis. What to do?
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Hello doctor,I am a 40 year old male, and I have diabetes. From a week, I have pain in the penis, and a white tissue like layer is formed. What to do?
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Hi. Revert with more information to a dermatologist online -->
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<s>[INST]
Hello doctor,I am a 40 year old male, and I have diabetes. From a week, I have pain in the penis, and a white tissue like layer is formed. What to do? [/INST] Hi. Revert with more information to a dermatologist online -->
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Q. I was pregnant with twins and opted for medical termination of pregnancy. Please help.
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Hi doctor, I am a 36 year old married female and have twins. Last month, I was again pregnant with twins and for some reasons, opted for MTP. It was done in a hospital. Of late, there has been heavy bleeding and resulting weakness. At the time of the medical procedure, I was prescribed capsule Zevit for five days and tablet Monocef for five days which I took religiously. Can you suggest some medicines?
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Hi. The reason for heavy bleeding could be due to some retained products of conception. Get an ultrasound examination which will tell about the status of the uterine cavity. Cause for the tiredness may be anemia due to bleeding and so, please check your hemoglobin level. For further clarification, kindly send the latest scan report and hemoglobin values. Revert with the recent scan report to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 36 year old married female and have twins. Last month, I was again pregnant with twins and for some reasons, opted for MTP. It was done in a hospital. Of late, there has been heavy bleeding and resulting weakness. At the time of the medical procedure, I was prescribed capsule Zevit for five days and tablet Monocef for five days which I took religiously. Can you suggest some medicines? [/INST] Hi. The reason for heavy bleeding could be due to some retained products of conception. Get an ultrasound examination which will tell about the status of the uterine cavity. Cause for the tiredness may be anemia due to bleeding and so, please check your hemoglobin level. For further clarification, kindly send the latest scan report and hemoglobin values. Revert with the recent scan report to an obstetrician and gynaecologist online -->
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Q. Is it safe to take Neopeptine after OPV?
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Hello doctor, My 2.6 years old son is suffering from stomach gas since last month. Every night he wakes up from his sleep crying. He got an OPV yesterday morning, and we gave him Neopeptine 5 ml tonight for the stomach problem. I am scared that I gave him the syrup after OPV. Is there any risk associated with it? When is it safe to take Neopeptine after OPV vaccination? Are there any chances of it affecting my son? Please help me. And can you suggest something for his stomach problem?
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Hi. For further queries consult a paediatrician online -->
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<s>[INST]
Hello doctor, My 2.6 years old son is suffering from stomach gas since last month. Every night he wakes up from his sleep crying. He got an OPV yesterday morning, and we gave him Neopeptine 5 ml tonight for the stomach problem. I am scared that I gave him the syrup after OPV. Is there any risk associated with it? When is it safe to take Neopeptine after OPV vaccination? Are there any chances of it affecting my son? Please help me. And can you suggest something for his stomach problem? [/INST] Hi. For further queries consult a paediatrician online -->
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Q. Please give a correct diagnosis for bumps on scrotum and whole body itch.
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Hi doctor, Initially, I had bumps on my scrotum and now I got few bumps on my penis head. I have attached the pictures for better idea. First It was told that these maybe cysts. And later it was told as Fordyce spots. Please give me correct diagnosis. Thanks.
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Hi. They are neither cyst nor Fordyce spots. Sexually transmitted disease can be a probability. But, for proper diagnosis I need to know the complete history that is the onset, progression and duration of lesion. Please send me the photos of lesion on the scrotum too. Only then I would be in a position to make any valid comment. Revert back with the answers for the above questions to a dermatologist online -->
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<s>[INST]
Hi doctor, Initially, I had bumps on my scrotum and now I got few bumps on my penis head. I have attached the pictures for better idea. First It was told that these maybe cysts. And later it was told as Fordyce spots. Please give me correct diagnosis. Thanks. [/INST] Hi. They are neither cyst nor Fordyce spots. Sexually transmitted disease can be a probability. But, for proper diagnosis I need to know the complete history that is the onset, progression and duration of lesion. Please send me the photos of lesion on the scrotum too. Only then I would be in a position to make any valid comment. Revert back with the answers for the above questions to a dermatologist online -->
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Q. Headache during erection and ejaculation is refraining my sexual life. Please help.
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Hello doctor, One day while having regular sex just before and during ejaculation, I experienced a sudden severe headache. It was painful and lasted for about 10 minutes. It started as a dull ache from my neck and head and it build up just during ejaculation. Two days later, I tried to have sex again and the same experience but I managed to ejaculate. Yesterday, I tried to have sex again and the same experience and I did not ejaculate due to the pain. I am so stressed that my erection is getting weaker. Now, I just have an erection and I am having mild headaches. I have never experienced a situation like this neither have I ever heard of a situation like this. I am 40 years old. Is there any solution for this? I am very worried and I am already thinking that this is the end of my sex life. Because of this Coronavirus, I am even afraid to go to the hospital. Please help.
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Hello. You might be suffering from a disease termed as benign vascular sexual headache. To make its diagnosis, we need to rule out intracranial bleed first. Get MRI (magnetic resonance imaging) brain done to rule out structural disease. Once structural causes are ruled out, you can be sure of the diagnosis. Preventive medications like Indomethacin can be used 30 minutes to one hour before intercourse once we confirm the diagnosis. Benign vascular sexual headache. MRI brain. Benign vascular sexual headache. Structural brain lesions. Benign vascular sexual headache. Tab Indomethacin 50 mg 30 to 60 minutes before sexual activity (maximum of two tablets per day). Avoid strenuous activity during intercourse. Review with MRI report. Review after 3 days for response to medications
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<s>[INST]
Hello doctor, One day while having regular sex just before and during ejaculation, I experienced a sudden severe headache. It was painful and lasted for about 10 minutes. It started as a dull ache from my neck and head and it build up just during ejaculation. Two days later, I tried to have sex again and the same experience but I managed to ejaculate. Yesterday, I tried to have sex again and the same experience and I did not ejaculate due to the pain. I am so stressed that my erection is getting weaker. Now, I just have an erection and I am having mild headaches. I have never experienced a situation like this neither have I ever heard of a situation like this. I am 40 years old. Is there any solution for this? I am very worried and I am already thinking that this is the end of my sex life. Because of this Coronavirus, I am even afraid to go to the hospital. Please help. [/INST] Hello. You might be suffering from a disease termed as benign vascular sexual headache. To make its diagnosis, we need to rule out intracranial bleed first. Get MRI (magnetic resonance imaging) brain done to rule out structural disease. Once structural causes are ruled out, you can be sure of the diagnosis. Preventive medications like Indomethacin can be used 30 minutes to one hour before intercourse once we confirm the diagnosis. Benign vascular sexual headache. MRI brain. Benign vascular sexual headache. Structural brain lesions. Benign vascular sexual headache. Tab Indomethacin 50 mg 30 to 60 minutes before sexual activity (maximum of two tablets per day). Avoid strenuous activity during intercourse. Review with MRI report. Review after 3 days for response to medications
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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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