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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 regular medicines affect my erection. How to improve this?
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Hello doctor, I am 60 years old. I am physically fit and I jog almost 3 to 4 km daily. I am a vegetarian. I have a business of my own. I have undergone angioplasty before 20 years and open heart surgery six years before. But, I am an active person with slim body. My height is 165 cm and weight is 60 kg. My waist is 31 inches. I have been on medication since my open heart surgery and I was prescribed Olmezest 20, Ecosprin AV 75/20 and Concor 2.5. I am not taking any medicine for the last six months, because I thought that they are affecting my sexual power. But, I find no improvement after stopping the tablets. My problem is that I am not able to hold myself and enjoy sexual pleasure. Sometimes, I do not get an erection at all and I just ejaculate in a few seconds. I think that I need some medical advice as I still want to enjoy sexual pleasure. I have never tried Viagra. Please advise what I should do and whom I should consult ?
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Hello. Decrease or loss of ability to erect or maintain erection hard is impotence. 20% to 25% of men usually suffer this by the age 65. As females have menopause, men have andropause and it may lead to loss of libido, decreased erection and so on. This usually happens due to heart disease, hypertension, diabetes and drugs like anti-hypertensives and anti-diabetics. Particularly in heart disease due to atherosclerosis or thickening of blood vessels in the penis will lead to decreased blood flow and thus less effective erection. Ejaculation prior to complete erection is what is known as premature ejaculation. On the whole, as I have told, treating sexual problems needs detailed understanding of the mechanism and the cause. The reason can be any of the following. You should continue your medication as these agents are cardioprotective and prevent further attacks. Blood thinners are very important to maintain good blood supply to your heart and Concor (Bisoprolol) to maintain your blood pressure. I would advise you to get your cardiac testing done like ECG (electrocardiogram), echocardiogram, Stress echo or TMT (treadmill test) and restart your medication. Also, get Doppler of the penis and testosterone level check. As I have already told, your heart disease and hypertension itself may cause impotence. Talk to your cardiologist about your cardiac health as well as the use of Tablet Cialis or Tadalafil or Sildenafil. Good to hear that you are physically fit. Physical fitness is very important for heart as well as for sexual fitness. I would advise you to practice yoga. You may also try vacuum devices. Please do not be anxious. Take care of your health. Do not ever stop medication without your doctor's advise. If your problem would have been due to medicines it would have been gone after stopping drug consumption. Revert back with the answers to the above questions to an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am 60 years old. I am physically fit and I jog almost 3 to 4 km daily. I am a vegetarian. I have a business of my own. I have undergone angioplasty before 20 years and open heart surgery six years before. But, I am an active person with slim body. My height is 165 cm and weight is 60 kg. My waist is 31 inches. I have been on medication since my open heart surgery and I was prescribed Olmezest 20, Ecosprin AV 75/20 and Concor 2.5. I am not taking any medicine for the last six months, because I thought that they are affecting my sexual power. But, I find no improvement after stopping the tablets. My problem is that I am not able to hold myself and enjoy sexual pleasure. Sometimes, I do not get an erection at all and I just ejaculate in a few seconds. I think that I need some medical advice as I still want to enjoy sexual pleasure. I have never tried Viagra. Please advise what I should do and whom I should consult ? [/INST] Hello. Decrease or loss of ability to erect or maintain erection hard is impotence. 20% to 25% of men usually suffer this by the age 65. As females have menopause, men have andropause and it may lead to loss of libido, decreased erection and so on. This usually happens due to heart disease, hypertension, diabetes and drugs like anti-hypertensives and anti-diabetics. Particularly in heart disease due to atherosclerosis or thickening of blood vessels in the penis will lead to decreased blood flow and thus less effective erection. Ejaculation prior to complete erection is what is known as premature ejaculation. On the whole, as I have told, treating sexual problems needs detailed understanding of the mechanism and the cause. The reason can be any of the following. You should continue your medication as these agents are cardioprotective and prevent further attacks. Blood thinners are very important to maintain good blood supply to your heart and Concor (Bisoprolol) to maintain your blood pressure. I would advise you to get your cardiac testing done like ECG (electrocardiogram), echocardiogram, Stress echo or TMT (treadmill test) and restart your medication. Also, get Doppler of the penis and testosterone level check. As I have already told, your heart disease and hypertension itself may cause impotence. Talk to your cardiologist about your cardiac health as well as the use of Tablet Cialis or Tadalafil or Sildenafil. Good to hear that you are physically fit. Physical fitness is very important for heart as well as for sexual fitness. I would advise you to practice yoga. You may also try vacuum devices. Please do not be anxious. Take care of your health. Do not ever stop medication without your doctor's advise. If your problem would have been due to medicines it would have been gone after stopping drug consumption. Revert back with the answers to the above questions to an internal medicine physician online -->
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Q. Why do BP values of my father vary between palpatory and auscultatory methods?
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Hello doctor, This query is regarding my father. He is 65 years old and hypertensive for the last 15 years. He was on Ramistar 5 mg and Amlodipine 2.5 mg and one diuretic. Recently, his doctor increased his dose to Ramistar 10 mg and Amlodipine 5 mg. I am an MBBS doctor and I check his BP twice daily. I have noticed that his systolic by palpatory is quite low around 110-120 mmHg, but on auscultation, it is 140-150 mmHg with diastolic 80-90 mmHg. I do not understand the difference. He is an anxious person and gets very anxious while measuring BP. I take three to four times and it starts with high, but eventually settles to the BP mentioned above. Also, he has BPH and takes Alfusin D. Will this drug decrease the efficiency of BP medicines? I would like to add that he had his stress thallium test 15 days back, which came back normal.
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Hi. For further information consult a cardiologist online -->
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<s>[INST]
Hello doctor, This query is regarding my father. He is 65 years old and hypertensive for the last 15 years. He was on Ramistar 5 mg and Amlodipine 2.5 mg and one diuretic. Recently, his doctor increased his dose to Ramistar 10 mg and Amlodipine 5 mg. I am an MBBS doctor and I check his BP twice daily. I have noticed that his systolic by palpatory is quite low around 110-120 mmHg, but on auscultation, it is 140-150 mmHg with diastolic 80-90 mmHg. I do not understand the difference. He is an anxious person and gets very anxious while measuring BP. I take three to four times and it starts with high, but eventually settles to the BP mentioned above. Also, he has BPH and takes Alfusin D. Will this drug decrease the efficiency of BP medicines? I would like to add that he had his stress thallium test 15 days back, which came back normal. [/INST] Hi. For further information consult a cardiologist online -->
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Q. Please provide a diet plan for NAFLD
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Hi doctor, Before three months, I was diagnosed to have NAFLD (Non-alcoholic Fatty Liver Disease). I have lost my weight from 62 to 53 within about three months by way of morning walk for about 1 hour and yoga and pranayama for another 80 minutes and by taking low fat diet and less calories. As a result my health and face is totally broken. I am a little bit worried by thinking whether it is normal or not. Even I cannot go out anywhere due to the questions from people about my broken health and lost weight. Please advise me and prescribe some medicines and supplements for restoration of my broken face. Please provide a complete diet plan which is helpful for curing NAFLD.
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Hi. I understand your concern. For further information consult a nutritionist online -->
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<s>[INST]
Hi doctor, Before three months, I was diagnosed to have NAFLD (Non-alcoholic Fatty Liver Disease). I have lost my weight from 62 to 53 within about three months by way of morning walk for about 1 hour and yoga and pranayama for another 80 minutes and by taking low fat diet and less calories. As a result my health and face is totally broken. I am a little bit worried by thinking whether it is normal or not. Even I cannot go out anywhere due to the questions from people about my broken health and lost weight. Please advise me and prescribe some medicines and supplements for restoration of my broken face. Please provide a complete diet plan which is helpful for curing NAFLD. [/INST] Hi. I understand your concern. For further information consult a nutritionist online -->
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Q. Why do I have an abnormal ECG?
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Hello doctor, I have been having chest pain off and on. I also suffer acidity, although I am not on any medication. I was advised to have an ECG anyway. My ECG showed some minor variation and then was advised TMT which was normal. Please advise. Why do I have chest pains and why is my ECG not normal?
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Hello. Chest pain occurs due to various causes. For example heart problem, lung problem, muscle problem, bone problem, stomach problem etc. Your TMT (treadmill test) is normal. It indicates that your heart condition is likely to be healthy. For your chest pain, the reason may be other than a heart problem. Have you done your echocardiography? If not, you can do it to rule out a structural heart problem. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I have been having chest pain off and on. I also suffer acidity, although I am not on any medication. I was advised to have an ECG anyway. My ECG showed some minor variation and then was advised TMT which was normal. Please advise. Why do I have chest pains and why is my ECG not normal? [/INST] Hello. Chest pain occurs due to various causes. For example heart problem, lung problem, muscle problem, bone problem, stomach problem etc. Your TMT (treadmill test) is normal. It indicates that your heart condition is likely to be healthy. For your chest pain, the reason may be other than a heart problem. Have you done your echocardiography? If not, you can do it to rule out a structural heart problem. For more information consult a cardiologist online -->
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Q. Is there any home remedy for irritation and pain in vagina?
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Hello doctor, I am experiencing irritation and pain in my vaginal region on the inside. I think it is just two bumps that have formed on the inside but I am not sure. If there is any home remedy I can do to get rid of them, I would like to know what I can do.
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Hi. It seems like you have folliculitis or some vaginal infection which is causing the problem. Please get yourself checked by a gynecologist and get a swab test done. Avoid having sex till then. Wear cotton panties and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with normal tap water every time you use the washroom. Avoid using vaginal douches and creams. Do get back to me with reports so that I can guide you further. Take care.
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<s>[INST]
Hello doctor, I am experiencing irritation and pain in my vaginal region on the inside. I think it is just two bumps that have formed on the inside but I am not sure. If there is any home remedy I can do to get rid of them, I would like to know what I can do. [/INST] Hi. It seems like you have folliculitis or some vaginal infection which is causing the problem. Please get yourself checked by a gynecologist and get a swab test done. Avoid having sex till then. Wear cotton panties and loose lowers. Maintain personal hygiene and take plenty of fluids. Wash your private parts with normal tap water every time you use the washroom. Avoid using vaginal douches and creams. Do get back to me with reports so that I can guide you further. Take care.
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. My platelets count is decreasing. And I am having fever from last 6 days with continuous headache.
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Hi Doctor, I am having fever since last 6 days with continuous headache. I am taking Paracetamol on regular intervals, but my fever temperature is not decreasing from 100 degree, sometimes it reaches to 103 degree as well. Because of the fever my appetite is also reducing day by day. I got it checked from doctor and she suggested me to get some blood tests done. On 8th October my Leucocytes count was 4200 (Normal Range- 4000-11000 cu.mm) and my Platelets count was 1.85 (Normal Range - 1.5-4.5 Lakh/cu.mm) but on 11th October my Leucocytes count decreased to 388 from 4200 and platelet count 1.42 from 1.85. Then I had the other readings as follows: Dengue Antibody IGM - Not Detected. Dengue Antibody lgG- Not Detected. Dengue NS1 Antigen - Negative. Malaria Parasite/Blood Parasite Identification - No MP seen in smears examined. Then I had Complete Blood Count (CBC) Test. The report says: RBC Count is showing low - Current is 4.24 (Normal - 4.50-5.50). MCH is showing High - 33.70 (Normal - 27.00-32.00). MCHC is showing high - 35.80 (Normal - 32.00-35.00). Red Cell Distribution Width is high- 15.20 (Normal - 11.50-14.50). Differential Leukocyte Count (DLC): Eosinophils is showing NIL-0.00 (Normal 1.00-6.00). Absolute Leukocyte count: Eosinophils is showing NIL - 0.00 (Normal 0.02-0.50). It has been 6 days now and I am still having the fever. Kindly suggest what could be the reason and please help me know if I have dengue? Why is my platelets count decreasing?
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Hi. If you have further questions, feel free to ask a doctor online -->
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<s>[INST]
Hi Doctor, I am having fever since last 6 days with continuous headache. I am taking Paracetamol on regular intervals, but my fever temperature is not decreasing from 100 degree, sometimes it reaches to 103 degree as well. Because of the fever my appetite is also reducing day by day. I got it checked from doctor and she suggested me to get some blood tests done. On 8th October my Leucocytes count was 4200 (Normal Range- 4000-11000 cu.mm) and my Platelets count was 1.85 (Normal Range - 1.5-4.5 Lakh/cu.mm) but on 11th October my Leucocytes count decreased to 388 from 4200 and platelet count 1.42 from 1.85. Then I had the other readings as follows: Dengue Antibody IGM - Not Detected. Dengue Antibody lgG- Not Detected. Dengue NS1 Antigen - Negative. Malaria Parasite/Blood Parasite Identification - No MP seen in smears examined. Then I had Complete Blood Count (CBC) Test. The report says: RBC Count is showing low - Current is 4.24 (Normal - 4.50-5.50). MCH is showing High - 33.70 (Normal - 27.00-32.00). MCHC is showing high - 35.80 (Normal - 32.00-35.00). Red Cell Distribution Width is high- 15.20 (Normal - 11.50-14.50). Differential Leukocyte Count (DLC): Eosinophils is showing NIL-0.00 (Normal 1.00-6.00). Absolute Leukocyte count: Eosinophils is showing NIL - 0.00 (Normal 0.02-0.50). It has been 6 days now and I am still having the fever. Kindly suggest what could be the reason and please help me know if I have dengue? Why is my platelets count decreasing? [/INST] Hi. If you have further questions, feel free to ask a doctor online -->
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Q. Can uterine or cervical cancer delay my periods?
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Hi doctor, My period is always regular with an interval of 28 days. I never missed my period before. Now, I am late for five days. Today, I had a little light pink faint discharge when I wipe. I have taken 4 pregnancy tests and all were negative. When I referred online, it says ovarian cancer. I had a baby last year. As I was at high risk, I had an ultrasound once a month. If I had any type of gynecological cancer, why did not show up in any of the 10 to12 ultrasounds. I am so nervous as I have never missed my period unless when I am pregnant. I just want to know if this could be a cancer. I also had some pinkish brown discharge mid-month during ovulation. Is this normal or could this be a cancer? I had my annual laboratory before five months along with thyroid test, but everything was normal. Please explain me.
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Hello. I had gone through all the data posted. Do not get worried much as you told your periods were always regular. Just with five days late of periods, it does not mean that you have cancer. You said there was light pinkish discharge, so which could be spotted and may be a sign of pregnancy. Kindly repeat your urine pregnancy test again after three days. As you said you had done ultrasound abdomen multiple times, which were normal, ovarian cancer will not come up all of a sudden. Kindly tell me how you are high risk for cancer, so that I can advise a genetic screening, which might be helpful. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, My period is always regular with an interval of 28 days. I never missed my period before. Now, I am late for five days. Today, I had a little light pink faint discharge when I wipe. I have taken 4 pregnancy tests and all were negative. When I referred online, it says ovarian cancer. I had a baby last year. As I was at high risk, I had an ultrasound once a month. If I had any type of gynecological cancer, why did not show up in any of the 10 to12 ultrasounds. I am so nervous as I have never missed my period unless when I am pregnant. I just want to know if this could be a cancer. I also had some pinkish brown discharge mid-month during ovulation. Is this normal or could this be a cancer? I had my annual laboratory before five months along with thyroid test, but everything was normal. Please explain me. [/INST] Hello. I had gone through all the data posted. Do not get worried much as you told your periods were always regular. Just with five days late of periods, it does not mean that you have cancer. You said there was light pinkish discharge, so which could be spotted and may be a sign of pregnancy. Kindly repeat your urine pregnancy test again after three days. As you said you had done ultrasound abdomen multiple times, which were normal, ovarian cancer will not come up all of a sudden. Kindly tell me how you are high risk for cancer, so that I can advise a genetic screening, which might be helpful. For further information consult an internal medicine physician online -->
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Q. Can my gallbladder stones be dissolved without surgery?
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Hi doctor, Few soft echogenic calculi with sludge are seen in my gallbladder lumen, one of which measures approximately 14.1 mm. What should I do to dissolve them without surgery?
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Hello. For further queries consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, Few soft echogenic calculi with sludge are seen in my gallbladder lumen, one of which measures approximately 14.1 mm. What should I do to dissolve them without surgery? [/INST] Hello. For further queries consult an internal medicine physician online -->
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Q. I have pain in my neck and upper arm, with numbness and tingling in both arms. Please help.
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Hi doctor, I have mucosal thickening with aerated secretions in the sphenoid sinuses with surrounding hyperostosis. The mucosal thickening in left maxillary sinus is greater than right maxillary sinus, with trace aerated secretions. Also, opacification of right mastoid air cells and right middle ear cavity is present. The right scutum is not eroded. There is a large, 2.1 cm hypoattenuating inferior left thyroid lobe mass. C2-3, small disc bulge with uncovertebral hypertrophy and mild bilateral facet arthrosis. Mild spinal canal narrowing with contact of the ventral cord surface. The neural foramina are patent. C3-4, bilateral uncovertebral hypertrophy, and mild bilateral facet arthrosis. Small disc bulge and mild ventral thecal sac effacement with possible cord contact, but no high-grade spinal canal narrowing. Moderate bilateral neural foraminal stenosis. C4-5, uncovertebral hypertrophy with disc bulge and calcified central disc protrusion. Mild bilateral facet arthrosis and mild ventral thecal sac effacement with ventral cord contact. Mild right, moderate left neural foraminal stenosis. C5-6, mild circumferential disc bulge, and uncovertebral hypertrophy. Mild bilateral facet arthrosis. Small central disc protrusion. The spinal canal is patent and mild bilateral neural foraminal stenosis. C6-7, disc height loss with mild circumferential disc bulge. Moderate bilateral facet arthrosis and the spinal canal is patent. Mild bilateral neural foraminal stenosis. C7-T1, disc height loss. Moderate to severe bilateral facet arthrosis and small central disc protrusion. Spinal canal and neural foramina are patent. Impression, mild multilevel cervical spondylosis. Mild spinal canal narrowing with contact of the ventral cord surface is noted at C2-C3, C4-C5, and possibly at C3-C4. Moderate bilateral neural foraminal stenoses at C3-C4, secondary to degenerative disc and facet disease. Mild right and moderate left neural foraminal stenosis at C4-C5, and mild bilateral neural foraminal stenoses at C5-C6 and C6-C7. There are findings of right otomastoiditis. Inflammatory paranasal sinus disease with findings suggestive of acute and chronic sinusitis.
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Hello. Revert with more information to a spine health specialist online -->
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<s>[INST]
Hi doctor, I have mucosal thickening with aerated secretions in the sphenoid sinuses with surrounding hyperostosis. The mucosal thickening in left maxillary sinus is greater than right maxillary sinus, with trace aerated secretions. Also, opacification of right mastoid air cells and right middle ear cavity is present. The right scutum is not eroded. There is a large, 2.1 cm hypoattenuating inferior left thyroid lobe mass. C2-3, small disc bulge with uncovertebral hypertrophy and mild bilateral facet arthrosis. Mild spinal canal narrowing with contact of the ventral cord surface. The neural foramina are patent. C3-4, bilateral uncovertebral hypertrophy, and mild bilateral facet arthrosis. Small disc bulge and mild ventral thecal sac effacement with possible cord contact, but no high-grade spinal canal narrowing. Moderate bilateral neural foraminal stenosis. C4-5, uncovertebral hypertrophy with disc bulge and calcified central disc protrusion. Mild bilateral facet arthrosis and mild ventral thecal sac effacement with ventral cord contact. Mild right, moderate left neural foraminal stenosis. C5-6, mild circumferential disc bulge, and uncovertebral hypertrophy. Mild bilateral facet arthrosis. Small central disc protrusion. The spinal canal is patent and mild bilateral neural foraminal stenosis. C6-7, disc height loss with mild circumferential disc bulge. Moderate bilateral facet arthrosis and the spinal canal is patent. Mild bilateral neural foraminal stenosis. C7-T1, disc height loss. Moderate to severe bilateral facet arthrosis and small central disc protrusion. Spinal canal and neural foramina are patent. Impression, mild multilevel cervical spondylosis. Mild spinal canal narrowing with contact of the ventral cord surface is noted at C2-C3, C4-C5, and possibly at C3-C4. Moderate bilateral neural foraminal stenoses at C3-C4, secondary to degenerative disc and facet disease. Mild right and moderate left neural foraminal stenosis at C4-C5, and mild bilateral neural foraminal stenoses at C5-C6 and C6-C7. There are findings of right otomastoiditis. Inflammatory paranasal sinus disease with findings suggestive of acute and chronic sinusitis. [/INST] Hello. Revert with more information to a spine health specialist online -->
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Q. 24 year old Male. How to perform Kegel exercise to improve my sexual life?
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Hello doctor, I am 24 years old male. I weigh 43 kg and I have problem in having sex. How do I improve my sexual life?
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Hi. I would like to ask you a few questions. Since how long have you been suffering from this problem? What kind of sex problem do you have, erection problem or premature ejaculation? Do you have nightfall too? Is there any kind of stress in your life? Are you a smoker or non-smoker? Do have any kind or drug addiction Are you taking any medicines? Well, it could be due to psychological reasons also.You are advised to: I also advise you to do Kegel exercise which will help you in getting intense and prolonged erection and prevent premature ejaculation(PE). The Kegel Exercise: Kegel Exercise is meant to strengthen the pelvic floor muscles and treat premature ejaculation and impotency. You can do this exercise anywhere in sitting position either in a class room, office, or even in a public place and nobody will come to know that you are doing it. Before you start doing it, you must know the significance of this to the pelvic floor region. Around anus there are a group of muscles know as pubo-coccygeus muscles which control our urination and defecation process. We have to strengthen them by contracting and relaxing alternatively to achieve strong and intense erection of penis. The Procedure :- By doing this, your pelvic floor muscles will become strong and will help you in attaining an intense erection for a longer duration. You can strengthen these muscles and some other group of muscles also by doing this exercise, but in a different way: These two methods of contracting and relaxing pubo-coccygeus muscle will make them strong and will be helpful in improving your sex life. Follow up with the required details to a sexologist online -->
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<s>[INST]
Hello doctor, I am 24 years old male. I weigh 43 kg and I have problem in having sex. How do I improve my sexual life? [/INST] Hi. I would like to ask you a few questions. Since how long have you been suffering from this problem? What kind of sex problem do you have, erection problem or premature ejaculation? Do you have nightfall too? Is there any kind of stress in your life? Are you a smoker or non-smoker? Do have any kind or drug addiction Are you taking any medicines? Well, it could be due to psychological reasons also.You are advised to: I also advise you to do Kegel exercise which will help you in getting intense and prolonged erection and prevent premature ejaculation(PE). The Kegel Exercise: Kegel Exercise is meant to strengthen the pelvic floor muscles and treat premature ejaculation and impotency. You can do this exercise anywhere in sitting position either in a class room, office, or even in a public place and nobody will come to know that you are doing it. Before you start doing it, you must know the significance of this to the pelvic floor region. Around anus there are a group of muscles know as pubo-coccygeus muscles which control our urination and defecation process. We have to strengthen them by contracting and relaxing alternatively to achieve strong and intense erection of penis. The Procedure :- By doing this, your pelvic floor muscles will become strong and will help you in attaining an intense erection for a longer duration. You can strengthen these muscles and some other group of muscles also by doing this exercise, but in a different way: These two methods of contracting and relaxing pubo-coccygeus muscle will make them strong and will be helpful in improving your sex life. Follow up with the required details to a sexologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. I am worried about palpitations. Please advise.
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Hi doctor, Last Wednesday night, I got palpitations. I took Rivotril 5 mg and slept. Next day I rushed to my physician. He prescribed me Ciplar 10 mg tablet and advised me to take one tablet daily after breakfast. Palpitations did not happen from past three months. My doctor advised me to continue the tablet and said nothing to worry. But I am worried as what could be the reason for my palpitations. I am disturbed by thinking that will I get heart attack? I am sleepless now. Please help.
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Hi. Palpitations in the absence of loss of consciousness/blackout/sudden fall are not considered as malignant. Occasional non-recurrent palpitations may not be significant at all. Hence you need to see if you have any of these alarming symptoms or these palpitations are recurrent or not. On the background of structurally normal heart - your normal ECG and ECHO study (attachment removed to protect patient identity) with no other cardiac symptoms, absence of alarming symptoms and absence of recurrence, speak of a non-cardiac cause. These may be related to stress, thyroid disorder and certain medications. I would suggest you to upload your recent ECG if possible. Revert back with your report and answers to a cardiologist online -->
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<s>[INST]
Hi doctor, Last Wednesday night, I got palpitations. I took Rivotril 5 mg and slept. Next day I rushed to my physician. He prescribed me Ciplar 10 mg tablet and advised me to take one tablet daily after breakfast. Palpitations did not happen from past three months. My doctor advised me to continue the tablet and said nothing to worry. But I am worried as what could be the reason for my palpitations. I am disturbed by thinking that will I get heart attack? I am sleepless now. Please help. [/INST] Hi. Palpitations in the absence of loss of consciousness/blackout/sudden fall are not considered as malignant. Occasional non-recurrent palpitations may not be significant at all. Hence you need to see if you have any of these alarming symptoms or these palpitations are recurrent or not. On the background of structurally normal heart - your normal ECG and ECHO study (attachment removed to protect patient identity) with no other cardiac symptoms, absence of alarming symptoms and absence of recurrence, speak of a non-cardiac cause. These may be related to stress, thyroid disorder and certain medications. I would suggest you to upload your recent ECG if possible. Revert back with your report and answers to a cardiologist online -->
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Q. What could be the cause of ventricular fibrillation?
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Hello doctor, My 29 year old brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years after his first episode. My question is, whether we can find the root cause of his ventricular fibrillation. What is the best treatment for his case?
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Hello. Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to ventricular tachycardia and fibrillation. He should undergo angiography, and echocardiogram, if he has not already. His electrolyte levels should also be checked as it is a very important precipitator for ventricular fibrillation. In treatment, he should receive Cordarone (Amiodarone), and multiple other medicines depending upon the echocardiogram and angiography reports. Usually, patients get antiplatelets like Aspirin, Clopidogrel, ACE inhibitor like ramipril, and Spironolactone along with other medications. You can upload his reports if any so that I can opine on the cause. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, My 29 year old brother had a pacemaker placed three years ago after survival from a sudden cardiac arrest. Doctors found the cause of the cardiac arrest to be a ventricular fibrillation. Last week was the first time he received a shock from his pacemaker, that is, exactly three years after his first episode. My question is, whether we can find the root cause of his ventricular fibrillation. What is the best treatment for his case? [/INST] Hello. Ventricular fibrillation, the commonest cause is coronary artery disease. The other causes are dilated cardiomyopathy or low heart function. What is his ejection fraction? Low ejection fraction due to any reason like coronary artery disease or others can lead to ventricular tachycardia and fibrillation. He should undergo angiography, and echocardiogram, if he has not already. His electrolyte levels should also be checked as it is a very important precipitator for ventricular fibrillation. In treatment, he should receive Cordarone (Amiodarone), and multiple other medicines depending upon the echocardiogram and angiography reports. Usually, patients get antiplatelets like Aspirin, Clopidogrel, ACE inhibitor like ramipril, and Spironolactone along with other medications. You can upload his reports if any so that I can opine on the cause. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
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Q. What medicines can be had for burning sensation in the anus and vagina?
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Hello doctor, I have a sensation of burning in the anus and vagina. An ultrasound scan was done and a urine culture was also done. I have a UTI and a Bartholin cyst. The culture grew E. coli. As regards medicines, I have taken Urispas, Candid-V6 for 10 days. I also took Voveran injections two times because of pain. How can I be helped?
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Hello. I went through your post. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I have a sensation of burning in the anus and vagina. An ultrasound scan was done and a urine culture was also done. I have a UTI and a Bartholin cyst. The culture grew E. coli. As regards medicines, I have taken Urispas, Candid-V6 for 10 days. I also took Voveran injections two times because of pain. How can I be helped? [/INST] Hello. I went through your post. For more information consult an internal medicine physician online -->
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Q. My fiance has gained 40 kg in less than a year. What could be the reason?
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Hello doctor, I am concerned about excessive weight gain by my fiance. He is a 29 year old male, whose height is approximately 6 feet, and he weighs 150 kg. Over the last two years, my fiance had lost around 40 kg using the Banting diet, common in our country. It is based on the principles of no carbohydrates, starches or sugars and higher protein, but does allow the odd cheat meal. Since then, in the last eight months, he has had two attempts at quitting smoking and was put on Pendine 5 and Zartan CO for high blood pressure. He has a family history of hypertension. As a result, he has gained weight at quite a quick pace despite sticking to his Banting diet. The meal sizes have not changed, and he has an active lifestyle. We hike or do vigorous walks of 5 to 8 km on most days. At this stage, he has almost gained the full 40 kg back in less than a year, which seems very excessive and way above normal for quitting smoking. I was wondering if perhaps he has some thyroid issues, as his mother has hypothyroidism. Or could it be a side effect of the medication? We need some advice. We are at a loss at what to do. I would like to add that he struggled with weight issues since childhood. Also, we are currently not in his country, so visiting a doctor may be difficult.
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Hello. Keep up the diet and exercise. Do not get disheartened. The tests should shed some light on the cause of the excessive weight gain. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am concerned about excessive weight gain by my fiance. He is a 29 year old male, whose height is approximately 6 feet, and he weighs 150 kg. Over the last two years, my fiance had lost around 40 kg using the Banting diet, common in our country. It is based on the principles of no carbohydrates, starches or sugars and higher protein, but does allow the odd cheat meal. Since then, in the last eight months, he has had two attempts at quitting smoking and was put on Pendine 5 and Zartan CO for high blood pressure. He has a family history of hypertension. As a result, he has gained weight at quite a quick pace despite sticking to his Banting diet. The meal sizes have not changed, and he has an active lifestyle. We hike or do vigorous walks of 5 to 8 km on most days. At this stage, he has almost gained the full 40 kg back in less than a year, which seems very excessive and way above normal for quitting smoking. I was wondering if perhaps he has some thyroid issues, as his mother has hypothyroidism. Or could it be a side effect of the medication? We need some advice. We are at a loss at what to do. I would like to add that he struggled with weight issues since childhood. Also, we are currently not in his country, so visiting a doctor may be difficult. [/INST] Hello. Keep up the diet and exercise. Do not get disheartened. The tests should shed some light on the cause of the excessive weight gain. For more information consult an internal medicine physician online -->
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Q. I am suffering from dizziness and headache. What could it be?
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Hello doctor, I am 30 years old. I am suffering from dizziness and headache. There is some fluid sensation in my inner head. I have seen a neuro doctor and they said there is nothing to worry. But, there is a fluid leakage sensation which is quite disturbing. I would like to take an MRI. Kindly suggest me what should I do?
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Hello. You may be having BPPV (benign paroxysmal positional vertigo) which is nothing but an inner ear inflammation. This can be mostly due to a viral infection. An ENT doctor will easily be able to check and examine your ear and this usually does not require any test. I suggest you take Vertin (Betahistine) 16 mg tablet three times daily or 48 mg once daily for three days. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Do not make sudden movements of your head. Try to move around the head slowly and try to keep the head still. You should get better soon. Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am 30 years old. I am suffering from dizziness and headache. There is some fluid sensation in my inner head. I have seen a neuro doctor and they said there is nothing to worry. But, there is a fluid leakage sensation which is quite disturbing. I would like to take an MRI. Kindly suggest me what should I do? [/INST] Hello. You may be having BPPV (benign paroxysmal positional vertigo) which is nothing but an inner ear inflammation. This can be mostly due to a viral infection. An ENT doctor will easily be able to check and examine your ear and this usually does not require any test. I suggest you take Vertin (Betahistine) 16 mg tablet three times daily or 48 mg once daily for three days. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Do not make sudden movements of your head. Try to move around the head slowly and try to keep the head still. You should get better soon. Regards. For more information consult an internal medicine physician online -->
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Q. My sister's beta hCG is 246. Does it confirm pregnancy?
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Hello doctor, I have a question related to my sister. She has missed her period, and when we consulted her doctor, he suggested BHCG level. Initially, it was 226 and on repeating it was 246. She is feeling weak and suffering from some bleeding. She had her last period before two months.
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Hi. Revert with the report to an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I have a question related to my sister. She has missed her period, and when we consulted her doctor, he suggested BHCG level. Initially, it was 226 and on repeating it was 246. She is feeling weak and suffering from some bleeding. She had her last period before two months. [/INST] Hi. Revert with the report to an obstetrician and gynaecologist online -->
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Q. How long Keppra can be taken by SLE patient?
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Hi doctor, I am a-28-year old female diagnosed with SLE six years ago. I was on medication for four years and I stopped the medication when there had been no flare-ups or any syndrome for a while. Three months back, I had a flare up for the first time in three years. The symptoms were low fever, joint pain, and headaches. One night I had a seizure due to the flare up and low blood pressure. The doctor put me back on all the medications plus Keppra. My first question is how long should I keep taking Keppra? When I checked with my neurologist, he said it is supposed to be a lifelong treatment even though the seizure only happened once. All other doctors said it was associated with the lupus flare. I know Keppra can cause side effects so I am wondering if it is really necessary to take this drug for life when I had the seizure only once and it was due to lupus. If the dosage can be reduced (or eventually eliminated), at what pace should I do that? I am currently taking 500 mg twice a day.
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Hello. I read carefully your question and would explain that this is the lowest therapeutic dose of Keppra. So the dose cannot be reduced further. Regarding the period of treatment, I would explain that it is necessary to take Keppra (Levetiracetam) at least three years after the last seizure. After this period of time, we can try to reduce the dose very gradually. If seizures reoccur, treatment should be continued with this dose for another three years and so on. We cannot predict if you will be on this medication for your entire life. For more information consult a neurologist online -->
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<s>[INST]
Hi doctor, I am a-28-year old female diagnosed with SLE six years ago. I was on medication for four years and I stopped the medication when there had been no flare-ups or any syndrome for a while. Three months back, I had a flare up for the first time in three years. The symptoms were low fever, joint pain, and headaches. One night I had a seizure due to the flare up and low blood pressure. The doctor put me back on all the medications plus Keppra. My first question is how long should I keep taking Keppra? When I checked with my neurologist, he said it is supposed to be a lifelong treatment even though the seizure only happened once. All other doctors said it was associated with the lupus flare. I know Keppra can cause side effects so I am wondering if it is really necessary to take this drug for life when I had the seizure only once and it was due to lupus. If the dosage can be reduced (or eventually eliminated), at what pace should I do that? I am currently taking 500 mg twice a day. [/INST] Hello. I read carefully your question and would explain that this is the lowest therapeutic dose of Keppra. So the dose cannot be reduced further. Regarding the period of treatment, I would explain that it is necessary to take Keppra (Levetiracetam) at least three years after the last seizure. After this period of time, we can try to reduce the dose very gradually. If seizures reoccur, treatment should be continued with this dose for another three years and so on. We cannot predict if you will be on this medication for your entire life. For more information consult a neurologist online -->
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Q. My mom's health has deteriorated completely in a year. Please help.
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Hi doctor, My mother is 56 years old. She has been a diabetic for the last 20 years. Her health has deteriorated completely in the last year. We found out through a biopsy that her kidney has been damaged. Her gallbladder was removed as it was infected and had a stone as big as a marble. The mouth and the upper layer of the pancreas had ulcer wounds for which she was treated with medication three months ago. She is having indigestion, acute stomach pain, swelling from feet to waist, frequent diarrhea and vomiting. She has been urinating only about 15 mL. Doctor has suggested starting dialysis as they are unable to bring her swollen feet under control. Her blood pressure is normal. I have uploaded her recent test results. She is currently taking 21 tablets a day. I basically need some suggestion.
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Hi. Type 2 diabetes mellitus with chronic renal failure. Serum potassium, serum creatinine regularly, TSH (thyroid stimulating hormone), lipid profile, ultrasound abdomen to see corticomedullary differentiation status of the kidneys. 1. Nephrotic syndrome. 2. Uremia. Type 2 diabetes mellitus with diabetic nephropathy or chronic kidney failure (CKD). My suggestion is to get the following treatment under doctor's supervision. 1. Albumin 20% 2. For hyperkalemia, diuretics, Insulin infusion, Calcium gluconate and potassium bind resin. If hyperkalemia does not improve, then go for dialysis immediately. 1. Salt intake should be less than 1 g per day. 2. Avoid foods rich in potassium. 3. Protein intake should be less than 0.6 g/kg body weight. Revert back with the reports to a nephrologist online.--->
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<s>[INST]
Hi doctor, My mother is 56 years old. She has been a diabetic for the last 20 years. Her health has deteriorated completely in the last year. We found out through a biopsy that her kidney has been damaged. Her gallbladder was removed as it was infected and had a stone as big as a marble. The mouth and the upper layer of the pancreas had ulcer wounds for which she was treated with medication three months ago. She is having indigestion, acute stomach pain, swelling from feet to waist, frequent diarrhea and vomiting. She has been urinating only about 15 mL. Doctor has suggested starting dialysis as they are unable to bring her swollen feet under control. Her blood pressure is normal. I have uploaded her recent test results. She is currently taking 21 tablets a day. I basically need some suggestion. [/INST] Hi. Type 2 diabetes mellitus with chronic renal failure. Serum potassium, serum creatinine regularly, TSH (thyroid stimulating hormone), lipid profile, ultrasound abdomen to see corticomedullary differentiation status of the kidneys. 1. Nephrotic syndrome. 2. Uremia. Type 2 diabetes mellitus with diabetic nephropathy or chronic kidney failure (CKD). My suggestion is to get the following treatment under doctor's supervision. 1. Albumin 20% 2. For hyperkalemia, diuretics, Insulin infusion, Calcium gluconate and potassium bind resin. If hyperkalemia does not improve, then go for dialysis immediately. 1. Salt intake should be less than 1 g per day. 2. Avoid foods rich in potassium. 3. Protein intake should be less than 0.6 g/kg body weight. Revert back with the reports to a nephrologist online.--->
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Q. Please suggest a tablet for loose stools that is safe to use when trying to conceive.
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Hi doctor, I ovulated on day-14 and the follicle size was 24 on day-13. I had intercourse with my hubby during the fertile days. From day-15, I have very loose stools. I took one Eldoper tablet on day-15, and was alright, but it started again on the next day. I feel really tired and have no interest in doing work. My appetite is also poor. Are these early signs of pregnancy? I am really confused. I never experienced this before. I request you to help me and suggest which tablet can be used for loose stools while trying to conceive.
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Hello. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I ovulated on day-14 and the follicle size was 24 on day-13. I had intercourse with my hubby during the fertile days. From day-15, I have very loose stools. I took one Eldoper tablet on day-15, and was alright, but it started again on the next day. I feel really tired and have no interest in doing work. My appetite is also poor. Are these early signs of pregnancy? I am really confused. I never experienced this before. I request you to help me and suggest which tablet can be used for loose stools while trying to conceive. [/INST] Hello. For more information consult an obstetrician and gynaecologist online -->
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Q. What shall I do for acidity and stomach burn?
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Hi doctor, I am a 23 year old male. I have an issue with my stomach for the last few months. I had Ponstan Forte (painkiller) for my headache for almost two years. I used to take the tablet in empty stomach usually and rarely after food. About eight months ago, I had stomach burn near stomach mouth, a point at right side under the ribs. That time I used two or three Omeprazole tablets and it became all good. Then after one month it happened again. I had acidity and stomach burn because I used to stay empty stomach. Along with this, When I sleep I got much saliva in mouth and woke up many times at night to wash it. When I visited a doctor, he prescribed me Omeprazole once daily and Ganaton three times a day for a month. Then everything remained fine for two weeks. Then I took spicy hot soup once in empty stomach and then again the problem started. Then I have remained untreated for three months. When I press my rib cage at right side, I feel sore and slight pain. I do not have any symptoms now. Whenever I skip food, I feel acidity. What should I do?
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Hi. Possibly NSAIDs (nonsteroidal anti-inflammatory drugs) induced. Endoscopy. Revert back with the investigation report to a general medicine physician online.--->
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<s>[INST]
Hi doctor, I am a 23 year old male. I have an issue with my stomach for the last few months. I had Ponstan Forte (painkiller) for my headache for almost two years. I used to take the tablet in empty stomach usually and rarely after food. About eight months ago, I had stomach burn near stomach mouth, a point at right side under the ribs. That time I used two or three Omeprazole tablets and it became all good. Then after one month it happened again. I had acidity and stomach burn because I used to stay empty stomach. Along with this, When I sleep I got much saliva in mouth and woke up many times at night to wash it. When I visited a doctor, he prescribed me Omeprazole once daily and Ganaton three times a day for a month. Then everything remained fine for two weeks. Then I took spicy hot soup once in empty stomach and then again the problem started. Then I have remained untreated for three months. When I press my rib cage at right side, I feel sore and slight pain. I do not have any symptoms now. Whenever I skip food, I feel acidity. What should I do? [/INST] Hi. Possibly NSAIDs (nonsteroidal anti-inflammatory drugs) induced. Endoscopy. Revert back with the investigation report to a general medicine physician online.--->
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Q. Are all saturated fats including coconut oil harmful for heart patients with plaque build up in arteries?
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Hello doctor, My husband has a heart condition that means his arteries build up a plaque at a much higher rate than normal. He had to have a stent put in his heart and will be medicated for the rest of his life. He has been told that it is vital he eats low fat and low cholesterol diet. I cook for him and I am worried whether I feed him the wrong things. I know that meat is not good for the heart, so we limit it and always go for lean cuts, but I am confused about the difference between animal-based saturated fats and plant-based saturated fats. For example, everyone raves about the health benefits of coconut oil and coconut milk, but both are extremely high in saturated fat. I googled this and find reports stating that it is a different kind of saturated fat and does not affect the heart badly, but I do not know if this is true. For someone like my husband, is all saturated fat bad? Also, is chicken really healthier meat than beef? It seems to have a high cholesterol content so I do not know if he should be eating it. Any advice would be much appreciated. He is currently Rosuvastatin, Bystolic, and Aspirin.
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Hi. I understand your concern on the high-fat diet and follow the mentioned points below. Just to make it easy, we need some fat which is good and HDL (high-density lipoprotein) like almonds and walnuts are good as these are rich in omega 3 and 6 fatty acids. Similarly, the fat we have in coconut oil is different. The fat in the chicken can be removed by removing the skin, where as beef has inbuilt fat which cannot be removed easily hence we suggest to include fish and chicken avoiding beef. Considering fat, we miss out on other nutrients too, so it is advised to reduce the oil intake like healthy individuals can take half a liter of oil per month if you are two your cooking should be within 1 liter of oil only. Coconut oil is having saturated fat but it burns easily in high humidity areas. If we live in high humidity area it is better to include coconut oil to protect our joints and skin. If we leave apart from high humidity area it is better to use refined oil.
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<s>[INST]
Hello doctor, My husband has a heart condition that means his arteries build up a plaque at a much higher rate than normal. He had to have a stent put in his heart and will be medicated for the rest of his life. He has been told that it is vital he eats low fat and low cholesterol diet. I cook for him and I am worried whether I feed him the wrong things. I know that meat is not good for the heart, so we limit it and always go for lean cuts, but I am confused about the difference between animal-based saturated fats and plant-based saturated fats. For example, everyone raves about the health benefits of coconut oil and coconut milk, but both are extremely high in saturated fat. I googled this and find reports stating that it is a different kind of saturated fat and does not affect the heart badly, but I do not know if this is true. For someone like my husband, is all saturated fat bad? Also, is chicken really healthier meat than beef? It seems to have a high cholesterol content so I do not know if he should be eating it. Any advice would be much appreciated. He is currently Rosuvastatin, Bystolic, and Aspirin. [/INST] Hi. I understand your concern on the high-fat diet and follow the mentioned points below. Just to make it easy, we need some fat which is good and HDL (high-density lipoprotein) like almonds and walnuts are good as these are rich in omega 3 and 6 fatty acids. Similarly, the fat we have in coconut oil is different. The fat in the chicken can be removed by removing the skin, where as beef has inbuilt fat which cannot be removed easily hence we suggest to include fish and chicken avoiding beef. Considering fat, we miss out on other nutrients too, so it is advised to reduce the oil intake like healthy individuals can take half a liter of oil per month if you are two your cooking should be within 1 liter of oil only. Coconut oil is having saturated fat but it burns easily in high humidity areas. If we live in high humidity area it is better to include coconut oil to protect our joints and skin. If we leave apart from high humidity area it is better to use refined oil.
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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 feel a loss of consciousness when I am off of Paxidep. What should be done?
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Hello doctor, I am a professor and I teach daily for six to seven hours in standing position. Two years ago suddenly I felt a loss of consciousness and restlessness. This increases when I speak on an elevated platform. I have a high fear to get down and there is an appearance of loss of control in the legs but never have I fallen down. When this started, my BP became low and I had severe neck pain and ache. I contacted doctors and some said I had anxiety and some depression, B12 deficiency, and some told that it is due to the standing problem. One neurologist gave me Panazep 25 mg. When I started taking it, the problem disappeared. But after taking it for six months, I decided to stop it. The problem started again and so I started taking Paxidep 12.5 mg. Whenever I stop the medication, the problem recurs. When I do not take Paxidep and take rest, I have no problem. But, when I have to take a class being off of Paxidep, I feel to get the same symptoms again. I feel like falling down and have a loss of control and loss of consciousness. I consulted a neurophysician and he told me it is due to low supply of blood to the brain due to standing. He did an MRI and a carotid doppler of the nerves of the neck and everything was normal. I have also had ANA positive but the antiphospholipid and the related tests were negative. He told me to take Moracetam 800 mg twice daily and Multineuron Forte one daily. He told me to stop the Paxidep, but when I stop it I face the same problem again. I now take one table in a gap of one day. Please tell me what to do? What kind of disease is this? Whom should I contact? A neurologist, a psychiatrist or a rheumatologist?
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Hello. I went through your post. Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a professor and I teach daily for six to seven hours in standing position. Two years ago suddenly I felt a loss of consciousness and restlessness. This increases when I speak on an elevated platform. I have a high fear to get down and there is an appearance of loss of control in the legs but never have I fallen down. When this started, my BP became low and I had severe neck pain and ache. I contacted doctors and some said I had anxiety and some depression, B12 deficiency, and some told that it is due to the standing problem. One neurologist gave me Panazep 25 mg. When I started taking it, the problem disappeared. But after taking it for six months, I decided to stop it. The problem started again and so I started taking Paxidep 12.5 mg. Whenever I stop the medication, the problem recurs. When I do not take Paxidep and take rest, I have no problem. But, when I have to take a class being off of Paxidep, I feel to get the same symptoms again. I feel like falling down and have a loss of control and loss of consciousness. I consulted a neurophysician and he told me it is due to low supply of blood to the brain due to standing. He did an MRI and a carotid doppler of the nerves of the neck and everything was normal. I have also had ANA positive but the antiphospholipid and the related tests were negative. He told me to take Moracetam 800 mg twice daily and Multineuron Forte one daily. He told me to stop the Paxidep, but when I stop it I face the same problem again. I now take one table in a gap of one day. Please tell me what to do? What kind of disease is this? Whom should I contact? A neurologist, a psychiatrist or a rheumatologist? [/INST] Hello. I went through your post. Regards. For more information consult an internal medicine physician online -->
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Q. Suffering from PCOD and taking medicines, but still it has not reduced. Can you help ?
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Dear Doctor, I am a 29 year old female suffering from PCOD, taking medicines from past 1 year. But still it has not reduced. I was into Metformin and Folic acid. At the same time I have also taken medicines for conception (i.e, clomiphene). Follicar study has been conducted for four times and only once the egg ruptured, but I did not conceive. From december onwards the follicles are not maturing upto required level. Again during February and March my doctor put me on K-35 as my periods during past 1 year were not regular and still are irregular (I have to take tablet Norgest thrice daily for 5 days and then periods come). Recently I have consulted another doctor, she has prescribed me to stop taking Metformin and instead to start on APCOD sachet (Myo-inositol) and Safegest D (dehydroepiandrosterone) and during periods Adova (Anastrozole). But I have not yet started the medicines. I am a bit confused, whether should I totally stop Metformin and start with these new drugs?
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Hi. Metformin is a very effective medicine in PCOD (Polycystic Ovarian Disease) treatment. It reduces weight, increases sensitivity to insulin and decreases androgen level. All these effects are helpful in the treatment of PCOD. But as you say it is not effective in your case; you can start these above mentioned medications instead of metformin. But use of myo-inositol in PCOD is not very clear. You should consult an expert gynaecologist for your treatment. If you have further questions, feel free to ask an obstetrician and gynaecologist online. -->
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<s>[INST]
Dear Doctor, I am a 29 year old female suffering from PCOD, taking medicines from past 1 year. But still it has not reduced. I was into Metformin and Folic acid. At the same time I have also taken medicines for conception (i.e, clomiphene). Follicar study has been conducted for four times and only once the egg ruptured, but I did not conceive. From december onwards the follicles are not maturing upto required level. Again during February and March my doctor put me on K-35 as my periods during past 1 year were not regular and still are irregular (I have to take tablet Norgest thrice daily for 5 days and then periods come). Recently I have consulted another doctor, she has prescribed me to stop taking Metformin and instead to start on APCOD sachet (Myo-inositol) and Safegest D (dehydroepiandrosterone) and during periods Adova (Anastrozole). But I have not yet started the medicines. I am a bit confused, whether should I totally stop Metformin and start with these new drugs? [/INST] Hi. Metformin is a very effective medicine in PCOD (Polycystic Ovarian Disease) treatment. It reduces weight, increases sensitivity to insulin and decreases androgen level. All these effects are helpful in the treatment of PCOD. But as you say it is not effective in your case; you can start these above mentioned medications instead of metformin. But use of myo-inositol in PCOD is not very clear. You should consult an expert gynaecologist for your treatment. If you have further questions, feel free to ask an obstetrician and gynaecologist online. -->
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Q. Does my MRI explain as to why am I feeling lost and confused?
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Hi doctor, I am a 29 year old woman who has been experiencing mental confusion, concentration problems, memory loss, blurry vision, burning sensation in my head, personality change, and short-term memory loss. I forget conversation, repeat questions over and over, zone out when people are talking to me, and I do not feel like myself. I got a CT scan done, but they did not find anything. I also had an MRI done without contrast, but could not understand the findings. I tried to go to my doctor to explain my problem as a walk in, but he left early. The MRI said ventricles are normal in size; subarachnoid spaces are not prominent, no mass, midline shift or hemorrhage. White matter is normal, and there is no diffusion restriction. Significant mucosal inflammatory thickening and signal change in frontal sinuses, ethmoid sinuses, bilateral maxillary sinuses left greater than right. Sphenoid sinuses are clear. Cerebellar tonsils are in normal location. Impression: Sinusitis otherwise negative. I want to figure out what is wrong with me. I got an appointment with my doctor only after a month. I feel as I am going blind and losing my mind. I need your help. Some years back, I broke my nose and had a rhinoplasty to get it fixed. I do not have any breathing problems.
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Hello. Your MRI of the brain is normal, except some sinusitis. I would like to ask a few questions. Since when are you experiencing these symptoms? Do you have a headache or vomiting? Is there any history of seizures or loss of consciousness? How is your sleep? Are you taking any medication? I would suggest you get the following investigations done. The differential diagnosis of your condition are as follows: Revert with more information to a neurologist online -->
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<s>[INST]
Hi doctor, I am a 29 year old woman who has been experiencing mental confusion, concentration problems, memory loss, blurry vision, burning sensation in my head, personality change, and short-term memory loss. I forget conversation, repeat questions over and over, zone out when people are talking to me, and I do not feel like myself. I got a CT scan done, but they did not find anything. I also had an MRI done without contrast, but could not understand the findings. I tried to go to my doctor to explain my problem as a walk in, but he left early. The MRI said ventricles are normal in size; subarachnoid spaces are not prominent, no mass, midline shift or hemorrhage. White matter is normal, and there is no diffusion restriction. Significant mucosal inflammatory thickening and signal change in frontal sinuses, ethmoid sinuses, bilateral maxillary sinuses left greater than right. Sphenoid sinuses are clear. Cerebellar tonsils are in normal location. Impression: Sinusitis otherwise negative. I want to figure out what is wrong with me. I got an appointment with my doctor only after a month. I feel as I am going blind and losing my mind. I need your help. Some years back, I broke my nose and had a rhinoplasty to get it fixed. I do not have any breathing problems. [/INST] Hello. Your MRI of the brain is normal, except some sinusitis. I would like to ask a few questions. Since when are you experiencing these symptoms? Do you have a headache or vomiting? Is there any history of seizures or loss of consciousness? How is your sleep? Are you taking any medication? I would suggest you get the following investigations done. The differential diagnosis of your condition are as follows: Revert with more information to a neurologist online -->
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Q. Whom should I consult for my neck pain?
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Hi doctor,I am a 45 year old diabetic woman. Since past two months, my right-hand thumb is paining. I am unable to hold or grip anything. From past one month, I am having pain in the neck and headache as well which is not going. Now since last week, the pain in my thumb spread to my pinky finger, and now my whole right palm is slightly swollen. I am unable to make a fist properly. Could you please advise me. I am very much tensed.
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Hi. For further information consult a diabetologist online -->
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<s>[INST]
Hi doctor,I am a 45 year old diabetic woman. Since past two months, my right-hand thumb is paining. I am unable to hold or grip anything. From past one month, I am having pain in the neck and headache as well which is not going. Now since last week, the pain in my thumb spread to my pinky finger, and now my whole right palm is slightly swollen. I am unable to make a fist properly. Could you please advise me. I am very much tensed. [/INST] Hi. For further information consult a diabetologist online -->
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Q. What is the best medicine in ayurveda for ED?
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Hello doctor, I am 62 years old. Since the age of 44, I have been having ED issue. What is the best medicine for ED? I do not have any sugar complaint. I am taking Repace 50 mg for correcting my BP.
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Hi. 1. Age. 2. Lack of proper diet. 3. Lifestyle. Semen analysis. Revert back after four weeks to an ayurveda specialist online.--->
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<s>[INST]
Hello doctor, I am 62 years old. Since the age of 44, I have been having ED issue. What is the best medicine for ED? I do not have any sugar complaint. I am taking Repace 50 mg for correcting my BP. [/INST] Hi. 1. Age. 2. Lack of proper diet. 3. Lifestyle. Semen analysis. Revert back after four weeks to an ayurveda specialist online.--->
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Q. I have early periods with heavy clots, cramping and back pain. Are these signs of miscarriage?
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Hello doctor, I have some symptoms for the past one and a half weeks that mimic the symptoms when I found I was pregnant with my daughter. I was supposed to have my period tomorrow. Last week, I started with light spotting and it happened on and off for a day maybe less. Then within two days, I started bleeding. I thought it just started early but I have been on occasional bleeding (lighter to heavier) for two days. I have had cramping, back pain, headache and today I had a lot of blood clots, and tissue coming out with it along with right groin pain for a couple of days. I have never experienced these symptoms and they are intense. I am scared this is the start of a miscarriage. But any test I have taken has been negative. I am on the patch for almost a year and have not experienced anything like this, and I have a weird feeling now.
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Hello. First, to confirm a pregnancy, you should perform a pregnancy test two weeks after having sexual intercourse. So perform a urinary pregnancy test or b-HCG (human chorionic gonadotropin) test to exclude or to confirm a pregnancy. And after that perform an ultrasound to evaluate the uterine cavity. On the other hand, maybe your menses have come earlier and has a different pattern compared with other menstrual bleeding. As you use the patch for one year there are low chance of pregnancy always, if you have used it correctly.
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<s>[INST]
Hello doctor, I have some symptoms for the past one and a half weeks that mimic the symptoms when I found I was pregnant with my daughter. I was supposed to have my period tomorrow. Last week, I started with light spotting and it happened on and off for a day maybe less. Then within two days, I started bleeding. I thought it just started early but I have been on occasional bleeding (lighter to heavier) for two days. I have had cramping, back pain, headache and today I had a lot of blood clots, and tissue coming out with it along with right groin pain for a couple of days. I have never experienced these symptoms and they are intense. I am scared this is the start of a miscarriage. But any test I have taken has been negative. I am on the patch for almost a year and have not experienced anything like this, and I have a weird feeling now. [/INST] Hello. First, to confirm a pregnancy, you should perform a pregnancy test two weeks after having sexual intercourse. So perform a urinary pregnancy test or b-HCG (human chorionic gonadotropin) test to exclude or to confirm a pregnancy. And after that perform an ultrasound to evaluate the uterine cavity. On the other hand, maybe your menses have come earlier and has a different pattern compared with other menstrual bleeding. As you use the patch for one year there are low chance of pregnancy always, if you have used it correctly.
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Q. Does a transvaginal ultrasound show the remains of a miscarriage?
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Hello doctor, I had a D and C four months back after a miscarriage, and I got my last periods two months back. So, I went back to the doctor to make sure there is no continuing pregnancy. I had a vaginal ultrasound, which she said is all clear, and I am perfectly fine. She said I just have a little infection, for which she prescribed me Azomox. Does vaginal ultrasound show if I am still pregnant? I am still waiting for my periods now. Is it normal to have irregular periods?
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Hi. 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 had a D and C four months back after a miscarriage, and I got my last periods two months back. So, I went back to the doctor to make sure there is no continuing pregnancy. I had a vaginal ultrasound, which she said is all clear, and I am perfectly fine. She said I just have a little infection, for which she prescribed me Azomox. Does vaginal ultrasound show if I am still pregnant? I am still waiting for my periods now. Is it normal to have irregular periods? [/INST] Hi. 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. Kindly suggest some ayurveda medicine for my anal fistula.
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Hi doctor, I am a 37 year old male. I am facing fistula problem. I have visited a doctor and taking allopathy medicine for the last one year. I would like to go with ayurveda treatment. I am getting a problem with the fistula at least once in a month and if I take allopathy medicine, then it will reduce. Due to my family circumstance, I am not in a position to for surgery as of now. Kindly guide some ayurveda medicine for fistula. I was advised to take the following by a doctor here. Curcumin capsules, tablet Triphala guggul (Vara churna) and Nirgundi oil. Kindly give your guidance.
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Hi. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am a 37 year old male. I am facing fistula problem. I have visited a doctor and taking allopathy medicine for the last one year. I would like to go with ayurveda treatment. I am getting a problem with the fistula at least once in a month and if I take allopathy medicine, then it will reduce. Due to my family circumstance, I am not in a position to for surgery as of now. Kindly guide some ayurveda medicine for fistula. I was advised to take the following by a doctor here. Curcumin capsules, tablet Triphala guggul (Vara churna) and Nirgundi oil. Kindly give your guidance. [/INST] Hi. For further information consult an ayurveda specialist online -->
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Q. Through ayurveda, how to release tight foreskin?
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Hi doctor, I am a 32 year old married male. I am facing the foreskin tightness, but there are no cuts. Sometimes, it makes me uncomfortable in intercourse. Please help with some ayurveda medicine.
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Hello. The tightness of foreskin is called phimosis. According to ayurveda, you need oleation therapy both internally as well as externally. Oleation therapy will solve your problem. In case you have some infection, redness or swelling along with tightness, then you need to visit a nearby doctor for clinical examination. The treatment is only for tightness of foreskin and not for any other problem. Take Ashwagandhadi ghrita. Take one teaspoon with lukewarm water once a day in the morning empty stomach. It will help you in internal oleation. For external application, you can take Ksheerbaladi oil. If you cannot find this, then you can take coconut oil or sesame oil. Do gentle massage with oil for five minutes daily and then after some time take warm bath. Try both things regularly, and you will soon feel positive results. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am a 32 year old married male. I am facing the foreskin tightness, but there are no cuts. Sometimes, it makes me uncomfortable in intercourse. Please help with some ayurveda medicine. [/INST] Hello. The tightness of foreskin is called phimosis. According to ayurveda, you need oleation therapy both internally as well as externally. Oleation therapy will solve your problem. In case you have some infection, redness or swelling along with tightness, then you need to visit a nearby doctor for clinical examination. The treatment is only for tightness of foreskin and not for any other problem. Take Ashwagandhadi ghrita. Take one teaspoon with lukewarm water once a day in the morning empty stomach. It will help you in internal oleation. For external application, you can take Ksheerbaladi oil. If you cannot find this, then you can take coconut oil or sesame oil. Do gentle massage with oil for five minutes daily and then after some time take warm bath. Try both things regularly, and you will soon feel positive results. For further information consult an ayurveda specialist online -->
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Q. I have testicle pain after an episode of mumps. Please advise.
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Hello doctor, I had mumps five months ago and after that, I started to have an infection in my left testes. It was swollen and now it has shrunk to almost half the size of the other one. As I am sexually active, I feel a pain in each of the vas deferens after sex. If I do not have sex for days, they become sensitive. I was treated with Ceftum 500 mg, the first time I had an infection. Now my question is, is there any chance that the infection is still in my body? And, do I need to get examined for it? For the time being, please suggest some precautionary antibiotics for my relief.
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Hello. I can understand your concern. You had mumps and this is a viral infection known to cause an inflammation of the testis in some cases. Take care. For more information consult a sexologist online -->
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<s>[INST]
Hello doctor, I had mumps five months ago and after that, I started to have an infection in my left testes. It was swollen and now it has shrunk to almost half the size of the other one. As I am sexually active, I feel a pain in each of the vas deferens after sex. If I do not have sex for days, they become sensitive. I was treated with Ceftum 500 mg, the first time I had an infection. Now my question is, is there any chance that the infection is still in my body? And, do I need to get examined for it? For the time being, please suggest some precautionary antibiotics for my relief. [/INST] Hello. I can understand your concern. You had mumps and this is a viral infection known to cause an inflammation of the testis in some cases. Take care. For more information consult a sexologist online -->
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Q. Will my anxiety relapse if I stop SSRI?
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Hello doctor, I am a male who was diagnosed with generalized anxiety disorder (GAD) and social anxiety, eight years back. Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction. When I stopped taking medicine, I started having anxiety and depression again. So my doctor prescribed Zoloft 50 mg and Wellbutrin XL 150 mg. After taking these pills, I started having side effects like extreme weight gain, fatigue, decrease libido, erectile dysfunction and slight hand tremors. I am worried to take a combination of two tablets for my illness because I read that taking one medicine is better than taking two. Is it true that Wellbutrin XL, when combined with SSRI, causes weight loss? And if I stop taking SSRI completely, will my anxiety relapse? I am looking for a medicine which helps my illness without causing any side effects as mentioned above. Please note that the following medications are not available in my country Valdoxan, Edronax, Desyrel, Pristiq and Viibryd.
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Hi. Paroxetine acts on multiple receptors, and it is known for its withdrawal effects of weight gain due to its antihistaminic and anticholinergic action. SSRI (selective serotonin reuptake inhibitors) can cause significant sexual dysfunction. Usually, Bupropion along with SSRI is prescribed to reduce its sexual side effect. In your case, you are using Sertraline with Bupropion, and you are reporting no improvement in weight gain or sexual function, it is not that common to gain weight with Sertraline, but it can happen. Buproprion traditionally is an activating drug, and it is useful for reducing weight and improving sexual functions. I suggest you try taking Escitalopram 10 mg and Buspirone 15 mg (7.5 mg twice daily). Escitalopram is a classic SSRI, which has a minimal side effect of weight gain and sexual dysfunction. I know you do not want to take multiple medicines, but it is a much better approach to handling your illness. I would suggest you start this combination of drugs immediately after consulting your specialist, as some people are more sensitive to the adverse effects of the drug, so we may have to explore multiple options before we find the right combination for you. Continue doing daily exercises, meditation and relaxation exercises. Revert with further information to a psychiatrist online -->
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<s>[INST]
Hello doctor, I am a male who was diagnosed with generalized anxiety disorder (GAD) and social anxiety, eight years back. Initially, I was prescribed Paxil 20 mg, which helped treat my anxiety and depression but I started having side effects of weight gain, fatigue, and sexual dysfunction. When I stopped taking medicine, I started having anxiety and depression again. So my doctor prescribed Zoloft 50 mg and Wellbutrin XL 150 mg. After taking these pills, I started having side effects like extreme weight gain, fatigue, decrease libido, erectile dysfunction and slight hand tremors. I am worried to take a combination of two tablets for my illness because I read that taking one medicine is better than taking two. Is it true that Wellbutrin XL, when combined with SSRI, causes weight loss? And if I stop taking SSRI completely, will my anxiety relapse? I am looking for a medicine which helps my illness without causing any side effects as mentioned above. Please note that the following medications are not available in my country Valdoxan, Edronax, Desyrel, Pristiq and Viibryd. [/INST] Hi. Paroxetine acts on multiple receptors, and it is known for its withdrawal effects of weight gain due to its antihistaminic and anticholinergic action. SSRI (selective serotonin reuptake inhibitors) can cause significant sexual dysfunction. Usually, Bupropion along with SSRI is prescribed to reduce its sexual side effect. In your case, you are using Sertraline with Bupropion, and you are reporting no improvement in weight gain or sexual function, it is not that common to gain weight with Sertraline, but it can happen. Buproprion traditionally is an activating drug, and it is useful for reducing weight and improving sexual functions. I suggest you try taking Escitalopram 10 mg and Buspirone 15 mg (7.5 mg twice daily). Escitalopram is a classic SSRI, which has a minimal side effect of weight gain and sexual dysfunction. I know you do not want to take multiple medicines, but it is a much better approach to handling your illness. I would suggest you start this combination of drugs immediately after consulting your specialist, as some people are more sensitive to the adverse effects of the drug, so we may have to explore multiple options before we find the right combination for you. Continue doing daily exercises, meditation and relaxation exercises. Revert with further information to a psychiatrist 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. My baby likes to have milk in only one breast. Why?
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Hello doctor, My baby is 7 weeks old and she is on exclusive breastfeeding. She prefers the right breast than the left and cries to latch on the left. So I started to pump and bottle feed from left and direct feed from the right. I pump three to four times a day and make around 100 ml from the left. My breasts are lopsided and the right side is full most of the time while the left side feels very soft. This week all of a sudden my little one prefers bottle than my breasts so I wanted to wean of bottle feeding the pumped milk. She now sucks like around 30 minutes a day from the left and rest from the right. I do not want to pump or express again from the left to increase the supply. My question is, how can I balance feeding from both breasts without pumping? My little one does not like spoon feeding the expressed breast milk. Please help.
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Hello. It is normal for a baby that he or she chooses any one side of the breast on its own. But if you feel that your breast lopsided then you need to take some tricks. Start to feed your baby from the small one. Let him suck more and more from the small one. After some days, it will become large and engorge. But do not avoid to breastfed from the larger one too. When the large one fills please feed your baby from this side or express milk by using hand. You can use a breast pump to express milk from the larger breast. But if you do not want to use pump, use your hands. You do not need to feed him with this expressed milk. Do continue breastfeeding a few days from small one more and more. After some days both will become balanced. One thing do not practice your baby bottle feeding. Then he won't breastfeed again.
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<s>[INST]
Hello doctor, My baby is 7 weeks old and she is on exclusive breastfeeding. She prefers the right breast than the left and cries to latch on the left. So I started to pump and bottle feed from left and direct feed from the right. I pump three to four times a day and make around 100 ml from the left. My breasts are lopsided and the right side is full most of the time while the left side feels very soft. This week all of a sudden my little one prefers bottle than my breasts so I wanted to wean of bottle feeding the pumped milk. She now sucks like around 30 minutes a day from the left and rest from the right. I do not want to pump or express again from the left to increase the supply. My question is, how can I balance feeding from both breasts without pumping? My little one does not like spoon feeding the expressed breast milk. Please help. [/INST] Hello. It is normal for a baby that he or she chooses any one side of the breast on its own. But if you feel that your breast lopsided then you need to take some tricks. Start to feed your baby from the small one. Let him suck more and more from the small one. After some days, it will become large and engorge. But do not avoid to breastfed from the larger one too. When the large one fills please feed your baby from this side or express milk by using hand. You can use a breast pump to express milk from the larger breast. But if you do not want to use pump, use your hands. You do not need to feed him with this expressed milk. Do continue breastfeeding a few days from small one more and more. After some days both will become balanced. One thing do not practice your baby bottle feeding. Then he won't breastfeed again.
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Q. I have a rash on my back which gets aggravated when I am in stress. What could it be?
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Hello doctor, I have had a rash on my back, neck and chest for over a month. I visited my physician and she thought it could be a fungal infection. She prescribed an anti-fungal medication which I took for 2 weeks. However, the medication did not do anything, and the rash is still present. It gets itchy when I sweat and the biggest portion of the rash is on my back. The rash is slightly scaly, but it does not flake or ooze. It is slightly raised. The rash appears to be a cluster of defined circular patches. Please advice.
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Hi. I have gone through your query and attachments. (attachment removed to protect patient identity) It is not looking like fungal infection. It is more in favour of urticaria. Revert back with the details to a dermatologist online -->
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<s>[INST]
Hello doctor, I have had a rash on my back, neck and chest for over a month. I visited my physician and she thought it could be a fungal infection. She prescribed an anti-fungal medication which I took for 2 weeks. However, the medication did not do anything, and the rash is still present. It gets itchy when I sweat and the biggest portion of the rash is on my back. The rash is slightly scaly, but it does not flake or ooze. It is slightly raised. The rash appears to be a cluster of defined circular patches. Please advice. [/INST] Hi. I have gone through your query and attachments. (attachment removed to protect patient identity) It is not looking like fungal infection. It is more in favour of urticaria. Revert back with the details to a dermatologist online -->
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Q. Urinary incontinence,the well known complications of forceps delivery
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Hi doctor, Nine months ago, my wife delivered a baby boy. It was a forceps delivery at the eleventh hour after observing for nearly 20 hours for normal delivery. The doctors did not inform us it will be a forceps delivery till last minute. Now, the baby is normal. But, my wife is facing urine inconsistency issues. Before and during pregnancy other than her sinusitis everything was normal. Initially as per the advice of urogynaecologist she had medication to check the progress. Later she was referred to an urologist and she was given Urivoid medicine. We have told the doctor that she is not able to take all antibiotics. Still she was insisted to take Urivoid (half in the morning and half at night) and after that she had suffered with all side effects like vomiting, drowsiness and fever. They had done urodynamics, uroflowmetry, abdominal scan, x-ray, etc., but unable to figure out the cause of the issue. Later on we went to a well-known hospital for sudden chill and fever. After a week of observation she got discharged. Senior general physician had recommended us to check the issue with their doctors (gynaecologist and urologist) and they have suggested to undergo one observation test where in they will pass a liquid by giving anesthesia to her in an operation theater and observe her for an hour how the urine is passing through her body and is there any leak in her urinary system or not. Doctor advised us to come after 1-2 months once she becomes fit and normal. My doubts are can I go ahead and perform this test? Will this test will be really beneficial? Will it help to figure out the actual issue? Do we have any other method of evaluation or test to figure out the issue? I heard that there will be complication if a baby is born with forceps delivery. Can you please guide and help me on how to identify the future risk and how to overcome this.
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Hi. I went through your query. I totally understand the problem. It is not a very frequent but a well known complication of forceps. I am really sorry to know your wife is suffering from urinary incontinence. I know it is an agonizing problem. Urinary incontinence is of three types. From your history I have not been able to make out exactly which type of problem she has. Does she leak urine continuously? Or not able to hold urine while coughing or laughing? The type of her problem will give me an idea as to the exact cause of her problem. Also, I would like to inform you that decision of forceps delivery is usually made at the very end only. There is no way to predict exactly when and which patient will need it. So, do not think your doctor could have prevented this complication. It is a sorry event but there was no way of knowing that this is going to happen. The medicine Urivoid (Bethanechol chloride) is a good medicine to treat the condition your wife has. Also the tests advised are a good way to detect the site of obstruction or leakage in the urinary system. This test will differentiate if there is any abnormal communication in the urinary system also known as fistula in medical terms. This is what I was referring to as the different types of incontinence. A fistula will show as a continuous and slow leakage of urine. Whereas episodic incontinence like while coughing or lifting heavy weights will show as abnormal uroflow studies which you say are normal. Only in the second type of problem the Urivoid will work. Revert back with the answers for the above questions to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, Nine months ago, my wife delivered a baby boy. It was a forceps delivery at the eleventh hour after observing for nearly 20 hours for normal delivery. The doctors did not inform us it will be a forceps delivery till last minute. Now, the baby is normal. But, my wife is facing urine inconsistency issues. Before and during pregnancy other than her sinusitis everything was normal. Initially as per the advice of urogynaecologist she had medication to check the progress. Later she was referred to an urologist and she was given Urivoid medicine. We have told the doctor that she is not able to take all antibiotics. Still she was insisted to take Urivoid (half in the morning and half at night) and after that she had suffered with all side effects like vomiting, drowsiness and fever. They had done urodynamics, uroflowmetry, abdominal scan, x-ray, etc., but unable to figure out the cause of the issue. Later on we went to a well-known hospital for sudden chill and fever. After a week of observation she got discharged. Senior general physician had recommended us to check the issue with their doctors (gynaecologist and urologist) and they have suggested to undergo one observation test where in they will pass a liquid by giving anesthesia to her in an operation theater and observe her for an hour how the urine is passing through her body and is there any leak in her urinary system or not. Doctor advised us to come after 1-2 months once she becomes fit and normal. My doubts are can I go ahead and perform this test? Will this test will be really beneficial? Will it help to figure out the actual issue? Do we have any other method of evaluation or test to figure out the issue? I heard that there will be complication if a baby is born with forceps delivery. Can you please guide and help me on how to identify the future risk and how to overcome this. [/INST] Hi. I went through your query. I totally understand the problem. It is not a very frequent but a well known complication of forceps. I am really sorry to know your wife is suffering from urinary incontinence. I know it is an agonizing problem. Urinary incontinence is of three types. From your history I have not been able to make out exactly which type of problem she has. Does she leak urine continuously? Or not able to hold urine while coughing or laughing? The type of her problem will give me an idea as to the exact cause of her problem. Also, I would like to inform you that decision of forceps delivery is usually made at the very end only. There is no way to predict exactly when and which patient will need it. So, do not think your doctor could have prevented this complication. It is a sorry event but there was no way of knowing that this is going to happen. The medicine Urivoid (Bethanechol chloride) is a good medicine to treat the condition your wife has. Also the tests advised are a good way to detect the site of obstruction or leakage in the urinary system. This test will differentiate if there is any abnormal communication in the urinary system also known as fistula in medical terms. This is what I was referring to as the different types of incontinence. A fistula will show as a continuous and slow leakage of urine. Whereas episodic incontinence like while coughing or lifting heavy weights will show as abnormal uroflow studies which you say are normal. Only in the second type of problem the Urivoid will work. Revert back with the answers for the above questions to an obstetrician and gynaecologist online -->
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Q. How to reduce belly fat in a diabetic?
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Hello doctor, My father is a diabetic since 25 years. He had bypass surgery last year and has gained some belly fat. He is taking medication for lipids. He has grade 2 fatty liver with no symptoms. Please examine my father's recent ultrasound which was done to check his enlarged prostate. Also, please see his blood reports and advise. Currently, he is on Insulin Mixtard 30/70 - 38 units in the morning and 15 units at night. He is also taking Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg 0-0-1, Metolar 25 1-0-0, Dynapres 0.4 0-0-1, Clopilet 75 1-0-0 and Ecosprin 150 1-0-0. Please guide.
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Hi. His ultrasound (attachment removed to protect patient identity) of abdomen suggests fatty liver. Liver function test (LFT) is normal. This indicates there is fat in liver, but it is not damaging liver. There is no specific treatment for fatty liver. Main treatment to be followed is strict control of diabetes. Avoid fatty food; if possible do some exercise in the form of morning walk. Type 2 diabetes mellitus (DM). Fatty liver. Avoid oily food. For further doubts consult a medical gastroenterologist online -->
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<s>[INST]
Hello doctor, My father is a diabetic since 25 years. He had bypass surgery last year and has gained some belly fat. He is taking medication for lipids. He has grade 2 fatty liver with no symptoms. Please examine my father's recent ultrasound which was done to check his enlarged prostate. Also, please see his blood reports and advise. Currently, he is on Insulin Mixtard 30/70 - 38 units in the morning and 15 units at night. He is also taking Glycomet GP2 1-0-1, Linagliptin 5 mg 1-0-0, Fibator 10 mg 0-0-1, Metolar 25 1-0-0, Dynapres 0.4 0-0-1, Clopilet 75 1-0-0 and Ecosprin 150 1-0-0. Please guide. [/INST] Hi. His ultrasound (attachment removed to protect patient identity) of abdomen suggests fatty liver. Liver function test (LFT) is normal. This indicates there is fat in liver, but it is not damaging liver. There is no specific treatment for fatty liver. Main treatment to be followed is strict control of diabetes. Avoid fatty food; if possible do some exercise in the form of morning walk. Type 2 diabetes mellitus (DM). Fatty liver. Avoid oily food. For further doubts consult a medical gastroenterologist online -->
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Q. I was awakened this morning by a pain in my vagina. Any suggestions?
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Hello doctor, I was awakened this morning by a pain in my vagina. I have the urge to urinate often and a constant uneasy feeling in my vagina. There is no pain in the kidney area. I am thinking vaginitis or urinary tract infection. Any suggestions? Because I cannot get to my gyno until next week. I have had vaginitis and UTI, but it has been years.
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Hello. You have not mentioned your previous medical, obstetrics, gynecological, and drug history here. As per your history, you have pain in the vagina and frequent urination since today morning. You have a history of vaginitis and urinary tract infection years back. I really do not know if have u been treated for any disease like diabetes, hypertension or any other like thyroid. If yes, then try to have a full treatment. For your present problem, try to have a urinalysis, urine culture and vaginal swab for ruling out urine infection and pelvic infection. If you have not had your cervical smear within three years, then it is better to have that also as it is better to have this at least three yearly at this age if no cervical pathology previously. If symptoms are unbearable, I suggest having Paracetamol 1 g eighth hourly, but if severe pain, can increase to sixth hourly. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If no vaginal discharge, but an increase in the frequency of urine and urine infection, I suggest tablet Augmentin 625 mg eight hourly for five days. Follow reports and discuss here or with your gynecologist. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I was awakened this morning by a pain in my vagina. I have the urge to urinate often and a constant uneasy feeling in my vagina. There is no pain in the kidney area. I am thinking vaginitis or urinary tract infection. Any suggestions? Because I cannot get to my gyno until next week. I have had vaginitis and UTI, but it has been years. [/INST] Hello. You have not mentioned your previous medical, obstetrics, gynecological, and drug history here. As per your history, you have pain in the vagina and frequent urination since today morning. You have a history of vaginitis and urinary tract infection years back. I really do not know if have u been treated for any disease like diabetes, hypertension or any other like thyroid. If yes, then try to have a full treatment. For your present problem, try to have a urinalysis, urine culture and vaginal swab for ruling out urine infection and pelvic infection. If you have not had your cervical smear within three years, then it is better to have that also as it is better to have this at least three yearly at this age if no cervical pathology previously. If symptoms are unbearable, I suggest having Paracetamol 1 g eighth hourly, but if severe pain, can increase to sixth hourly. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If no vaginal discharge, but an increase in the frequency of urine and urine infection, I suggest tablet Augmentin 625 mg eight hourly for five days. Follow reports and discuss here or with your gynecologist. For more information consult an obstetrician and gynaecologist online -->
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Q. How to recover fast from NAFLD?
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Hi doctor, I am 30 years old. I have been suffering from NAFLD for the past five months. Now, I am having RUQ heaviness, back pain, flatulence and tiredness for the last two months. I had several tests and I am giving the details with the findings. USG of whole abdomen - hepatomegaly with fatty liver, fibroscan - 3.2 kPa median value, upper GI endoscopy - GERD grade A and small hiatus hernia, hepatitis B non-reactive, hepatitis C non-reactive, FBS - 94 mg/100 mL, lipid profile - completely normal, liver function test - indirect bilirubin elevated 1.3 mg/100 mL and the others are normal. My doctor advised me to avoid oily and spicy food. Also, he prescribed a medicine named Sompraz D 40. I lost 9 kg weight in the last four months and now, my weight is 75 kg and height is 175 cm. I am having a constant RUQ discomfort and back pain for the last two weeks. Previously, it was there and again it came back. All the reports I shared are the current ones, which I had four days back. Will you please let me know, how to recover faster from this situation? Is it dangerous? Please advise.
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Hi. We are here to help you. For further information consult a medical gastroenterologist online -->
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<s>[INST]
Hi doctor, I am 30 years old. I have been suffering from NAFLD for the past five months. Now, I am having RUQ heaviness, back pain, flatulence and tiredness for the last two months. I had several tests and I am giving the details with the findings. USG of whole abdomen - hepatomegaly with fatty liver, fibroscan - 3.2 kPa median value, upper GI endoscopy - GERD grade A and small hiatus hernia, hepatitis B non-reactive, hepatitis C non-reactive, FBS - 94 mg/100 mL, lipid profile - completely normal, liver function test - indirect bilirubin elevated 1.3 mg/100 mL and the others are normal. My doctor advised me to avoid oily and spicy food. Also, he prescribed a medicine named Sompraz D 40. I lost 9 kg weight in the last four months and now, my weight is 75 kg and height is 175 cm. I am having a constant RUQ discomfort and back pain for the last two weeks. Previously, it was there and again it came back. All the reports I shared are the current ones, which I had four days back. Will you please let me know, how to recover faster from this situation? Is it dangerous? Please advise. [/INST] Hi. We are here to help you. For further information consult a medical gastroenterologist online -->
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Q. What could be causing resonance of ear and nose?
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Hi doctor, I have been having resonance in the ear and nose since three months now. It all started with a bad sinus attack. I got my IgE test done and the result shows level 1000. Also, I had an MRI. It showed some polyps in the maxillary sinus. I had also got an NCV test, which showed slight palsy in the right ear and that is the same ear with the resonance. I hear myself loudly. While talking through the nose, it seems to be reaching the ear. What could be causing this? I have attached all the reports.
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Hi. I understand your concern. Due to prolong and severe sinusitis, your eustachian tube got edematous. This in turn had developed negative pressure in the middle ear. This stage is named as eustachian catarrh. In your case, this had progressed to secretary otitis media and you are getting echoes of spoken words and blocked ear. For you, the treatment is as follows: Probably, you will feel better with the above treatment. If not, then please consult your ENT specialist and ask for grommet insertion on your ear drum. For further information consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, I have been having resonance in the ear and nose since three months now. It all started with a bad sinus attack. I got my IgE test done and the result shows level 1000. Also, I had an MRI. It showed some polyps in the maxillary sinus. I had also got an NCV test, which showed slight palsy in the right ear and that is the same ear with the resonance. I hear myself loudly. While talking through the nose, it seems to be reaching the ear. What could be causing this? I have attached all the reports. [/INST] Hi. I understand your concern. Due to prolong and severe sinusitis, your eustachian tube got edematous. This in turn had developed negative pressure in the middle ear. This stage is named as eustachian catarrh. In your case, this had progressed to secretary otitis media and you are getting echoes of spoken words and blocked ear. For you, the treatment is as follows: Probably, you will feel better with the above treatment. If not, then please consult your ENT specialist and ask for grommet insertion on your ear drum. For further information consult an ENT otolaryngologist online -->
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Q. Why did I get chickenpox for the second time?
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Hi doctor, I am 18 years old and I am suffering with chickenpox. I got this in the past too. How to get rid of it?
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Hi. We normally do not get chickenpox on more than one occasion. This is because, we develop a strong immune response to the virus and our body fights it before the infection takes hold. However, of course it is possible. If you did not develop a strong initial immune response or if there is an abnormality with your immune system then it can develop multiple times. The virus can also remain dormant within your nerve cells and trigger again in the form of shingles later in life. Chickenpox needs to run its course. It remains incredibly contagious for the initial 10 to 21 days and whilst the vesicles (lumps and bumps) are weeping and oozing. The vesicles only appear quite some time after initial infection of chickenpox. As a result, by the time the vesicles have scabbed over and are dry, they no longer pose a risk of cross infection to other people. Full blood count. For further information consult a family physician online.--->
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<s>[INST]
Hi doctor, I am 18 years old and I am suffering with chickenpox. I got this in the past too. How to get rid of it? [/INST] Hi. We normally do not get chickenpox on more than one occasion. This is because, we develop a strong immune response to the virus and our body fights it before the infection takes hold. However, of course it is possible. If you did not develop a strong initial immune response or if there is an abnormality with your immune system then it can develop multiple times. The virus can also remain dormant within your nerve cells and trigger again in the form of shingles later in life. Chickenpox needs to run its course. It remains incredibly contagious for the initial 10 to 21 days and whilst the vesicles (lumps and bumps) are weeping and oozing. The vesicles only appear quite some time after initial infection of chickenpox. As a result, by the time the vesicles have scabbed over and are dry, they no longer pose a risk of cross infection to other people. Full blood count. For further information consult a family physician online.--->
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Q. I get stomach pain when I have acidity. What to do?
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Hi doctor, I am suffering from stomach pain. I am taking Sucramal syrup and A-Spas tablet. I have an increase in stomach pain when the acidity condition increases. I have done a scanning. But nothing was shown.
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Hi. Your stomach pain can occur due to gastritis, or you can have a small stomach ulcer which may not be seen in ultrasonography. You can take Rabeprazole 20 mg for one time a day for one to two weeks to heal the inflamed stomach mucosa. Avoid taking spicy foods. Cooked oatmeal can help in soothing the stomach. Take soft and bland diet more. Avoid having heavy, fatty foods. Elevate your head while sleeping. Avoid taking excess tea, and coffee. If you have the habit of smoking, please avoid it.
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<s>[INST]
Hi doctor, I am suffering from stomach pain. I am taking Sucramal syrup and A-Spas tablet. I have an increase in stomach pain when the acidity condition increases. I have done a scanning. But nothing was shown. [/INST] Hi. Your stomach pain can occur due to gastritis, or you can have a small stomach ulcer which may not be seen in ultrasonography. You can take Rabeprazole 20 mg for one time a day for one to two weeks to heal the inflamed stomach mucosa. Avoid taking spicy foods. Cooked oatmeal can help in soothing the stomach. Take soft and bland diet more. Avoid having heavy, fatty foods. Elevate your head while sleeping. Avoid taking excess tea, and coffee. If you have the habit of smoking, please avoid it.
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Q. Please let me know some medicine to relieve burn injury pain.
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Hello doctor, The patient is a 50 years old female. She had a burn injury on the inner side of the hand three days back. I have attached the picture. Now, the skin over the area is darkened. The thin skin over it has started peeling this morning. She has pain, burning sensation and not able to sleep. What can be done about this? It is in the inner side of hand and it keeps hurting due to constant irritation. I would like to know some medication to relieve the pain and some topical application if needed. She is having gastritis and taking Pantocid 40 mg for three days.
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Hi. Consult your doctor, discuss with him or her and take the medicine with consent. 1. Dermocalm lotion (Calamine) in the morning and afternoon. 2. Silverex cream at night (Silver sulfadiazine and Chlorhexidine). 3. Tablet Dolo 650 mg (Acetaminophen) twice daily for three days after food. For further information consult a dermatologist online.--->
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<s>[INST]
Hello doctor, The patient is a 50 years old female. She had a burn injury on the inner side of the hand three days back. I have attached the picture. Now, the skin over the area is darkened. The thin skin over it has started peeling this morning. She has pain, burning sensation and not able to sleep. What can be done about this? It is in the inner side of hand and it keeps hurting due to constant irritation. I would like to know some medication to relieve the pain and some topical application if needed. She is having gastritis and taking Pantocid 40 mg for three days. [/INST] Hi. Consult your doctor, discuss with him or her and take the medicine with consent. 1. Dermocalm lotion (Calamine) in the morning and afternoon. 2. Silverex cream at night (Silver sulfadiazine and Chlorhexidine). 3. Tablet Dolo 650 mg (Acetaminophen) twice daily for three days after food. For further information consult a dermatologist online.--->
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Q. My child is suffering from diarrhea. Which syrup is better? Zinc acetate or zinc sulfate?
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Dear Doctor, My child is suffering from diarrhea. Which syrup is better? Zinc acetate or zinc sulfate? Give me advice.
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Hi, Thank you for your query on icliniq. The treatment of diarrhea comprises of: If the problem persists, consult a paediatrician online -->
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<s>[INST]
Dear Doctor, My child is suffering from diarrhea. Which syrup is better? Zinc acetate or zinc sulfate? Give me advice. [/INST] Hi, Thank you for your query on icliniq. The treatment of diarrhea comprises of: If the problem persists, consult a paediatrician online -->
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Q. Glucometer reading shows 103 mg/dl after 16 hours of meal. Am I prediabetic?
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Hello doctor, I recently bought a blood glucose meter because diabetes runs heavily in my family. I have not been diagnosed with diabetes, but I checked my blood sugar today 16 hours without eating and it was 103. I know that it should be below 126 after eight hours of eating, but what is it supposed to be for 16 hours after eating? I am 21 years old and I weigh 230 lbs.
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Hi. From the above history, it is noted that you are having a strong family history of diabetes and also you have been noted with prediabetic range blood sugars in the past. Coming to your query, it is ideal to have less than 100mg/dl blood sugars after 12-16 hours post meal. But we cannot label you as prediabetic or diabetic by noting a single value. So I would take it as a prediabetic state, if you have been noted with increased blood sugars in this range on multiple occasions or if three months average blood sugars are between 5.6-6.5%. I would like to stress the point that from the data it is found that you are having class 3 obesity, which must be addressed with due importance because it can lead to early diabetes, any lifestyle disease, and sleep apnea too. HBA1c (glycated hemoglobin). Lifestyle modification. Diabetic diet. Regular aerobic exercises 45 minutes daily.
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<s>[INST]
Hello doctor, I recently bought a blood glucose meter because diabetes runs heavily in my family. I have not been diagnosed with diabetes, but I checked my blood sugar today 16 hours without eating and it was 103. I know that it should be below 126 after eight hours of eating, but what is it supposed to be for 16 hours after eating? I am 21 years old and I weigh 230 lbs. [/INST] Hi. From the above history, it is noted that you are having a strong family history of diabetes and also you have been noted with prediabetic range blood sugars in the past. Coming to your query, it is ideal to have less than 100mg/dl blood sugars after 12-16 hours post meal. But we cannot label you as prediabetic or diabetic by noting a single value. So I would take it as a prediabetic state, if you have been noted with increased blood sugars in this range on multiple occasions or if three months average blood sugars are between 5.6-6.5%. I would like to stress the point that from the data it is found that you are having class 3 obesity, which must be addressed with due importance because it can lead to early diabetes, any lifestyle disease, and sleep apnea too. HBA1c (glycated hemoglobin). Lifestyle modification. Diabetic diet. Regular aerobic exercises 45 minutes daily.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. What siddha treatment can be had for pain in the upper abdomen?
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Hello doctor, My 17-year-old daughter constantly gets pain in her upper abdomen with stiffness in the area. She has lots of gas and constipation. Sonography did not show anything. Doctors normally advise antacids and sometimes antibiotics. She has no hunger. Only in the evening, she has hunger and invariably eats junk food. She does not have healthy food. She is extremely intelligent. She sleeps a lot as in 12 to 14 hours per day. Kindly help. .
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Hello. If you follow all these, I think she will be all right. Thank you. For more information consult a siddha medicine specialist online -->
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<s>[INST]
Hello doctor, My 17-year-old daughter constantly gets pain in her upper abdomen with stiffness in the area. She has lots of gas and constipation. Sonography did not show anything. Doctors normally advise antacids and sometimes antibiotics. She has no hunger. Only in the evening, she has hunger and invariably eats junk food. She does not have healthy food. She is extremely intelligent. She sleeps a lot as in 12 to 14 hours per day. Kindly help. . [/INST] Hello. If you follow all these, I think she will be all right. Thank you. For more information consult a siddha medicine specialist online -->
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Q. Please suggest some ayurveda medicine for IBS.
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Hi doctor, I am getting diarrhea for five days in a month. Also, I always have loose stool. When I consulted my doctor I came to know that it is irritable bowel syndrome. I would like to get it cured through ayurveda medicine. Please suggest me a treatment.
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Hi. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am getting diarrhea for five days in a month. Also, I always have loose stool. When I consulted my doctor I came to know that it is irritable bowel syndrome. I would like to get it cured through ayurveda medicine. Please suggest me a treatment. [/INST] Hi. For further information consult an ayurveda specialist online -->
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Q. Could you tell the recovery time for GB syndrome?
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Hi doctor, My son is 5 years old. He has been suffering from GB syndrome since a month. Now, he is admitted in ITU under ventilation. IVIG has already been given. Also, the second dose of IVIG is also started. Could you please tell me the recovery time of this diseases?
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Hi. Your question is very genuine. The family members of every GBS (Guillain-Barre Syndrome) patient do ask us this question. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor, My son is 5 years old. He has been suffering from GB syndrome since a month. Now, he is admitted in ITU under ventilation. IVIG has already been given. Also, the second dose of IVIG is also started. Could you please tell me the recovery time of this diseases? [/INST] Hi. Your question is very genuine. The family members of every GBS (Guillain-Barre Syndrome) patient do ask us this question. For further information consult a neurologist online -->
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Q. How to evaluate the reason for low hemoglobin?
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Hi doctor, My mother is 76 years old. She is diabetic and on medication for around 15 years. She is suffering from typhoid fever. Her hemoglobin level is low at 6. She is also very weak to walk on her own for the past few days. Kindly suggest some advice.
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Hi. For further information consult a diabetologist online -->
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<s>[INST]
Hi doctor, My mother is 76 years old. She is diabetic and on medication for around 15 years. She is suffering from typhoid fever. Her hemoglobin level is low at 6. She is also very weak to walk on her own for the past few days. Kindly suggest some advice. [/INST] Hi. For further information consult a diabetologist online -->
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Q. After applying dettol on my scrotum, my erection became weak. Why?
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Hi doctor, I am a 29 year old single male. My weight is 57 kg and height is 5'11". There had been some itching in my scrotum for two weeks for which I was applying Eberconazole cream. A few days ago, I had accidentally applied undiluted dettol on my scrotum while taking a bath and right side of scrotum became very red. Since then, my erection has become very difficult and the organ seems very weak. I applied Onabet B after consulting my doctor. I also have vitamin D deficiency for which I am taking medication. Last week, I had a tooth extraction and took painkillers, Ibugesic and Novamox for four days. Besides, I am treating some small vitiligo patches by applying creams. Am I suffering from erectile dysfunction? Is it curable? What are the possible treatment options?
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Hi. For further information consult a sexologist online.-->
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<s>[INST]
Hi doctor, I am a 29 year old single male. My weight is 57 kg and height is 5'11". There had been some itching in my scrotum for two weeks for which I was applying Eberconazole cream. A few days ago, I had accidentally applied undiluted dettol on my scrotum while taking a bath and right side of scrotum became very red. Since then, my erection has become very difficult and the organ seems very weak. I applied Onabet B after consulting my doctor. I also have vitamin D deficiency for which I am taking medication. Last week, I had a tooth extraction and took painkillers, Ibugesic and Novamox for four days. Besides, I am treating some small vitiligo patches by applying creams. Am I suffering from erectile dysfunction? Is it curable? What are the possible treatment options? [/INST] Hi. For further information consult a sexologist online.-->
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Q. What could cause immediate sensation of passing stools post meals in a diabetic?
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Hello doctor, My mother-in-law is a 55 years old diabetic patient. She is suffering from a problem that whenever she eats anything she has feelings to use the washroom. Please help.
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Hello. Your mother-in-law problem could be because of certain diabetic drugs also. I will be able to help you better if you can upload the list of medications she is on. And since how many days is she having this problem? What is the stool consistency, watery, or semisolid, or solid? Does she have any abdominal pain? Has she lost weight? Awaiting your reply, depending on that I will be able to help you better with appropriate treatment. ? IBS (irritable bowel syndrome). DM (diabetic mellitus).
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<s>[INST]
Hello doctor, My mother-in-law is a 55 years old diabetic patient. She is suffering from a problem that whenever she eats anything she has feelings to use the washroom. Please help. [/INST] Hello. Your mother-in-law problem could be because of certain diabetic drugs also. I will be able to help you better if you can upload the list of medications she is on. And since how many days is she having this problem? What is the stool consistency, watery, or semisolid, or solid? Does she have any abdominal pain? Has she lost weight? Awaiting your reply, depending on that I will be able to help you better with appropriate treatment. ? IBS (irritable bowel syndrome). DM (diabetic mellitus).
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Q. My eyes are watery, red, and itchy, with dark circles around. Is it an allergy?
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My age is 20, one of our relative informed us to contact you as we needed it badly I have eczema and I have been taking medications from 5 years with multiple doctors with no end results... some worked some didn't main problem is I have running nose( from 3 years), skin gets round around mouth with black scars, full black rough skin on the neck and past 6 months I have got allergy in eye's with watery eyes, sometimes redness, itching and full dark circles around the eyes.. I have been consulting with one a doctor from 6 months... I'll Share the prescription which she gave thrice in 2 months and was informed to use only for 15 days not more than that but after 15 days now again I have got severe eye pain in and surrounding on dark circles I have also checked with eye doctor and they gave multiple ointments and drops which didn't worked out requesting you please help with prescribing similar medicines which will help me with issue.
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Hi I went through all pictures and prescription s The problem what you have is ATOPIC DERMATITIS It's a disease that is not infection but your immunity will be working abruptly and uncontrollably Triggers are food, dust, any bite or cosmetic s It's a lifelong problem presenting with different issues at different ages You have PERIORAL DERMATITIS, OCULAR DERMATITIS, ALLERGIC RHINITIS AND CONJUNCTIVITIS... ITs all because of your Atopy Please start on Tab Defcort 6mg twice a day for 1 week 1_0_1 After one week tab Defcort once a day for 1 week 1_0_0 Tab Taxim O 200 twice a day for 5 days (few areas infected) Tab Xyzal M (Levocetrizine +Monteleukast) = 1/2_0_1(half morning night 1 tablet) 3 weeks (for itching) Zensoft Max or Cetaphil lotion .. Morning on spots Momate F cream mix with Calosoft AF lotion.. Night.. On the spots Drink lot of water Review after 3 weeks Stop all triggers Take care
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<s>[INST]
My age is 20, one of our relative informed us to contact you as we needed it badly I have eczema and I have been taking medications from 5 years with multiple doctors with no end results... some worked some didn't main problem is I have running nose( from 3 years), skin gets round around mouth with black scars, full black rough skin on the neck and past 6 months I have got allergy in eye's with watery eyes, sometimes redness, itching and full dark circles around the eyes.. I have been consulting with one a doctor from 6 months... I'll Share the prescription which she gave thrice in 2 months and was informed to use only for 15 days not more than that but after 15 days now again I have got severe eye pain in and surrounding on dark circles I have also checked with eye doctor and they gave multiple ointments and drops which didn't worked out requesting you please help with prescribing similar medicines which will help me with issue. [/INST] Hi I went through all pictures and prescription s The problem what you have is ATOPIC DERMATITIS It's a disease that is not infection but your immunity will be working abruptly and uncontrollably Triggers are food, dust, any bite or cosmetic s It's a lifelong problem presenting with different issues at different ages You have PERIORAL DERMATITIS, OCULAR DERMATITIS, ALLERGIC RHINITIS AND CONJUNCTIVITIS... ITs all because of your Atopy Please start on Tab Defcort 6mg twice a day for 1 week 1_0_1 After one week tab Defcort once a day for 1 week 1_0_0 Tab Taxim O 200 twice a day for 5 days (few areas infected) Tab Xyzal M (Levocetrizine +Monteleukast) = 1/2_0_1(half morning night 1 tablet) 3 weeks (for itching) Zensoft Max or Cetaphil lotion .. Morning on spots Momate F cream mix with Calosoft AF lotion.. Night.. On the spots Drink lot of water Review after 3 weeks Stop all triggers Take care
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Q. For breathing problem in flight, how much O2 should I use?
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Hello doctor, I have had chronic asthma and allergies in my whole life. I am currently taking four puffs of Qvar three times a day, Accolate twice a day, Xopenex as needed and DuoNeb as needed (nebulizer). I am in control almost all the time. I also have a hyperactive immune system where I end up with chronic pneumonia. The last time when I traveled in flight, I had breathing problems for about an hour and then on and off for the next three days. I discussed this with my primary care doctor and he suggested that the cabin pressure exasperated my asthma. Then, the altitude change continued to stress my lungs. He suggested using an oxygen concentrator in flight next time. I fly again in two weeks and as needed. I did not know how much I should use. Is it reasonable to check my O2 blood levels and then use O2 based on these readings? How many liters per minute should I start with? How long would I expect it to take to recover or increase the amount? Or should I just use the concentrator for the last hour or two of my flight and see how it goes? If so, then how many liters per minute should I use?
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Hi. We are here to help you. For further information consult a pulmonologist online -->
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<s>[INST]
Hello doctor, I have had chronic asthma and allergies in my whole life. I am currently taking four puffs of Qvar three times a day, Accolate twice a day, Xopenex as needed and DuoNeb as needed (nebulizer). I am in control almost all the time. I also have a hyperactive immune system where I end up with chronic pneumonia. The last time when I traveled in flight, I had breathing problems for about an hour and then on and off for the next three days. I discussed this with my primary care doctor and he suggested that the cabin pressure exasperated my asthma. Then, the altitude change continued to stress my lungs. He suggested using an oxygen concentrator in flight next time. I fly again in two weeks and as needed. I did not know how much I should use. Is it reasonable to check my O2 blood levels and then use O2 based on these readings? How many liters per minute should I start with? How long would I expect it to take to recover or increase the amount? Or should I just use the concentrator for the last hour or two of my flight and see how it goes? If so, then how many liters per minute should I use? [/INST] Hi. We are here to help you. For further information consult a pulmonologist online -->
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Q. When I checked my son's BP it showed irregular heart symbol. What to do?
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Hi doctor, A few days back, I was measuring BP using electronic BP monitor on my 11 year old kid. I observed irregular heartbeat symbol blinking after measurement, and that got me worried. I measured eight times again in the last two days and got IHB symbol for around 4 out of 8 times. His average BP reading is 120/77 mmHg, and pulse rate is 98. Is this normal for a child of this age? We have had regular visits with our physician in the past, and he did not observe anything during his earlier checkups. Only, he was asked to do more physical exercise as his BP was marginally high at 125/85 mmHg.
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Hello. For further doubts consult a cardiologist online -->
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<s>[INST]
Hi doctor, A few days back, I was measuring BP using electronic BP monitor on my 11 year old kid. I observed irregular heartbeat symbol blinking after measurement, and that got me worried. I measured eight times again in the last two days and got IHB symbol for around 4 out of 8 times. His average BP reading is 120/77 mmHg, and pulse rate is 98. Is this normal for a child of this age? We have had regular visits with our physician in the past, and he did not observe anything during his earlier checkups. Only, he was asked to do more physical exercise as his BP was marginally high at 125/85 mmHg. [/INST] Hello. For further doubts consult a cardiologist online -->
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Q. Suggest any remedy to reduce my grandma's high blood pressure.
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Dear Doctor, Suggest any remedy to reduce my grandma's high blood pressure who is going to undergo cataract surgery soon. She is 72 years old and has diabetes too.
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HiWhat is her blood pressure? Depending on her BP, you can give her one of the below medicines: Consult a general practitioner online -->
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<s>[INST]
Dear Doctor, Suggest any remedy to reduce my grandma's high blood pressure who is going to undergo cataract surgery soon. She is 72 years old and has diabetes too. [/INST] HiWhat is her blood pressure? Depending on her BP, you can give her one of the below medicines: Consult a general practitioner online -->
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Q. From the last 10 years, I am suffering from allergies. Please help.
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Hello doctor, From the past 10 years, I am suffering from an allergy. The doctors informed that due to allergy there is an excess histamine produced in my body. My allergic symptoms are nasal congestion, sneezing, anxiety, frequent throat infection, shortness of breath, and some kind of discomfort. I am having these symptoms from past 10 years. The doctors told it is due to not maintaining hygiene and low immunity. I am making lifestyle changes and yoga to get rid of allergy. But monthly three to four days, I need to do presentations in my office, and due to the allergy, the quality of my work goes down. Presently, I am using some herbal medicines, that is, turmeric for reduction of histamine and it works a little and reduces a few symptoms. I am requesting you to provide me the tablet for reduction of excess histamine in the body or medicine to prevent the production of histamine in the body. If histamine level is normal in my body, I can experience calmness and happiness. But if histamine levels are increased due to allergy, I feel some kind of discomfort. So to avoid discomfort asking medicine to reduce histamine levels.
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Hello. I can understand your concerns. Having allergy can cause a lot of discomfort in life, affect the quality of life, and result in anxiety and depression eventually. But, you need not worry. We have solutions for allergy. Revert with more information to an allergy specialist online -->
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<s>[INST]
Hello doctor, From the past 10 years, I am suffering from an allergy. The doctors informed that due to allergy there is an excess histamine produced in my body. My allergic symptoms are nasal congestion, sneezing, anxiety, frequent throat infection, shortness of breath, and some kind of discomfort. I am having these symptoms from past 10 years. The doctors told it is due to not maintaining hygiene and low immunity. I am making lifestyle changes and yoga to get rid of allergy. But monthly three to four days, I need to do presentations in my office, and due to the allergy, the quality of my work goes down. Presently, I am using some herbal medicines, that is, turmeric for reduction of histamine and it works a little and reduces a few symptoms. I am requesting you to provide me the tablet for reduction of excess histamine in the body or medicine to prevent the production of histamine in the body. If histamine level is normal in my body, I can experience calmness and happiness. But if histamine levels are increased due to allergy, I feel some kind of discomfort. So to avoid discomfort asking medicine to reduce histamine levels. [/INST] Hello. I can understand your concerns. Having allergy can cause a lot of discomfort in life, affect the quality of life, and result in anxiety and depression eventually. But, you need not worry. We have solutions for allergy. Revert with more information to an allergy specialist online -->
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Q. I have a constant sore throat with lymph nodes enlargement. Should I be worried?
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Hello doctor, About two months ago, I developed a sore throat. It was mainly on the right side. I went to urgent care, and they did a quick strep test, which came back as positive. I also had a little bit of a stuffy nose, and mainly the right ear felt full or plugged. I went home with antibiotics, and after like four days, it seemed to be subsiding. Then on about the eighth day of the pills, it started to come back. By the time the antibiotics were gone, it was back. I went to urgent care, and again they did an actual culture that you grow in a dish. It was negative for strep, so they said it was a virus. My throat was still red, and the ear was congested. Then I waited. It would seem to get better and then would come back. Every time it came back, it hurt worse. It might be gone for a day or two or twelve hours. I started having a tickle in my throats and a cough. About eight days ago, it came back in a big way. I never ran a fever at all, which makes it seem weird. A few of the glands on my neck seem larger. There is phlegm coming from somewhere, and I cannot tell if it is from the sinuses or not. I always have to clear my throat. There is now some sinus involvement, as my cheekbones are aching. My voice feels scratchy. It does not hurt more to speak or eat, but it is annoying to do both, as it all feels tired and raw. I hate to make a big deal out of nothing, but looking things up online is telling me it could be bad. Can you give me any insight?
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Hi. Revert with more information to an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, About two months ago, I developed a sore throat. It was mainly on the right side. I went to urgent care, and they did a quick strep test, which came back as positive. I also had a little bit of a stuffy nose, and mainly the right ear felt full or plugged. I went home with antibiotics, and after like four days, it seemed to be subsiding. Then on about the eighth day of the pills, it started to come back. By the time the antibiotics were gone, it was back. I went to urgent care, and again they did an actual culture that you grow in a dish. It was negative for strep, so they said it was a virus. My throat was still red, and the ear was congested. Then I waited. It would seem to get better and then would come back. Every time it came back, it hurt worse. It might be gone for a day or two or twelve hours. I started having a tickle in my throats and a cough. About eight days ago, it came back in a big way. I never ran a fever at all, which makes it seem weird. A few of the glands on my neck seem larger. There is phlegm coming from somewhere, and I cannot tell if it is from the sinuses or not. I always have to clear my throat. There is now some sinus involvement, as my cheekbones are aching. My voice feels scratchy. It does not hurt more to speak or eat, but it is annoying to do both, as it all feels tired and raw. I hate to make a big deal out of nothing, but looking things up online is telling me it could be bad. Can you give me any insight? [/INST] Hi. Revert with more information to an ENT otolaryngologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I cough every night, which gets better after taking Cetirizine. What should I do?
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I have a cough and the mucus is white. Every night i suffer this kind of situation. I have a background medical records and the doctor said that i was allergic to dust and cold beverages. But i dont think that i am allergic to dust because i dont have any symptoms of it. Every night i take cetirizine because it works everytime i take it the cough stop. But im scared that it might be worst. What should i do?
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You are probably having what we call as an allergic pharyngitis, avoid spicy oily and junk food altogether for a few days. Yes dust can be one reason why your nose/throat might be creating a lot of phelgm, sometimes even dust at home(as in when u vaccum or mop the floor or look into old stuff having dust ) can lead to such issues. Besides, even the slightest of acidity can be one hidden cause. In allergic pharyngitis you won't have many tel a tale signs except of mucus irritating your throat. Advice 1.Have simple food with least spices 2.Avoid dust at all costs, wear an n95 mask, cuz that's the only thing effective against dust 3. Consider salt water gargles (one glass of boiled warm water with 2 tsps of salt, dissolve and gargle 4. Keep sipping on warm water 5. Long term use of levocetrizine is not recommended 6. Start an antireflux treatment with tab pantaprazole 40 MG once a day in the morning 25mins before bfast.
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<s>[INST]
I have a cough and the mucus is white. Every night i suffer this kind of situation. I have a background medical records and the doctor said that i was allergic to dust and cold beverages. But i dont think that i am allergic to dust because i dont have any symptoms of it. Every night i take cetirizine because it works everytime i take it the cough stop. But im scared that it might be worst. What should i do? [/INST] You are probably having what we call as an allergic pharyngitis, avoid spicy oily and junk food altogether for a few days. Yes dust can be one reason why your nose/throat might be creating a lot of phelgm, sometimes even dust at home(as in when u vaccum or mop the floor or look into old stuff having dust ) can lead to such issues. Besides, even the slightest of acidity can be one hidden cause. In allergic pharyngitis you won't have many tel a tale signs except of mucus irritating your throat. Advice 1.Have simple food with least spices 2.Avoid dust at all costs, wear an n95 mask, cuz that's the only thing effective against dust 3. Consider salt water gargles (one glass of boiled warm water with 2 tsps of salt, dissolve and gargle 4. Keep sipping on warm water 5. Long term use of levocetrizine is not recommended 6. Start an antireflux treatment with tab pantaprazole 40 MG once a day in the morning 25mins before bfast.
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Q. Which is best between SMILE and Contoura Vision?
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Hello doctor, I have to get a spectacles removal surgery but because of a thin cornea, I cannot have LASIK. So, the doctor suggested SMILE. But now I have read some disadvantages of SMILE. There is one more called Contoura Vision which is considered to be the best. Can you please guide me that with a thin cornea, what should I opt? SMILE or Contoura Vision? I do not want ICL.
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Hello. Each procedure has its own pros and cons. SMILE (Small Incision Lenticule Extraction) is a good technique with good results. I did in many patients and the result was very nice. It does not correct any imperfections of the cornea which can be done by the Contoura vision. So first it has to be clear whether your cornea apart from thin has any other issues? From my side, you can opt any one. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, I have to get a spectacles removal surgery but because of a thin cornea, I cannot have LASIK. So, the doctor suggested SMILE. But now I have read some disadvantages of SMILE. There is one more called Contoura Vision which is considered to be the best. Can you please guide me that with a thin cornea, what should I opt? SMILE or Contoura Vision? I do not want ICL. [/INST] Hello. Each procedure has its own pros and cons. SMILE (Small Incision Lenticule Extraction) is a good technique with good results. I did in many patients and the result was very nice. It does not correct any imperfections of the cornea which can be done by the Contoura vision. So first it has to be clear whether your cornea apart from thin has any other issues? From my side, you can opt any one. For more information consult an eye care ophthalmologist online -->
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Q. I was misdiagnosed to have syphilis and had treatment. What to do?
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Hi doctor, I am a 24 year old male. Before a month, I visited a hospital in my hometown for pain on the penis. They conducted VDRL and TPHA test and said that the test came back as weak positive. So, it is the first stage of syphilis. They prescribed me an injection and some tablets for five days. After 10 days, I moved to my place and got both VDRL and TPHA tests in a reputed diagnostic center and the tests came back negative. But, I have taken the medicines prescribed to me. Now, I am getting some neck pain and headache. Can that be a side effect of those medications?
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Hello. Revert with the prescription details to an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a 24 year old male. Before a month, I visited a hospital in my hometown for pain on the penis. They conducted VDRL and TPHA test and said that the test came back as weak positive. So, it is the first stage of syphilis. They prescribed me an injection and some tablets for five days. After 10 days, I moved to my place and got both VDRL and TPHA tests in a reputed diagnostic center and the tests came back negative. But, I have taken the medicines prescribed to me. Now, I am getting some neck pain and headache. Can that be a side effect of those medications? [/INST] Hello. Revert with the prescription details to an internal medicine physician online -->
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Q. Can vitiligo occur in later stages of life?
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Hi doctor, My cousin sister is planning to get married to a guy, who has a family history of vitiligo. His parents and paternal aunt are suffering from the same problem and all are having white spots on their body. The boy is not having any white spots currently on his body. Can this problem occur in later stages of his life? What is the chance of vitiligo in the next generation? I need some suggestion. Please suggest the possibility of this problem.
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, My cousin sister is planning to get married to a guy, who has a family history of vitiligo. His parents and paternal aunt are suffering from the same problem and all are having white spots on their body. The boy is not having any white spots currently on his body. Can this problem occur in later stages of his life? What is the chance of vitiligo in the next generation? I need some suggestion. Please suggest the possibility of this problem. [/INST] Hi. For further information consult a dermatologist online -->
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Q. I have headaches, eye pain and vomiting. Kindly advice.
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Hello doctor, I am a 36 year old female. I have a cluster head ache for the past five years. I feel severe pain behind my eye, which normally ends with vomiting. This happens for three to four days at a stretch. I do not want to undergo any surgery immediately. Hence, kindly advise me medications to reduce the pain. I am a nursing mother.
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Hello. I read your query and understand your concerns. In case you feel it is something else, as you can infer from the above description, or feel that Naxdom 250 is not helping enough, feel free to ask me. I hope this helps you. For more information consult a neurologist online -->
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<s>[INST]
Hello doctor, I am a 36 year old female. I have a cluster head ache for the past five years. I feel severe pain behind my eye, which normally ends with vomiting. This happens for three to four days at a stretch. I do not want to undergo any surgery immediately. Hence, kindly advise me medications to reduce the pain. I am a nursing mother. [/INST] Hello. I read your query and understand your concerns. In case you feel it is something else, as you can infer from the above description, or feel that Naxdom 250 is not helping enough, feel free to ask me. I hope this helps you. For more information consult a neurologist online -->
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Q. I am suffering from severe cold and cough. Please help me recover.
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Hello doctor, I am suffering from severe cold and cough problem. I feel there is a blockage in my chest and throat. I have taken several antibiotics from different doctors, but it is not helping. Because of this, I get fever, body ache, headache and ear pain as well. I had a blood test and chest X-ray as well but everything seems normal. I am not able to recover.
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Hello. Do you face difficulty in taking breath sometimes? Because chest tightness and other symptoms you are telling may be due to reactive airway disease like asthma. I suggest you do a pulmonary function test with bronchodilator reversibility for the diagnosis of asthma. I suggest you take a combination of Montelukast 10 plus Levocetirizine 5 for the time being. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. You can take Duolin (combination of Salbutamol and Ipratropium bromide) inhaler two puffs twice daily which will relieve your symptoms of chest tightness. For more information consult a family physician online -->
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<s>[INST]
Hello doctor, I am suffering from severe cold and cough problem. I feel there is a blockage in my chest and throat. I have taken several antibiotics from different doctors, but it is not helping. Because of this, I get fever, body ache, headache and ear pain as well. I had a blood test and chest X-ray as well but everything seems normal. I am not able to recover. [/INST] Hello. Do you face difficulty in taking breath sometimes? Because chest tightness and other symptoms you are telling may be due to reactive airway disease like asthma. I suggest you do a pulmonary function test with bronchodilator reversibility for the diagnosis of asthma. I suggest you take a combination of Montelukast 10 plus Levocetirizine 5 for the time being. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. You can take Duolin (combination of Salbutamol and Ipratropium bromide) inhaler two puffs twice daily which will relieve your symptoms of chest tightness. For more information consult a family physician online -->
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Q. MRI brain shows some white spots. What does it mean?
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Hi doctor, My patient is suffering from constant conversion. Her head is poking, salvia is coming out of the mouth and eyes are open for few seconds without any moment. Every now and then she used to get conversion type, but from yesterday the saliva is drooling continuously and the conversion too. The symptoms of rolling eyes, deviation of mouth and hand were started before three months. All the reports such as EEG, CT and MRI are normal as per neurologist except some white spots on brain. What does it mean?
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Hi. I have read your description very carefully. Revert back with the answers to the above questions to a neurologist online -->
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<s>[INST]
Hi doctor, My patient is suffering from constant conversion. Her head is poking, salvia is coming out of the mouth and eyes are open for few seconds without any moment. Every now and then she used to get conversion type, but from yesterday the saliva is drooling continuously and the conversion too. The symptoms of rolling eyes, deviation of mouth and hand were started before three months. All the reports such as EEG, CT and MRI are normal as per neurologist except some white spots on brain. What does it mean? [/INST] Hi. I have read your description very carefully. Revert back with the answers to the above questions to a neurologist online -->
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Q. Do I need to continue Arpizol and Pacitane for schizophrenia?
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Hi doctor, I was diagnosed with schizophrenia before 7 years. I used to take Sulpitac early in the treatment and then I was prescribed Nexipride for a year. For the last three years, I am taking Arpizol 10 mg and Pacitane 2 mg. My age is 30 now and I want to get out of schizophrenia as soon as possible. My parents are worried about my marriage. Every time when I ask my psychiatrist, he says keep taking Arpizol and Pacitane. I am tired of this. Is the treatment right?
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Hi. I can understand your concern. Schizophrenia is a chronic neuropsychiatric illness with changes in behavior, thought, perception and a lot of other psychiatric symptoms. Sulpitac (Amisulpride), Nexipride (Levosulpiride) and Arpizol (Aripiprazole) are antipsychotic drugs and help to treat psychotic symptoms. If you are symptom free with Arpizol for the last few years, then in my opinion you can consider reducing the dose of the drug. There is no use of continuing Pacitane (Trihexyphenidyl) with Arpizol because the drug at this dose does not cause extrapyramidal symptoms. Consult your specialist doctor and ask for re-evaluation and get your dose reduced. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I was diagnosed with schizophrenia before 7 years. I used to take Sulpitac early in the treatment and then I was prescribed Nexipride for a year. For the last three years, I am taking Arpizol 10 mg and Pacitane 2 mg. My age is 30 now and I want to get out of schizophrenia as soon as possible. My parents are worried about my marriage. Every time when I ask my psychiatrist, he says keep taking Arpizol and Pacitane. I am tired of this. Is the treatment right? [/INST] Hi. I can understand your concern. Schizophrenia is a chronic neuropsychiatric illness with changes in behavior, thought, perception and a lot of other psychiatric symptoms. Sulpitac (Amisulpride), Nexipride (Levosulpiride) and Arpizol (Aripiprazole) are antipsychotic drugs and help to treat psychotic symptoms. If you are symptom free with Arpizol for the last few years, then in my opinion you can consider reducing the dose of the drug. There is no use of continuing Pacitane (Trihexyphenidyl) with Arpizol because the drug at this dose does not cause extrapyramidal symptoms. Consult your specialist doctor and ask for re-evaluation and get your dose reduced. For further information consult a psychiatrist online -->
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Q. Do I need treatment for mild venous incompetence in penis?
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Hi doctor, I am suffering from erectile dysfunction. I had a few tests recently. I had a blood test to check male hormone profile and the result is as follows. Testosterone 1.77 ng/mL (range 2.70-10.20 ng/mL), FSH 3.78 mlU/mL (range 1.7-12.0 mlU/mL), LH 3.24 mlU/mL (range 2.0-12.0 mlU/mL) and TSH 5.97 uIU/mL (range 0.3-5.0 ulU/mL). The color Doppler study of penis gave the impression as mild venous incompetence, cavernosal arterial diastolic flow fall between 5 to 7 cm/second in tumescence state and no flow reversal seen in cavernosal arteries. My doctor said erectile dysfunction due to venous leakage and recommended medicine for four to five months. Is this problem a completely curable one?
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Hello. I can understand your concern and would like to tell you that though there is problem, but that can be corrected. There is no need to worry. For further information consult a sexologist online -->
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<s>[INST]
Hi doctor, I am suffering from erectile dysfunction. I had a few tests recently. I had a blood test to check male hormone profile and the result is as follows. Testosterone 1.77 ng/mL (range 2.70-10.20 ng/mL), FSH 3.78 mlU/mL (range 1.7-12.0 mlU/mL), LH 3.24 mlU/mL (range 2.0-12.0 mlU/mL) and TSH 5.97 uIU/mL (range 0.3-5.0 ulU/mL). The color Doppler study of penis gave the impression as mild venous incompetence, cavernosal arterial diastolic flow fall between 5 to 7 cm/second in tumescence state and no flow reversal seen in cavernosal arteries. My doctor said erectile dysfunction due to venous leakage and recommended medicine for four to five months. Is this problem a completely curable one? [/INST] Hello. I can understand your concern and would like to tell you that though there is problem, but that can be corrected. There is no need to worry. For further information consult a sexologist online -->
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Q. My baby was born with twisted legs. Can it be treated through surgery?
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Hello doctor, I have a 21 months old baby, and she was born with twisted legs, which resulted from the cord around the neck issue during pregnancy. She was diagnosed with nerve atrophy in her legs. They said she might recover if the atrophy of her legs can be treated. She underwent motor nerve conduction study at the age of 6 months, and only the left leg showed a response. At the age of 13 months, they redid the same study and reported that the right leg started to show some response, which gave hope that her legs may get treated through physiotherapy. They recently did an MRI for the brain and reported that her brain is fine. The doctors recommended showing the case to an orthopedic, as her issue is not neurological. Can her twisted legs be treated through surgery or some other way rather than physiotherapy? I have attached the CT scan, MRI of the brain, and some pictures of the baby's leg. Please help.
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Hello. I have seen all the attached reports and photos (attachment removed to protect patient identity). As I have not examined the child, I will not comment on the current issues. For more information consult a fitness expert online -->
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<s>[INST]
Hello doctor, I have a 21 months old baby, and she was born with twisted legs, which resulted from the cord around the neck issue during pregnancy. She was diagnosed with nerve atrophy in her legs. They said she might recover if the atrophy of her legs can be treated. She underwent motor nerve conduction study at the age of 6 months, and only the left leg showed a response. At the age of 13 months, they redid the same study and reported that the right leg started to show some response, which gave hope that her legs may get treated through physiotherapy. They recently did an MRI for the brain and reported that her brain is fine. The doctors recommended showing the case to an orthopedic, as her issue is not neurological. Can her twisted legs be treated through surgery or some other way rather than physiotherapy? I have attached the CT scan, MRI of the brain, and some pictures of the baby's leg. Please help. [/INST] Hello. I have seen all the attached reports and photos (attachment removed to protect patient identity). As I have not examined the child, I will not comment on the current issues. For more information consult a fitness expert online -->
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Q. Why had my doctor suggested Dydrogesterone tablet for a month?
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Hi doctor, I did not get my periods last month. The actual due date was 15, but on the 22nd I got spotted. Then, I had a strip test, which came as positive. After four days, I went to my doctor for spotting and pain. My ultrasound report showed less than 5 weeks of pregnancy. There is no fetal sac and irregular gestational sac with 4.7 cm sized cyst. She prescribed me Tranexamic acid for three days and Dydrogesterone for a month. While taking Tranexamic acid, I got fresh blood for around three to four times. I just want to know if my pregnancy is safe. Shall I continue Dydrogesterone tablet? Should I go for another ultrasound after spotting has reduced? Please guide me. I had two pregnancies before. My first daughter is 9 years old and my other one is 6 years. But, I do not have this problem before.
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Hello. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I did not get my periods last month. The actual due date was 15, but on the 22nd I got spotted. Then, I had a strip test, which came as positive. After four days, I went to my doctor for spotting and pain. My ultrasound report showed less than 5 weeks of pregnancy. There is no fetal sac and irregular gestational sac with 4.7 cm sized cyst. She prescribed me Tranexamic acid for three days and Dydrogesterone for a month. While taking Tranexamic acid, I got fresh blood for around three to four times. I just want to know if my pregnancy is safe. Shall I continue Dydrogesterone tablet? Should I go for another ultrasound after spotting has reduced? Please guide me. I had two pregnancies before. My first daughter is 9 years old and my other one is 6 years. But, I do not have this problem before. [/INST] Hello. For further information consult an obstetrician and gynaecologist online -->
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Q. I am getting panic attacks and anxiety about being home alone. Please help.
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I m doing PhD recent times I m getting panic attack and anxiety sudden and I m fear of being alone in home my mind always think some things bad will happen to me I m trying to concentrate myself on other activities I m not able to concentrate suddenly I feel racing my heart beat and difficult in breathing decreased energy level body pain lot more it all started happening from before one month. Due to this I am not able to sleep and eat correctly please let me know the solution..
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Thank you for using our website, First of all,there are two scenarios for your cases.The first scenario is you could have faced a stressful situation and this situation has triggered the panic attack.The situation may have appeared trivial,but it could pointed to an important events in your childhood.The second scenario is you could drink a lot of tea or coffee or you could have a systemic illnesses.The high consumption of saturated fat and salt can cause hypertension and heart problems.Too much amount of tea and coffee can affect your heart and decrease the level of vitamin B complex in your blood,resulting in increasing heart rate .Moreover,the oral contraceptive pills, the hormonal replacement therapy and irregular menses may cause the similar symptoms. 1-ECG and Echo 1-exclude the systemic illnesses 2-reassurance 3-use Buspirone 10 mg :Half a tablet before meals once per day for three days,then half a tablet twice per day before meals then half a tablet three times per before meals,then the dose should increase by half a tablet every three days to one tablet three times before meals for 90 days then you should withdraw the drug by decreasing the dose by half a tablet every week until you take half a tablet once every other day for two weeks,then you should stop the drug.
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<s>[INST]
I m doing PhD recent times I m getting panic attack and anxiety sudden and I m fear of being alone in home my mind always think some things bad will happen to me I m trying to concentrate myself on other activities I m not able to concentrate suddenly I feel racing my heart beat and difficult in breathing decreased energy level body pain lot more it all started happening from before one month. Due to this I am not able to sleep and eat correctly please let me know the solution.. [/INST] Thank you for using our website, First of all,there are two scenarios for your cases.The first scenario is you could have faced a stressful situation and this situation has triggered the panic attack.The situation may have appeared trivial,but it could pointed to an important events in your childhood.The second scenario is you could drink a lot of tea or coffee or you could have a systemic illnesses.The high consumption of saturated fat and salt can cause hypertension and heart problems.Too much amount of tea and coffee can affect your heart and decrease the level of vitamin B complex in your blood,resulting in increasing heart rate .Moreover,the oral contraceptive pills, the hormonal replacement therapy and irregular menses may cause the similar symptoms. 1-ECG and Echo 1-exclude the systemic illnesses 2-reassurance 3-use Buspirone 10 mg :Half a tablet before meals once per day for three days,then half a tablet twice per day before meals then half a tablet three times per before meals,then the dose should increase by half a tablet every three days to one tablet three times before meals for 90 days then you should withdraw the drug by decreasing the dose by half a tablet every week until you take half a tablet once every other day for two weeks,then you should stop the drug.
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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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