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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 husband is not interested in sex. What to do?
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Hi doctor,My husband is not interested in sex from the first day of our marriage? We had intercourse only twice in a month to the maximum. Also, he is very aggressive and argumentative in behavior. What to do?
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Hi. Revert back with the answers to the above questions to a sexologist online -->
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<s>[INST]
Hi doctor,My husband is not interested in sex from the first day of our marriage? We had intercourse only twice in a month to the maximum. Also, he is very aggressive and argumentative in behavior. What to do? [/INST] Hi. Revert back with the answers to the above questions to a sexologist online -->
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Q. What is the treatment for itchy face?
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Hi doctor, I am suffering from itching on my face for the last two years. I took Levocetirizine, Fluconazole and some ointment. My doctor also advised me to use soft soap. But, my problem continues. Please help.
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Hi. I have read your query in detail and do understand your concern. I also viewed the attached pictures (attachment removed to protect patient identity). Revert back with the answers to a dermatologist online -->
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<s>[INST]
Hi doctor, I am suffering from itching on my face for the last two years. I took Levocetirizine, Fluconazole and some ointment. My doctor also advised me to use soft soap. But, my problem continues. Please help. [/INST] Hi. I have read your query in detail and do understand your concern. I also viewed the attached pictures (attachment removed to protect patient identity). Revert back with the answers to a dermatologist online -->
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Q. Have I missed my periods due to I-pill?
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Hello doctor, I had sex with my fiance one and a half months back and within an hour, I took I-pill. Eight days later, I had some spotting and after that, I usually had my periods a week later. But, this time it did not happen and I am totally freaked out and I did try sugar pregnancy test at home but it did not show any sign of pregnancy. What should I do now and my periods are delayed by I-pill or some other reasons. What should I do? Please help.
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Hi. Your periods can be delayed due to I-pill. Periods can also be delayed due to hormonal problems. Do serum beta hCG blood test to rule out pregnancy confirmatively. Let me know your blood report so that I can guide you. Do serum TSH (thyroid stimulating hormone) and serum prolactin blood test on empty stomach tomorrow morning to see if you have any hormonal imbalance. Let me know the report once you get it. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I had sex with my fiance one and a half months back and within an hour, I took I-pill. Eight days later, I had some spotting and after that, I usually had my periods a week later. But, this time it did not happen and I am totally freaked out and I did try sugar pregnancy test at home but it did not show any sign of pregnancy. What should I do now and my periods are delayed by I-pill or some other reasons. What should I do? Please help. [/INST] Hi. Your periods can be delayed due to I-pill. Periods can also be delayed due to hormonal problems. Do serum beta hCG blood test to rule out pregnancy confirmatively. Let me know your blood report so that I can guide you. Do serum TSH (thyroid stimulating hormone) and serum prolactin blood test on empty stomach tomorrow morning to see if you have any hormonal imbalance. Let me know the report once you get it. For more information consult an obstetrician and gynaecologist online -->
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Q. Please suggest an ayurveda remedy for tight foreskin.
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Hello doctor, I am a 24 year old male. I have a tight foreskin. When my penis is erect I can pull down the skin completely without any problem, but when it is normal, it cannot be pulled down completely. Sometimes, I can, but not always. I do not want to go for surgery. Is there a natural way to heal myself?
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Hi. For further doubts consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I am a 24 year old male. I have a tight foreskin. When my penis is erect I can pull down the skin completely without any problem, but when it is normal, it cannot be pulled down completely. Sometimes, I can, but not always. I do not want to go for surgery. Is there a natural way to heal myself? [/INST] Hi. For further doubts consult an ayurveda specialist online -->
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Q. Can pencil push-ups treat my exotropia?
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Hi doctor, I have mild exotropia. I went for a squint check-up, and the specialist said there is no squint based on the cover test and light reflex test results. But I have exotropia, and I can see it. Can my exotropia be treated with pencil push-ups? Please give your opinion. Thank you.
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Hi. Regards. For further queries consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I have mild exotropia. I went for a squint check-up, and the specialist said there is no squint based on the cover test and light reflex test results. But I have exotropia, and I can see it. Can my exotropia be treated with pencil push-ups? Please give your opinion. Thank you. [/INST] Hi. Regards. For further queries consult an eye care ophthalmologist online -->
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Q. I experience vaginal discharge with offensive smell. What is the suggested treatment?
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Hello doctor, For over four months, I have been experiencing vaginal discharge that has an offensive smell. I am in the military. I have been to the doctor and they continue to tell me it is just a symptom from my birth control but have not sent me to a gynecologist. The discharge has an offensive smell, white yellowish color with small bubbles in it but not foamy. I have been tested for gonorrhea and chlamydia both came back negative. I think it might be trichomonas or BV. I do not have any other symptoms besides discharge and smell.
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Hello The bad smell and the discoloration of your vaginal discharge could be due to either a candida (fungal ) or bacterial vaginosis (BV) (bacterial infection). Trichomonas usually has a fishy smell which you do not have. Candida infections usually have something like a curdled milk appearance and have itching. (itching which you do not seem to have). If you do not think you have candidal symptoms, then the diagnosis of BV is more fitting. Treatment would be to start antibiotics (both oral and vaginal) for 10 days. Also, if you are sexually active, please do your pap smear test if not already done. Please abstain for a period of two weeks from sexual activity during the treatment to prevent reinfection. Also, repeated infections would also affect your partner. Blood sugar. Pap smear. Candida. Bacterial vaginosis. Antibiotics. Sexual hygiene. After one course of antibiotics.
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<s>[INST]
Hello doctor, For over four months, I have been experiencing vaginal discharge that has an offensive smell. I am in the military. I have been to the doctor and they continue to tell me it is just a symptom from my birth control but have not sent me to a gynecologist. The discharge has an offensive smell, white yellowish color with small bubbles in it but not foamy. I have been tested for gonorrhea and chlamydia both came back negative. I think it might be trichomonas or BV. I do not have any other symptoms besides discharge and smell. [/INST] Hello The bad smell and the discoloration of your vaginal discharge could be due to either a candida (fungal ) or bacterial vaginosis (BV) (bacterial infection). Trichomonas usually has a fishy smell which you do not have. Candida infections usually have something like a curdled milk appearance and have itching. (itching which you do not seem to have). If you do not think you have candidal symptoms, then the diagnosis of BV is more fitting. Treatment would be to start antibiotics (both oral and vaginal) for 10 days. Also, if you are sexually active, please do your pap smear test if not already done. Please abstain for a period of two weeks from sexual activity during the treatment to prevent reinfection. Also, repeated infections would also affect your partner. Blood sugar. Pap smear. Candida. Bacterial vaginosis. Antibiotics. Sexual hygiene. After one course of antibiotics.
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Q. Can paraproteins fluctuate without treatment?
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Hello doctor, Can paraproteins fluctuate (drop) without treatment?
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Hi. We are here to help you. For further doubts consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, Can paraproteins fluctuate (drop) without treatment? [/INST] Hi. We are here to help you. For further doubts consult an internal medicine physician online -->
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Q. Kindly suggest a cream or medicine for dark circle.
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Hi doctor, I am 23 years old. I have had these dark circles under eyes and also my forehead is little darker. Kindly let me know if I should use any cream or medicine.
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Hi. I have seen your query and concern. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I am 23 years old. I have had these dark circles under eyes and also my forehead is little darker. Kindly let me know if I should use any cream or medicine. [/INST] Hi. I have seen your query and concern. For further information consult a dermatologist online -->
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Q. My mother is suffering from acute leg pain. Filaria & femur fracture in right leg. Any suggestions for relief?
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Hello doctor, My mother aged 80 years is suffering from acute leg pain. She is a patient of filariasis in right leg and also femur fracture in the same leg. Reports of all recently done tests are normal. Please advice.
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Hi. What the patient needs to do is: Keep the affected leg elevated over two pillows. Take tablet Orthal forte thrice a day for three days. Take tablet Carnitor 500 mg twice a day for three days. Revert back with the x-rays and reports to an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, My mother aged 80 years is suffering from acute leg pain. She is a patient of filariasis in right leg and also femur fracture in the same leg. Reports of all recently done tests are normal. Please advice. [/INST] Hi. What the patient needs to do is: Keep the affected leg elevated over two pillows. Take tablet Orthal forte thrice a day for three days. Take tablet Carnitor 500 mg twice a day for three days. Revert back with the x-rays and reports to an orthopaedician and traumatologist online -->
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Q. My HIV tests at five weeks are negative. What are the chances for it to be positive later?
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Hello doctor, I had a 13 day HIV DNA PCR test, 28 day antibody test and a fifth week HIV fourth generation duo test. All the tests came back negative. What are my chances of still encountering an HIV positive test?
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Hello. Please revert, if you have any other query. Best wishes. For more information consult an HIV/AIDS specialist online -->
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<s>[INST]
Hello doctor, I had a 13 day HIV DNA PCR test, 28 day antibody test and a fifth week HIV fourth generation duo test. All the tests came back negative. What are my chances of still encountering an HIV positive test? [/INST] Hello. Please revert, if you have any other query. Best wishes. For more information consult an HIV/AIDS specialist online -->
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Q. Will diastolic dysfunction lead to heart failure?
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Hi doctor,I am a 46 year old male. My height is 184 cm and weight is 98 kg. I have been having balancing problems for over a year. It is some form of sensory ataxia. I also have compression in C4-C5 and C5-C6 cervical spine. I also have severe sleep apnea. I had some breathlessness and chest discomfort last year. I had a positive TMT and had an angiogram. The result was minor plaques. Since then, I was given Ecosprin 75, Monotrate 10, Dilzem 30 and Atorva 10. Again, I have breathlessness. Also, my chest pain is on and off. I feel fatigued and tired. Again, I had an ECG and Echo. The ECG was similar to the last time with T-wave inversion. Last year Echo showed mild concentric LVH and mild diastolic dysfunction. My latest echo reported mild concentric LVH, moderate diastolic dysfunction with increased LVEDP, dilated LA, sclerosed aortic valve and mild PAH (PASP=40mmHg). I have enclosed the above reports for your reference. Are my symptoms of breathlessness and fatigue due to diastolic dysfunction? Or due to my sleep apnea? I am not able to use CPAP due to body jerks and discomfort with CPAP. Is this diastolic dysfunction serious? Will it lead to heart failure? My BP is usually 140-150/80 mmHg. Is there a chance for minor blocks in arteries having become bigger? What course of action should I follow now?
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Hello. I have seen your report (attachment removed to protect patient identity) and keen observation. Yes, diastolic dysfunction can cause heart failure. But, we need to find out the reason here. Sleep apnea is one additive factor and need to treat it. Also, you need to control your hypertension more. Reduction of weight along with medication will help to decrease diastolic dysfunction and mostly your symptoms. For further information consult a cardiologist online -->
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<s>[INST]
Hi doctor,I am a 46 year old male. My height is 184 cm and weight is 98 kg. I have been having balancing problems for over a year. It is some form of sensory ataxia. I also have compression in C4-C5 and C5-C6 cervical spine. I also have severe sleep apnea. I had some breathlessness and chest discomfort last year. I had a positive TMT and had an angiogram. The result was minor plaques. Since then, I was given Ecosprin 75, Monotrate 10, Dilzem 30 and Atorva 10. Again, I have breathlessness. Also, my chest pain is on and off. I feel fatigued and tired. Again, I had an ECG and Echo. The ECG was similar to the last time with T-wave inversion. Last year Echo showed mild concentric LVH and mild diastolic dysfunction. My latest echo reported mild concentric LVH, moderate diastolic dysfunction with increased LVEDP, dilated LA, sclerosed aortic valve and mild PAH (PASP=40mmHg). I have enclosed the above reports for your reference. Are my symptoms of breathlessness and fatigue due to diastolic dysfunction? Or due to my sleep apnea? I am not able to use CPAP due to body jerks and discomfort with CPAP. Is this diastolic dysfunction serious? Will it lead to heart failure? My BP is usually 140-150/80 mmHg. Is there a chance for minor blocks in arteries having become bigger? What course of action should I follow now? [/INST] Hello. I have seen your report (attachment removed to protect patient identity) and keen observation. Yes, diastolic dysfunction can cause heart failure. But, we need to find out the reason here. Sleep apnea is one additive factor and need to treat it. Also, you need to control your hypertension more. Reduction of weight along with medication will help to decrease diastolic dysfunction and mostly your symptoms. For further information consult a cardiologist 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 wife has continuous headache and vomiting when the pain is severe. Please help.
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Hello doctor, My wife is having headache every day for the past two months. Pain is only mild but it extends up to the neck area. Sometimes if she has severe pain, she vomits.
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Hello. Regarding your concern, I would explain that this kind of headache could be a migraine. I recommend starting Verapamil 40 mg three times daily and Amitriptyline 25 mg half a tablet before sleep. A brain CT (computed tomography) scan would help exclude any other brain lesions, but considering the COVID situation, I would not recommend going to an ER. Besides the situation is not an urgency, considering the fact that she suffered from headaches like this before. For rapid pain relief, I would recommend taking Ibuprofen 400 mg three times daily coupled with Acetaminophen. I hope this helps.
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<s>[INST]
Hello doctor, My wife is having headache every day for the past two months. Pain is only mild but it extends up to the neck area. Sometimes if she has severe pain, she vomits. [/INST] Hello. Regarding your concern, I would explain that this kind of headache could be a migraine. I recommend starting Verapamil 40 mg three times daily and Amitriptyline 25 mg half a tablet before sleep. A brain CT (computed tomography) scan would help exclude any other brain lesions, but considering the COVID situation, I would not recommend going to an ER. Besides the situation is not an urgency, considering the fact that she suffered from headaches like this before. For rapid pain relief, I would recommend taking Ibuprofen 400 mg three times daily coupled with Acetaminophen. I hope this helps.
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Q. I have pain in the left molar region and bleeding gums. Please help.
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Hi doctor, I have extreme pain in my left molar region, and I also have swollen gums that bleed while brushing. Please help.
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Hi. I had gone through your question. For further queries consult a dentist online -->
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<s>[INST]
Hi doctor, I have extreme pain in my left molar region, and I also have swollen gums that bleed while brushing. Please help. [/INST] Hi. I had gone through your question. For further queries consult a dentist online -->
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Q. I have enlarged lymph nodes in my neck from six months. Do I need a biopsy?
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Hello doctor, I am considering pursuing a second opinion about some palpable lymph nodes that have been present in my neck for approximately six months now. There is a total of eight of them, present on both sides of the neck. These are all cervical lymph nodes, with the exception of one, which is submental. I have seen my physician about this, and subsequently an ENT. I have had ultrasounds of the nodes done on two separate occasions over a period of two months, as well as two CBCs to check for anything in the blood. Thus far, everything has come back normal. The first report reads: palpable foci correspond to normal-appearing lymph nodes. The second report reads: Palpable areas of concern all correspond to benign-appearing lymph nodes. No pathologically enlarged nodes are seen. None of the lymph nodes are larger than 0.7 cm. So, technically they are not enlarged, and bloodwork is normal. Therefore, my doctors have told me I do not need to worry about anything like lymphoma for now, and that a biopsy is not necessary. However, my concerns are that, even though the lymph nodes have not changed much over the last six months, none of the nodes have gone away at all. And, I have received no explanation for the cause of the palpable nodes. Secondly, I have been using Humira to treat my Crohn's disease, which I am aware carries an increased risk for lymphoma. I have not had any other significant symptoms like fever, weight loss, or night sweats.Therefore, my question is, should I push harder to get a biopsy of the most prominent lymph node to rule out lymphoma for sure? And, should I seek a second opinion about all of this? I just cannot put my mind at ease, and I feel as though my concerns are being dismissed after the examinations, ultrasounds, and blood tests. Please let me know if you have any thoughts or suggestions.
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Hello. For more information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, I am considering pursuing a second opinion about some palpable lymph nodes that have been present in my neck for approximately six months now. There is a total of eight of them, present on both sides of the neck. These are all cervical lymph nodes, with the exception of one, which is submental. I have seen my physician about this, and subsequently an ENT. I have had ultrasounds of the nodes done on two separate occasions over a period of two months, as well as two CBCs to check for anything in the blood. Thus far, everything has come back normal. The first report reads: palpable foci correspond to normal-appearing lymph nodes. The second report reads: Palpable areas of concern all correspond to benign-appearing lymph nodes. No pathologically enlarged nodes are seen. None of the lymph nodes are larger than 0.7 cm. So, technically they are not enlarged, and bloodwork is normal. Therefore, my doctors have told me I do not need to worry about anything like lymphoma for now, and that a biopsy is not necessary. However, my concerns are that, even though the lymph nodes have not changed much over the last six months, none of the nodes have gone away at all. And, I have received no explanation for the cause of the palpable nodes. Secondly, I have been using Humira to treat my Crohn's disease, which I am aware carries an increased risk for lymphoma. I have not had any other significant symptoms like fever, weight loss, or night sweats.Therefore, my question is, should I push harder to get a biopsy of the most prominent lymph node to rule out lymphoma for sure? And, should I seek a second opinion about all of this? I just cannot put my mind at ease, and I feel as though my concerns are being dismissed after the examinations, ultrasounds, and blood tests. Please let me know if you have any thoughts or suggestions. [/INST] Hello. For more information consult an ENT otolaryngologist online -->
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Q. I have white scaling that comes on and off on tongue. What can it be?
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Hi doctor, I am 56 year old and having problem of white scaling on side of tongue and also on top of the tongue. I got tested for fungal growth and it was negative. This problem is there since one year. I have consulted many doctors in regard to the same. They asked me to take extra care of hygiene. Please advise me because I am not getting relief. White scaling comes on and off. I use to brush morning and night. What it could be?
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Hello. Thanks for choosing this platform. I can understand your concern. For further information consult a dentist online -->
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<s>[INST]
Hi doctor, I am 56 year old and having problem of white scaling on side of tongue and also on top of the tongue. I got tested for fungal growth and it was negative. This problem is there since one year. I have consulted many doctors in regard to the same. They asked me to take extra care of hygiene. Please advise me because I am not getting relief. White scaling comes on and off. I use to brush morning and night. What it could be? [/INST] Hello. Thanks for choosing this platform. I can understand your concern. For further information consult a dentist online -->
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Q. Kindly recommend a medicine for urine infection.
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Hi doctor,I am suffering from a urinary infection for the last one week. I am unable to control urine. But, no medication is taken yet. I am a 34 year old female. My height is 154 cm and weight 76 kg.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor,I am suffering from a urinary infection for the last one week. I am unable to control urine. But, no medication is taken yet. I am a 34 year old female. My height is 154 cm and weight 76 kg. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. My periods are delayed. Am I pregnant?
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Hello doctor, I have a couple of questions regarding pregnancy. About two days ago, my partner and I had unprotected oral sex, and I was in a position where my vagina was on his penis, but we did not have sexual intercourse. Although he did finger me, he did not seem to have any body fluid on his fingers. Yesterday, I noticed that I have an urge to urinate more frequently than usual, and I am bloated. I have not missed my period yet because I usually get it in the earlier days of the month but, it was late anyway, and it still has not come. Today around 11 AM, I had some minor blood spotting. If I take a pregnancy test in a week, can I still take birth control to avoid the pregnancy? What are some ways I can prevent this possible pregnancy? Please write back soon. I really need help. I have never been in this situation before, and I have no one to talk to.
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Hello. How are you doing? I do not see any reason for you to worry. Let me explain. Hope I have clarified your query. Do write back. All the best. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I have a couple of questions regarding pregnancy. About two days ago, my partner and I had unprotected oral sex, and I was in a position where my vagina was on his penis, but we did not have sexual intercourse. Although he did finger me, he did not seem to have any body fluid on his fingers. Yesterday, I noticed that I have an urge to urinate more frequently than usual, and I am bloated. I have not missed my period yet because I usually get it in the earlier days of the month but, it was late anyway, and it still has not come. Today around 11 AM, I had some minor blood spotting. If I take a pregnancy test in a week, can I still take birth control to avoid the pregnancy? What are some ways I can prevent this possible pregnancy? Please write back soon. I really need help. I have never been in this situation before, and I have no one to talk to. [/INST] Hello. How are you doing? I do not see any reason for you to worry. Let me explain. 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. Why am I stressed a lot and unhappy too?
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Hello doctor, I am a 26 year old male. My weight is 60 kg and height is 5'8". I grown up with great responsibility of family, but never fulfilled it up to the mark besides living my life in fear from society. I managed good academics and some standard over time. But, I have also developed very poor social skill, dependency to some extent and fear while facing anything new. I do not want to move from a situation where I have fixed myself. Three years before I had a breakup and also was idle without job. This had caused me severe stress and crying episode about which I did not share with any one. I got job, but did not feel happy about it. The emptiness and worry followed me. I got into another relationship which was lovely. I got involved in alcohol drinking and smoking. I faced a time where job stress killed me every day and I detached myself from everyone, felt emotionless even with my family, drowsiness and no sense of reality. I became so casual that only thing I wanted is nothing should worry me. If anything worried me I tried to solve it immediately with a step which might be job threatening. I lived without any pleasure, confidence, goal and routine. I did live my life, but never felt any connection as I have become a robot. Forgetfulness, short term memory loss and no attention or interest at all. Today I have improved myself and do not drink regularly; I do exercises, do talk with family and some friends, watch television and got a better job. But still, I am not happy. My forgetfulness and excessive worry is with me still. I find that my brain is continuously busy in something, but I am not aware of that. I feel very tired and lazy. Socially frightened, poor, and I am not clever enough. However, I am very polite, helpful to others and have good moral value. I found that I have not added a strong value and get easily convinced, irritated and people make fool of me. It is like I have got stuck and trapped and I have not moved on. I want to put an end to this. Please help me.
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Hi. I have gone through your query in detail and would like to summarize your current symptoms: Along with medicines, here are few tips for better results: Social anxiety disorder. Major depressive disorder. Antidepressant medicines and lifestyle changes. Avoid alcohol and increase physical activity. Follow up if you have any queries to a psychiatrist online.--->
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<s>[INST]
Hello doctor, I am a 26 year old male. My weight is 60 kg and height is 5'8". I grown up with great responsibility of family, but never fulfilled it up to the mark besides living my life in fear from society. I managed good academics and some standard over time. But, I have also developed very poor social skill, dependency to some extent and fear while facing anything new. I do not want to move from a situation where I have fixed myself. Three years before I had a breakup and also was idle without job. This had caused me severe stress and crying episode about which I did not share with any one. I got job, but did not feel happy about it. The emptiness and worry followed me. I got into another relationship which was lovely. I got involved in alcohol drinking and smoking. I faced a time where job stress killed me every day and I detached myself from everyone, felt emotionless even with my family, drowsiness and no sense of reality. I became so casual that only thing I wanted is nothing should worry me. If anything worried me I tried to solve it immediately with a step which might be job threatening. I lived without any pleasure, confidence, goal and routine. I did live my life, but never felt any connection as I have become a robot. Forgetfulness, short term memory loss and no attention or interest at all. Today I have improved myself and do not drink regularly; I do exercises, do talk with family and some friends, watch television and got a better job. But still, I am not happy. My forgetfulness and excessive worry is with me still. I find that my brain is continuously busy in something, but I am not aware of that. I feel very tired and lazy. Socially frightened, poor, and I am not clever enough. However, I am very polite, helpful to others and have good moral value. I found that I have not added a strong value and get easily convinced, irritated and people make fool of me. It is like I have got stuck and trapped and I have not moved on. I want to put an end to this. Please help me. [/INST] Hi. I have gone through your query in detail and would like to summarize your current symptoms: Along with medicines, here are few tips for better results: Social anxiety disorder. Major depressive disorder. Antidepressant medicines and lifestyle changes. Avoid alcohol and increase physical activity. Follow up if you have any queries to a psychiatrist online.--->
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Q. My 1-year-old daughter has loose motion for past five days. What can be done?
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Hello doctor, My 1-year-old daughter is passing loose motion from past five days. Before that, she was vomiting. However, vomiting issue is resolved, but still, she is passing loose stool. She is on Ondem thrice daily 2 ml, half an hour before meal (today the course will end), Zinconia 5 ml once daily for five days, Decolic INF drops three times daily for three days (today Decolic course will end), Enterogermina twice daily for seven days, Arbivit Forte 5 ml daily (this is her regular medicine and not a part of the prescribed medications by the doctor for loose motion) and Peditrol ORS throughout the day (one liter). We are diluting five sachets of Peditrol ORS in one liter of water, consumed by her each day. She is accepting all forms of liquid as well. The doctor has advised for stool RE/CS/OBT and reducing substance. She also has lactose intolerance so we do not give her any milk products, only lactose-free substitutes like Isomil and Nestum and right now the doctor has said not to give breastmilk as well. The doctor gave SOS medicine as Bacigyl-N but looking at her report she is dead against to start the antibiotic. The issue is she is not improving in her stool and already four days have passed. She is average active (normally she is very hyper) and accepting food as well (in smaller proportion). I just weighed her, and she has lost 350 gm of weight. She is our first baby hence we are very tensed. Please advice best possible ways to make her fit.
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Hi. Going through the history, it suggests that the child is in the treatment of acute gastroenteritis (AGE). Medicines are rightly prescribed. I would suggest no need for vomiting medicine now, as vomiting has stopped. Withhold Arbivit Forte (Cholecalciferol) till loose motions subside. The stool report does not warrant to start on antibiotics as it is near normal report except for reducing substance (attachment removed to protect patient identity). As most of the AGE is viral, where there is no role of antibiotics. Secondly, antibiotics can itself aggravate loose motion (antibiotic-associated diarrhea). The best thing is the child is accepting food/meal, which is a good sign.Though in small quantity, which shall improve over a period. Do not be in a hurry to look for quick results as the body takes its own time to recover. Make sure the child is passing adequate urine, and the tongue is moist, keep giving fluids and ORS (oral rehydration solution) as adviced by the doctors. AGE usually takes 7 to 10 days to recover. So, do not get tense. You can continue Zinconia (Zinc acetate) total for 14 days, Enterogermina and ORS medicine. You can add Enuff sachet (Racecadotril 10mg) half sachet twice a day for five days. I believe she will improve as she is on right medications and taking the meal. So relax. Meanwhile, no cold drinks/water, give lots of lukewarm water/homemade soups. For more information consult a child health specialist online -->
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<s>[INST]
Hello doctor, My 1-year-old daughter is passing loose motion from past five days. Before that, she was vomiting. However, vomiting issue is resolved, but still, she is passing loose stool. She is on Ondem thrice daily 2 ml, half an hour before meal (today the course will end), Zinconia 5 ml once daily for five days, Decolic INF drops three times daily for three days (today Decolic course will end), Enterogermina twice daily for seven days, Arbivit Forte 5 ml daily (this is her regular medicine and not a part of the prescribed medications by the doctor for loose motion) and Peditrol ORS throughout the day (one liter). We are diluting five sachets of Peditrol ORS in one liter of water, consumed by her each day. She is accepting all forms of liquid as well. The doctor has advised for stool RE/CS/OBT and reducing substance. She also has lactose intolerance so we do not give her any milk products, only lactose-free substitutes like Isomil and Nestum and right now the doctor has said not to give breastmilk as well. The doctor gave SOS medicine as Bacigyl-N but looking at her report she is dead against to start the antibiotic. The issue is she is not improving in her stool and already four days have passed. She is average active (normally she is very hyper) and accepting food as well (in smaller proportion). I just weighed her, and she has lost 350 gm of weight. She is our first baby hence we are very tensed. Please advice best possible ways to make her fit. [/INST] Hi. Going through the history, it suggests that the child is in the treatment of acute gastroenteritis (AGE). Medicines are rightly prescribed. I would suggest no need for vomiting medicine now, as vomiting has stopped. Withhold Arbivit Forte (Cholecalciferol) till loose motions subside. The stool report does not warrant to start on antibiotics as it is near normal report except for reducing substance (attachment removed to protect patient identity). As most of the AGE is viral, where there is no role of antibiotics. Secondly, antibiotics can itself aggravate loose motion (antibiotic-associated diarrhea). The best thing is the child is accepting food/meal, which is a good sign.Though in small quantity, which shall improve over a period. Do not be in a hurry to look for quick results as the body takes its own time to recover. Make sure the child is passing adequate urine, and the tongue is moist, keep giving fluids and ORS (oral rehydration solution) as adviced by the doctors. AGE usually takes 7 to 10 days to recover. So, do not get tense. You can continue Zinconia (Zinc acetate) total for 14 days, Enterogermina and ORS medicine. You can add Enuff sachet (Racecadotril 10mg) half sachet twice a day for five days. I believe she will improve as she is on right medications and taking the meal. So relax. Meanwhile, no cold drinks/water, give lots of lukewarm water/homemade soups. For more information consult a child health specialist online -->
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Q. If I stop Isotretinoin, will my acne come back?
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Hi doctor, I have been taking a course of Isotretinoin for the past 20 days and I am really happy to have a clear skin. I do not want acne anymore. Just I am thinking if acne will come back after I finish the course of treatment. I am 25 years and suffering from acne for the past four years. I have taken many medicines, but nothing work permanently. My acne comes back as soon as I finish my antibiotic course.
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I have been taking a course of Isotretinoin for the past 20 days and I am really happy to have a clear skin. I do not want acne anymore. Just I am thinking if acne will come back after I finish the course of treatment. I am 25 years and suffering from acne for the past four years. I have taken many medicines, but nothing work permanently. My acne comes back as soon as I finish my antibiotic course. [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. I took three I-pills within two weeks. Will it have any side effects?
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Hi doctor, I am a 22 year old woman. I took three I-pill tablets within two weeks. Will it have any side effects? Are my chances of pregnancy low? Also, I have polycystic ovaries. Waiting for your answer.
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Hi. I-pill should not be taken more than once in a cycle. If you need to take it three times within two weeks, then it is better to take regular contraceptive pills for three weeks and repeat after a week gap. It will treat your polycystic disease and prevent pregnancy. Chances of pregnancy are low, but many I-pills may disturb the menstrual cycle. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 22 year old woman. I took three I-pill tablets within two weeks. Will it have any side effects? Are my chances of pregnancy low? Also, I have polycystic ovaries. Waiting for your answer. [/INST] Hi. I-pill should not be taken more than once in a cycle. If you need to take it three times within two weeks, then it is better to take regular contraceptive pills for three weeks and repeat after a week gap. It will treat your polycystic disease and prevent pregnancy. Chances of pregnancy are low, but many I-pills may disturb the menstrual cycle. For further queries consult an obstetrician and gynaecologist online -->
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Q. Is Adfar injection a better treatment option for ankylosing spondylitis?
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Hello doctor, My husband is suffering from ankylosing spondylitis, and he is under treatment since last year. His doctor has now suggested Adfrar 40 injections along with physiotherapy and belt. The doctor has also suggested halting swimming until further instructions. I am looking for a second opinion before going forward with this expensive treatment. These days he has been complaining of pain in the right leg. As per the doctor, this is due to problems in the spine. I have attached his spine MRI reports along with all current medication details. Please provide suggestions and opinions.
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Hello. All in all, you are in the right hands. Feel free to contact me for more queries. For further queries consult a rheumatologist online -->
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<s>[INST]
Hello doctor, My husband is suffering from ankylosing spondylitis, and he is under treatment since last year. His doctor has now suggested Adfrar 40 injections along with physiotherapy and belt. The doctor has also suggested halting swimming until further instructions. I am looking for a second opinion before going forward with this expensive treatment. These days he has been complaining of pain in the right leg. As per the doctor, this is due to problems in the spine. I have attached his spine MRI reports along with all current medication details. Please provide suggestions and opinions. [/INST] Hello. All in all, you are in the right hands. Feel free to contact me for more queries. For further queries consult a rheumatologist online -->
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Q. Why do I get recurrent urinary tract infection within short duration?
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Hello doctor, I have a urinary tract infection again. I had it two times within past two months. It is the second time. I took Sefdin, and megatas but still no improvement. Please assist me.
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Hi. I think there has to be some cause due to which you are having recurrent UTI (urinary tract infection). Do not worry, you will be alright. First I will write a prescription which you have to start. Tablet Levofloxacin 500 mg for five days. Syrup Alkamax /Citraalka 10 ml TDS for two weeks. Tablet Pyridium one tablet TDS for two weeks. Tablet Utwell/Cranpac (cranberry extract) twice a day for two weeks. Do a sitz bath twice a day for 15 minutes. After five days of Levofloxacin, you have to start tablet Niftas (Nitrofurantoin) 100 mg for four weeks. Next is you have to get some tests done. 1.Urine culture. 2. Ultrasound abdomen with PVRU (postvoid residual urine). 3. RFT (renal function test).
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<s>[INST]
Hello doctor, I have a urinary tract infection again. I had it two times within past two months. It is the second time. I took Sefdin, and megatas but still no improvement. Please assist me. [/INST] Hi. I think there has to be some cause due to which you are having recurrent UTI (urinary tract infection). Do not worry, you will be alright. First I will write a prescription which you have to start. Tablet Levofloxacin 500 mg for five days. Syrup Alkamax /Citraalka 10 ml TDS for two weeks. Tablet Pyridium one tablet TDS for two weeks. Tablet Utwell/Cranpac (cranberry extract) twice a day for two weeks. Do a sitz bath twice a day for 15 minutes. After five days of Levofloxacin, you have to start tablet Niftas (Nitrofurantoin) 100 mg for four weeks. Next is you have to get some tests done. 1.Urine culture. 2. Ultrasound abdomen with PVRU (postvoid residual urine). 3. RFT (renal function test).
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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. Please explain if my teeth pressure and pain are due to TMJ problem.
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Hi doctor, I had fillings done around two months ago. Two of my teeth with fillings started to hurt three days ago. Also, I had pain in my ears. However, I also had pressure and crackling going on in my both ears. I have had issues going on with my ears for a while, I have been on a decongestant from an ENT doctor and might need to have tubes placed. I also have TMJ problem. I am not sure if my ears are causing the pain in my teeth or vice versa. But, after increasing the dosage of the mucus D medication, it subsided the pain. The teeth pain was much better today. I have more fullness in my ears, and my jaw hurts. I feel pressure on both sides of my teeth. I used to have a mouthguard made by my dentist. After my wisdom teeth removal, other teeth got shifted, and the mouthguard does not fit any longer.
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Hi. I have read through your complaint and the relevant details. X-ray for TMJ if required. Fabrication of mouthguard. Avoid chewing on one side and biting hard food such as apple and guava. Instead, cut them into small pieces and chew it on comfortably. Follow up every four months with regards to the mouth guard. For further information consult a dentist online.--->
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<s>[INST]
Hi doctor, I had fillings done around two months ago. Two of my teeth with fillings started to hurt three days ago. Also, I had pain in my ears. However, I also had pressure and crackling going on in my both ears. I have had issues going on with my ears for a while, I have been on a decongestant from an ENT doctor and might need to have tubes placed. I also have TMJ problem. I am not sure if my ears are causing the pain in my teeth or vice versa. But, after increasing the dosage of the mucus D medication, it subsided the pain. The teeth pain was much better today. I have more fullness in my ears, and my jaw hurts. I feel pressure on both sides of my teeth. I used to have a mouthguard made by my dentist. After my wisdom teeth removal, other teeth got shifted, and the mouthguard does not fit any longer. [/INST] Hi. I have read through your complaint and the relevant details. X-ray for TMJ if required. Fabrication of mouthguard. Avoid chewing on one side and biting hard food such as apple and guava. Instead, cut them into small pieces and chew it on comfortably. Follow up every four months with regards to the mouth guard. For further information consult a dentist online.--->
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Q. My 1. 5 year old baby poured dettol antiseptic over his body. Please help.
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Hello doctor, My 1 year five month old baby poured Dettol antiseptic over his body. We washed it only after four hours. Later, we found a brown and burnt skin area around the genital organ. Please help.
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Hi. Dettol antiseptic does not cause any burn injury to the skin. It may be that your baby had this skin problem prior to this incident. Babies frequently have these kinds of rashes. Follow these steps: It will be cured in a week's time.
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<s>[INST]
Hello doctor, My 1 year five month old baby poured Dettol antiseptic over his body. We washed it only after four hours. Later, we found a brown and burnt skin area around the genital organ. Please help. [/INST] Hi. Dettol antiseptic does not cause any burn injury to the skin. It may be that your baby had this skin problem prior to this incident. Babies frequently have these kinds of rashes. Follow these steps: It will be cured in a week's time.
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Q. What can cause diffuse cerebral atrophy?
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Hi doctor, My sister is a 45 year old female. She had two episodes of unconsciousness. Her BP usually is normal at 80/58 mmHg and pulse 76 to 80 beats per minute. We got an MRI done which showed diffuse cerebral atrophy with chronic ischaemic changes. MRA normal with no flow limiting significant stenosis. I have attached the reports. Please guide.
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Hi. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor, My sister is a 45 year old female. She had two episodes of unconsciousness. Her BP usually is normal at 80/58 mmHg and pulse 76 to 80 beats per minute. We got an MRI done which showed diffuse cerebral atrophy with chronic ischaemic changes. MRA normal with no flow limiting significant stenosis. I have attached the reports. Please guide. [/INST] Hi. For further information consult a neurologist online -->
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Q. Can my single squint eye be corrected surgically?
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Hi doctor, I am a 20 year old male. I am having squint in my right eye. It is turned inwards by birth and I have no vision and also cannot see anything in my right eye. My left eye is 100% perfect. I met an eye specialist. He checked my squint and told that my vision is not recoverable. I have no pain or headache. I do not have any other health issues. I have not been taking any medicines or using spectacles too. Next year, I am planning to get married. My eye looks bad, but I am not worried about my vision even now as I have one eye to see the world. My main concern is can something be done to correct the squint? I just want both my eyes looking straight with eye movements like a normal human. Can my squint be corrected surgically just for cosmetic purpose? I have attached my eye photos and medical test reports for your reference. Kindly help me. It is a matter of my life. Without cosmetic eye correction, I cannot marry my girl. I am waiting for a positive response. Thank you.
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Hello. I have gone through the pictures of your eyes and old records (attachment removed to protect patient identity). For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I am a 20 year old male. I am having squint in my right eye. It is turned inwards by birth and I have no vision and also cannot see anything in my right eye. My left eye is 100% perfect. I met an eye specialist. He checked my squint and told that my vision is not recoverable. I have no pain or headache. I do not have any other health issues. I have not been taking any medicines or using spectacles too. Next year, I am planning to get married. My eye looks bad, but I am not worried about my vision even now as I have one eye to see the world. My main concern is can something be done to correct the squint? I just want both my eyes looking straight with eye movements like a normal human. Can my squint be corrected surgically just for cosmetic purpose? I have attached my eye photos and medical test reports for your reference. Kindly help me. It is a matter of my life. Without cosmetic eye correction, I cannot marry my girl. I am waiting for a positive response. Thank you. [/INST] Hello. I have gone through the pictures of your eyes and old records (attachment removed to protect patient identity). For further information consult an eye care ophthalmologist online -->
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Q. After removing chalazion, the bump is still present. What to do?
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Hi doctor, I had a chalazion on my lower lid and it was removed about a month ago. But, the bump still has not gone away and has the slight redness on it. Also, when I was having it removed; my doctor said that I have blepharitis. But, my eyes do not hurt and the eyelids are not red. When my chalazion will fully go away and flatten? Will I ever be able to wear eye makeup again? Because, it is something without which I do not feel confident. This has really been depressing me a lot.
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Hi. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I had a chalazion on my lower lid and it was removed about a month ago. But, the bump still has not gone away and has the slight redness on it. Also, when I was having it removed; my doctor said that I have blepharitis. But, my eyes do not hurt and the eyelids are not red. When my chalazion will fully go away and flatten? Will I ever be able to wear eye makeup again? Because, it is something without which I do not feel confident. This has really been depressing me a lot. [/INST] Hi. For further information consult an eye care ophthalmologist online -->
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Q. What does abutment of the nerve root mean?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Q. My mom gets hyper for no reason. What could be the cause?
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Hello doctor,My mother gets hyper for no reason. She keeps repeating things over and over again. She gets too upset easily. She has a high blood pressure, thyroid problems, as well as migraine. But, she takes medicines only for her thyroid issues. Can you tell me what she should do?
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Hello. Symptoms you described could be part of a depressive disorder. It is difficult to confirm with out knowing more details. Kindly read the questions I have asked and reply. for more information consult a psychiatrist online -->
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<s>[INST]
Hello doctor,My mother gets hyper for no reason. She keeps repeating things over and over again. She gets too upset easily. She has a high blood pressure, thyroid problems, as well as migraine. But, she takes medicines only for her thyroid issues. Can you tell me what she should do? [/INST] Hello. Symptoms you described could be part of a depressive disorder. It is difficult to confirm with out knowing more details. Kindly read the questions I have asked and reply. for more information consult a psychiatrist online -->
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Q. Is orchiectomy necessary for testis torsion?
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Hi doctor, I am in need of your help. I had torsion in the left testis; however, it cannot be treated within the time. Now, 12-15 days has already passed. The doctor has suggested for orchiectomy (removal of the left testis) and fixing of right testis. Is orchiectomy necessary? What are the other things I should consult? What are side effects? Is there any other alternative to this? If I did not get orchiectomy, will it cause any negative impact?
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Hi. Doppler USG of scrotum. Left orchiectomy with right orchidopexy. Revert with the details to a urologist online.--->
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<s>[INST]
Hi doctor, I am in need of your help. I had torsion in the left testis; however, it cannot be treated within the time. Now, 12-15 days has already passed. The doctor has suggested for orchiectomy (removal of the left testis) and fixing of right testis. Is orchiectomy necessary? What are the other things I should consult? What are side effects? Is there any other alternative to this? If I did not get orchiectomy, will it cause any negative impact? [/INST] Hi. Doppler USG of scrotum. Left orchiectomy with right orchidopexy. Revert with the details to a urologist online.--->
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Q. My 2. 6 months old baby is having loose motions. What could be the reason?
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Hi doctor, My baby is 2.6 months old. He is suffering from loose motions for the past three days. The stools are watery. He is currently on Enzylac syrup, Dexolac dry milk, Racigyl-O syrup and Bacillus clausii spores suspension -Tufpro. Please help us.
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Hi. For further information consult a paediatrician online -->
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<s>[INST]
Hi doctor, My baby is 2.6 months old. He is suffering from loose motions for the past three days. The stools are watery. He is currently on Enzylac syrup, Dexolac dry milk, Racigyl-O syrup and Bacillus clausii spores suspension -Tufpro. Please help us. [/INST] Hi. For further information consult a paediatrician online -->
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Q. Our baby seems to have continuous weight loss. Please help.
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Hello doctor, Our baby is 2 weeks 1 day old. Her weight at birth was 3.2 kg, after 1 week it was 2.9 kg and today it is 2.6 kg. She seems to have continuous weight loss. We are really worried. She has been completely breastfed. She used to have 3 to 4 wet diapers during daytime and 2 to 3 wet diapers at night. She passes stools once or twice in 24 hours. Our doctor advised us to start formula feeding. Will it really help to increase her weight? Can you please guide us how serious is her weight loss?
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Hi. To begin with, 3.2 kg at birth is good weight for your baby. Revert back with the reports to a paediatrician online for further follow up -->
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<s>[INST]
Hello doctor, Our baby is 2 weeks 1 day old. Her weight at birth was 3.2 kg, after 1 week it was 2.9 kg and today it is 2.6 kg. She seems to have continuous weight loss. We are really worried. She has been completely breastfed. She used to have 3 to 4 wet diapers during daytime and 2 to 3 wet diapers at night. She passes stools once or twice in 24 hours. Our doctor advised us to start formula feeding. Will it really help to increase her weight? Can you please guide us how serious is her weight loss? [/INST] Hi. To begin with, 3.2 kg at birth is good weight for your baby. Revert back with the reports to a paediatrician online for further follow up -->
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Q. Is factor V Leiden mutation related to any health issues?
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Hello doctor, These are my daughter's bloodwork results that were done nine months back. I was never told about any of these results until I recently asked for copies of her medical record. This year she had irregular and heavy menstrual bleeding and developed a large hemorrhagic ovarian cyst with torsion, which had to be removed/corrected with surgery. Now, she is on Tylenol, multivitamins, omega 3 supplements, Colace (Docusate sodium) for constipation after surgery. Do these results show her to be at risk for any other issues/health problems? Should I seek a second opinion? Prothrombin Time: 13 seconds Activated Partial Thromboplastin Time: 32.6 seconds Functional Protein S: 61% (L) Free Protein S: 92% Total Protein S: 106% Functional Antithrombin III: 140% (H) Factor V Leiden mutation: single R506Q mutation identified (heterozygote) (H) Coagulation Factor VIII Activity: 116% Von Willebrand Factor: 133%
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Hello. Protein S deficiency causes an increased risk of developing blood clotting disorders mainly thrombosis. It can be hereditary or acquired. Acquired protein S deficiency is seen in liver disease or vitamin K deficiency. Your daughter is heterozygous for factor V Leiden mutation which further increases the risk of thrombosis and developing clots. It is advisable that you consult with a hematologist to determine if she might require any monitoring or prophylaxis. For more information consult a hematologist online -->
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<s>[INST]
Hello doctor, These are my daughter's bloodwork results that were done nine months back. I was never told about any of these results until I recently asked for copies of her medical record. This year she had irregular and heavy menstrual bleeding and developed a large hemorrhagic ovarian cyst with torsion, which had to be removed/corrected with surgery. Now, she is on Tylenol, multivitamins, omega 3 supplements, Colace (Docusate sodium) for constipation after surgery. Do these results show her to be at risk for any other issues/health problems? Should I seek a second opinion? Prothrombin Time: 13 seconds Activated Partial Thromboplastin Time: 32.6 seconds Functional Protein S: 61% (L) Free Protein S: 92% Total Protein S: 106% Functional Antithrombin III: 140% (H) Factor V Leiden mutation: single R506Q mutation identified (heterozygote) (H) Coagulation Factor VIII Activity: 116% Von Willebrand Factor: 133% [/INST] Hello. Protein S deficiency causes an increased risk of developing blood clotting disorders mainly thrombosis. It can be hereditary or acquired. Acquired protein S deficiency is seen in liver disease or vitamin K deficiency. Your daughter is heterozygous for factor V Leiden mutation which further increases the risk of thrombosis and developing clots. It is advisable that you consult with a hematologist to determine if she might require any monitoring or prophylaxis. For more information consult a hematologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Will Nano-Leo give permanent solution for erection problem?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. Can bone metastasis disappear after chemo treatment?
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Hi doctor, I had chemo treatment for stage 4 breast cancer with bone metastasis. I have attached the PET scan reports. My last bone scan does not show any abnormality. Does that mean cancer has gone away or has stopped growing? Would you say the amount of location is significant or normal for BC with spread to bone metastasis? What should I be worried about most? I have been on Femara (Letrozole), but had severe reactions such as stumbling, aches, pains and I am going to switch to Tamoxifen from next week. Should I be concerned about this?
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Hi. I saw your Positron Emission Tomography PET scan report (attachment removed to protect patient identity). If I was your oncologist, I would be very satisfied with the report. Bone metastasis cannot completely disappear after treatment. They become less prominent. As I have mentioned, it is a very satisfying result for the treating doctor. Regarding reaction to Femara (Letrozole), normally it is very safe drug, but reactions can occur in rare cases. Tamoxifen (Nolvadex) is also a very effective drug. Your oncologist might try again Femara after one to two years or even earlier. I think your treatment is on right track. Follow the instructions of your oncologist. All the best. For further information consult a medical oncologist online -->
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<s>[INST]
Hi doctor, I had chemo treatment for stage 4 breast cancer with bone metastasis. I have attached the PET scan reports. My last bone scan does not show any abnormality. Does that mean cancer has gone away or has stopped growing? Would you say the amount of location is significant or normal for BC with spread to bone metastasis? What should I be worried about most? I have been on Femara (Letrozole), but had severe reactions such as stumbling, aches, pains and I am going to switch to Tamoxifen from next week. Should I be concerned about this? [/INST] Hi. I saw your Positron Emission Tomography PET scan report (attachment removed to protect patient identity). If I was your oncologist, I would be very satisfied with the report. Bone metastasis cannot completely disappear after treatment. They become less prominent. As I have mentioned, it is a very satisfying result for the treating doctor. Regarding reaction to Femara (Letrozole), normally it is very safe drug, but reactions can occur in rare cases. Tamoxifen (Nolvadex) is also a very effective drug. Your oncologist might try again Femara after one to two years or even earlier. I think your treatment is on right track. Follow the instructions of your oncologist. All the best. For further information consult a medical oncologist online -->
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Q. Why am I losing more hair in the crown region?
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Hello doctor, I am a 37 year old woman. I weigh 70 kg and my height is 5 feet 4 inches. I am facing severe hairfall problem. I can see the roots coming out with the hair. I am a working professional, had premature graying so I used to apply color to cover gray. Last year I had Adgain capsules and used Anaphase shampoo for hairfall. But the problem of hairfall started again now. Should I go for any tests? Thank you.
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Hi. I appreciate your question. Revert back with the reports to a dermatologist online -->
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<s>[INST]
Hello doctor, I am a 37 year old woman. I weigh 70 kg and my height is 5 feet 4 inches. I am facing severe hairfall problem. I can see the roots coming out with the hair. I am a working professional, had premature graying so I used to apply color to cover gray. Last year I had Adgain capsules and used Anaphase shampoo for hairfall. But the problem of hairfall started again now. Should I go for any tests? Thank you. [/INST] Hi. I appreciate your question. Revert back with the reports to a dermatologist online -->
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Q. Can my baby still have her shots if she has a fever?
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Hello doctor, My daughter is a month and a half. Her 2-month appointment for her shots is due very soon. But, she had been coughing a little and sneezing since about two days ago. She felt a little warm today and I took her underarm temperature and it was 99.2. I am a first-time mother. Should I take her to the doctor?
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Hello. For further queries consult a paediatrician online -->
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<s>[INST]
Hello doctor, My daughter is a month and a half. Her 2-month appointment for her shots is due very soon. But, she had been coughing a little and sneezing since about two days ago. She felt a little warm today and I took her underarm temperature and it was 99.2. I am a first-time mother. Should I take her to the doctor? [/INST] Hello. For further queries consult a paediatrician online -->
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Q. I have lack of concentration, memory problems and negative thoughts. Please help
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Hello doctor, I have symptoms related to the mind and body. I have no clarity in thinking. I cannot make any decisions. Even if I do, the moment I make the decision, I get negative thoughts and a sudden jerk in my mind with a sensation of fear. Also, I have on and off memory issues. It appears fine some days and on others, I have a difficulty with memory retention. I am very prone to irritation, interruption of thoughts, cannot think clearly, confusion in mind, low mental stamina, unable to focus, no concentration, loss of conscious mind, on and off slurred speech, mild depression andsevere headache. This ache covers my mind so that I cannot think anything and it stresses me out.I am a spiritual person. But, these problems are not allowing me to experience any spiritual knowledge. The knowledge I experience now will not stay with me after a few days. On some days, I will not have any of these issues and feel all fine, but then again after some time, it recurs.I had experienced these problems last year when I had a B12 deficiency and got cured when the levels were treated. But, this time after taking so many B12 supplements still the problems are not resolving. I have digestion issues as well. From around five months, I am experiencing this issue. Still, the issue persists and it takes lot of time to digest food and other problems. My gastro confirmed that there are no structural issues with my GI tract, and gave medicines for indigestion, but there is not much of an improvement till date. I have a fissure in the center of the tongue. Earlier, it was small and now it has become big. I also have back pain, body pains, and nerve pains, small sores in the side walls of mouth, small dots on the tip of the tongue, anal itching, burning sensation in the anus after passing stools, a yellowish coating on the tongue, low sexual interest, and premature ejaculation. I am unable to gain weight as well. All these problems started last year. I have consulted several doctors but did not obtain a proper cure till date. One doctor here asked me to consult a psychiatrist. So, you are my hope.
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Hello.I read your query with keen interest and understand your concerns. Regarding the attached reports (attachment removed to protect patient identity), I like to comment on the following things. I hope this helps you. Feel free to write back to me if you have more questions. For more information consult an andrologist online -->
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<s>[INST]
Hello doctor, I have symptoms related to the mind and body. I have no clarity in thinking. I cannot make any decisions. Even if I do, the moment I make the decision, I get negative thoughts and a sudden jerk in my mind with a sensation of fear. Also, I have on and off memory issues. It appears fine some days and on others, I have a difficulty with memory retention. I am very prone to irritation, interruption of thoughts, cannot think clearly, confusion in mind, low mental stamina, unable to focus, no concentration, loss of conscious mind, on and off slurred speech, mild depression andsevere headache. This ache covers my mind so that I cannot think anything and it stresses me out.I am a spiritual person. But, these problems are not allowing me to experience any spiritual knowledge. The knowledge I experience now will not stay with me after a few days. On some days, I will not have any of these issues and feel all fine, but then again after some time, it recurs.I had experienced these problems last year when I had a B12 deficiency and got cured when the levels were treated. But, this time after taking so many B12 supplements still the problems are not resolving. I have digestion issues as well. From around five months, I am experiencing this issue. Still, the issue persists and it takes lot of time to digest food and other problems. My gastro confirmed that there are no structural issues with my GI tract, and gave medicines for indigestion, but there is not much of an improvement till date. I have a fissure in the center of the tongue. Earlier, it was small and now it has become big. I also have back pain, body pains, and nerve pains, small sores in the side walls of mouth, small dots on the tip of the tongue, anal itching, burning sensation in the anus after passing stools, a yellowish coating on the tongue, low sexual interest, and premature ejaculation. I am unable to gain weight as well. All these problems started last year. I have consulted several doctors but did not obtain a proper cure till date. One doctor here asked me to consult a psychiatrist. So, you are my hope. [/INST] Hello.I read your query with keen interest and understand your concerns. Regarding the attached reports (attachment removed to protect patient identity), I like to comment on the following things. I hope this helps you. Feel free to write back to me if you have more questions. For more information consult an andrologist online -->
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Q. Please suggest some medicines for my wife's UTI and hematuria.
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Hi doctor, My 31 year old wife got UTI and hematuria last year, which got resolved after medication. Today she started having UTI symptoms like frequent urination with burning and pain. Please suggest some medicines.
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Hi. Revert with more information to a urologist online -->
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<s>[INST]
Hi doctor, My 31 year old wife got UTI and hematuria last year, which got resolved after medication. Today she started having UTI symptoms like frequent urination with burning and pain. Please suggest some medicines. [/INST] Hi. Revert with more information to a urologist online -->
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Q. Can I take an emergency pill if I am taking medicines for PCOD?
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Hello doctor,I am a 25 year old female, diagnosed with PCOD. Since last week, I am taking tablet Normoz for that. I had unprotected sex today, that is, on the 14th day of my menstrual cycle. I took the Unwanted-72 pill within one hour. What are the chances of conceiving? Can I get pregnant? Please help?
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Hello. I have gone through your history and understand your concerns. Hope you found this useful. Good luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am a 25 year old female, diagnosed with PCOD. Since last week, I am taking tablet Normoz for that. I had unprotected sex today, that is, on the 14th day of my menstrual cycle. I took the Unwanted-72 pill within one hour. What are the chances of conceiving? Can I get pregnant? Please help? [/INST] Hello. I have gone through your history and understand your concerns. Hope you found this useful. Good luck. For more information consult an obstetrician and gynaecologist online -->
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Q. I have poor digestion, bad appetite, and feel nauseous. Please help.
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Hello doctor, I am a 35 year old male, and I am 155 cm tall and weigh 36 kg. I feel that my digestion is very slow from the past 13 years. I am often constipated, and my appetite is bad. I feel nauseous, burp a lot, and find it hard to digest sweet. I tried taking Rabeprazole and enzymes for this problem, but I have not tried taking any medication continuously.
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Hi. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I am a 35 year old male, and I am 155 cm tall and weigh 36 kg. I feel that my digestion is very slow from the past 13 years. I am often constipated, and my appetite is bad. I feel nauseous, burp a lot, and find it hard to digest sweet. I tried taking Rabeprazole and enzymes for this problem, but I have not tried taking any medication continuously. [/INST] Hi. For more information consult an ayurveda specialist online -->
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Q. Why is my platelet count high and Hb percentage low?
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Hello doctor, My platelet count is higher 5,01,000 and my Hb is 9.2 gm %. I am very sick. What is the reason and is there any big problem in future? My age is 33 years and I am a female.
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Hello. It does not appear to be a matter of worry. You may have symptoms like easy fatigue, shortness of breath and palpitations, due to low hemoglobin. Do you have any symptoms other than what I mentioned above? Do you have a fever, weight loss, etc? Likely cause for the changes in blood parameters is iron deficiency. You may get it confirmed by doing iron profile test. Alternatively, you get started yourself on iron supplements as in all probabilities it is iron deficiency only. So, you should be started on tablet Fericip XT (Iron and Folic acid) twice a day after breakfast and dinner. This has to be continued till hemoglobin is corrected. So get it started and repeat hemoglobin and platelets after four weeks. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, My platelet count is higher 5,01,000 and my Hb is 9.2 gm %. I am very sick. What is the reason and is there any big problem in future? My age is 33 years and I am a female. [/INST] Hello. It does not appear to be a matter of worry. You may have symptoms like easy fatigue, shortness of breath and palpitations, due to low hemoglobin. Do you have any symptoms other than what I mentioned above? Do you have a fever, weight loss, etc? Likely cause for the changes in blood parameters is iron deficiency. You may get it confirmed by doing iron profile test. Alternatively, you get started yourself on iron supplements as in all probabilities it is iron deficiency only. So, you should be started on tablet Fericip XT (Iron and Folic acid) twice a day after breakfast and dinner. This has to be continued till hemoglobin is corrected. So get it started and repeat hemoglobin and platelets after four weeks. For more information consult an internal medicine physician online -->
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Q. How should I control my BP in winter?
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Hi doctor, I am a 35 year old male. In winter, My BP increases to around 160/105 mmHg; however, in summer, it is normal at 130/90 mmHg. I do not feel any problems yet such as headache. Now, I feel some shortness of breath. How should I control my BP in winter season? I have already started taking less salt and eating raw garlic in the morning. I have not taken any medicines, yet to control BP. I do not want to start any regular medicines at this age. In my family, my mother also has high BP. Please tell me some ways to cure or control my BP. Here are my details. Height - 5 feet 9 inches, weight - 69 kg, body fat - normal, BMI - normal, kidney function test - normal and ECG - normal. My lipid profile is on the higher side, but not very high. Only HDL and LDL are out of range. HDL - 34 mg/dL and LDL - 114 mg/dL. All other things are in the range, but on the higher side.
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Hello. I had gone through all the details posted. Kindly confirm whether your blood pressure is raised during winter by repeated BP recordings. Before BP recording you should not take any hit beverage, smoking and be calm. If you have any doubt, then go for ambulatory blood pressure monitoring as they can confirm whether you have hypertension or not. Once if you are diagnosed as HTN (hypertension - high blood pressure), then first is the therapeutic lifestyle changes like low salt diet, avoid tea and coffee, regular physical exercise, take more fruits and vegetables. The above measures can decrease BP by at least 10 mmHg. We can try the non-pharmacological management for two to three weeks. If the pressure did not come down, then we need to start medication. It is better to start tablet Cilnidipine 5 mg in the morning, if medication is required. Please discuss my opinion with your doctor and take the medicine with consent. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a 35 year old male. In winter, My BP increases to around 160/105 mmHg; however, in summer, it is normal at 130/90 mmHg. I do not feel any problems yet such as headache. Now, I feel some shortness of breath. How should I control my BP in winter season? I have already started taking less salt and eating raw garlic in the morning. I have not taken any medicines, yet to control BP. I do not want to start any regular medicines at this age. In my family, my mother also has high BP. Please tell me some ways to cure or control my BP. Here are my details. Height - 5 feet 9 inches, weight - 69 kg, body fat - normal, BMI - normal, kidney function test - normal and ECG - normal. My lipid profile is on the higher side, but not very high. Only HDL and LDL are out of range. HDL - 34 mg/dL and LDL - 114 mg/dL. All other things are in the range, but on the higher side. [/INST] Hello. I had gone through all the details posted. Kindly confirm whether your blood pressure is raised during winter by repeated BP recordings. Before BP recording you should not take any hit beverage, smoking and be calm. If you have any doubt, then go for ambulatory blood pressure monitoring as they can confirm whether you have hypertension or not. Once if you are diagnosed as HTN (hypertension - high blood pressure), then first is the therapeutic lifestyle changes like low salt diet, avoid tea and coffee, regular physical exercise, take more fruits and vegetables. The above measures can decrease BP by at least 10 mmHg. We can try the non-pharmacological management for two to three weeks. If the pressure did not come down, then we need to start medication. It is better to start tablet Cilnidipine 5 mg in the morning, if medication is required. Please discuss my opinion with your doctor and take the medicine with consent. For further information consult an internal medicine physician online -->
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Q. Should my Thyronorm dosage be altered as I feel dizzy and weak?
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Hello doctor,My TSH level is 0.056. I am at present taking Thyronorm 75 mcg as I have been suffering from hypothyroidism before. At present, I have low blood pressure and I feel dizzy and weak.
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Hello. I read your query and from what you have mentioned it appears that you have overcorrected hypothyroidism. I suggest that you decrease the dose of Thyronorm to 50 mcg once daily. Repeat your thyroid function test after six weeks and then we will review again. Also, you have urinary tract infection and therefore maybe you can be dizzy and weak. If you do not have any drug allergy then you can take tablet Cefuroxime 500 mg twice a day for five days. You can also take tablet Paracetamol 500 mg thrice a day for three days. Consult your specialist doctor, discuss with him or her and with their consent take all the medicines. Drink eight to 10 glasses of water daily. For more information consult an endocrinologist online -->
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<s>[INST]
Hello doctor,My TSH level is 0.056. I am at present taking Thyronorm 75 mcg as I have been suffering from hypothyroidism before. At present, I have low blood pressure and I feel dizzy and weak. [/INST] Hello. I read your query and from what you have mentioned it appears that you have overcorrected hypothyroidism. I suggest that you decrease the dose of Thyronorm to 50 mcg once daily. Repeat your thyroid function test after six weeks and then we will review again. Also, you have urinary tract infection and therefore maybe you can be dizzy and weak. If you do not have any drug allergy then you can take tablet Cefuroxime 500 mg twice a day for five days. You can also take tablet Paracetamol 500 mg thrice a day for three days. Consult your specialist doctor, discuss with him or her and with their consent take all the medicines. Drink eight to 10 glasses of water daily. For more information consult an endocrinologist online -->
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Q. Every time I eat spicy food, I poop blood. Why?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. My problem is hair loss. The doctor gave medication of minoxidil and finax
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Hi doctor, I am having hair loss problem and now it is in starting stage. I have consulted a doctor for this. He suggested Minoxidil and Finax. I would like to get a second opinion from you.
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Hi. For further doubts consult a dermatologist online -->
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<s>[INST]
Hi doctor, I am having hair loss problem and now it is in starting stage. I have consulted a doctor for this. He suggested Minoxidil and Finax. I would like to get a second opinion from you. [/INST] Hi. For further doubts consult a dermatologist online -->
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Q. Is surgery necessary in treating varicocele?
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Hi doctor, I am a 35 year old male, who is suffering from infertility. I got married three years back, and we have tried to conceive ever since. Recently, I consulted a urologist here, and he asked me to get a semen, Doppler scrotal, and thyroid tests done. I am attaching the reports. I took the scans and consulted him again. The sperm count is 1 million, and one year back it was around 9 million. My right testis volume is 10, and the left testis volume is 8. I do not have any thyroid problem, sugar, or BP issues. After seeing my reports, the doctor told me to go for varicocele operation. I would like to know if this is a major issue? Do I really need to go for this operation? Can this be cured without surgery? Please let me know your suggestions on this. Thank you.
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Hi. I read your query and understand your concerns about low sperm count and bilateral varicocele. I hope this answers you. Feel free to write back to me if you have more questions. Thanks and regards. For more information consult a sexologist online -->
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<s>[INST]
Hi doctor, I am a 35 year old male, who is suffering from infertility. I got married three years back, and we have tried to conceive ever since. Recently, I consulted a urologist here, and he asked me to get a semen, Doppler scrotal, and thyroid tests done. I am attaching the reports. I took the scans and consulted him again. The sperm count is 1 million, and one year back it was around 9 million. My right testis volume is 10, and the left testis volume is 8. I do not have any thyroid problem, sugar, or BP issues. After seeing my reports, the doctor told me to go for varicocele operation. I would like to know if this is a major issue? Do I really need to go for this operation? Can this be cured without surgery? Please let me know your suggestions on this. Thank you. [/INST] Hi. I read your query and understand your concerns about low sperm count and bilateral varicocele. I hope this answers you. Feel free to write back to me if you have more questions. Thanks and regards. For more information consult a sexologist online -->
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Q. Is it safe to take Carbamazepine while breastfeeding?
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Hi doctor, I am a mother of 1 month old baby, who is exclusively breastfed. My baby is healthy and gaining normal weight. The problem is that he sleeps a lot. I have been taking Carbamazepine and Eslicarbazepine tablets for partial seizures. Are these tablets safe while breastfeeding? When I consulted my neurologist, he said that they are safe as long as your baby is healthy and developing normally. But, I am worried about his sleep patterns. Should I think about switching to formula milk?
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Hi. For further information consult a lactation counselor online -->
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<s>[INST]
Hi doctor, I am a mother of 1 month old baby, who is exclusively breastfed. My baby is healthy and gaining normal weight. The problem is that he sleeps a lot. I have been taking Carbamazepine and Eslicarbazepine tablets for partial seizures. Are these tablets safe while breastfeeding? When I consulted my neurologist, he said that they are safe as long as your baby is healthy and developing normally. But, I am worried about his sleep patterns. Should I think about switching to formula milk? [/INST] Hi. For further information consult a lactation counselor online -->
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Q. My wife has spotting. There are no signs of pregnancy. Can this be the side effect of ipill?
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Hello doctor, Me and my wife had sex on 12th January and she took ipill on 13th January. She had her periods on 21st January. We again had sex on 25th January and 10th February with protection (condoms). On the 10th evening some spotting started and it stopped on 17th February. The spotting was dark brownish color when it started and ended with bright red color. There are no signs of pregnancy till now. Can this be the side effect of ipill or is there a chance of pregnancy?
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Hello. The bleeding due to menses on 21st January after ipill confirmatively rules out pregnancy which could have occurred due to sex on 13th January. The repeat sexual intercourse held on 25th January (she was in her safe period and hence pregnancy is unlikely) and then 10th February (this time she was in her fertile period) might result in pregnancy. But you have had protected sexual intercourse. Chances of pregnancy are minimal and the spotting is unlikely to be an implantation bleed. The spotting is more likely to be a breakthrough bleeding which is possibly due to the side effects of ipill which is known to cause irregularity in menses for the next 2 cycles. However, the best way to confirm or negate pregnancy would be to opt for a serum beta hCG test. This test if positive shall confirm pregnancy and if the levels are less than 1, then pregnancy is ruled out completely. This shall allay your anxiety. Revert back to an obstetrician and gynaecologist online for further follow up -->
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<s>[INST]
Hello doctor, Me and my wife had sex on 12th January and she took ipill on 13th January. She had her periods on 21st January. We again had sex on 25th January and 10th February with protection (condoms). On the 10th evening some spotting started and it stopped on 17th February. The spotting was dark brownish color when it started and ended with bright red color. There are no signs of pregnancy till now. Can this be the side effect of ipill or is there a chance of pregnancy? [/INST] Hello. The bleeding due to menses on 21st January after ipill confirmatively rules out pregnancy which could have occurred due to sex on 13th January. The repeat sexual intercourse held on 25th January (she was in her safe period and hence pregnancy is unlikely) and then 10th February (this time she was in her fertile period) might result in pregnancy. But you have had protected sexual intercourse. Chances of pregnancy are minimal and the spotting is unlikely to be an implantation bleed. The spotting is more likely to be a breakthrough bleeding which is possibly due to the side effects of ipill which is known to cause irregularity in menses for the next 2 cycles. However, the best way to confirm or negate pregnancy would be to opt for a serum beta hCG test. This test if positive shall confirm pregnancy and if the levels are less than 1, then pregnancy is ruled out completely. This shall allay your anxiety. Revert back to an obstetrician and gynaecologist online for further follow up -->
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Q. What are the physical changes that come with aging?
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Hi doctor, My mother is around 60 years but she looks older than her age. The skin of her face and body is shrinking very fast. And, she feels sleepy whenever she sits up for a long period of ten minutes or more. Please help.
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Hi. At her age, cellular aging can speed up depending on her overall health. If she has any underlying chronic disease or if she has a deficiency of essential minerals and micronutrients, all these can speed up the aging process. However at her age, fatigue or excessive tiredness judging from the fact that she falls asleep frequently, must be evaluated thoroughly. Please provide more details as to whether she has any disease or chronic conditions. Also, let me know if she can sleep at night or if there is any recent history of weight loss, etc. If yes then thorough investigation is needed to rule out any underlying pathology. Please give me more details and get the following investigations done primarily. Revert with more information to a family physician online.--->
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<s>[INST]
Hi doctor, My mother is around 60 years but she looks older than her age. The skin of her face and body is shrinking very fast. And, she feels sleepy whenever she sits up for a long period of ten minutes or more. Please help. [/INST] Hi. At her age, cellular aging can speed up depending on her overall health. If she has any underlying chronic disease or if she has a deficiency of essential minerals and micronutrients, all these can speed up the aging process. However at her age, fatigue or excessive tiredness judging from the fact that she falls asleep frequently, must be evaluated thoroughly. Please provide more details as to whether she has any disease or chronic conditions. Also, let me know if she can sleep at night or if there is any recent history of weight loss, etc. If yes then thorough investigation is needed to rule out any underlying pathology. Please give me more details and get the following investigations done primarily. Revert with more information to a family physician online.--->
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. Please suggest homeopathy medicine for urticaria.
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Hi doctor, I am a 30 year old male. Recently, I have been diagnosed with having urticaria (burning, itching sensations throughout the body from head to toe). It started out in an acute way but is turning out to be chronic. It has been more than two and a half months and I am still suffering from it. FYI, my blood test is very clean and good. PFA. In the past two months, I have been using Bepozic tablet twice or thrice a day on a dermatologist's advice, but all I observed is that medicine is just soothing me a bit from having any itches but is not fighting with the root cause of it. For that reason, I keep getting this burning itching sensation again and again if I stop taking the medicines and on the other hand, I do not want to run myself on medication for months and years. I researched a bit online and surprisingly, found out that allopathy has no perfect cure for it but homeopathy does. That is the reason I wanted to try homeopathy treatment this time. Here are my following questions: I read that homeopathy treatment takes a while to cure. So, can I use these Bepozic (antihistamine) tablets twice a day, so that I do not have to worry about itching? Is it safe to use homeopathy medicines with other generic medicines like Paracetamol, Cetirizine, Benadryl, etc.? I just want to be sure if I can take them along with homeopathy medicines, just in case I encounter any of those in the near future? How long does this treatment take to cure, from your past experiences or consultations?
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Hello. I have seen your reports (attachment removed to protect patient identity), your thyroid profile is normal, and serum triglycerides level is a little bit high. For urticaria, in homeopathy, we have best remedies. So, you need not worry about your problem. Your blood reports are not related to your problem. While using homeopathy, you need not use antihistamine medicines. Homeopathy can solve your problem. Homeopathy is the best and no side effects. And along with allopathic medicines you can use homeopathic medicines. Due to urticaria, the eruptions like hives occur. The range of size from a few millimeters to several inches in diameter. It is caused by allergic reaction. You may have acute urticaria. Before getting this problem, have you used any medicines for other problem? Some foods also cause urticaria. Some bacteria like streptococcus and Helicobacter pylori also cause urticaria. Symptoms of urticaria are intense itching, burning, and sense of heat. According to your symptoms, the homeopathic drug ARS ALB 200 is the best remedy. I suggest 10 pills once for three days only. For more information consult a homeopathic physician online -->
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<s>[INST]
Hi doctor, I am a 30 year old male. Recently, I have been diagnosed with having urticaria (burning, itching sensations throughout the body from head to toe). It started out in an acute way but is turning out to be chronic. It has been more than two and a half months and I am still suffering from it. FYI, my blood test is very clean and good. PFA. In the past two months, I have been using Bepozic tablet twice or thrice a day on a dermatologist's advice, but all I observed is that medicine is just soothing me a bit from having any itches but is not fighting with the root cause of it. For that reason, I keep getting this burning itching sensation again and again if I stop taking the medicines and on the other hand, I do not want to run myself on medication for months and years. I researched a bit online and surprisingly, found out that allopathy has no perfect cure for it but homeopathy does. That is the reason I wanted to try homeopathy treatment this time. Here are my following questions: I read that homeopathy treatment takes a while to cure. So, can I use these Bepozic (antihistamine) tablets twice a day, so that I do not have to worry about itching? Is it safe to use homeopathy medicines with other generic medicines like Paracetamol, Cetirizine, Benadryl, etc.? I just want to be sure if I can take them along with homeopathy medicines, just in case I encounter any of those in the near future? How long does this treatment take to cure, from your past experiences or consultations? [/INST] Hello. I have seen your reports (attachment removed to protect patient identity), your thyroid profile is normal, and serum triglycerides level is a little bit high. For urticaria, in homeopathy, we have best remedies. So, you need not worry about your problem. Your blood reports are not related to your problem. While using homeopathy, you need not use antihistamine medicines. Homeopathy can solve your problem. Homeopathy is the best and no side effects. And along with allopathic medicines you can use homeopathic medicines. Due to urticaria, the eruptions like hives occur. The range of size from a few millimeters to several inches in diameter. It is caused by allergic reaction. You may have acute urticaria. Before getting this problem, have you used any medicines for other problem? Some foods also cause urticaria. Some bacteria like streptococcus and Helicobacter pylori also cause urticaria. Symptoms of urticaria are intense itching, burning, and sense of heat. According to your symptoms, the homeopathic drug ARS ALB 200 is the best remedy. I suggest 10 pills once for three days only. For more information consult a homeopathic physician online -->
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Q. How can rashes coupled with severe itching on the legs and arms be treated?
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Hello doctor, I am a 35-year-old female and I have rashes on my legs, arms, and armpits with severe itching. I have no fever or difficulty breathing. I have had allergies but never this serious. I am currently on Allegra, Zentel, Xevor, and Moisturex. It has gotten worse in the last three days. Please help.
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Hello. I think right now you are having an urticarial rash. I suggest you take tablet Cetirizine 10 mg at night for seven days. This may induce sleep but there is nothing to worry about that. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Also, apply Clobetasol lotion and Provate lotion (Clotrimazole, Betamethasone, and Neomycin) on your body lesions two times daily for seven days. Apart from the above two treatments try to avoid spicy foods, eggs, chicken or meat for a few days. Urticaria sometimes may be due to insect bites or drugs as well. Please let me know if you have taken any medicine before the rash appeared like painkillers or any other drug for any illness. Regards. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I am a 35-year-old female and I have rashes on my legs, arms, and armpits with severe itching. I have no fever or difficulty breathing. I have had allergies but never this serious. I am currently on Allegra, Zentel, Xevor, and Moisturex. It has gotten worse in the last three days. Please help. [/INST] Hello. I think right now you are having an urticarial rash. I suggest you take tablet Cetirizine 10 mg at night for seven days. This may induce sleep but there is nothing to worry about that. Consult your specialist doctor, discuss with him or her and take the medicines with their consent. Also, apply Clobetasol lotion and Provate lotion (Clotrimazole, Betamethasone, and Neomycin) on your body lesions two times daily for seven days. Apart from the above two treatments try to avoid spicy foods, eggs, chicken or meat for a few days. Urticaria sometimes may be due to insect bites or drugs as well. Please let me know if you have taken any medicine before the rash appeared like painkillers or any other drug for any illness. Regards. For more information consult a dermatologist online -->
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Q. I have frequent and recurring stye problem. Please advise.
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Hello doctor, I have frequent and recurring stye problem. Please advise.
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Hello. Hope this information is helpful to you. Revert back to an eyecare ophthalmologist online for further follow up -->
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<s>[INST]
Hello doctor, I have frequent and recurring stye problem. Please advise. [/INST] Hello. Hope this information is helpful to you. Revert back to an eyecare ophthalmologist online for further follow up -->
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Q. I have recently gained weight. Should my Eltroxin dose be increased?
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Hello doctor, I am a 35 year old female. I have been diagnosed with Hashimoto's hypothyroidism and was prescribed Eltroxin 50 mcg. I recently gained 4 kg and have not been able to lose them. I am suffering from chronic constipation and I feel drowsy and tired all the time. I did some blood tests for my thyroid gland function and the results are as follows: T4 free 10.2 pmol/L TSH third generation 4.71 IU/ml Antithyroid peroxidase ab 122 IU/ml Ferritin 24 ug/L B12 192 pg/ml Vitamin D3 33.6 nmol/L I have been on Eltroxin for 12 days and nothing has changed. Constipation and the drowsiness are still there and I am wondering if I can increase the dose and if so to how much per day?
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Hello. The labs and symptoms are consistent with hypothyroidism. For more information consult a diabetologist online -->
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<s>[INST]
Hello doctor, I am a 35 year old female. I have been diagnosed with Hashimoto's hypothyroidism and was prescribed Eltroxin 50 mcg. I recently gained 4 kg and have not been able to lose them. I am suffering from chronic constipation and I feel drowsy and tired all the time. I did some blood tests for my thyroid gland function and the results are as follows: T4 free 10.2 pmol/L TSH third generation 4.71 IU/ml Antithyroid peroxidase ab 122 IU/ml Ferritin 24 ug/L B12 192 pg/ml Vitamin D3 33.6 nmol/L I have been on Eltroxin for 12 days and nothing has changed. Constipation and the drowsiness are still there and I am wondering if I can increase the dose and if so to how much per day? [/INST] Hello. The labs and symptoms are consistent with hypothyroidism. For more information consult a diabetologist online -->
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Q. After open heart surgery, how long will I survive?
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Hello doctor, I am 43 years old and had a heart attack. 45 days ago, I had angioplasty and a stent was placed. But now, the doctor says that one of my valves needs to be replaced as it is not functioning properly. My ejection fraction is only 30%. Is it safe to undergo open heart surgery now? For how many years will I be able to live after this operation? Can yoga or exercise help me in improving my ejection fraction or valve function?
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Hi. I have noted all your details. Revert back with the reports to a cardiologist online -->
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<s>[INST]
Hello doctor, I am 43 years old and had a heart attack. 45 days ago, I had angioplasty and a stent was placed. But now, the doctor says that one of my valves needs to be replaced as it is not functioning properly. My ejection fraction is only 30%. Is it safe to undergo open heart surgery now? For how many years will I be able to live after this operation? Can yoga or exercise help me in improving my ejection fraction or valve function? [/INST] Hi. I have noted all your details. Revert back with the reports to a cardiologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I have a white spot on the gum. Whtat could it be?
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Hello doctor, I just noticed a white spot on my gum, not anywhere near my teeth. I am scared of it.
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Hello. Thank you for sharing the image (attachment removed to protect patient identity). Based on the information you have provided, it looks like an ulcer. It is a common ailment found in most people. For a definitive diagnosis, I will need some more information. Since when did you notice this? Any history of trauma due to accidental lip biting or injury while brushing? Nature of the white spot, does it pain, burn on touching, and movement of the lip? Any allergies to any medication? Your diet? Nutritional deficiencies? Autoimmune disorders and blood disorders (rare)? Your water intake per day? Generally, oral ulcers tend to heal by themselves within 7-10 days. If there is pain or discomfort hampering routine activities like chewing or talking, a topical formulation like an antiseptic coupled with an analgesic gel can be applied to the ulcer directly for symptomatic relief. Also, a nutritional supplement rich in B-complex vitamins is prescribed to promote healing. I hope this helps. Trauma due to lip biting, or during brushing. Nutritional deficiencies. Autoimmune or blood disorders (rare). Blood investigations (if symptoms do not resolve after 15 days). Aphthous ulcers. Stomatitis. Aphthous ulcers. Antiseptic and analgesic topical gel to be applied on the ulcer. Advise use of nutritional supplements rich in B-complex vitamins. Daily intake of at least three to four liters of water. Maintain a healthy diet and exercise routine. Careful brushing technique without hurting adjacent soft tissue. Brush twice daily with a flouride containing paste. Use of interdental floss to clean the surfaces, spaces and contacts between the teeth. Use of salt water gargles every day especially after meals. Tongue cleaning on regular basis. A periodic check up with your dentist once every six months. A visit to the dentist for oral prophylaxis (teeth cleaning and polishing) once every six months. As soon as further details are provided.
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<s>[INST]
Hello doctor, I just noticed a white spot on my gum, not anywhere near my teeth. I am scared of it. [/INST] Hello. Thank you for sharing the image (attachment removed to protect patient identity). Based on the information you have provided, it looks like an ulcer. It is a common ailment found in most people. For a definitive diagnosis, I will need some more information. Since when did you notice this? Any history of trauma due to accidental lip biting or injury while brushing? Nature of the white spot, does it pain, burn on touching, and movement of the lip? Any allergies to any medication? Your diet? Nutritional deficiencies? Autoimmune disorders and blood disorders (rare)? Your water intake per day? Generally, oral ulcers tend to heal by themselves within 7-10 days. If there is pain or discomfort hampering routine activities like chewing or talking, a topical formulation like an antiseptic coupled with an analgesic gel can be applied to the ulcer directly for symptomatic relief. Also, a nutritional supplement rich in B-complex vitamins is prescribed to promote healing. I hope this helps. Trauma due to lip biting, or during brushing. Nutritional deficiencies. Autoimmune or blood disorders (rare). Blood investigations (if symptoms do not resolve after 15 days). Aphthous ulcers. Stomatitis. Aphthous ulcers. Antiseptic and analgesic topical gel to be applied on the ulcer. Advise use of nutritional supplements rich in B-complex vitamins. Daily intake of at least three to four liters of water. Maintain a healthy diet and exercise routine. Careful brushing technique without hurting adjacent soft tissue. Brush twice daily with a flouride containing paste. Use of interdental floss to clean the surfaces, spaces and contacts between the teeth. Use of salt water gargles every day especially after meals. Tongue cleaning on regular basis. A periodic check up with your dentist once every six months. A visit to the dentist for oral prophylaxis (teeth cleaning and polishing) once every six months. As soon as further details are provided.
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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. How to improve my height at the age of 19?
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Hi doctor,I am 19 years old. How can I improve my height?
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Hi. For further information consult an endocrinologist online -->
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<s>[INST]
Hi doctor,I am 19 years old. How can I improve my height? [/INST] Hi. For further information consult an endocrinologist online -->
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Q. How to overcome low sex drive?
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Hi doctor, I am 31 years old and I am regular with exercise. My height is 5'8" and weight is 73 kg. My body fat percentage is 17. I used to do weight lifting. Over the last two months, I am having problem with my erection and sex drive. I am not getting that urge as I used to get before and I am not getting erections too. Occasionally when I get erection, I lose them very soon. I do not know the cause for it. I was on Omnacortil 20 for lichen planus, but stopped taking it. I am taking whey protein along with high protein diet. I have started multivitamins and Seacod tablets a month back and still having the issues. I did blood tests sometime back and everything came back normal including blood sugar. My testosterone level is around 300. Please suggest some medication.
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Hi. For further information consult a general practitioner online -->
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<s>[INST]
Hi doctor, I am 31 years old and I am regular with exercise. My height is 5'8" and weight is 73 kg. My body fat percentage is 17. I used to do weight lifting. Over the last two months, I am having problem with my erection and sex drive. I am not getting that urge as I used to get before and I am not getting erections too. Occasionally when I get erection, I lose them very soon. I do not know the cause for it. I was on Omnacortil 20 for lichen planus, but stopped taking it. I am taking whey protein along with high protein diet. I have started multivitamins and Seacod tablets a month back and still having the issues. I did blood tests sometime back and everything came back normal including blood sugar. My testosterone level is around 300. Please suggest some medication. [/INST] Hi. For further information consult a general practitioner online -->
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Q. How to calculate the radiation dose from three scout scans?
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Hello doctor, I had a CT scan of the chest and abdomen. What is odd about this scan is that the technician did three scout scans before the final helical scan, which made me uncomfortable because I do not know how much radiation I received in those scans. When I got the CD, I looked at the dose report and it only reported the radiation dosage for the helical scan. The data for the scout scan is just dashed. So, I called the clinic and asked them for the radiation dose of the scout scans, and I was promised that someone will return my call with the requested information. But, I never got any callback. Is the radiation dose for the scout scans actually on the CD the clinic gave me and if so, can you help me extract that information? I have attached the reports.
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Hello. Hope your query is answered. Please do write back if you have any doubts. For further queries consult a radiologist online -->
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<s>[INST]
Hello doctor, I had a CT scan of the chest and abdomen. What is odd about this scan is that the technician did three scout scans before the final helical scan, which made me uncomfortable because I do not know how much radiation I received in those scans. When I got the CD, I looked at the dose report and it only reported the radiation dosage for the helical scan. The data for the scout scan is just dashed. So, I called the clinic and asked them for the radiation dose of the scout scans, and I was promised that someone will return my call with the requested information. But, I never got any callback. Is the radiation dose for the scout scans actually on the CD the clinic gave me and if so, can you help me extract that information? I have attached the reports. [/INST] Hello. Hope your query is answered. Please do write back if you have any doubts. For further queries consult a radiologist online -->
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Q. How long should one wait to see the effect of Valdoxan?
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Hi doctor, I have been prescribed with Valdoxan 25 mg for depression and anxiety. It has been four weeks. Still, I am feeling drowsy and difficulty in thinking straight and finding my words. Socially, I am feeling very anxious because I feel dumbed down. How long should I take this medication? Is the term of four weeks enough to see any beneficial effects?
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Hello. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I have been prescribed with Valdoxan 25 mg for depression and anxiety. It has been four weeks. Still, I am feeling drowsy and difficulty in thinking straight and finding my words. Socially, I am feeling very anxious because I feel dumbed down. How long should I take this medication? Is the term of four weeks enough to see any beneficial effects? [/INST] Hello. For further information consult a psychiatrist online -->
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Q. I have a lot of health issues, but my reports are always normal. Why?
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Hello doctor, I am a 35 year old male. I have been primarily suffering from a headache on the right side of the head above the ears for many years. The headache is almost always there. Even when I wake up at night to go to the toilet, I can feel a slight headache. I do not feel fresh when I wake up in the morning. I feel dull and sleepy. The severity of the headache varies depending on the quality of sleep the earlier night. Due to a continuous headache, my sleep is getting disturbed and sometimes I have a slight pain in my left shoulder and the left side of the neck too. Recently, I felt a slight pain in the left part of the buttocks too. I did an MRI several times including this month, but the doctor said that there is nothing to worry as the report is fine. He also mentioned that there are fewer chances of it being a migraine headache. Due to all these health issues, I am stressed out and fear the worst all the time. Recently, I fell from the train. Since then, I have developed a fear of falling unconscious when traveling alone. I feel depressed and have unknown fears. I recently realized that it is happening mainly due to anxiety and depression. I have been trying different allopathy medicines for muscle relaxation and good sleep since a year, but it has not helped much. My medical reports status is as follows. Brain MRI report is normal. Blood test, all vital elements are normal. Urine is normal. The stool test is normal. ECG is normal and BP is 120/72. I am currently taking Rivotril 5 mg twice a day, Sertraline 25 mg twice a day, Myonal/Eperisone 50 mg thrice a day and Depas 5 mg before sleep.
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Hello. I just read your query. Try all these things regularly, and you will feel positive results within a month. Do consult me after two or three weeks regarding improvement. I hope you are satisfied with my answer. For further queries consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I am a 35 year old male. I have been primarily suffering from a headache on the right side of the head above the ears for many years. The headache is almost always there. Even when I wake up at night to go to the toilet, I can feel a slight headache. I do not feel fresh when I wake up in the morning. I feel dull and sleepy. The severity of the headache varies depending on the quality of sleep the earlier night. Due to a continuous headache, my sleep is getting disturbed and sometimes I have a slight pain in my left shoulder and the left side of the neck too. Recently, I felt a slight pain in the left part of the buttocks too. I did an MRI several times including this month, but the doctor said that there is nothing to worry as the report is fine. He also mentioned that there are fewer chances of it being a migraine headache. Due to all these health issues, I am stressed out and fear the worst all the time. Recently, I fell from the train. Since then, I have developed a fear of falling unconscious when traveling alone. I feel depressed and have unknown fears. I recently realized that it is happening mainly due to anxiety and depression. I have been trying different allopathy medicines for muscle relaxation and good sleep since a year, but it has not helped much. My medical reports status is as follows. Brain MRI report is normal. Blood test, all vital elements are normal. Urine is normal. The stool test is normal. ECG is normal and BP is 120/72. I am currently taking Rivotril 5 mg twice a day, Sertraline 25 mg twice a day, Myonal/Eperisone 50 mg thrice a day and Depas 5 mg before sleep. [/INST] Hello. I just read your query. Try all these things regularly, and you will feel positive results within a month. Do consult me after two or three weeks regarding improvement. I hope you are satisfied with my answer. For further queries consult an ayurveda specialist online -->
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Q. Should I take an antibiotic if there is water in the fallopian tube?
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Hello doctor,Two days back, I had my laparoscopy. My right tube was found to be dilated and the ports were open. The left one was completely closed and after forceful attempts, it was opened but only a slow progression was there. Now, under the current circumstances, is there any antibiotic for water in the right tube?
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Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an infertility specialist online -->
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<s>[INST]
Hello doctor,Two days back, I had my laparoscopy. My right tube was found to be dilated and the ports were open. The left one was completely closed and after forceful attempts, it was opened but only a slow progression was there. Now, under the current circumstances, is there any antibiotic for water in the right tube? [/INST] Hello. How are you doing? Hope I have clarified your query. Do write back if you have any more queries. All the best. For more information consult an infertility specialist online -->
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Q. I'm having Fever with loose motions. Plz suggest medicines?
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Hello doctor, I have loose motions for three days. On the first day, I went to the washroom for eight times, but today it has come down to four times. Today, I also had a fever. The first day I took Metrogyl 400 mg thrice a day. What should I do?
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Hello. The most common cause of an acute watery diarrhea in adults is a bacterial infection which is caused by various organisms. Metrogyl (Metronidazole) is an antiprotozoal which does not cause relief in your case as it is not an antibiotic. Hydrate yourself with plenty of ORS (Oral rehydration salts) powder and oral liquids. I suggest you start tablet Ofloxacin 200 mg twice a day, VSL#3 (probiotic) capsule once a day, and capsule Redotil (Racecadotril) 100 mg thrice a day. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. You should go to a physician if the fever and diarrhea persist. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I have loose motions for three days. On the first day, I went to the washroom for eight times, but today it has come down to four times. Today, I also had a fever. The first day I took Metrogyl 400 mg thrice a day. What should I do? [/INST] Hello. The most common cause of an acute watery diarrhea in adults is a bacterial infection which is caused by various organisms. Metrogyl (Metronidazole) is an antiprotozoal which does not cause relief in your case as it is not an antibiotic. Hydrate yourself with plenty of ORS (Oral rehydration salts) powder and oral liquids. I suggest you start tablet Ofloxacin 200 mg twice a day, VSL#3 (probiotic) capsule once a day, and capsule Redotil (Racecadotril) 100 mg thrice a day. Consult your specialist doctor, discuss with him or her and take the above medicines with their consent. You should go to a physician if the fever and diarrhea persist. For more information consult an internal medicine physician online -->
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Q. To avoid diabetes during pregnancy, what diet should have to follow?
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Hello doctor, I am 26 weeks pregnant. This weekend I had my glucose tolerance test (3 hours) and on which I failed badly. My fasting numbers were 172, 325 and 318. I know they are bad, but my doctor never told me to follow a strict diet of three to five days prior to the test. In my pregnancy, I have been craving for a lot of sweet things, so kept having them. Iced tea, cold drinks, juice, ice cream; anything sweet you can think of. This is the reason that caused such a high levels of sugar in my blood. To confirm that I have gestation diabetes I am going to repeat my test and I have been following the required diet before the test. What do you recommend me? Should I repeat the test? Can the numbers be lower next time? Should I take high carb diet and avoid all the sugary stuff for test? Please suggest. I am extremely worried. Thank you.
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Hello. You are suffering from gestational diabetes mellitus without any doubt. As per IADPSG criteria (International Association of Diabetes and Pregnancy Study Group) and DIPSI criteria (The Diabetes and Pregnancy Study Group India) both makes you overt diabetic. These levels demand for a strict diet control. If the repeat OGTT (oral glucose tolerance test) also shows similar values, then you would have to be started on human Insulin for controlling your sugar levels. Revert back with the reports to an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am 26 weeks pregnant. This weekend I had my glucose tolerance test (3 hours) and on which I failed badly. My fasting numbers were 172, 325 and 318. I know they are bad, but my doctor never told me to follow a strict diet of three to five days prior to the test. In my pregnancy, I have been craving for a lot of sweet things, so kept having them. Iced tea, cold drinks, juice, ice cream; anything sweet you can think of. This is the reason that caused such a high levels of sugar in my blood. To confirm that I have gestation diabetes I am going to repeat my test and I have been following the required diet before the test. What do you recommend me? Should I repeat the test? Can the numbers be lower next time? Should I take high carb diet and avoid all the sugary stuff for test? Please suggest. I am extremely worried. Thank you. [/INST] Hello. You are suffering from gestational diabetes mellitus without any doubt. As per IADPSG criteria (International Association of Diabetes and Pregnancy Study Group) and DIPSI criteria (The Diabetes and Pregnancy Study Group India) both makes you overt diabetic. These levels demand for a strict diet control. If the repeat OGTT (oral glucose tolerance test) also shows similar values, then you would have to be started on human Insulin for controlling your sugar levels. Revert back with the reports to an obstetrician and gynaecologist online -->
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Q. Why are my skin holes getting bigger after fat loss therapy?
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Hi doctor, After fat loss therapy, my skin holes are getting bigger. Also, I am losing my skin color now. I would like to know whether the machine is stuck to the body. What is the reason for this problem?
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, After fat loss therapy, my skin holes are getting bigger. Also, I am losing my skin color now. I would like to know whether the machine is stuck to the body. What is the reason for this problem? [/INST] Hi. For further information consult a dermatologist online -->
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Q. Do cholesterol medications cause an increase in creatinine values?
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Hello doctor, I am taking Lipicard 160 mg and Atorlip 10 mg for controlling triglycerides and cholesterol. Both are now under control but, my serum creatinine value is 1.2. Is the value higher than normal? If so, is it due to my medicines or could there be any other reason?
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Hello. 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, I am taking Lipicard 160 mg and Atorlip 10 mg for controlling triglycerides and cholesterol. Both are now under control but, my serum creatinine value is 1.2. Is the value higher than normal? If so, is it due to my medicines or could there be any other reason? [/INST] Hello. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
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Q. I have shallow breathing and wheezing with a history of smoking. Please help.
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Hello doctor, I have shallow and fast breathing, usually bubbling and wheezing at bedtime along with nasal congestion and post nasal drip. My mucus is low and clear with a little cough. I have these symptoms for the past three months. I used Mucinex nasal spray, salt water spray, and Benadryl. I am a smoker for 30 years. I did not get any health problems so far. I have no fever but a little pain in chest with heart palpitations.
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Hi. I can understand your concern. By your history and description, the possibility of bronchitis is more likely. It is commonly seen with smokers. It is the inflammation of airways. This inflammation causes bronchospasm which inturn causes wheezing, breathlessness, mucus production, etc. So please let me know, how many cigarettes you smoke in a day? Have you ever undergone a chest x-ray and PFT (pulmonary function test)?
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<s>[INST]
Hello doctor, I have shallow and fast breathing, usually bubbling and wheezing at bedtime along with nasal congestion and post nasal drip. My mucus is low and clear with a little cough. I have these symptoms for the past three months. I used Mucinex nasal spray, salt water spray, and Benadryl. I am a smoker for 30 years. I did not get any health problems so far. I have no fever but a little pain in chest with heart palpitations. [/INST] Hi. I can understand your concern. By your history and description, the possibility of bronchitis is more likely. It is commonly seen with smokers. It is the inflammation of airways. This inflammation causes bronchospasm which inturn causes wheezing, breathlessness, mucus production, etc. So please let me know, how many cigarettes you smoke in a day? Have you ever undergone a chest x-ray and PFT (pulmonary function test)?
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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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