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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. My 1 year kid has continuous fever and abscess in neck. Kindly guide.
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Hello doctor, My daughter is 1 year old. Since 10 days she has a fever. From the very first day, we have consult pediatrician and he started Nobel plus for fever four times a day. We completed the course for five days and returned to doctor for follow up. He again suggested for Nobel plus twice a day and started antibiotic syrup. After five days, her fever was still there so we again consulted the doctor and forced to do the blood test. The WBC count was 16000 per cubic mm, platelet count 7.90 lakhs per cubic mm. So, the doctor advised to admit and started antibiotics Maczone XP 500 inj., Macmika 100, Aciloc inj. After three days the same situation, fever was still there so we insisted on a blood test, urine test as well as X-ray. The result was WBC 17100, platelet 7.27, urine report showed pus cells 2.3/H.P.F, and X-ray report was normal. So the doctor revised the treatment plan immediately after having all reports as, Merobax 250 mg inj., E Mal inj., Zydol. But on the same night, we observed my baby's neck was swollen. So we asked the doctor and he diagnosed that it is kind of abscess. He explained that it appeared due to our antibiotic. It is the source of infection and due to that, her fever was present. There will be two options either revise the medication plan or by surgically remove the abscess. The doctor again revised the treatment plan as MeroBax 250 mg, Monocef 500 mg, Tazomac PS 1.125 mg, Macmika 100, and Electrolyte P inj.
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Hello, Welcome back to icliniq.com. I have gone through reports and history (attachment removed to protect patient identity). From the picture, it appears to be abscess only. Also, the doctor confirms it on examination. The next line of action should be an ultrasound of the abscess to look for extent. Also, drainage of abscess is necessary. She has enough antibiotics and, fever, TLC (total leucocyte count) not responding as antibiotics must not be reaching there adequately due to pus collection. So the abscess should be drained in my opinion while antibiotics should be continued. After draining, the pus should be sent for investigations, which includes gram staining, AFB (acid-fast bacilli) staining, GenXpert of the pus, bacterial culture and sensitivity. So if the facility is available there then you may keep or else should be shifted to higher center. For more information consult a paediatrician online -->
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<s>[INST]
Hello doctor, My daughter is 1 year old. Since 10 days she has a fever. From the very first day, we have consult pediatrician and he started Nobel plus for fever four times a day. We completed the course for five days and returned to doctor for follow up. He again suggested for Nobel plus twice a day and started antibiotic syrup. After five days, her fever was still there so we again consulted the doctor and forced to do the blood test. The WBC count was 16000 per cubic mm, platelet count 7.90 lakhs per cubic mm. So, the doctor advised to admit and started antibiotics Maczone XP 500 inj., Macmika 100, Aciloc inj. After three days the same situation, fever was still there so we insisted on a blood test, urine test as well as X-ray. The result was WBC 17100, platelet 7.27, urine report showed pus cells 2.3/H.P.F, and X-ray report was normal. So the doctor revised the treatment plan immediately after having all reports as, Merobax 250 mg inj., E Mal inj., Zydol. But on the same night, we observed my baby's neck was swollen. So we asked the doctor and he diagnosed that it is kind of abscess. He explained that it appeared due to our antibiotic. It is the source of infection and due to that, her fever was present. There will be two options either revise the medication plan or by surgically remove the abscess. The doctor again revised the treatment plan as MeroBax 250 mg, Monocef 500 mg, Tazomac PS 1.125 mg, Macmika 100, and Electrolyte P inj. [/INST] Hello, Welcome back to icliniq.com. I have gone through reports and history (attachment removed to protect patient identity). From the picture, it appears to be abscess only. Also, the doctor confirms it on examination. The next line of action should be an ultrasound of the abscess to look for extent. Also, drainage of abscess is necessary. She has enough antibiotics and, fever, TLC (total leucocyte count) not responding as antibiotics must not be reaching there adequately due to pus collection. So the abscess should be drained in my opinion while antibiotics should be continued. After draining, the pus should be sent for investigations, which includes gram staining, AFB (acid-fast bacilli) staining, GenXpert of the pus, bacterial culture and sensitivity. So if the facility is available there then you may keep or else should be shifted to higher center. For more information consult a paediatrician online -->
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Q. What is the exact dose of Meftal-P for a 22 months old?
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Hi doctor, My daughter got fever since last night. It has been 24 hours and her fever is between 102 and 103.5 degree Fahrenheit. She has no other symptom till now. She is 22 months old. We are giving her Fevago drops. What can we do for her?
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Hello. This could be a viral fever, so continue giving Paracetamol that is Fevago every 4 to 5 hours irrespective of fever. If fever is above 101 degree Fahrenheit, then start tepid sponging and give Meftal-P syrup (Mefenamic acid) instead of Paracetamol. If the fever goes beyond three days, then we can evaluate or investigate for causes of fever other than viral by means of a blood test and urine test. Generally, viral fever may last for three to five days and no need of antibiotic at this moment. For further information consult a paediatrician online -->
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<s>[INST]
Hi doctor, My daughter got fever since last night. It has been 24 hours and her fever is between 102 and 103.5 degree Fahrenheit. She has no other symptom till now. She is 22 months old. We are giving her Fevago drops. What can we do for her? [/INST] Hello. This could be a viral fever, so continue giving Paracetamol that is Fevago every 4 to 5 hours irrespective of fever. If fever is above 101 degree Fahrenheit, then start tepid sponging and give Meftal-P syrup (Mefenamic acid) instead of Paracetamol. If the fever goes beyond three days, then we can evaluate or investigate for causes of fever other than viral by means of a blood test and urine test. Generally, viral fever may last for three to five days and no need of antibiotic at this moment. For further information consult a paediatrician online -->
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Q. What is leukocytosis with lymphocytosis? Is it some kind of a cancer?
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Hello doctor, My height is 5 feet 2 inches, and I weigh 90 kg. I got my thyroid tests done. I am already taking Eltroxin 50 mcg daily. Please check the reports and let me know what can be done.
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Hello. I went through your post. Regards. For more information consult a general medicine physician online -->
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<s>[INST]
Hello doctor, My height is 5 feet 2 inches, and I weigh 90 kg. I got my thyroid tests done. I am already taking Eltroxin 50 mcg daily. Please check the reports and let me know what can be done. [/INST] Hello. I went through your post. Regards. For more information consult a general medicine physician online -->
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Q. What can happen to a person having 14 Crocin 650 mg tablets at once?
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Hi doctor, My friend has taken 14 tablets of Crocin 650 mg at a time? What can we do now? Is there any ayurveda treatment for that?
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Hello. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, My friend has taken 14 tablets of Crocin 650 mg at a time? What can we do now? Is there any ayurveda treatment for that? [/INST] Hello. For further information consult an ayurveda specialist online -->
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Q. I have fever since a month but all my reports are normal. Please advise.
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Hello doctor, I am a 32 year old woman. I weigh 68 kg. I am suffering from fever since one month. Almost daily the temperature is ranging from 99 to 101. Especially in the afternoon. I also have a headache along with fever. Both increases together. Also, there is severe pain in the muscles of the legs below the knee to ankle. The muscles behind the knee (underside of the knee) ache more, and it increases in the evening or night times. I have normal regular home cooked vegetarian food. I have shifted to a new city three months back. Before, I used to exercise, do yoga and walk regularly. But now due to a new place, it is discontinued. I have undergone all tests, and they are normal. Kindly advise.
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Hello. I went through your reports (attachment removed to protect patient identity). Your primary complaint is a fever, especially during the afternoon hours. Start a broad spectrum antibiotic (like Cefuroxime 500 mg twice daily) after a blood culture and come back with investigations. Regards. For more information consult a general medicine physician online -->
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<s>[INST]
Hello doctor, I am a 32 year old woman. I weigh 68 kg. I am suffering from fever since one month. Almost daily the temperature is ranging from 99 to 101. Especially in the afternoon. I also have a headache along with fever. Both increases together. Also, there is severe pain in the muscles of the legs below the knee to ankle. The muscles behind the knee (underside of the knee) ache more, and it increases in the evening or night times. I have normal regular home cooked vegetarian food. I have shifted to a new city three months back. Before, I used to exercise, do yoga and walk regularly. But now due to a new place, it is discontinued. I have undergone all tests, and they are normal. Kindly advise. [/INST] Hello. I went through your reports (attachment removed to protect patient identity). Your primary complaint is a fever, especially during the afternoon hours. Start a broad spectrum antibiotic (like Cefuroxime 500 mg twice daily) after a blood culture and come back with investigations. Regards. For more information consult a general medicine physician online -->
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Q. Can I consume cold foods with tonsillitis?
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Hello doctor, Can I eat cold foods when suffering from tonsilitis? I think cold is not related to tonsilitis because a virus or bacteria cannot live in cold or hot. Why is there still a misconception in that? Some doctors say you can eat and some say you cannot. What is the illusion?
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Hi. If you are having a susceptibility for throat infections you need to understand why it is happening. Having cold drinks or fluids bring down the body's immunity by shade and that is why it can attract a viral or bacterial infection. It is not about whether the bacteria can survive in cold or not, but it is about whether your body's immune system is able to fight the infection to neutralize it before it spreads. Viral particles and bacteria are all there in the air that we breathe and usually the body fights back to protect from getting invaded by these organisms. Everyone has one particular level of immunity, some have a weak immune system while some have very strong immunity and can still bear eating junk food and drinking cold drinks all day and still not get an infection. It all depends from person to person. If your body is sensitive to cold things or anything for that matter, it is better to avoid such items to prevent you from acquiring an infection and taking unnecessary antibiotics and medications. I hope this helps.
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<s>[INST]
Hello doctor, Can I eat cold foods when suffering from tonsilitis? I think cold is not related to tonsilitis because a virus or bacteria cannot live in cold or hot. Why is there still a misconception in that? Some doctors say you can eat and some say you cannot. What is the illusion? [/INST] Hi. If you are having a susceptibility for throat infections you need to understand why it is happening. Having cold drinks or fluids bring down the body's immunity by shade and that is why it can attract a viral or bacterial infection. It is not about whether the bacteria can survive in cold or not, but it is about whether your body's immune system is able to fight the infection to neutralize it before it spreads. Viral particles and bacteria are all there in the air that we breathe and usually the body fights back to protect from getting invaded by these organisms. Everyone has one particular level of immunity, some have a weak immune system while some have very strong immunity and can still bear eating junk food and drinking cold drinks all day and still not get an infection. It all depends from person to person. If your body is sensitive to cold things or anything for that matter, it is better to avoid such items to prevent you from acquiring an infection and taking unnecessary antibiotics and medications. I hope this helps.
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Q. I feel urethral discomfort after hand job. Should I be concerned about STI?
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Hello doctor, I am a 30 year old male. I received a hand job from a mysterious individual, and afterward, I put hand sanitizer all over my groin area. I think I put some in my urethra as well. Later that night I noticed a dull discomfort in my urethra, but nothing painful. It does not hurt when I pee. It has been a day now with the same symptom. Should I be concerned about STI? Do you think the hand sanitizer caused it?
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Hi. For further information consult a HIV AIDS specialist online -->
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<s>[INST]
Hello doctor, I am a 30 year old male. I received a hand job from a mysterious individual, and afterward, I put hand sanitizer all over my groin area. I think I put some in my urethra as well. Later that night I noticed a dull discomfort in my urethra, but nothing painful. It does not hurt when I pee. It has been a day now with the same symptom. Should I be concerned about STI? Do you think the hand sanitizer caused it? [/INST] Hi. For further information consult a HIV AIDS specialist online -->
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Q. What are the preventive measures in case of slippage or breakage of condoms?
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Hi doctor, I am a 37 year old heterosexual male. I am HIV negative with no known STD. I always have safe sex. I always have very safe sex with girls who are not sex workers. But may have casual sex with others. Generally, I would imagine that they too would be practicing safe sex with their regular boyfriends, then really I do not see statistically being any real chance of contracting HIV or any other STD. I too have had casual sex with a number of such girls. If I continue these activities with multiple partners of the same profile then chance of contracting HIV or STDs should be next to zero. Is this correct? In two situations like condom coming out or breaking, but the sex act being stopped immediately, what would be the chance of my contracting HIV or any other STD? What other immediate preventive measure should I take if the condom breaks or comes out other than stopping the act? Should I take Truvada immediately? If yes, for how many days should I take it to become effective? Does it become effective from day one? Can one take it few days before sexual intercourse and stop it in between and again restart it? Do I need to do any blood test for HIV or other STDs in case the condom breaks or slips out? If so, what are the blood tests that I need to do and with how many days gap? Is there any STD one can get from skin to skin contact without genital contact. Is there any STD one can get from accidental genital contact and what preventive measures should be taken if this happens? Can one get an STD from kissing? Only once in my life, around two to three years back, I had intercourse without a condom. I had myself tested for HIV six months later and it turned out to be negative. I have not had any symptoms of any STDs, but should I still get myself tested for any STDs and if so, which test should I do? Which condom size should I use? My penis is 7 inches in length and 7.5 inches in girth. Do I use XL or XXL? I do not find any condom which supports 7.5 inch girth. What should I do in this case? It seems that if the partner is HIV+ then it would be a statistically low probability that with one sex act with protection? Would it not be better to take Truvada regularly to be on the safer side? What are the side effects of taking Truvada regularly even if one is not at high risk? Should I use any lubricant with the condom? Should I get a hepatitis B shot? I am not sure whether I have had the shot earlier.
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Hi. An unsafe sex increases the chance of contracting STDs (sexually transmitted diseases) as well as HIV (human immunodeficiency virus). As you mentioned that the status of your partners are mostly not known, so this puts you in risk of contracting STD or HIV if you get involved in unsafe sexual practices with such partners. In case of slippage of condoms or breakage of condoms, puts you at risk, which cannot be neglected while having sexual intercourse. First and foremost important thing to do is, to stop the act and wash your genitals with mild soap under running water. Avoid applying any cream or lubricant that can cause irritation to genital skin. Besides this avoid promiscuous behavior. There is no need to take Truvada (Emtricitabine and Tenofovir Disoproxil Fumarate) until and unless you know the HIV status of the partner with whom you have had unprotected sex. Viral infections such as genital warts and herpes can be contracted by even skin to skin contact. For accidental genital contact, firstly get the STD profile done, and then if required start the treatment for the respective STD that is detected on testing. In your case you should use XL size condoms (extra large), which can be procured from a medical store. Having an unprotected sexual intercourse with a partner who is HIV+ then there is always a risk of contracting HIV, you cannot neglect it or can take chance of not contracting HIV by having sex only for once with such person. If you are not sure about vaccination and as you are involved in unhealthy sexual practices then you should get your hepatitis B done. For further clarification consult a sexologist online -->
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<s>[INST]
Hi doctor, I am a 37 year old heterosexual male. I am HIV negative with no known STD. I always have safe sex. I always have very safe sex with girls who are not sex workers. But may have casual sex with others. Generally, I would imagine that they too would be practicing safe sex with their regular boyfriends, then really I do not see statistically being any real chance of contracting HIV or any other STD. I too have had casual sex with a number of such girls. If I continue these activities with multiple partners of the same profile then chance of contracting HIV or STDs should be next to zero. Is this correct? In two situations like condom coming out or breaking, but the sex act being stopped immediately, what would be the chance of my contracting HIV or any other STD? What other immediate preventive measure should I take if the condom breaks or comes out other than stopping the act? Should I take Truvada immediately? If yes, for how many days should I take it to become effective? Does it become effective from day one? Can one take it few days before sexual intercourse and stop it in between and again restart it? Do I need to do any blood test for HIV or other STDs in case the condom breaks or slips out? If so, what are the blood tests that I need to do and with how many days gap? Is there any STD one can get from skin to skin contact without genital contact. Is there any STD one can get from accidental genital contact and what preventive measures should be taken if this happens? Can one get an STD from kissing? Only once in my life, around two to three years back, I had intercourse without a condom. I had myself tested for HIV six months later and it turned out to be negative. I have not had any symptoms of any STDs, but should I still get myself tested for any STDs and if so, which test should I do? Which condom size should I use? My penis is 7 inches in length and 7.5 inches in girth. Do I use XL or XXL? I do not find any condom which supports 7.5 inch girth. What should I do in this case? It seems that if the partner is HIV+ then it would be a statistically low probability that with one sex act with protection? Would it not be better to take Truvada regularly to be on the safer side? What are the side effects of taking Truvada regularly even if one is not at high risk? Should I use any lubricant with the condom? Should I get a hepatitis B shot? I am not sure whether I have had the shot earlier. [/INST] Hi. An unsafe sex increases the chance of contracting STDs (sexually transmitted diseases) as well as HIV (human immunodeficiency virus). As you mentioned that the status of your partners are mostly not known, so this puts you in risk of contracting STD or HIV if you get involved in unsafe sexual practices with such partners. In case of slippage of condoms or breakage of condoms, puts you at risk, which cannot be neglected while having sexual intercourse. First and foremost important thing to do is, to stop the act and wash your genitals with mild soap under running water. Avoid applying any cream or lubricant that can cause irritation to genital skin. Besides this avoid promiscuous behavior. There is no need to take Truvada (Emtricitabine and Tenofovir Disoproxil Fumarate) until and unless you know the HIV status of the partner with whom you have had unprotected sex. Viral infections such as genital warts and herpes can be contracted by even skin to skin contact. For accidental genital contact, firstly get the STD profile done, and then if required start the treatment for the respective STD that is detected on testing. In your case you should use XL size condoms (extra large), which can be procured from a medical store. Having an unprotected sexual intercourse with a partner who is HIV+ then there is always a risk of contracting HIV, you cannot neglect it or can take chance of not contracting HIV by having sex only for once with such person. If you are not sure about vaccination and as you are involved in unhealthy sexual practices then you should get your hepatitis B done. For further clarification consult a sexologist online -->
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Q. Do my symptoms seem like migraine or something worse?
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Hello doctor, I am a 31 year old female, who never really suffered from headaches before this year. I did have occasional (what I called) tension headaches, mild pains behind one eye that would last a few hours, and that is about it. Last year, I gave birth to my first child, by C-section. 2 to 3 days after the spinal anesthesia, I developed positional headaches that were incredibly intense. I was told they were related to the anesthesia. I could not sit or stand up, and the pain was the worst thing imaginable. I would actually cry on the toilet when I needed to go. On a scale of 1 to 10, it was an 11. When I lay down, it got better, a 2 to 3 out of 10. The pains went away after 6 to 7 days, and I got back normal. However, during these seven days, I did experience once a scintillating scotoma, which was almost identical to the auras that precede migraines. A lot of blurry shining lights that gradually grew larger and became a sparkling fortification spectrum in a C-shape, which grew even larger until it left the vision field towards the left side. Then I had no problems whatsoever for the next six months or so, until one and a half months ago, when I started having the aura again, and it happened six times so far. I have been very overworked and overtired when they started, with the baby starting solids and not sleeping well. It has been so far five times on the left side of the vision and once on the right side (although the same day I had it on the right side, a few hours later it also happened on the left side, the same day). The transition of the scintillating scotoma from a dot to a large C leaving my field of vision lasts about 30 minutes, and it is every time the same. I do not have any other symptoms, although I had mild nausea a couple of times during the aura. The headaches that follow are mild. Like a stronger pressure in the back of the head, on the opposite side of the scotoma. So, it has been mostly on the right side. A couple of hours after the aura, I can always feel a sharper pain on the right side, inside my head, towards the back of the head (occipitally), usually when I move, bend over, cough, strain, etc. It is every time on the same side in the same spot. This pain disappears after a day or so. But for the last two weeks or so, I have been left with a slightly painful pressure in my head that is pretty constant daily. It sometimes goes away especially when I am relaxed, but it comes back when I am more tense and active. It feels a lot like a tension-type headache. There is also a sensation of a 'full head' and a bit of lightheadedness like I am not focusing my eyes well (but not actually losing any balance or visual acuity). There is no particular pain when moving, coughing, bending over, etc. like I have during a migraine. But I do feel more pressure in the back of my head on the right, not sure if it is psychological, or it is really something there. I should also mention that I did not take any medication for the migraines, and once tried Ibuprofen for a tension headache, but it did not really work. Sometimes, a glass of wine works better actually. My brother started having the same aura (he described it to me in detail, and it is the same thing I have) when he was 35, which was five years ago. His headaches are mild to moderate, but they are behind his eye and not at the back of the head like mine. He also does not have the head pressure every day like I started to have, and his migraines alternate sides, not like mine which are pretty much on the right side of the head (left vision field). I am scheduled for an MRI next week, so I will find out more soon. But I wanted to hear your opinion since I am so very scared that I have a tumor in there, something really bad. I very much want to see my baby grow up and be there for him. I am super worried, and I just had another aura yesterday evening, and now I get the sharp pain in my right occipital area when bending over. Do my symptoms really seem like migraines or maybe something worse? I have read that I am a bit too old to start having migraines (31) and that the pain should be more intense and not always on the same side (which is indicative of brain tumor?) and that they should be on the front of my head not at the back of my head. Is that true?
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Hello. I read your query and understand your concerns. I hope this answers you. Feel free to contact me back if you have more questions or doubts. Thanks and regards. For more information consult a neurologist online -->
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<s>[INST]
Hello doctor, I am a 31 year old female, who never really suffered from headaches before this year. I did have occasional (what I called) tension headaches, mild pains behind one eye that would last a few hours, and that is about it. Last year, I gave birth to my first child, by C-section. 2 to 3 days after the spinal anesthesia, I developed positional headaches that were incredibly intense. I was told they were related to the anesthesia. I could not sit or stand up, and the pain was the worst thing imaginable. I would actually cry on the toilet when I needed to go. On a scale of 1 to 10, it was an 11. When I lay down, it got better, a 2 to 3 out of 10. The pains went away after 6 to 7 days, and I got back normal. However, during these seven days, I did experience once a scintillating scotoma, which was almost identical to the auras that precede migraines. A lot of blurry shining lights that gradually grew larger and became a sparkling fortification spectrum in a C-shape, which grew even larger until it left the vision field towards the left side. Then I had no problems whatsoever for the next six months or so, until one and a half months ago, when I started having the aura again, and it happened six times so far. I have been very overworked and overtired when they started, with the baby starting solids and not sleeping well. It has been so far five times on the left side of the vision and once on the right side (although the same day I had it on the right side, a few hours later it also happened on the left side, the same day). The transition of the scintillating scotoma from a dot to a large C leaving my field of vision lasts about 30 minutes, and it is every time the same. I do not have any other symptoms, although I had mild nausea a couple of times during the aura. The headaches that follow are mild. Like a stronger pressure in the back of the head, on the opposite side of the scotoma. So, it has been mostly on the right side. A couple of hours after the aura, I can always feel a sharper pain on the right side, inside my head, towards the back of the head (occipitally), usually when I move, bend over, cough, strain, etc. It is every time on the same side in the same spot. This pain disappears after a day or so. But for the last two weeks or so, I have been left with a slightly painful pressure in my head that is pretty constant daily. It sometimes goes away especially when I am relaxed, but it comes back when I am more tense and active. It feels a lot like a tension-type headache. There is also a sensation of a 'full head' and a bit of lightheadedness like I am not focusing my eyes well (but not actually losing any balance or visual acuity). There is no particular pain when moving, coughing, bending over, etc. like I have during a migraine. But I do feel more pressure in the back of my head on the right, not sure if it is psychological, or it is really something there. I should also mention that I did not take any medication for the migraines, and once tried Ibuprofen for a tension headache, but it did not really work. Sometimes, a glass of wine works better actually. My brother started having the same aura (he described it to me in detail, and it is the same thing I have) when he was 35, which was five years ago. His headaches are mild to moderate, but they are behind his eye and not at the back of the head like mine. He also does not have the head pressure every day like I started to have, and his migraines alternate sides, not like mine which are pretty much on the right side of the head (left vision field). I am scheduled for an MRI next week, so I will find out more soon. But I wanted to hear your opinion since I am so very scared that I have a tumor in there, something really bad. I very much want to see my baby grow up and be there for him. I am super worried, and I just had another aura yesterday evening, and now I get the sharp pain in my right occipital area when bending over. Do my symptoms really seem like migraines or maybe something worse? I have read that I am a bit too old to start having migraines (31) and that the pain should be more intense and not always on the same side (which is indicative of brain tumor?) and that they should be on the front of my head not at the back of my head. Is that true? [/INST] Hello. I read your query and understand your concerns. I hope this answers you. Feel free to contact me back if you have more questions or doubts. Thanks and regards. For more information consult a neurologist online -->
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Q. What is an opacity on the bladder?
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Hi doctor,What is an opacity on the bladder? My husband had kidney stones, recurrent urine infections and minimal blood in urine. He had antibiotics and it got cured. He had a scan and was told that opacity on the bladder. When we consulted a doctor, she said that the report is very vague. Another doctor told us that there is a growth on bladder, bowel and pelvis. We are worried now as she mentioned it as cancer growth. Please clarify it.
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Hi. I can understand the apprehension. Urine for malignant cytology. 1. Foreign body. 2. Calcification. 3. Malignancy. For further information consult a urologist online.--->
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<s>[INST]
Hi doctor,What is an opacity on the bladder? My husband had kidney stones, recurrent urine infections and minimal blood in urine. He had antibiotics and it got cured. He had a scan and was told that opacity on the bladder. When we consulted a doctor, she said that the report is very vague. Another doctor told us that there is a growth on bladder, bowel and pelvis. We are worried now as she mentioned it as cancer growth. Please clarify it. [/INST] Hi. I can understand the apprehension. Urine for malignant cytology. 1. Foreign body. 2. Calcification. 3. Malignancy. For further information consult a urologist online.--->
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Q. I am diagnosed of psychosis NOS. Is there a possibility of withdrawal psychosis when antipsychotics are discontinued?
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Hi, I am diagnosed of Psychosis (NOS). The first episode was in 2010 and it lasted for three-four months before I was taken to a psychiatrist. I had been thinking that people are tracking me through email, internet. My mobile phone is tapped and all that. I did not get any auditory or visual hallucinations. I was prescribed Risperidone 2 mg and I took it for about 10 months before I discontinued it following a medical practitioner's advice. But the disease relapsed after 10 months of discontinuing the medication. This time with in one month of the start of the disease I was taken to a psychiatrist and he prescribed me Amisulpride 400 mg and another medication which I do not remember the name. This time also there were only delusions and no hallucinations. I was not able to tolerate the side effects of the medication and I decided to stop the medication after one month of using it. Within one month I was able to come out of the diseased state and stopped the medication by myself not taking advice from doctor. After three months of stopping the medication, the disease relapsed again a bit more severely this time but again only delusions and no hallucinations. My doctor told the relapse is because I stopped the medication abruptly. And presently I am under treatment of the same doctor and am on Aripiprazole 20 mg and Amisulpride 200 mg. His plan is to reduce and stop amisulpride slowly and continue aripiprazole for some more time. Totally I should be having the medication for 1 to 1 and half years. I am tolerating this medication better than Risperidone but still would like to find out if there are any alternatives.The Psychosis has responded well to the medication. And I am totally symptom free for the past six or more months. These are the questions I have? I read on internet there is a possibility of withdrawal Psychosis when antipsychotics are discontinued (attributed to increased number and sensitivity of dopamine receptors). Was it that what I got 10 months after discontinuation of the medication? Are there further chances of getting such withdrawal Psychosis, if I continue antipsychotics for a period of one and a half years? How much reliable is homeopathy in treating this?
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Hi. Consult a psychiatrist online for further folow up -->
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<s>[INST]
Hi, I am diagnosed of Psychosis (NOS). The first episode was in 2010 and it lasted for three-four months before I was taken to a psychiatrist. I had been thinking that people are tracking me through email, internet. My mobile phone is tapped and all that. I did not get any auditory or visual hallucinations. I was prescribed Risperidone 2 mg and I took it for about 10 months before I discontinued it following a medical practitioner's advice. But the disease relapsed after 10 months of discontinuing the medication. This time with in one month of the start of the disease I was taken to a psychiatrist and he prescribed me Amisulpride 400 mg and another medication which I do not remember the name. This time also there were only delusions and no hallucinations. I was not able to tolerate the side effects of the medication and I decided to stop the medication after one month of using it. Within one month I was able to come out of the diseased state and stopped the medication by myself not taking advice from doctor. After three months of stopping the medication, the disease relapsed again a bit more severely this time but again only delusions and no hallucinations. My doctor told the relapse is because I stopped the medication abruptly. And presently I am under treatment of the same doctor and am on Aripiprazole 20 mg and Amisulpride 200 mg. His plan is to reduce and stop amisulpride slowly and continue aripiprazole for some more time. Totally I should be having the medication for 1 to 1 and half years. I am tolerating this medication better than Risperidone but still would like to find out if there are any alternatives.The Psychosis has responded well to the medication. And I am totally symptom free for the past six or more months. These are the questions I have? I read on internet there is a possibility of withdrawal Psychosis when antipsychotics are discontinued (attributed to increased number and sensitivity of dopamine receptors). Was it that what I got 10 months after discontinuation of the medication? Are there further chances of getting such withdrawal Psychosis, if I continue antipsychotics for a period of one and a half years? How much reliable is homeopathy in treating this? [/INST] Hi. Consult a psychiatrist online for further folow up -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I took Viagra 50 mg, and it helped with erectile dysfunction. Will Viagra affect my fertility?
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Hello doctor, I have a query related to the use of viagra. I have the problem of erectile dysfunction. Sometimes, though I get an erection, I am unable to sustain the hardness, and do intercourse. I took Viagra 50 mg once and it worked well. Is it safe to use viagra to get my wife pregnant? Will viagra cause any effect on my fertility? Will it affect the sperms? Hope to listen from you soon.
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Hi. I read your query and understand your concerns about the effect of Viagra (Sildenafil) on sperm or its quality. I like to inform you that the formation of sperm is an independent process from erection. You will be surprised to know that the sperms that will be released in the next few sessions may have completed their manufacturing weeks back, if not the months. In other words, sperm formation takes around two and a half months and has no casual relationship with the erection or mechanism of erection, which is affected by Viagra. On the other hand, Viagra acts on certain receptors on the blood vessels and remains effective for a few hours (4-6 hours). I mean to say that as per the available literature, no harm is made to sperms or sperm quality by Viagra even on the frequent use. You can safely go ahead with Viagra to father a child.
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<s>[INST]
Hello doctor, I have a query related to the use of viagra. I have the problem of erectile dysfunction. Sometimes, though I get an erection, I am unable to sustain the hardness, and do intercourse. I took Viagra 50 mg once and it worked well. Is it safe to use viagra to get my wife pregnant? Will viagra cause any effect on my fertility? Will it affect the sperms? Hope to listen from you soon. [/INST] Hi. I read your query and understand your concerns about the effect of Viagra (Sildenafil) on sperm or its quality. I like to inform you that the formation of sperm is an independent process from erection. You will be surprised to know that the sperms that will be released in the next few sessions may have completed their manufacturing weeks back, if not the months. In other words, sperm formation takes around two and a half months and has no casual relationship with the erection or mechanism of erection, which is affected by Viagra. On the other hand, Viagra acts on certain receptors on the blood vessels and remains effective for a few hours (4-6 hours). I mean to say that as per the available literature, no harm is made to sperms or sperm quality by Viagra even on the frequent use. You can safely go ahead with Viagra to father a child.
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Q. How long will it take to heal ankle injury?
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Hi doctor, I have injured my ankle while playing basketball. I have a swollen ankle on the left side and slightly less minor swelling on the right side of my ankle. I have a splint and taking calcium medicine along with other medicine and painkiller to reduce swelling. X-ray initially suggested a minor hairline crack on the edge of the medial malleolus. However, a second opinion doctor said since there is not much swelling; it is less likely to be a fracture. Can you advise on the degree of injury? How long will it take to heal?
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Hi. Revert back after six weeks to an orthopaedician and traumatologist online -->
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<s>[INST]
Hi doctor, I have injured my ankle while playing basketball. I have a swollen ankle on the left side and slightly less minor swelling on the right side of my ankle. I have a splint and taking calcium medicine along with other medicine and painkiller to reduce swelling. X-ray initially suggested a minor hairline crack on the edge of the medial malleolus. However, a second opinion doctor said since there is not much swelling; it is less likely to be a fracture. Can you advise on the degree of injury? How long will it take to heal? [/INST] Hi. Revert back after six weeks to an orthopaedician and traumatologist online -->
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Q. Is it safe to drink alcohol after stomach biopsy?
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Hi doctor, I received an upper endoscopy and biopsy about 10 hours ago. My weight is 150 lbs and I was given 50 mcg of Fentanyl and 180 mg of Propofol for sedation. The procedure was successful and there were no immediate complications. I came home and rested for several hours and have plans to go out with some friends. I would like to consume two or three pegs of alcohol. Am I safe to drink alcohol? The only side effect I am feeling now is slight stomach irritation from the biopsy and nothing else. Please let me know.
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Hello. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I received an upper endoscopy and biopsy about 10 hours ago. My weight is 150 lbs and I was given 50 mcg of Fentanyl and 180 mg of Propofol for sedation. The procedure was successful and there were no immediate complications. I came home and rested for several hours and have plans to go out with some friends. I would like to consume two or three pegs of alcohol. Am I safe to drink alcohol? The only side effect I am feeling now is slight stomach irritation from the biopsy and nothing else. Please let me know. [/INST] Hello. For further information consult an internal medicine physician online -->
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Q. Will increased TSH level harm the baby's brain growth?
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Hi doctor, I am 26 years old. My height is 5'1" and weight is 52.4. I am 20 weeks pregnant now. I underwent a surgery for complete thyroidectomy and I am taking Thyroxin 100 mcg regularly. In my first trimester, the TSH level was 0.31 and the doctor advised me to continue the same dosage of medicine. But, in my recent serum test, total T4 level is 10.5 mcg/dL and TSH has shooted to 14.37 mIU/L. The anomaly scan shows the baby is healthy with heartbeat of 153. But, I am worried about the TSH level which could harm the baby's brain growth. Doctor has prescribed 125 mcg of Thyronorm tablet for a month. Is it must to undergo an emergency thyroid check with an endocrinologist to avoid any complications?
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Hi Revert back with the answers for the above questions to an endocrinologist online -->
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<s>[INST]
Hi doctor, I am 26 years old. My height is 5'1" and weight is 52.4. I am 20 weeks pregnant now. I underwent a surgery for complete thyroidectomy and I am taking Thyroxin 100 mcg regularly. In my first trimester, the TSH level was 0.31 and the doctor advised me to continue the same dosage of medicine. But, in my recent serum test, total T4 level is 10.5 mcg/dL and TSH has shooted to 14.37 mIU/L. The anomaly scan shows the baby is healthy with heartbeat of 153. But, I am worried about the TSH level which could harm the baby's brain growth. Doctor has prescribed 125 mcg of Thyronorm tablet for a month. Is it must to undergo an emergency thyroid check with an endocrinologist to avoid any complications? [/INST] Hi Revert back with the answers for the above questions to an endocrinologist online -->
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Q. Do I need hospitalization for psoriasis?
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Hi doctor, I am suffering from severe psoriasis. I also have something else going on along with the psoriasis. My skin is red, swollen, pus filled and large yellow scales of skin are coming off. I cannot touch anything on my skin as it causes extreme pain. It is also hot to touch. I picked all the scales off. As soon as I apply lotion the scales will be back within one hour or so. I can hardly touch my skin to apply the lotion. About 60 % of my body covered with these scales now. It just started a little less than two weeks ago. I was completely covered in sheets of psoriasis within a week or so. When I visited my dermatologist he said there is nothing much more that he can do for me. I am on Remicaid every six weeks infusion. I have tried Humira, Enbrel, Methotrexate, steroids and topical creams. I would like to get a second option as I feel I should be hospitalized. Thank you.
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Hi. I have read your query in detail, saw the pictures (attachment removed to protect patient identity) and do understand your concern. This pus filled lesions is a form of psoriasis called pustular psoriasis. Also you seem to be going into psoriatic erythroderma that is involvement of more than 90 % body surface area, which is an indication of hospitalization. For pustular psoriasis, Acitretin is the preferred form of treatment. Cyclosporine can also be started and gives good results. As you know, psoriasis is a chronic disorder for which medicines are prescribed whenever condition worsens. These listed treatment options will depend on any associated disease, hepatic and renal profile, dose of drugs already taken, etc. You can discuss about these treatment options with your dermatologist who is the best judge since you are suffering from this problem since a long time. Avoid stress and alcohol. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I am suffering from severe psoriasis. I also have something else going on along with the psoriasis. My skin is red, swollen, pus filled and large yellow scales of skin are coming off. I cannot touch anything on my skin as it causes extreme pain. It is also hot to touch. I picked all the scales off. As soon as I apply lotion the scales will be back within one hour or so. I can hardly touch my skin to apply the lotion. About 60 % of my body covered with these scales now. It just started a little less than two weeks ago. I was completely covered in sheets of psoriasis within a week or so. When I visited my dermatologist he said there is nothing much more that he can do for me. I am on Remicaid every six weeks infusion. I have tried Humira, Enbrel, Methotrexate, steroids and topical creams. I would like to get a second option as I feel I should be hospitalized. Thank you. [/INST] Hi. I have read your query in detail, saw the pictures (attachment removed to protect patient identity) and do understand your concern. This pus filled lesions is a form of psoriasis called pustular psoriasis. Also you seem to be going into psoriatic erythroderma that is involvement of more than 90 % body surface area, which is an indication of hospitalization. For pustular psoriasis, Acitretin is the preferred form of treatment. Cyclosporine can also be started and gives good results. As you know, psoriasis is a chronic disorder for which medicines are prescribed whenever condition worsens. These listed treatment options will depend on any associated disease, hepatic and renal profile, dose of drugs already taken, etc. You can discuss about these treatment options with your dermatologist who is the best judge since you are suffering from this problem since a long time. Avoid stress and alcohol. For further information consult a dermatologist online -->
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Q. How fatal is liposarcoma?
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Hello doctor, Please could you tell me how fatal a liposarcoma is. It is not me who has the problem, but a family member.
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Hi. For further information consult a medical oncologist online -->
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<s>[INST]
Hello doctor, Please could you tell me how fatal a liposarcoma is. It is not me who has the problem, but a family member. [/INST] Hi. For further information consult a medical oncologist online -->
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Q. I have some blister-like bumps on the white of the eye. What are they?
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Hi doctor, I have some mild generalized pain in the left eye, which is noticeable when blinking or moving the eye. There appear to be a few small blister-like bumps on the white of the eye. There is some slight yellowing in the area of the bumps, and red irritated looking blood vessels surrounding that. I have attached a picture of my eye.
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Hello. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I have some mild generalized pain in the left eye, which is noticeable when blinking or moving the eye. There appear to be a few small blister-like bumps on the white of the eye. There is some slight yellowing in the area of the bumps, and red irritated looking blood vessels surrounding that. I have attached a picture of my eye. [/INST] Hello. For further information consult an eye care ophthalmologist online -->
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Q. Why am I not losing weight in spite of regular exercise?
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Hi doctor, My usual weight is 58 kg. But, in spite of regular rigorous exercise in the past two months I am not able to lose even half a pound. It has lowered my stamina and I feel lethargic. Please let me know why is it so? I am Currently on Thyronorm 100 mcg for hypothyroidism and homeopathic medicines for low BP and anemia. I have also started on Lorazepam before five months. Please help.
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Hi. Neglected daily exercise. BMI and regular weight assessment. Metabolism change. Weight management. Exercise, yoga and pranayama practice. For further information consult a fitness expert online.--->
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<s>[INST]
Hi doctor, My usual weight is 58 kg. But, in spite of regular rigorous exercise in the past two months I am not able to lose even half a pound. It has lowered my stamina and I feel lethargic. Please let me know why is it so? I am Currently on Thyronorm 100 mcg for hypothyroidism and homeopathic medicines for low BP and anemia. I have also started on Lorazepam before five months. Please help. [/INST] Hi. Neglected daily exercise. BMI and regular weight assessment. Metabolism change. Weight management. Exercise, yoga and pranayama practice. For further information consult a fitness expert online.--->
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Q. Can my back pain be due to the tethered spinal cord?
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Hello doctor, It is about nine months since I have had L4 hemilaminectomy, L5 foraminotomy and drilling of bone fracture at L4-L5 level. I had an MRI two months later due to severe pain. The MRI report presented inflammation and edema of the back muscles, inflammation of nerve roots, compression of nerve roots at L4-L5, suspicion for radiculitis/arachnoiditis and low-lying conus at L3-L4 with tethered cord and thickened filum. Following the report, I was treated with Dexamethasone for a tapering 10-day course. During the last eight months, I have had many symptoms including severe back pain with a constant heart rate of 130 and up varying blood pressure. The results change constantly from 100/40 to 200/140 inflammation and wounds on my back with a weakness of the bladder and bowel issues. I had an EMG that showed acute neurogenic lesion annular distribution at L4-5 and L5-S1. I also had an echocardiogram that stated: Rest HR to be 130, in effort - 3:36 HR 90% effort level - 5.3. I am scheduled for a cardio examination next week. My question is whether these symptoms can be related to the low-lying conus with a tethered cord? Before the surgery, I only had a CT so I do not know if the tethered cord was there or not? Can it be that the inflation and edema caused the tethered cord issues and symptoms? Can it just go away on its own? I would appreciate any ideas and recommendations that you might have on this issue or any other finding that you come up with. Please help. I have attached the reports for your reference.
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Hello. I have gone through your reports (attachment removed to protect patient identity). The tethered cord is a result of fibrosis and inflammation. Your symptoms of back pain and weakened bowel and bladder movements could be explained with the tethered cord. The changes in heart rate could be related to a cardiac disorder or inflammation, but they are not related to the spinal cord damage in this region. Painkillers and steroids can lead to high blood pressure and changes in the heart rate. The pain can also activate the sympathetic nervous system leading to such changes in the heart rhythm. Coming to this point, I would recommend continuing physiotherapy. An antidepressant or Pregabalin would help as a long-term therapy for the pain. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a neurologist online -->
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<s>[INST]
Hello doctor, It is about nine months since I have had L4 hemilaminectomy, L5 foraminotomy and drilling of bone fracture at L4-L5 level. I had an MRI two months later due to severe pain. The MRI report presented inflammation and edema of the back muscles, inflammation of nerve roots, compression of nerve roots at L4-L5, suspicion for radiculitis/arachnoiditis and low-lying conus at L3-L4 with tethered cord and thickened filum. Following the report, I was treated with Dexamethasone for a tapering 10-day course. During the last eight months, I have had many symptoms including severe back pain with a constant heart rate of 130 and up varying blood pressure. The results change constantly from 100/40 to 200/140 inflammation and wounds on my back with a weakness of the bladder and bowel issues. I had an EMG that showed acute neurogenic lesion annular distribution at L4-5 and L5-S1. I also had an echocardiogram that stated: Rest HR to be 130, in effort - 3:36 HR 90% effort level - 5.3. I am scheduled for a cardio examination next week. My question is whether these symptoms can be related to the low-lying conus with a tethered cord? Before the surgery, I only had a CT so I do not know if the tethered cord was there or not? Can it be that the inflation and edema caused the tethered cord issues and symptoms? Can it just go away on its own? I would appreciate any ideas and recommendations that you might have on this issue or any other finding that you come up with. Please help. I have attached the reports for your reference. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). The tethered cord is a result of fibrosis and inflammation. Your symptoms of back pain and weakened bowel and bladder movements could be explained with the tethered cord. The changes in heart rate could be related to a cardiac disorder or inflammation, but they are not related to the spinal cord damage in this region. Painkillers and steroids can lead to high blood pressure and changes in the heart rate. The pain can also activate the sympathetic nervous system leading to such changes in the heart rhythm. Coming to this point, I would recommend continuing physiotherapy. An antidepressant or Pregabalin would help as a long-term therapy for the pain. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Regards. For more information consult a neurologist online -->
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Q. I have multiple skin lumps on the elbow. What could they be?
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Hi doctor, I have had these multiple skin lumps on the very tip of my elbow for a couple of years now. I have attached the photos for your reference. They look like a wart but are clustered together. Every medication I have used on them has done absolutely nothing. Recently, they have begun to grow and become sensitive. My elbow feels tender right above them. What could they be? I am currently on 75 mg Zoloft, 50 mg Seroquel and 1 mg Ativan (only when required).
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have had these multiple skin lumps on the very tip of my elbow for a couple of years now. I have attached the photos for your reference. They look like a wart but are clustered together. Every medication I have used on them has done absolutely nothing. Recently, they have begun to grow and become sensitive. My elbow feels tender right above them. What could they be? I am currently on 75 mg Zoloft, 50 mg Seroquel and 1 mg Ativan (only when required). [/INST] Hi. For further information consult a dermatologist online -->
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Q. Can subdural hematoma be cured by medicines alone?
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Hello doctor, Please go through and advise. 'Acute on chronic subdural hemorrhage in bilateral cerebral convexities measuring 2 cm in the right side and 1.3 cm in the left side. The mass effect is noted in the form of effacement of adjacent sulcal spaces and compression of ventricles. Thin rim of subdural hematoma is seen along the lateral convexity of the left cerebellar hemisphere with maximal thickness measuring about 4 mm. The C.P. Angeles and posterior fossa contents are normal. The basal cisterns and Sylvian fissures are normal. The sella, parasellar and suprasellar regions are normal.'Immediate surgery was recommended by the doctors. The cause suspected is the use of Ecosprin 150 for the last three months. It was prescribed when last admitted for high sugar level which caused stroke symptoms. But, the brain CT was normal at that time. The patient has been diabetic for the last 35 years on insulin. Please advise if surgery is needed or it can be cured with medications. How critical is this condition and is it risky to delay? Is this a major or minor surgery? How will it be done?
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Hello. Surgery is absolutely indicated in this case. This hematoma cannot be cured with medications. Surgery should not be delayed as there is a possibility of permanent brain damage if the mass effect is not relieved. This is usually a minor surgery. Burr holes and drainage is the usual operation in most cases. In some cases, when there are membranes in the hematoma, craniotomy may be required to prevent recurrence.In addition to the surgery, Ecosprin (Aspirin) should be stopped immediately. It can be restarted at a later date depending upon its need. For more information consult a neuro surgeon online -->
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<s>[INST]
Hello doctor, Please go through and advise. 'Acute on chronic subdural hemorrhage in bilateral cerebral convexities measuring 2 cm in the right side and 1.3 cm in the left side. The mass effect is noted in the form of effacement of adjacent sulcal spaces and compression of ventricles. Thin rim of subdural hematoma is seen along the lateral convexity of the left cerebellar hemisphere with maximal thickness measuring about 4 mm. The C.P. Angeles and posterior fossa contents are normal. The basal cisterns and Sylvian fissures are normal. The sella, parasellar and suprasellar regions are normal.'Immediate surgery was recommended by the doctors. The cause suspected is the use of Ecosprin 150 for the last three months. It was prescribed when last admitted for high sugar level which caused stroke symptoms. But, the brain CT was normal at that time. The patient has been diabetic for the last 35 years on insulin. Please advise if surgery is needed or it can be cured with medications. How critical is this condition and is it risky to delay? Is this a major or minor surgery? How will it be done? [/INST] Hello. Surgery is absolutely indicated in this case. This hematoma cannot be cured with medications. Surgery should not be delayed as there is a possibility of permanent brain damage if the mass effect is not relieved. This is usually a minor surgery. Burr holes and drainage is the usual operation in most cases. In some cases, when there are membranes in the hematoma, craniotomy may be required to prevent recurrence.In addition to the surgery, Ecosprin (Aspirin) should be stopped immediately. It can be restarted at a later date depending upon its need. For more information consult a neuro surgeon online -->
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Q. Is it normal to get prolonged bleeding after two weeks of medical abortion?
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Hello doctor, I had a medical abortion during my 7th week of pregnancy, and bleeding lasted for 10 days. A few days after, the bleeding stopped and I had pain in the right lower abdomen that lasted for 24 hours. Two weeks later bleeding started again which I thought was my first period. It was brown with clots later turned red. It has been three weeks now and it still has not stopped. It has been moderate throughout, and now for the last three days, it is brown and somewhat reduced. I do not have any abdominal pain or tenderness. No foul smelling discharge or fever either. I am worried why the bleeding is so prolonged? Is this normal? Do I need and C?
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Hello, Welcome to icliniq. com. Having prolonged irregular bleeding after medical termination is not a normal phenomenon. It definitely indicates some problem. One of the most common causes for prolonged bleeding could be retained products of conception which need to be evacuated or sometimes a condition called gestational trophoblastic neoplasms can also cause prolonged bleeding. I would like to know two important things, do you had a scan prior to your medical termination? And if that was a normal intrauterine pregnancy or not (to rule out ectopic pregnancy)? Second thing is, did you got a check scan done after the bleeding stopped to check if the expulsion was complete? If retained products are present then evacuation would be required as they are a potential source for infections and can cause post abortal sepsis. Please revert back to me with the details I asked for so that I can guide you further. Ultrasound abdomen and pelvis. Serum beta HCG levels. Depending on the test results.
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<s>[INST]
Hello doctor, I had a medical abortion during my 7th week of pregnancy, and bleeding lasted for 10 days. A few days after, the bleeding stopped and I had pain in the right lower abdomen that lasted for 24 hours. Two weeks later bleeding started again which I thought was my first period. It was brown with clots later turned red. It has been three weeks now and it still has not stopped. It has been moderate throughout, and now for the last three days, it is brown and somewhat reduced. I do not have any abdominal pain or tenderness. No foul smelling discharge or fever either. I am worried why the bleeding is so prolonged? Is this normal? Do I need and C? [/INST] Hello, Welcome to icliniq. com. Having prolonged irregular bleeding after medical termination is not a normal phenomenon. It definitely indicates some problem. One of the most common causes for prolonged bleeding could be retained products of conception which need to be evacuated or sometimes a condition called gestational trophoblastic neoplasms can also cause prolonged bleeding. I would like to know two important things, do you had a scan prior to your medical termination? And if that was a normal intrauterine pregnancy or not (to rule out ectopic pregnancy)? Second thing is, did you got a check scan done after the bleeding stopped to check if the expulsion was complete? If retained products are present then evacuation would be required as they are a potential source for infections and can cause post abortal sepsis. Please revert back to me with the details I asked for so that I can guide you further. Ultrasound abdomen and pelvis. Serum beta HCG levels. Depending on the test results.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Can migraine and thyroid cause swelling in the arms?
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Hi doctor, My mother is 65 years old. All her general physical parameters are normal and she is leading a normal healthy life. But, she suffers from migraine. So whenever she has migraine headache, she takes Analgin (Novalgin) medicine. Few days back, she took the Analgin and noticed swelling in her left forearm (photo attached). This swelling has occurred in past too, but this time it persists for a week along with general body pain, fatigue and mild sweating at times. BP and temperature are normal. Family doctor suggested full body check up, chest x-ray, few blood tests and thyroid test specifically. All came normal except thyroid (report attached). She did not take any medicine for the swelling yet. Please suggest what could be the cause? How can we prevent it?
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Hi. From the reports (attachment removed to protect patient identity) her TSH levels are high with normal T3 and T4 which suggests hypothyroidism. Most of the times hypothyroidism has normal T3 and T4. So hypothyroidism cannot be ruled in that case. Her complaints like sweating and everything fits under hypothyroidism. I would like to know whether she had any recent injury (including minor trauma)? Revert back to a general medicine physician online -->
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<s>[INST]
Hi doctor, My mother is 65 years old. All her general physical parameters are normal and she is leading a normal healthy life. But, she suffers from migraine. So whenever she has migraine headache, she takes Analgin (Novalgin) medicine. Few days back, she took the Analgin and noticed swelling in her left forearm (photo attached). This swelling has occurred in past too, but this time it persists for a week along with general body pain, fatigue and mild sweating at times. BP and temperature are normal. Family doctor suggested full body check up, chest x-ray, few blood tests and thyroid test specifically. All came normal except thyroid (report attached). She did not take any medicine for the swelling yet. Please suggest what could be the cause? How can we prevent it? [/INST] Hi. From the reports (attachment removed to protect patient identity) her TSH levels are high with normal T3 and T4 which suggests hypothyroidism. Most of the times hypothyroidism has normal T3 and T4. So hypothyroidism cannot be ruled in that case. Her complaints like sweating and everything fits under hypothyroidism. I would like to know whether she had any recent injury (including minor trauma)? Revert back to a general medicine physician online -->
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Q. Can Ovidac injection give false beta hCG values?
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Hello doctor, I conceived with the help of frozen embryo transfer, which was done the 26th of last month. My last menstrual period was on the seventh of last month. My beta hCG was 494 on seventh of this month, it was 886 on the ninth, and it was 2875 on the 12th. A few days back, I started mild spotting, so I consulted a doctor. He did an ultrasound and said everything is fine. The ultrasound picture had a small black hole in it. The doctor prescribed Ovidac and Michele injection. Yesterday, I decided to get a beta hCG checked, and it was 10636. Does Ovidac interfere with beta hCG? I took Ovidac 24 hours before the blood test. Please explain. Thank you.
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Hi. For more information consult an infertility specialist online -->
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<s>[INST]
Hello doctor, I conceived with the help of frozen embryo transfer, which was done the 26th of last month. My last menstrual period was on the seventh of last month. My beta hCG was 494 on seventh of this month, it was 886 on the ninth, and it was 2875 on the 12th. A few days back, I started mild spotting, so I consulted a doctor. He did an ultrasound and said everything is fine. The ultrasound picture had a small black hole in it. The doctor prescribed Ovidac and Michele injection. Yesterday, I decided to get a beta hCG checked, and it was 10636. Does Ovidac interfere with beta hCG? I took Ovidac 24 hours before the blood test. Please explain. Thank you. [/INST] Hi. For more information consult an infertility specialist online -->
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Q. I have severe body pain. Is it a symptom of HIV?
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Hello doctor,What is the window period for HIV? I was tested negative on the 95th day after a possible exposure. But, I have all symptoms, like headaches, increase appetite, weight gain, body pains, and a blood vessel broke in my eye. I am having a lot of body pain. What are the symptoms of HIV? Please help.
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Hi. Best wishes. For more information consult an HIV AIDS specialist online -->
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<s>[INST]
Hello doctor,What is the window period for HIV? I was tested negative on the 95th day after a possible exposure. But, I have all symptoms, like headaches, increase appetite, weight gain, body pains, and a blood vessel broke in my eye. I am having a lot of body pain. What are the symptoms of HIV? Please help. [/INST] Hi. Best wishes. For more information consult an HIV AIDS specialist online -->
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Q. I have lost 13 kg due to ulcerative colitis. Please suggest an ayurvedic cure.
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Hello doctor, I am a 39 year old male. I have ulcerative colitis since last year. I have lost 13 kg in the last 18 months. I was previously 73 kg. I now weigh 60 kg. I have frequent motions, even up to six times a day. But, the consistency of the stools is alright. I also have stomach pain sometimes. I have been taking the following Ayurvedic medicines along with my allopathy medicine of Mesacol 2.4 mg since the last six months. Vivaldi Gulika, once a day, Guloochyadi kashayam 10 ml in the morning, Kalasaakadi kashayam 10 ml morning, Panchathikthakam grutham, and Manasamitravatakam tablets, two tablets before sleep. However, I do not have complete relief. I still have to go to the toilet five times a day. I pass motion twice in the morning before breakfast as my stomach does not get cleaned with once, and then once in the evening, once before going to bed and once in the middle of the night. Kindly advice some medication and diet for reducing the frequency of the motions and gaining weight.
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Hello. If you follow all these suggestions it will be cured easily. Revert after 15 days to an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I am a 39 year old male. I have ulcerative colitis since last year. I have lost 13 kg in the last 18 months. I was previously 73 kg. I now weigh 60 kg. I have frequent motions, even up to six times a day. But, the consistency of the stools is alright. I also have stomach pain sometimes. I have been taking the following Ayurvedic medicines along with my allopathy medicine of Mesacol 2.4 mg since the last six months. Vivaldi Gulika, once a day, Guloochyadi kashayam 10 ml in the morning, Kalasaakadi kashayam 10 ml morning, Panchathikthakam grutham, and Manasamitravatakam tablets, two tablets before sleep. However, I do not have complete relief. I still have to go to the toilet five times a day. I pass motion twice in the morning before breakfast as my stomach does not get cleaned with once, and then once in the evening, once before going to bed and once in the middle of the night. Kindly advice some medication and diet for reducing the frequency of the motions and gaining weight. [/INST] Hello. If you follow all these suggestions it will be cured easily. Revert after 15 days to an ayurveda specialist online -->
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Q. I have a pain on the right side of the thigh after a fall. How can it be treated?
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Hi doctor, I had a fall recently. The doctor gave me a painkiller injection on my buttocks. Now, I have developed a pain on the right side of the thigh. There is pain only when I touch it, and there is a pain in the place where the injection was given.
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Hello. You had a history of fall. So, you are having a musculoskeletal pain problem. A non-steroidal anti-inflammatory drug like Ibuprofen can be taken for five days. A hot compress can be applied. Avoid movements that cause pain. Take rest. If there is no improvement, then, further workup is needed. Consult an orthopedic surgeon for examination, if required. For more information consult a family physician online -->
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<s>[INST]
Hi doctor, I had a fall recently. The doctor gave me a painkiller injection on my buttocks. Now, I have developed a pain on the right side of the thigh. There is pain only when I touch it, and there is a pain in the place where the injection was given. [/INST] Hello. You had a history of fall. So, you are having a musculoskeletal pain problem. A non-steroidal anti-inflammatory drug like Ibuprofen can be taken for five days. A hot compress can be applied. Avoid movements that cause pain. Take rest. If there is no improvement, then, further workup is needed. Consult an orthopedic surgeon for examination, if required. For more information consult a family physician online -->
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Q. I am a male with thick, wavy, and frizzy hair. How to make it smooth and frizz-free?
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Hi doctor, I am a male with wavy, thick coarse Asian hair that frizzes, and I wanted to ask you how I could get my hair thick, long, silky, smooth, and frizz-free. I could send pictures of what hair I want. Please help.
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Hello. Given your natural type of hair described and what you would like it to look, there are some things you can consider. Wash your hair with shampoos that are intended to reduce frizz and will say so on the bottle. Also, use a conditioner that is intended to reduce frizz. There are hair styling products for thick wavy hair that also reduce frizz and will say so on the product description. A more permanent solution would involve using either a blow dryer with a stunning attachment that will temporarily straighten your hair and give it a silkier appearance. Be sure you use a product intended to minimize heat damage to the hair that you apply to the hair before you blow-dry. If these measures are not satisfactory to you then you may wish to consider applying a chemical relaxer to your hair that will make it straighter and smoother but you will have to redo the roots about every two to three months to maintain the look. If you decide to chemically straighten your hair, you should only wash it once a week to maintain a smooth frizz-free appearance. Chemically straightened hair requires a little more care and a little more attention to keeping it well-conditioned for maximum results.
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<s>[INST]
Hi doctor, I am a male with wavy, thick coarse Asian hair that frizzes, and I wanted to ask you how I could get my hair thick, long, silky, smooth, and frizz-free. I could send pictures of what hair I want. Please help. [/INST] Hello. Given your natural type of hair described and what you would like it to look, there are some things you can consider. Wash your hair with shampoos that are intended to reduce frizz and will say so on the bottle. Also, use a conditioner that is intended to reduce frizz. There are hair styling products for thick wavy hair that also reduce frizz and will say so on the product description. A more permanent solution would involve using either a blow dryer with a stunning attachment that will temporarily straighten your hair and give it a silkier appearance. Be sure you use a product intended to minimize heat damage to the hair that you apply to the hair before you blow-dry. If these measures are not satisfactory to you then you may wish to consider applying a chemical relaxer to your hair that will make it straighter and smoother but you will have to redo the roots about every two to three months to maintain the look. If you decide to chemically straighten your hair, you should only wash it once a week to maintain a smooth frizz-free appearance. Chemically straightened hair requires a little more care and a little more attention to keeping it well-conditioned for maximum results.
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Q. How to manage back pain that started after playing Foosball?
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Hello doctor, I have a back pain. It just started while I was playing Foosball. The pain goes down to my left thigh, hamstring area, towards the left side of the left knee and to the ankle. I have also got twinging and numb little toe finger on my left foot. I am only applying Volini ointment for pain relief. But it has been about two weeks now.
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Hello. I read your concern. I would suggest you get an MRI (magnetic resonance imaging) done of your low back. As your complaints are suggestive of disc involvement, I would like to rule that out. I would like to know further details like pain character and movements that cause pain and relief. How does the pain behave at night and in the early morning? As of now, I would like you to do: Kindly revert with the MRI of the lower back for detailed discussion and rehabilitation plan for complete recovery. Hope this is helpful for you. For more information consult a physiotherapist online -->
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<s>[INST]
Hello doctor, I have a back pain. It just started while I was playing Foosball. The pain goes down to my left thigh, hamstring area, towards the left side of the left knee and to the ankle. I have also got twinging and numb little toe finger on my left foot. I am only applying Volini ointment for pain relief. But it has been about two weeks now. [/INST] Hello. I read your concern. I would suggest you get an MRI (magnetic resonance imaging) done of your low back. As your complaints are suggestive of disc involvement, I would like to rule that out. I would like to know further details like pain character and movements that cause pain and relief. How does the pain behave at night and in the early morning? As of now, I would like you to do: Kindly revert with the MRI of the lower back for detailed discussion and rehabilitation plan for complete recovery. Hope this is helpful for you. For more information consult a physiotherapist online -->
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Q. I am really worried that I might get heart attack. Please advice.
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Hello doctor, Six months back while travelling in the bus, I got sharp pain in the chest. My heart started beating fast and I had sweat a lot. Then I rushed to the doctor. They carried out ecg, echo, tmt and also blood tests and all turned out to be normal. The doctor that it was anxiety and acidity. Still now I have some chest pain and backache. I am really worried that I might get heart attack or I might have fat deposition in my heart. Can you please go through my reports and advice.
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Hi. I have gone through your query and reports (attachment removed to protect patient identity). Since the pain which happened in bus was not anginal, you must not worry. For your information, anxiety or excessive worry is itself a cause of heart attack. There is no test available with medical sciences which can predict occurrence of heart attack. You can only take precautions and having a healthy life style in place.These include avoiding smoking and alcohol, good control of blood pressure/ sugar/ cholesterol, daily exercise, maintaining optimal weight and avoiding stress. For further queries, consult a cardiologist online -->
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<s>[INST]
Hello doctor, Six months back while travelling in the bus, I got sharp pain in the chest. My heart started beating fast and I had sweat a lot. Then I rushed to the doctor. They carried out ecg, echo, tmt and also blood tests and all turned out to be normal. The doctor that it was anxiety and acidity. Still now I have some chest pain and backache. I am really worried that I might get heart attack or I might have fat deposition in my heart. Can you please go through my reports and advice. [/INST] Hi. I have gone through your query and reports (attachment removed to protect patient identity). Since the pain which happened in bus was not anginal, you must not worry. For your information, anxiety or excessive worry is itself a cause of heart attack. There is no test available with medical sciences which can predict occurrence of heart attack. You can only take precautions and having a healthy life style in place.These include avoiding smoking and alcohol, good control of blood pressure/ sugar/ cholesterol, daily exercise, maintaining optimal weight and avoiding stress. For further queries, consult a cardiologist online -->
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Q. I had intercourse for the first time and now there is spotting. Is it pregnancy?
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Hi doctor, My age is 23 years and on the seventh day of my period. I had intercourse for the first time at 11 AM. Then, I had a sudden bleeding spot starting and I took I-pill at 6 PM. I have started nausea, feeling like vomiting, and next morning chills with fever, and weakness. So., I am worried about pregnancy. Any chance there is pregnancy?
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Hello. As you said it is your first time having intercourse, you observed bleeding and then after an emergency pill, you had vomiting and then fever and chill. After the first time of penetrative vaginal sex, there Is hymen rupture that causes bleeding after sex. That could be a bit different in amount from person to person. After first sex, you may have some symptoms. Those can be exaggerated by hormonal emergency pills and differ from person to person. As you have taken I-pill already if it is taken in the right dosage, then least chances of pregnancy actually. Pregnancy is expected more likely in the fertileperiod with unprotected sex than in the rest of the cycle. And after I-pill, it is least likely. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My age is 23 years and on the seventh day of my period. I had intercourse for the first time at 11 AM. Then, I had a sudden bleeding spot starting and I took I-pill at 6 PM. I have started nausea, feeling like vomiting, and next morning chills with fever, and weakness. So., I am worried about pregnancy. Any chance there is pregnancy? [/INST] Hello. As you said it is your first time having intercourse, you observed bleeding and then after an emergency pill, you had vomiting and then fever and chill. After the first time of penetrative vaginal sex, there Is hymen rupture that causes bleeding after sex. That could be a bit different in amount from person to person. After first sex, you may have some symptoms. Those can be exaggerated by hormonal emergency pills and differ from person to person. As you have taken I-pill already if it is taken in the right dosage, then least chances of pregnancy actually. Pregnancy is expected more likely in the fertileperiod with unprotected sex than in the rest of the cycle. And after I-pill, it is least likely. For more information consult an obstetrician and gynaecologist online -->
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Q. The white spots on my skin are spreading fast. Please help.
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Hi doctor, I have some small white spots on my skin of the legs, from the past two years. I was taking homeopathic medicines for it. From the past six to seven months, some new patches are coming on my face. These spots are spreading fast, and it has become a serious issue. Kindly suggest some quick and efficient treatment.
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Hi. It is vitiligo and since new patches are appearing it is called unstable vitiligo. How many patches are there over your body other than your neck? I suggest you try using the following: You should consider visiting a dermatologist because treatment for vitiligo takes time for repigmentation and since new patches are appearing, oral steroid or Azathioprine can be considered after examination and blood investigations. Please visit a dermatologist, and it is better to take treatment at this stage before other body parts are involved. For further queries consult a cosmetologist online -->
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<s>[INST]
Hi doctor, I have some small white spots on my skin of the legs, from the past two years. I was taking homeopathic medicines for it. From the past six to seven months, some new patches are coming on my face. These spots are spreading fast, and it has become a serious issue. Kindly suggest some quick and efficient treatment. [/INST] Hi. It is vitiligo and since new patches are appearing it is called unstable vitiligo. How many patches are there over your body other than your neck? I suggest you try using the following: You should consider visiting a dermatologist because treatment for vitiligo takes time for repigmentation and since new patches are appearing, oral steroid or Azathioprine can be considered after examination and blood investigations. Please visit a dermatologist, and it is better to take treatment at this stage before other body parts are involved. For further queries consult a cosmetologist online -->
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Q. I am suffering from knee pain, loss of appetite, and vitamin B12 deficiency. Please help me.
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Hello doctor, I am a 37 year old male, and I am suffering from knee pain, loss of appetite, fatigue, lack of interest, vitamin B12 deficiency, and my tooth enamel has eroded. I am taking Losar 50 for high blood pressure from six years. And from the last five years, I am also taking medicines for GERD. Please help me.
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Hi. I hope it helps you. If you have any further query, please ask me. For more information consult a medical gastroenterologist online -->
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<s>[INST]
Hello doctor, I am a 37 year old male, and I am suffering from knee pain, loss of appetite, fatigue, lack of interest, vitamin B12 deficiency, and my tooth enamel has eroded. I am taking Losar 50 for high blood pressure from six years. And from the last five years, I am also taking medicines for GERD. Please help me. [/INST] Hi. I hope it helps you. If you have any further query, please ask me. For more information consult a medical gastroenterologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Is it harmful to take Lithium for bipolar disorder with fasting and paleo diet?
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Hello doctor, I am on fasting for the auspicious month (dry fast), but I also have to take Lithium for my bipolar disorder. I have seen that higher Lithium concentration can cause serious damage to the kidney due to dehydration and also to the metabolism. During fasting and with keto diet the body needs a lot of potassium, but the cells get lithium instead. What is your opinion about that? Is dry fasting, keto diet, and lithium intake at the same time harmful? I take normal Lithium carbonate 650-1250 mg a day.
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Hi. See, Lithium can be harmful if hydration is not well maintained. In such cases, we recommend to increase the amount of fluid. That is to consume a good quantity of fluid in the morning before your fast starts and to drink fluids once you open your fast in the evening, and continue till the next morning. Take Lithium tablets along with two glasses of water each time. Do not go for the Keto diet. You should take a proper balanced diet. Avoid taking a high protein diet. So usually in auspicious month, the fasting duration is for 12 hours. In the remaining 12 hours, keep on taking fluids to compensate. There is no indication to stop or reduce the dosage of Lithium during Ramadan. I hope this helps.
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<s>[INST]
Hello doctor, I am on fasting for the auspicious month (dry fast), but I also have to take Lithium for my bipolar disorder. I have seen that higher Lithium concentration can cause serious damage to the kidney due to dehydration and also to the metabolism. During fasting and with keto diet the body needs a lot of potassium, but the cells get lithium instead. What is your opinion about that? Is dry fasting, keto diet, and lithium intake at the same time harmful? I take normal Lithium carbonate 650-1250 mg a day. [/INST] Hi. See, Lithium can be harmful if hydration is not well maintained. In such cases, we recommend to increase the amount of fluid. That is to consume a good quantity of fluid in the morning before your fast starts and to drink fluids once you open your fast in the evening, and continue till the next morning. Take Lithium tablets along with two glasses of water each time. Do not go for the Keto diet. You should take a proper balanced diet. Avoid taking a high protein diet. So usually in auspicious month, the fasting duration is for 12 hours. In the remaining 12 hours, keep on taking fluids to compensate. There is no indication to stop or reduce the dosage of Lithium during Ramadan. I hope this helps.
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Q. Is there a treatment for diffuse cerebral atrophy?
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Hello doctor, My father is suffering from diffuse cerebral atrophy. He was admitted last week to a hospital where the doctors told me he is suffering from diffuse cerebral atrophy, but there are no medicines for this and there is no guarantee for his life. Please tell me what is the treatment for this?
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Hello. I have seen the report you provided (attachment removed to protect patient identity) and I am afraid I have to agree with your doctor because diffuse cerebral atrophy is not treatable as neurons once dead, do not regenerate. However, there are some measures to control symptoms to some extent and keep the brain functioning to its available capacity like: I am sorry. This is not reversible. However, you need to ensure he gets physiotherapy and cognitive therapy. This may help to some extent. Hope this helps. For more information consult a family physician online -->
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<s>[INST]
Hello doctor, My father is suffering from diffuse cerebral atrophy. He was admitted last week to a hospital where the doctors told me he is suffering from diffuse cerebral atrophy, but there are no medicines for this and there is no guarantee for his life. Please tell me what is the treatment for this? [/INST] Hello. I have seen the report you provided (attachment removed to protect patient identity) and I am afraid I have to agree with your doctor because diffuse cerebral atrophy is not treatable as neurons once dead, do not regenerate. However, there are some measures to control symptoms to some extent and keep the brain functioning to its available capacity like: I am sorry. This is not reversible. However, you need to ensure he gets physiotherapy and cognitive therapy. This may help to some extent. Hope this helps. For more information consult a family physician online -->
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Q. I feel current sensation in tongue while sleeping. What is the reason?
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Hello doctor,Whenever I sleep I fell current type of sensation in my tongue and find a small sore on my tongue. It happens on both sides of my tongue, not in the middle. I am suffering from this for last four years. Please help me. I am very upset and facing problem in sleeping.
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Hello. You should apply Tess (Triamcinolone 0.1 percent) gel two times a day to the affected sites for 7 to 10 days depending upon the response. Also, have Tablet Zevit (Biotin and Calcium Pantothenate) once a day before lunch for 10 days. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor,Whenever I sleep I fell current type of sensation in my tongue and find a small sore on my tongue. It happens on both sides of my tongue, not in the middle. I am suffering from this for last four years. Please help me. I am very upset and facing problem in sleeping. [/INST] Hello. You should apply Tess (Triamcinolone 0.1 percent) gel two times a day to the affected sites for 7 to 10 days depending upon the response. Also, have Tablet Zevit (Biotin and Calcium Pantothenate) once a day before lunch for 10 days. For more information consult an internal medicine physician online -->
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Q. What care and precautions do I need to take for the cylindrical vision?
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Hi doctor, My son is 4.5 years old. He is having a cylindrical vision with -2.75 power on both the eyes. What care and precaution do I need to take?
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Hi. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, My son is 4.5 years old. He is having a cylindrical vision with -2.75 power on both the eyes. What care and precaution do I need to take? [/INST] Hi. For further information consult an eye care ophthalmologist online -->
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Q. Will high platelet count cause a blood clot or stroke?
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Hello doctor, My mother has high WBC count of 15,000, platelet count of 5,40,000, and hemoglobin at 11.2. Her ESR is 86, and CRP is also similar. She has a fever, which rises in the evening to 101. Can you please tell me what this denotes? Also, will the high platelet count cause a danger for a blood clot or stroke? Currently, she is taking Mesacol 800 mg, VSL#3, Amodep-AT for blood pressure, and Thyronorm for thyroid.
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Hi. Hope this will help you. Take care. For more information consult a hematologist online -->
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<s>[INST]
Hello doctor, My mother has high WBC count of 15,000, platelet count of 5,40,000, and hemoglobin at 11.2. Her ESR is 86, and CRP is also similar. She has a fever, which rises in the evening to 101. Can you please tell me what this denotes? Also, will the high platelet count cause a danger for a blood clot or stroke? Currently, she is taking Mesacol 800 mg, VSL#3, Amodep-AT for blood pressure, and Thyronorm for thyroid. [/INST] Hi. Hope this will help you. Take care. For more information consult a hematologist online -->
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Q. We had a TORCH test after miscarriage. Can you explain the reports?
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Hello doctor, My wife was pregnant last year, but a miscarriage occurred. We consulted our gynecologist and he suggested we have a TORCH test. The result of TORCH was rubella IgG 270.30 and IgM 0.42, and CMV IgG 118.60 and IgM 0.26. We are unable to understand the report. Is this hike in the value of Rubella IgG and CMV IgG the cause of miscarriage? Please guide us.
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Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My wife was pregnant last year, but a miscarriage occurred. We consulted our gynecologist and he suggested we have a TORCH test. The result of TORCH was rubella IgG 270.30 and IgM 0.42, and CMV IgG 118.60 and IgM 0.26. We are unable to understand the report. Is this hike in the value of Rubella IgG and CMV IgG the cause of miscarriage? Please guide us. [/INST] Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an obstetrician and gynaecologist online -->
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Q. Kindly guide us with the treatment for my mom's liver disease.
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Hi doctor, My mom is 70 years old. She has chronic liver disease, cirrhosis, portal hypertension and ascites. Her creatinine is 3. She also has type 2 diabetes. We were informed by her doctor that her liver is not producing albumin and her bilirubin level is very high. Please guide us.
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Hi. For further information consult a medical gastroenterologist online -->
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<s>[INST]
Hi doctor, My mom is 70 years old. She has chronic liver disease, cirrhosis, portal hypertension and ascites. Her creatinine is 3. She also has type 2 diabetes. We were informed by her doctor that her liver is not producing albumin and her bilirubin level is very high. Please guide us. [/INST] Hi. For further information consult a medical gastroenterologist online -->
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Q. My blood pressure is up to 197/100. My doctor keeps giving me Bystolic. Is that safe?
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Hello Doctor, My blood pressure is up to 197/100 mmHg. My doctor keeps giving me tablet Bystolic and asked to take it for 10 days. Is that safe? I am a 53 year old male, usually great health.
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Hi. Revert back to a cardiologist online -->
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<s>[INST]
Hello Doctor, My blood pressure is up to 197/100 mmHg. My doctor keeps giving me tablet Bystolic and asked to take it for 10 days. Is that safe? I am a 53 year old male, usually great health. [/INST] Hi. Revert back to a cardiologist online -->
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Q. I am suffering from ED. How to correct it?
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Hello doctor, I am suffering from ED and PE, low libido for the past six years. Most of the medication that helps with erection including UpHold, Caverta, Pengra with and without the combination of depressant like Prodep 10 or 20 mg (without any sign of depression) have not helped me. I have even consulted psychologists and have not received any result. There is no obvious concern found during the physical test of the penis. My current medications are L-arginine, Horny goat weed, L-theanine. My blood report indicates: FSH, LH, Serotonin, and Estradiol below normal. Testosterone and Dopamine within range. Prolactin on the higher side of the range. My pituitary MRI is absolutely normal. FSH 3.03 mIU/ml (Range: 1.5 to 12.4 mIU/ml). LH 2.80 mIU/ml (Range: 1.7 to 8.6 mIU/ml). Testosterone total: 458 ng/dl (Range: 249 to 836 ng/dl). Prolactin: 10.57 mg.ml (Range 2.64 to 13.13 mg.ml). Serotonin: 250 ng/ml (Range: 70 to 270 ng/ml). Dopamine: 29.6 pg/mL (Range: 0 to 30 pg/mL).
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Hello. All the tests done seems to be fine except vitamin D deficiency. It seems that you are now diabetic and diabetes is so closely associated with erectile dysfunction. The treatment depends on the cause of erectile dysfunction. Some of the common causes are, In this regard, I would like to advise you to get the following tests done and revert back with reports. Fasting and postprandial blood sugars, HbA1c, fasting thyroid profile, fasting lipid profile, serum vitamin D, and B12 levels. Once the cause is corrected, erectile dysfunction will resolve automatically. Also, it is important that there are no psychological factors affecting your sexual health. Make sure that you and your partner are completely ready for the sexual intercourse. You should also consult a sex therapist in person. For more information consult a diabetologist online -->
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<s>[INST]
Hello doctor, I am suffering from ED and PE, low libido for the past six years. Most of the medication that helps with erection including UpHold, Caverta, Pengra with and without the combination of depressant like Prodep 10 or 20 mg (without any sign of depression) have not helped me. I have even consulted psychologists and have not received any result. There is no obvious concern found during the physical test of the penis. My current medications are L-arginine, Horny goat weed, L-theanine. My blood report indicates: FSH, LH, Serotonin, and Estradiol below normal. Testosterone and Dopamine within range. Prolactin on the higher side of the range. My pituitary MRI is absolutely normal. FSH 3.03 mIU/ml (Range: 1.5 to 12.4 mIU/ml). LH 2.80 mIU/ml (Range: 1.7 to 8.6 mIU/ml). Testosterone total: 458 ng/dl (Range: 249 to 836 ng/dl). Prolactin: 10.57 mg.ml (Range 2.64 to 13.13 mg.ml). Serotonin: 250 ng/ml (Range: 70 to 270 ng/ml). Dopamine: 29.6 pg/mL (Range: 0 to 30 pg/mL). [/INST] Hello. All the tests done seems to be fine except vitamin D deficiency. It seems that you are now diabetic and diabetes is so closely associated with erectile dysfunction. The treatment depends on the cause of erectile dysfunction. Some of the common causes are, In this regard, I would like to advise you to get the following tests done and revert back with reports. Fasting and postprandial blood sugars, HbA1c, fasting thyroid profile, fasting lipid profile, serum vitamin D, and B12 levels. Once the cause is corrected, erectile dysfunction will resolve automatically. Also, it is important that there are no psychological factors affecting your sexual health. Make sure that you and your partner are completely ready for the sexual intercourse. You should also consult a sex therapist in person. For more information consult a diabetologist online -->
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Q. Should my fiancee take Primolut N to get her withdrawal bleed?
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Hi doctor, I had protected sex with my fiancee, but the condom leaked. She had an I-pill within two hours. It was just after her period cycle. She had spotting after a week which lasted for a day and again after 15 days. It has been 17 days now since she missed her regular period date. We took a urine pregnancy test on the 5th and 11th day of missed periods, and it was negative. Is there any chance of pregnancy? Should we consider taking medicines to avoid any possibility of the pregnancy and get her periods back? Please suggest something as she is very scared with her periods getting delayed and considering pregnancy. She never had her periods delayed before this. When can we expect her periods to come?
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Hi. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had protected sex with my fiancee, but the condom leaked. She had an I-pill within two hours. It was just after her period cycle. She had spotting after a week which lasted for a day and again after 15 days. It has been 17 days now since she missed her regular period date. We took a urine pregnancy test on the 5th and 11th day of missed periods, and it was negative. Is there any chance of pregnancy? Should we consider taking medicines to avoid any possibility of the pregnancy and get her periods back? Please suggest something as she is very scared with her periods getting delayed and considering pregnancy. She never had her periods delayed before this. When can we expect her periods to come? [/INST] Hi. For further queries consult an obstetrician and gynaecologist online -->
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Q. I had Mylanta that was expired. Will it cause any problem?
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Hello doctor, I had indigestion, so I took some Mylanta. I did not check the expiration date and had a teaspoon of it. Then I noticed that it got expired some years ago. Will I be fine? Or what should I do?
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Hi. Revert back with the information to a pharmacologist online -->
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<s>[INST]
Hello doctor, I had indigestion, so I took some Mylanta. I did not check the expiration date and had a teaspoon of it. Then I noticed that it got expired some years ago. Will I be fine? Or what should I do? [/INST] Hi. Revert back with the information to a pharmacologist online -->
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Q. I have testicular pain and swelling and it subsides only with hot baths and masturbation. Please help.
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Hi doctor, I am having pain in my right testicle but it is a dull pain and it is hard to pinpoint exactly which side but I would like to say it is my right testicle that gets swollen and also has that fullness feeling in the entire sac. It normally flairs up every single morning for the past four months and I seem to have an increase in sexual dreams since it has been happening. It is not the worst pain in the world but it is discomforting. I really do not want to see a doctor as it is very embarrassing for me. Throughout the day, it will become swollen and sometimes not. Hot baths and masturbation are the only things that help with the pain. I normally have to masturbate every single morning to take the pain away. I do feel like I can feel something down there on my right side behind my testicle that feels like a smooth tube (not sure if this is normal as I also feel it on my left side, but it is not as big on my left side). A few other symptoms I have experienced with this are lower back pain and nausea. But once again, this has been ongoing for four months now. Can you help me? I am currently on Melatonin and Allegra.
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Hi. I appreciate your detailed description. Testicular pain can be apparent and have a cause or can be idiopathic (unknown) also. Testicular pain can be secondary to the inflammation of testis epididymis or both it can be associated with a hernia which not necessarily appears to you if it is small. It can as well be due to hydrocele (fluid collection around the testis) moreover varicocele (dilated veins around the testis). Testicular tumor can also cause pain testicular hematoma blood collection beside the testis or epididymal cyst, referred pain from lower ureteric stone lastly idiopathic. The accuracy of diagnosis depends on history and examination ultrasound of scrotum and ultrasound KUB (to role out any abnormality in your urinary system). Moreover urine tests to rule out urine infection. From your presentation, I doubt varicocele or hernia but cannot exclude other causes. Regarding your back pain it might be a referred type of pain from testis so I hope treating the testis pain relief it. You will need an ultrasound of your scrotum and urine analysis post ejaculation urine for culture. Then to follow up with results. At the moment for the pain, you are advised to take Naproxen sodium 500 mg twice daily for 30 days. Do not worry about it. I hope I can find the cause and give you the proper treatment after investigations further. You can follow up with me at your convenience. Scrotal support, wearing fit underwear will reduce your discomfort. I hope this helps. Ultrasound scrotum. Ultrasound KUB (kidney, ureter, and bladder). Urine analysis. Post ejaculatory urine culture. Naproxen sodium 500 twice daily for one month. Fit underwear. After investigations.
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<s>[INST]
Hi doctor, I am having pain in my right testicle but it is a dull pain and it is hard to pinpoint exactly which side but I would like to say it is my right testicle that gets swollen and also has that fullness feeling in the entire sac. It normally flairs up every single morning for the past four months and I seem to have an increase in sexual dreams since it has been happening. It is not the worst pain in the world but it is discomforting. I really do not want to see a doctor as it is very embarrassing for me. Throughout the day, it will become swollen and sometimes not. Hot baths and masturbation are the only things that help with the pain. I normally have to masturbate every single morning to take the pain away. I do feel like I can feel something down there on my right side behind my testicle that feels like a smooth tube (not sure if this is normal as I also feel it on my left side, but it is not as big on my left side). A few other symptoms I have experienced with this are lower back pain and nausea. But once again, this has been ongoing for four months now. Can you help me? I am currently on Melatonin and Allegra. [/INST] Hi. I appreciate your detailed description. Testicular pain can be apparent and have a cause or can be idiopathic (unknown) also. Testicular pain can be secondary to the inflammation of testis epididymis or both it can be associated with a hernia which not necessarily appears to you if it is small. It can as well be due to hydrocele (fluid collection around the testis) moreover varicocele (dilated veins around the testis). Testicular tumor can also cause pain testicular hematoma blood collection beside the testis or epididymal cyst, referred pain from lower ureteric stone lastly idiopathic. The accuracy of diagnosis depends on history and examination ultrasound of scrotum and ultrasound KUB (to role out any abnormality in your urinary system). Moreover urine tests to rule out urine infection. From your presentation, I doubt varicocele or hernia but cannot exclude other causes. Regarding your back pain it might be a referred type of pain from testis so I hope treating the testis pain relief it. You will need an ultrasound of your scrotum and urine analysis post ejaculation urine for culture. Then to follow up with results. At the moment for the pain, you are advised to take Naproxen sodium 500 mg twice daily for 30 days. Do not worry about it. I hope I can find the cause and give you the proper treatment after investigations further. You can follow up with me at your convenience. Scrotal support, wearing fit underwear will reduce your discomfort. I hope this helps. Ultrasound scrotum. Ultrasound KUB (kidney, ureter, and bladder). Urine analysis. Post ejaculatory urine culture. Naproxen sodium 500 twice daily for one month. Fit underwear. After investigations.
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Q. I got an itchy rash on anus with no anal sex. Could it be HPV?
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Hello doctor, For the last weeks, I have a kind of a rash and itchy feeling on my anus. I am a 22-year-old male, without any sexual contact in that area. I have done every STD test and all came negative. I noticed some white spots right above the anus. I cannot really see the shape and because of the Coronavirus I could not get it checked on a clinic yet. Is it possible to have an outbreak of HPV in a place where you have never had any sexual contact? I have a lot of hair in the area and I think it could be folliculitis like I had on the other regions in the past, but I want to be sure.
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Hi. I have seen the picture. (attachment removed to protect patient identity). There is definitely an inflamed swelling in that area. Central area is white. As you are having a lot of hairs, that area can easily get infected. Are you having any fissure problem? Please check your blood sugar. It is not HPV (human papillomavirus). Warts will be presenting as asymptomatic growth, so it is not herpes also. It is furunculosis (bacterial infection of the hair follicle). Please start on antibiotics Doxycycline 100 mg twice a day for one week. Apply Mupirocin ointment in that area. Drink lots of water. See that you are not having constipation. Wash the area with water and soap after defecation. After the Corona crisis meet your doctor. I hope this helps.
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<s>[INST]
Hello doctor, For the last weeks, I have a kind of a rash and itchy feeling on my anus. I am a 22-year-old male, without any sexual contact in that area. I have done every STD test and all came negative. I noticed some white spots right above the anus. I cannot really see the shape and because of the Coronavirus I could not get it checked on a clinic yet. Is it possible to have an outbreak of HPV in a place where you have never had any sexual contact? I have a lot of hair in the area and I think it could be folliculitis like I had on the other regions in the past, but I want to be sure. [/INST] Hi. I have seen the picture. (attachment removed to protect patient identity). There is definitely an inflamed swelling in that area. Central area is white. As you are having a lot of hairs, that area can easily get infected. Are you having any fissure problem? Please check your blood sugar. It is not HPV (human papillomavirus). Warts will be presenting as asymptomatic growth, so it is not herpes also. It is furunculosis (bacterial infection of the hair follicle). Please start on antibiotics Doxycycline 100 mg twice a day for one week. Apply Mupirocin ointment in that area. Drink lots of water. See that you are not having constipation. Wash the area with water and soap after defecation. After the Corona crisis meet your doctor. I hope this helps.
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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. Kindly give instructions to use Nicotinamide gel.
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Hi doctor, I have the acne problem. My doctor prescribed me to use Nicotinamide gel. Should I wash my face immediately after using Nicotinamide gel? Please explain.
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Hello. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have the acne problem. My doctor prescribed me to use Nicotinamide gel. Should I wash my face immediately after using Nicotinamide gel? Please explain. [/INST] Hello. For further information consult a dermatologist online -->
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Q. What could be the reason for sudden leak of amniotic fluid?
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Hi doctor, I have doubt on the thing which happened to me. When I was 33 weeks pregnant, suddenly one day my amniotic fluid started leaking. We rushed to the hospital, and I lost my baby. During pregnancy, my doctor conducted all the tests. My diabetes was negative, and my BP levels were also normal till the day. What could the reason for the amniotic fluid leak before my labor time?
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Hi. Let me just reassure you that it was an accident, which will not repeat. The possible causes of the sudden leak of fluid or PPROM (preterm premature rupture of membrane) are as follows: If any infection enters the vagina, the source could be sexual (if you had sex around that time). It also could be a respiratory infection (if you had a running nose or a cough that time and if after clearing your nose, you had used the washroom and washed your genitals with the same hand, the infection would have transmitted to the vagina). It can also be a urinary tract infection (infection can move from urinary bladder to cervix) or gastroenteritis. All these infections can affect the strength of the membrane and can give way any day. The next possibilities are any congenital abnormalities in the uterus and fibroids in the uterus. When you have reached 33 weeks, the cause of death would be the inability to breathe by the baby. The lung is like a sponge, with lots of air spaces. There is a material called surfactant which keeps the lungs open for air to enter. It is like the glove powder which prevents the sticking of the glove to each other. The fluid has the surfactant. If the fluid leaks out early, the surfactant coat will not reach the lungs. During your next pregnancy, you need to take a few precautionary measures. For further doubts consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I have doubt on the thing which happened to me. When I was 33 weeks pregnant, suddenly one day my amniotic fluid started leaking. We rushed to the hospital, and I lost my baby. During pregnancy, my doctor conducted all the tests. My diabetes was negative, and my BP levels were also normal till the day. What could the reason for the amniotic fluid leak before my labor time? [/INST] Hi. Let me just reassure you that it was an accident, which will not repeat. The possible causes of the sudden leak of fluid or PPROM (preterm premature rupture of membrane) are as follows: If any infection enters the vagina, the source could be sexual (if you had sex around that time). It also could be a respiratory infection (if you had a running nose or a cough that time and if after clearing your nose, you had used the washroom and washed your genitals with the same hand, the infection would have transmitted to the vagina). It can also be a urinary tract infection (infection can move from urinary bladder to cervix) or gastroenteritis. All these infections can affect the strength of the membrane and can give way any day. The next possibilities are any congenital abnormalities in the uterus and fibroids in the uterus. When you have reached 33 weeks, the cause of death would be the inability to breathe by the baby. The lung is like a sponge, with lots of air spaces. There is a material called surfactant which keeps the lungs open for air to enter. It is like the glove powder which prevents the sticking of the glove to each other. The fluid has the surfactant. If the fluid leaks out early, the surfactant coat will not reach the lungs. During your next pregnancy, you need to take a few precautionary measures. For further doubts consult an obstetrician and gynaecologist online -->
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Q. When I stop anxiety medicine, why do I feel pain in the chest and anxious?
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Hi doctor, I am 22 years old. My problem is that I have been suffering from depression and anxiety for the past one year. Without knowing it, I consulted a cardiologist for chest pain and anxiety. They prescribed me Pexep-CR 25, Lonazep 0.25 and Betacap. I took those medicines regularly for 1.5 years and I felt good. When I stopped the medicines, I felt chest pain and anxiety. Again, I am feeling depressed and I think that I will die because of heart attack. Again, I consulted the cardiologist and started taking the medicines regularly. After 3 hours of medicine, I feel a burning sensation, sleepy and body pain. I had a habit of masturbation before depression and I used to masturbate regularly to get rid of nightfall. Is it safe to take Bupropion?
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Hi. It seems that you had a relapse of anxiety symptoms after the first time you stopped your medications. Relapses are more severe. They need a higher dose and a much longer duration for recovery. Hence, in your case, you need to either increase the dose or you can add or replace the current treatment with a longer acting drug for round the clock effect. Keeping in view your sexual habits, it is preferable for you to start with Desvenlafaxine 50 mg, which will help in reducing anxiety symptoms and will not affect your sexual functioning as well. Bupropion is a good drug with minimum sexual side effects; however, it is not as effective as Desvenlafaxine or Pexep (Paroxetine) in controlling anxiety symptoms. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I am 22 years old. My problem is that I have been suffering from depression and anxiety for the past one year. Without knowing it, I consulted a cardiologist for chest pain and anxiety. They prescribed me Pexep-CR 25, Lonazep 0.25 and Betacap. I took those medicines regularly for 1.5 years and I felt good. When I stopped the medicines, I felt chest pain and anxiety. Again, I am feeling depressed and I think that I will die because of heart attack. Again, I consulted the cardiologist and started taking the medicines regularly. After 3 hours of medicine, I feel a burning sensation, sleepy and body pain. I had a habit of masturbation before depression and I used to masturbate regularly to get rid of nightfall. Is it safe to take Bupropion? [/INST] Hi. It seems that you had a relapse of anxiety symptoms after the first time you stopped your medications. Relapses are more severe. They need a higher dose and a much longer duration for recovery. Hence, in your case, you need to either increase the dose or you can add or replace the current treatment with a longer acting drug for round the clock effect. Keeping in view your sexual habits, it is preferable for you to start with Desvenlafaxine 50 mg, which will help in reducing anxiety symptoms and will not affect your sexual functioning as well. Bupropion is a good drug with minimum sexual side effects; however, it is not as effective as Desvenlafaxine or Pexep (Paroxetine) in controlling anxiety symptoms. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a psychiatrist online -->
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Q. I had runny nose and sore throat after protected sex. Is condom sex safe?
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Hi doctor, I had a protected sex with a spa girl ten days back and after three days I started getting a runny nose and a sore throat. On the sixth day of the exposure, I went to STD clinic. They asked me to do an HIV PCR DNA test and antigen-antibody test. Both came negative. However, after three days I was starting to get night sweats and diarrhea for three days. I was so worried and was not able to eat at all because of worry or it is a symptom I do not know. All the tests showed came non-reactive. My questions are as follows: Is condom sex safe? My test results are conclusive? However, after 31st day, I got four tiny pimples on my arm (opposite to elbow and two on chest). It looks like red but very small. Am really paranoid because of these symptoms. Nowadays am getting tingling in my feet it is just coming and going. Please help me.
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Hi. The chances of transmission of HIV by protected intercourse is nil if the condom is used in a right manner. The HIV tests are repeatedly negative especially the PCR at 11 days combo or duo test after one-month exposure. With the given description and test results, the chances of tests coming positive later are nil. You are free from HIV. You can go for antibodies test as final conclusive results after three months of exposure. The lesions are not related to HIV. It may be simple allergies or irritation or dryness. For more information consult a HIV AIDS specialist online -->
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<s>[INST]
Hi doctor, I had a protected sex with a spa girl ten days back and after three days I started getting a runny nose and a sore throat. On the sixth day of the exposure, I went to STD clinic. They asked me to do an HIV PCR DNA test and antigen-antibody test. Both came negative. However, after three days I was starting to get night sweats and diarrhea for three days. I was so worried and was not able to eat at all because of worry or it is a symptom I do not know. All the tests showed came non-reactive. My questions are as follows: Is condom sex safe? My test results are conclusive? However, after 31st day, I got four tiny pimples on my arm (opposite to elbow and two on chest). It looks like red but very small. Am really paranoid because of these symptoms. Nowadays am getting tingling in my feet it is just coming and going. Please help me. [/INST] Hi. The chances of transmission of HIV by protected intercourse is nil if the condom is used in a right manner. The HIV tests are repeatedly negative especially the PCR at 11 days combo or duo test after one-month exposure. With the given description and test results, the chances of tests coming positive later are nil. You are free from HIV. You can go for antibodies test as final conclusive results after three months of exposure. The lesions are not related to HIV. It may be simple allergies or irritation or dryness. For more information consult a HIV AIDS specialist online -->
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Q. There is a white spot on my daughter's MRI. Could it be multiple sclerosis?
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Hello doctor, This question is in regards to my 12 year old daughter. She had a routine eye exam at the optometrist's who noticed that she had blurred disc margins. We were given a referral to an eye specialist, who checked her eyes and said that her vision and peripherals were perfect, but yes, there is a slight bulge behind her discs bilaterally. She assumed it was probably just a calcium deposit, but it was best to get an MRI to be sure. We have done the MRI and now are waiting to see the specialist again. But of course, we are panicking and thinking of worst case scenarios. I have viewed the MRI and can see a very small white dot on two different angles of the scan (see attached images). Does this look like something? Would love to get some feedback as soon as possible as we cannot handle waiting anymore. My daughter is asymptomatic at the moment. There is no loss of sight, no headaches, or dizziness. She seems fine. But we would like to be sure. Thank you.
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Hello. Please do not worry. I hope this will help you. Regards. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, This question is in regards to my 12 year old daughter. She had a routine eye exam at the optometrist's who noticed that she had blurred disc margins. We were given a referral to an eye specialist, who checked her eyes and said that her vision and peripherals were perfect, but yes, there is a slight bulge behind her discs bilaterally. She assumed it was probably just a calcium deposit, but it was best to get an MRI to be sure. We have done the MRI and now are waiting to see the specialist again. But of course, we are panicking and thinking of worst case scenarios. I have viewed the MRI and can see a very small white dot on two different angles of the scan (see attached images). Does this look like something? Would love to get some feedback as soon as possible as we cannot handle waiting anymore. My daughter is asymptomatic at the moment. There is no loss of sight, no headaches, or dizziness. She seems fine. But we would like to be sure. Thank you. [/INST] Hello. Please do not worry. I hope this will help you. Regards. For more information consult an eye care ophthalmologist online -->
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Q. What does abutment of the nerve root mean?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Q. Why do I get attracted to both men and women?
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Hello doctor, I am a 29 year old male, who weighs 75 kg and I am 5.7 feet tall. I got married two years back, and my wife is three years younger to me. She comes from a very simple family, and she has had no relationship before we got married. She is also the first woman in my life, and both of us have never had any physical relationship before, but I used to sexually intimate with the boys in my class in school. I never had sexual intercourse with them, but we used to masturbate each other. From my childhood, I get attracted to both men and women. After marriage, I am trying to stop those feelings. After getting married, we use condoms while having sex, but I never knew whether my penis is inside the vagina or not. We wanted to have a baby after a year, so I stopped using condoms. But, both of us have some discomfort during sex, and ejaculation occurs outside the vagina. Nowadays I ejaculate very fast after getting excited, and my wife does not know much about sex. My wife is very sensitive when I touch her vagina, and her muscles are also very tight, and she is having PCOD problem, and she is under treatment. So, we get intimate only twice or thrice a month. As a result, my masturbation has become even more regular. Also, we tried penetration a lot of times, but the moment I come close to her, I lose my erection. We are very frustrated and are dying to have a baby. I am very uncomfortable with my foreskin rolled down. I know for penetration the head of the penis, needs to be inserted, but the head is very sensitive. I consulted a surgeon about my penis, and he told it is normal, and I had done a semen analysis, which showed sperm motility is only 40%. So, the doctor suggested using Fertisure tablets. Please help us.
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Hello. I have gone through your query and understood your concerns. Hope this helps. For more information consult a psychiatrist online -->
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<s>[INST]
Hello doctor, I am a 29 year old male, who weighs 75 kg and I am 5.7 feet tall. I got married two years back, and my wife is three years younger to me. She comes from a very simple family, and she has had no relationship before we got married. She is also the first woman in my life, and both of us have never had any physical relationship before, but I used to sexually intimate with the boys in my class in school. I never had sexual intercourse with them, but we used to masturbate each other. From my childhood, I get attracted to both men and women. After marriage, I am trying to stop those feelings. After getting married, we use condoms while having sex, but I never knew whether my penis is inside the vagina or not. We wanted to have a baby after a year, so I stopped using condoms. But, both of us have some discomfort during sex, and ejaculation occurs outside the vagina. Nowadays I ejaculate very fast after getting excited, and my wife does not know much about sex. My wife is very sensitive when I touch her vagina, and her muscles are also very tight, and she is having PCOD problem, and she is under treatment. So, we get intimate only twice or thrice a month. As a result, my masturbation has become even more regular. Also, we tried penetration a lot of times, but the moment I come close to her, I lose my erection. We are very frustrated and are dying to have a baby. I am very uncomfortable with my foreskin rolled down. I know for penetration the head of the penis, needs to be inserted, but the head is very sensitive. I consulted a surgeon about my penis, and he told it is normal, and I had done a semen analysis, which showed sperm motility is only 40%. So, the doctor suggested using Fertisure tablets. Please help us. [/INST] Hello. I have gone through your query and understood your concerns. Hope this helps. For more information consult a psychiatrist online -->
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Q. Whenever I think of sex,my penis starts secreting a transparent fluid. Is this a normal condition or some disease?
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Hello doctor, I am a 20 year old male. Whenever I think of sex, my penis starts secreting a transparent fluid which keeps on coming out from my penis until I masturbate. Also if I do not masturbate after the excitation, my penis starts paining. Is this a normal condition or some disease? After 1-2 hours of masturbating, there is a mild pain in my penis which persists for few minutes. Also tell me how to increase the sperm count. Please help me with this.
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Hello. What you are experiencing is a normal process. Whenever men are excited, the secretions start discharging from penis. The fluid which discharges initially is the pre-ejaculatory fluid (pre-cum). When you masturbate, the seminal fluid is discharged. Slight pain after excitation and masturbation is also normal. It subsides in a day or two. This is mostly due to muscle fatigue. Sperm count can be increased by drugs like Fertisure-M taken once a day for at least 3-6 months. Revert back to a sexologist online for further follow up -->
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<s>[INST]
Hello doctor, I am a 20 year old male. Whenever I think of sex, my penis starts secreting a transparent fluid which keeps on coming out from my penis until I masturbate. Also if I do not masturbate after the excitation, my penis starts paining. Is this a normal condition or some disease? After 1-2 hours of masturbating, there is a mild pain in my penis which persists for few minutes. Also tell me how to increase the sperm count. Please help me with this. [/INST] Hello. What you are experiencing is a normal process. Whenever men are excited, the secretions start discharging from penis. The fluid which discharges initially is the pre-ejaculatory fluid (pre-cum). When you masturbate, the seminal fluid is discharged. Slight pain after excitation and masturbation is also normal. It subsides in a day or two. This is mostly due to muscle fatigue. Sperm count can be increased by drugs like Fertisure-M taken once a day for at least 3-6 months. Revert back to a sexologist online for further follow up -->
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Q. Why is there dark brown discharge after taking I-pill?
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Hi doctor, I got my last period in the mid of the last month. I had sex on the last day of the month, and the next day I took an I-pill. After three days, I have got a dark brown discharge sometimes it is pale yellow. I have it for the past four days. I am having a pain in my stomach like periods. My period is expected to be in the mid of the month, and my average length is 31 days. I am not pregnant because he did not discharge inside me. Is I-pill safe? When should I expect my periods?
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Hi. I-Pill is a high dose of Progesterone hormone. It is the same hormone which is produced in the body in the second half of the period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus, making it unfavorable for a possible pregnancy to implant. As it is a single dose, it has no strength to stand on, so it falls off, and you will get periods or bleeding of increased thickness within seven to ten days of taking the I-pill. This bleeding will be thick, fleshy pieces, dark red or brown, with slight lower abdominal pain until there is a reduction in bleeding. You have taken I-pill very close to the date of ovulation. As he did not ejaculate inside you, the chances of pregnancy are low. But the I-pill will disturb your hormonal balance, which causes the thick white discharge, and this thickness is coming out, which cause the pain. I-pill is very effective. Just wait and within a few days, you will have the periods. So periods may be mostly at the expected date. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I got my last period in the mid of the last month. I had sex on the last day of the month, and the next day I took an I-pill. After three days, I have got a dark brown discharge sometimes it is pale yellow. I have it for the past four days. I am having a pain in my stomach like periods. My period is expected to be in the mid of the month, and my average length is 31 days. I am not pregnant because he did not discharge inside me. Is I-pill safe? When should I expect my periods? [/INST] Hi. I-Pill is a high dose of Progesterone hormone. It is the same hormone which is produced in the body in the second half of the period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus, making it unfavorable for a possible pregnancy to implant. As it is a single dose, it has no strength to stand on, so it falls off, and you will get periods or bleeding of increased thickness within seven to ten days of taking the I-pill. This bleeding will be thick, fleshy pieces, dark red or brown, with slight lower abdominal pain until there is a reduction in bleeding. You have taken I-pill very close to the date of ovulation. As he did not ejaculate inside you, the chances of pregnancy are low. But the I-pill will disturb your hormonal balance, which causes the thick white discharge, and this thickness is coming out, which cause the pain. I-pill is very effective. Just wait and within a few days, you will have the periods. So periods may be mostly at the expected date. For more information consult an obstetrician and gynaecologist online -->
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Q. A swab from my vaginal tear showed positive HSV-1 and IgG. Please help.
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Hello doctor, After a few days of having rough intercourse with my boyfriend, I began having pain and yellowish discharge from my vagina. A nurse examined me and told me that I had a tear inside my vagina. She took a swab of the tear, and I had blood workup done. The reports showed positive HSV-1 and IgG. I used to get a burning sensation on my upper lip and have frequent sores on my lips years ago, but after some time they stopped. I was wondering if I got the HSV-1 because of the vaginal tear or the lip sores years ago? I am having anxiety since this happened and I cannot sleep. I have attached my reports and photos. I will appreciate your help.
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Hi. For further queries consult a family physician online -->
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<s>[INST]
Hello doctor, After a few days of having rough intercourse with my boyfriend, I began having pain and yellowish discharge from my vagina. A nurse examined me and told me that I had a tear inside my vagina. She took a swab of the tear, and I had blood workup done. The reports showed positive HSV-1 and IgG. I used to get a burning sensation on my upper lip and have frequent sores on my lips years ago, but after some time they stopped. I was wondering if I got the HSV-1 because of the vaginal tear or the lip sores years ago? I am having anxiety since this happened and I cannot sleep. I have attached my reports and photos. I will appreciate your help. [/INST] Hi. For further queries consult a family physician online -->
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Q. Please suggest a treatment for persistent hiccups.
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Hello doctor, My father-in-law has hiccups since the last three years. He recently got an endoscopy done, the reports of which I am attaching here. Also, he has tried a few medications, but still he is not getting better. When I researched online about his condition, it says as chronic hiccups. So, I need to know what would be the correct treatment. Can you please help me cure him? He currently takes Ativan 1 mg for his heart.
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Hello. I have gone through your query as well as the reports (attachment removed to protect patient identity). Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, My father-in-law has hiccups since the last three years. He recently got an endoscopy done, the reports of which I am attaching here. Also, he has tried a few medications, but still he is not getting better. When I researched online about his condition, it says as chronic hiccups. So, I need to know what would be the correct treatment. Can you please help me cure him? He currently takes Ativan 1 mg for his heart. [/INST] Hello. I have gone through your query as well as the reports (attachment removed to protect patient identity). Regards. For more information consult 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. 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. Can rough masturbation cause a lump near the vagina?
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Hello doctor, I have a lump on my inner thigh near my vagina. The lump is very small, the size of half a pea, and is painless. It has been there for weeks. It is a few, maybe 2 to 3 inches from my vagina. I do not notice it unless I touch it. Touching it makes me worried that it is bad. I am young, and I masturbate by rubbing the handle of my old (clean) toothbrush up and down against my vagina while my legs are suspended in the air. I think it may be a result of frequent rough masturbation, but I do not know what it is which worries me.
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Hello. How are you doing? Hope I have clarified your query. Do write back. All the best. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I have a lump on my inner thigh near my vagina. The lump is very small, the size of half a pea, and is painless. It has been there for weeks. It is a few, maybe 2 to 3 inches from my vagina. I do not notice it unless I touch it. Touching it makes me worried that it is bad. I am young, and I masturbate by rubbing the handle of my old (clean) toothbrush up and down against my vagina while my legs are suspended in the air. I think it may be a result of frequent rough masturbation, but I do not know what it is which worries me. [/INST] Hello. How are you doing? Hope I have clarified your query. Do write back. All the best. For more information consult an obstetrician and gynaecologist online -->
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Q. Is surgery needed for acute cholecystitis with cholelithiasis?
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Hello doctor, I am having right abdominal pain since last five days. I am not getting relief after taking medicines also. My ultrasound says that the gallbladder is distended with a 6.8 mm calculus at the gallbladder neck. The gallbladder wall is 5.6 mm and appears thickened. The gallbladder is filled with sludge. According to the report, I have acute cholecystitis with cholelithiasis. Do I need a surgery? Or can it be cured by medicines?
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Hi. It is very tempting to treat gallbladder stones with dissolving drugs, but there are some very important limitations, which are as follows. Hope that helps. Follow-up if you need more information or leave a feedback if you like. For more information consult a surgical gastroenterologist online -->
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<s>[INST]
Hello doctor, I am having right abdominal pain since last five days. I am not getting relief after taking medicines also. My ultrasound says that the gallbladder is distended with a 6.8 mm calculus at the gallbladder neck. The gallbladder wall is 5.6 mm and appears thickened. The gallbladder is filled with sludge. According to the report, I have acute cholecystitis with cholelithiasis. Do I need a surgery? Or can it be cured by medicines? [/INST] Hi. It is very tempting to treat gallbladder stones with dissolving drugs, but there are some very important limitations, which are as follows. Hope that helps. Follow-up if you need more information or leave a feedback if you like. For more information consult a surgical gastroenterologist online -->
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Q. How can we improve the rate of LVEF?
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Hi doctor, My father had a heart attack three weeks ago. Now, he is under medication and in complete rest at home. But echocardiogram report says his LVEF rate is 29 %. Some cardiac enzymes are high. How can we improve the rate of LVEF? Can this percentage get improved by rest or diet or something? His blood pressure, cholesterol, and sugar levels are normal. There are no blood clots present. He feels tired if he walks at home even more than 15 minutes.
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Hi. Your father had a heart attack and from his echocardiography report, (attachment removed to protect patient identity) the affected areas are thinned out and akinetic. It means that the heart muscles have lost their function in these areas. He can take drugs like beta blockers, ACE inhibitors (Carvedilol and Ramipril) to improve the cardiac function. What are the medicines given? The other method is to assess if there are any other blocks present in the coronary arteries and get removed either by CABG (coronary artery bypass graft surgery) or angioplasty. But I would suggest first do a myocardial viability study to see if the thinned out akinetic areas have any living muscle present to improve his cardiac function. For more information consult a cardiologist online -->
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<s>[INST]
Hi doctor, My father had a heart attack three weeks ago. Now, he is under medication and in complete rest at home. But echocardiogram report says his LVEF rate is 29 %. Some cardiac enzymes are high. How can we improve the rate of LVEF? Can this percentage get improved by rest or diet or something? His blood pressure, cholesterol, and sugar levels are normal. There are no blood clots present. He feels tired if he walks at home even more than 15 minutes. [/INST] Hi. Your father had a heart attack and from his echocardiography report, (attachment removed to protect patient identity) the affected areas are thinned out and akinetic. It means that the heart muscles have lost their function in these areas. He can take drugs like beta blockers, ACE inhibitors (Carvedilol and Ramipril) to improve the cardiac function. What are the medicines given? The other method is to assess if there are any other blocks present in the coronary arteries and get removed either by CABG (coronary artery bypass graft surgery) or angioplasty. But I would suggest first do a myocardial viability study to see if the thinned out akinetic areas have any living muscle present to improve his cardiac function. For more information consult a cardiologist online -->
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Q. What is the best treatment for sebaceous cyst?
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Hi doctor, I have sebaceous cyst in my face near cheeks. It is painless and about 0.5 cm in size. It looks awkward in my face. I need to remove it. Please suggest me the best treatment for the same.
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have sebaceous cyst in my face near cheeks. It is painless and about 0.5 cm in size. It looks awkward in my face. I need to remove it. Please suggest me the best treatment for the same. [/INST] Hi. For further information consult a dermatologist online -->
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Q. What is hypertensive urgency?
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Hi doctor, I am a 55 year old male. I am diabetic for the past 15 years and I also have high BP. Before 20 to 25 days, while walking I felt like dizziness and I could not climb the staircase. Before my BP was 240/140 mmHg, but now it is 160/100 mmHg. Later on the creatinine and blood urea was also more. Now, my BP is 160/100 mmHg. As the day proceeds by evening I feel unstable and feel uneasy then BP increases to 190/110 mmHg or more. Yesterday night, I felt like a paralytic stroke of my left leg while sleeping, but any how suddenly got up and I was safe. My current medication is tablet Telma 40 mg, tablet Telma 20 mg and tablet Amlong in the morning and at night respectively. For diabetes, my current medication is tablet Glycomet GP2 both in the morning and night. Presently, I am not taking any Insulin due to controlled sugar. I am attaching my blood test report. Please advise some medications if any keeping in view of the above reports.
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Hi. High uncontrolled BP and sugar. Get an NCCT, RFT, HbA1c, fasting and postprandial sugar test, complete urine examination and USG test done. Lifestyle modification as follows: 1. Reduce salt, sugar and fatty food. 2. Do mediation and some breathing exercises. Revert back with the test reports and answers to the above questions to an internal medicine physician online.--->
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<s>[INST]
Hi doctor, I am a 55 year old male. I am diabetic for the past 15 years and I also have high BP. Before 20 to 25 days, while walking I felt like dizziness and I could not climb the staircase. Before my BP was 240/140 mmHg, but now it is 160/100 mmHg. Later on the creatinine and blood urea was also more. Now, my BP is 160/100 mmHg. As the day proceeds by evening I feel unstable and feel uneasy then BP increases to 190/110 mmHg or more. Yesterday night, I felt like a paralytic stroke of my left leg while sleeping, but any how suddenly got up and I was safe. My current medication is tablet Telma 40 mg, tablet Telma 20 mg and tablet Amlong in the morning and at night respectively. For diabetes, my current medication is tablet Glycomet GP2 both in the morning and night. Presently, I am not taking any Insulin due to controlled sugar. I am attaching my blood test report. Please advise some medications if any keeping in view of the above reports. [/INST] Hi. High uncontrolled BP and sugar. Get an NCCT, RFT, HbA1c, fasting and postprandial sugar test, complete urine examination and USG test done. Lifestyle modification as follows: 1. Reduce salt, sugar and fatty food. 2. Do mediation and some breathing exercises. Revert back with the test reports and answers to the above questions to an internal medicine physician online.--->
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Q. What are the causes of white and yellow lesion with a red border on my tongue?
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Hello doctor, I have small white and yellow lesions with a red border on my tongue. My tongue also develops a white coating, that has to be scrapped of daily. I have attached a photo of the same. What are the likely causes?
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Hello. I have gone through your complaint and the attached picture (attachment removed to protect patient identity). I hope this answer will help you. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, I have small white and yellow lesions with a red border on my tongue. My tongue also develops a white coating, that has to be scrapped of daily. I have attached a photo of the same. What are the likely causes? [/INST] Hello. I have gone through your complaint and the attached picture (attachment removed to protect patient identity). I hope this answer will help you. For more information consult a dentist online -->
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Q. Will scratching a mole affect the biopsy report?
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Hi doctor, Six weeks ago, I noticed a mole on my back. There was no itching or redness. But, I scratched it and went to the Urgent Care Clinic. The doctor said it looked like an irritated nevus. Then, during a shower it came off completely and left a flat area. Within a few weeks, it reappeared. Now, it is smaller of about 2 mm and dark brown in color. I went to a dermatologist and explained everything. The doctor said it was a little irregular. He said since he had not seen it before, he could not say if the irregularity was how it healed after scarring or if it was worrisome of something else. So, he did a shave and sent for biopsy. Now, I wonder if I have screwed up the histology by irritating it. Is the fact that it came back very fast, from nothing to a little dark mole within 3 weeks or so worrisome? I have at least a week to wait and I am freaking out a little.
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Hi. I have read your query and concern. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, Six weeks ago, I noticed a mole on my back. There was no itching or redness. But, I scratched it and went to the Urgent Care Clinic. The doctor said it looked like an irritated nevus. Then, during a shower it came off completely and left a flat area. Within a few weeks, it reappeared. Now, it is smaller of about 2 mm and dark brown in color. I went to a dermatologist and explained everything. The doctor said it was a little irregular. He said since he had not seen it before, he could not say if the irregularity was how it healed after scarring or if it was worrisome of something else. So, he did a shave and sent for biopsy. Now, I wonder if I have screwed up the histology by irritating it. Is the fact that it came back very fast, from nothing to a little dark mole within 3 weeks or so worrisome? I have at least a week to wait and I am freaking out a little. [/INST] Hi. I have read your query and concern. For further information consult a dermatologist online -->
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Q. How to reduce my serum ferritin level?
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Hi doctor, My ferritin level is 1500, and I want to bring it down to 150. How much will one DFO IV session or each Exjade pill reduce the ferritin level on an average? I am a healthy individual, and I do not have HIV, HCC, or any other disease.
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Hi. Your serum ferritin is high, so the cause should be found out first. Take care. Hope this will help you. For more information consult a hematologist online -->
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<s>[INST]
Hi doctor, My ferritin level is 1500, and I want to bring it down to 150. How much will one DFO IV session or each Exjade pill reduce the ferritin level on an average? I am a healthy individual, and I do not have HIV, HCC, or any other disease. [/INST] Hi. Your serum ferritin is high, so the cause should be found out first. Take care. Hope this will help you. For more information consult a hematologist online -->
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Q. What is the reason for nausea, chest pain and dizziness during periods?
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Hi doctor, I am 37 years old. My height is 5'4" and weight is 250 lbs. I have 4 kids. I am having high blood pressure and also suffering from migraines. I am currently on my periods. I woke up this morning about 6:30 AM and was fine. I started feeling tired when I drove my daughter to work at almost 12 and when I got home I started feeling sick. I felt uncomfortable with my stomach, dizzy and like I had to vomit. Then, my heart felt like it hurt. I ended up vomiting, but I still feel sick and my chest hurts on and off. I am also getting like a hunger pain, but I am not hungry. I tried to vomit again, but nothing happened. I do not feel any shortness of breath, sweating or any other pain anywhere else. I am currently on Propranolol-ER 60 mg and Losartan HCT 12.5 mg.
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Hello. For further doubts consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am 37 years old. My height is 5'4" and weight is 250 lbs. I have 4 kids. I am having high blood pressure and also suffering from migraines. I am currently on my periods. I woke up this morning about 6:30 AM and was fine. I started feeling tired when I drove my daughter to work at almost 12 and when I got home I started feeling sick. I felt uncomfortable with my stomach, dizzy and like I had to vomit. Then, my heart felt like it hurt. I ended up vomiting, but I still feel sick and my chest hurts on and off. I am also getting like a hunger pain, but I am not hungry. I tried to vomit again, but nothing happened. I do not feel any shortness of breath, sweating or any other pain anywhere else. I am currently on Propranolol-ER 60 mg and Losartan HCT 12.5 mg. [/INST] Hello. For further doubts consult an internal medicine physician online -->
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Q. Following RCT and crown, my gums are swollen. Why?
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Hello doctor, I had a root canal performed before four months and a gold crown was fitted before two months. The tooth number is 14. The tooth had a crack in it a few years ago and finally became irreversibly inflamed and required a root canal. My tooth is still sensitive to pressure while chewing and the gums between tooth 14 and 13 continues to be painful while flossing. Sometimes, the gums between those two teeth will bleed slightly while flossing. I also have occasional gum inflammation on the side that is towards the inside of my mouth. There are no open contacts visible on the crown and the dentist has taken x-rays to make sure that there is no cement stuck in the gums. The pain went away once after he did some scaling and cleaning, but returned in a few days. Could the current pain be caused by food getting stuck? I am keeping the tooth very clean with daily brushing and flossing. Occasionally, I will brush the tooth with some Listerine to keep it infection free. I am wondering whether the crown fitted badly. I am currently taking Cefadroxil. Thanks for any advice.
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Hi. I have gone through your query and understand it. X-ray of the root canal treated tooth. For further doubts consult a dentist online.--->
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<s>[INST]
Hello doctor, I had a root canal performed before four months and a gold crown was fitted before two months. The tooth number is 14. The tooth had a crack in it a few years ago and finally became irreversibly inflamed and required a root canal. My tooth is still sensitive to pressure while chewing and the gums between tooth 14 and 13 continues to be painful while flossing. Sometimes, the gums between those two teeth will bleed slightly while flossing. I also have occasional gum inflammation on the side that is towards the inside of my mouth. There are no open contacts visible on the crown and the dentist has taken x-rays to make sure that there is no cement stuck in the gums. The pain went away once after he did some scaling and cleaning, but returned in a few days. Could the current pain be caused by food getting stuck? I am keeping the tooth very clean with daily brushing and flossing. Occasionally, I will brush the tooth with some Listerine to keep it infection free. I am wondering whether the crown fitted badly. I am currently taking Cefadroxil. Thanks for any advice. [/INST] Hi. I have gone through your query and understand it. X-ray of the root canal treated tooth. For further doubts consult a dentist 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 -->
|
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?
|
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 -->
|
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.
|
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?
|
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
|
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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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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