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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Can urinary infection be treated through ayurveda?
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Hi doctor, I had two episodes of UTI that led to kidney infection which had been treated with strong antibiotic injections this year and last. I am currently taking Niftran, Silodosin 8 mg along with Ayurvedic medicines like Bangshil, Chandraprabha Vati, Punarnavasa, Sukumaram Kashayam along with Brihatyadi Kashayam and Gokharu Kadha as well as Sudarshan Prostate Plus. I am also taking phytonutrients like Quercetin, Saw Palmetto, Cranberry extract, D-Mannose, Prostaquil, Swedish Pollen Flower Extract, etc. I have also done acupuncture without success. My urologist did an X-ray of the urethra and says that there is a mild bladder neck obstruction and a mildly enlarged prostate because of which I am not able to pass urine fully. My urine flow is also weak (peak flow of 17 ml) and it takes some time for urination to begin. I have a history of chronic testicular pain in the left testis for the last ten years and burning sensation at the tip of the penis (since five years). It was suspected as TB of epididymitis and I was given anti-TB drugs for nine months. But, there was only a mild improvement in pain. I consulted two other urologists and they told me that I do not have TB but chronic non-bacterial prostatitis for which there is no effective treatment in allopathy. I am taking painkillers like Tapentadol along with Duzela for the last five years from a pain specialist. There is an improvement in pain on taking these medicines. I have Grade 2 varicocele in left testicle and the pain is confined to the epididymis and spermatic cord. The pain gets worse after exertion. I also take Daflon on and off. My urologist says a permanent solution is bladder neck incision along with varicocelectomy and spermatic cord denervation. I would like to look at Ayurveda for a few more years because the narrowing of the urethra/bladder neck is mild and the prostate enlargement has been reduced after taking ayurvedic medicines. My biggest concern is that I do not want to get UTI again which may lead to kidney infection. I am able to empty my bladder although the urine flow is weak at times. My libido is low and testosterone level is borderline. I am taking Mildfil 5 mg along with Silodosin. My right testis had atrophied after a hernia surgery about thirty-five years back. My LFT and kidney function tests are all normal. I have slight cholesterol. I do not have any other major complaints apart from GERD. I seek your advice on improving my health condition. Please let me know if you need any other information or details.
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Hi. You are loaded with many medicines. From my view, I suggest you can take the following medicines. Since you are taking medicines for a long time, you may do a KFT (kidney function test) and report it soon. If you are satisfied with your sexual power then it is fine. Take Salam panja 100 g plus Ashwagandha powder 100 g - mix together in a mixer and consume 5 g before breakfast and before bed with warm milk and little sugar. Do not use hot water on the scrotum. Pour cold water while bathing. Continue all for three months and revert back later. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I had two episodes of UTI that led to kidney infection which had been treated with strong antibiotic injections this year and last. I am currently taking Niftran, Silodosin 8 mg along with Ayurvedic medicines like Bangshil, Chandraprabha Vati, Punarnavasa, Sukumaram Kashayam along with Brihatyadi Kashayam and Gokharu Kadha as well as Sudarshan Prostate Plus. I am also taking phytonutrients like Quercetin, Saw Palmetto, Cranberry extract, D-Mannose, Prostaquil, Swedish Pollen Flower Extract, etc. I have also done acupuncture without success. My urologist did an X-ray of the urethra and says that there is a mild bladder neck obstruction and a mildly enlarged prostate because of which I am not able to pass urine fully. My urine flow is also weak (peak flow of 17 ml) and it takes some time for urination to begin. I have a history of chronic testicular pain in the left testis for the last ten years and burning sensation at the tip of the penis (since five years). It was suspected as TB of epididymitis and I was given anti-TB drugs for nine months. But, there was only a mild improvement in pain. I consulted two other urologists and they told me that I do not have TB but chronic non-bacterial prostatitis for which there is no effective treatment in allopathy. I am taking painkillers like Tapentadol along with Duzela for the last five years from a pain specialist. There is an improvement in pain on taking these medicines. I have Grade 2 varicocele in left testicle and the pain is confined to the epididymis and spermatic cord. The pain gets worse after exertion. I also take Daflon on and off. My urologist says a permanent solution is bladder neck incision along with varicocelectomy and spermatic cord denervation. I would like to look at Ayurveda for a few more years because the narrowing of the urethra/bladder neck is mild and the prostate enlargement has been reduced after taking ayurvedic medicines. My biggest concern is that I do not want to get UTI again which may lead to kidney infection. I am able to empty my bladder although the urine flow is weak at times. My libido is low and testosterone level is borderline. I am taking Mildfil 5 mg along with Silodosin. My right testis had atrophied after a hernia surgery about thirty-five years back. My LFT and kidney function tests are all normal. I have slight cholesterol. I do not have any other major complaints apart from GERD. I seek your advice on improving my health condition. Please let me know if you need any other information or details. [/INST] Hi. You are loaded with many medicines. From my view, I suggest you can take the following medicines. Since you are taking medicines for a long time, you may do a KFT (kidney function test) and report it soon. If you are satisfied with your sexual power then it is fine. Take Salam panja 100 g plus Ashwagandha powder 100 g - mix together in a mixer and consume 5 g before breakfast and before bed with warm milk and little sugar. Do not use hot water on the scrotum. Pour cold water while bathing. Continue all for three months and revert back later. For more information consult an ayurveda specialist online -->
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Q. Can you tell me the reason for deficient perineum?
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Hello doctor, I am 28 and sexually active. But, I do not have any baby yet. I had noticed a long time back that I do not have any gap between my vagina and anus. I got to know that as deficient perineum, but I could not find out more on the internet. Can you tell me why I do not have it and its consequences?
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am 28 and sexually active. But, I do not have any baby yet. I had noticed a long time back that I do not have any gap between my vagina and anus. I got to know that as deficient perineum, but I could not find out more on the internet. Can you tell me why I do not have it and its consequences? [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. I got three blisters under my foreskin after unprotected sex. What to do?
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Hello doctor, I had unprotected sex two weeks ago. From the last two days, I am having pain and irritation while urinating. I took four tablets of Azithromycin 250 mg, three days ago. Then I took Doxycycline 100 mg, a day back. I do not have pain during urination now. But, I have three blisters or red dots under my foreskin, and it pains when I touch. I am applying Candid cream on it from two days. I am attaching a picture of these spots.
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Hi. I have seen the attached picture (attachment removed to protect patient identity). For further queries consult a dermatologist online -->
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<s>[INST]
Hello doctor, I had unprotected sex two weeks ago. From the last two days, I am having pain and irritation while urinating. I took four tablets of Azithromycin 250 mg, three days ago. Then I took Doxycycline 100 mg, a day back. I do not have pain during urination now. But, I have three blisters or red dots under my foreskin, and it pains when I touch. I am applying Candid cream on it from two days. I am attaching a picture of these spots. [/INST] Hi. I have seen the attached picture (attachment removed to protect patient identity). For further queries consult a dermatologist online -->
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Q. Could you tell me the underlying cause for sciatica?
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Hi doctor, I have been recently diagnosed with sciatica. I have some difficulty in walking. I am having Tramadol and Paracetamol for pain relief but they are not helping much. Could you tell me the underlying cause? Will I require a walking aid?
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Hi,Welcome to icliniq.com. As you must be aware by now, sciatica is a term used when a person experiences radiating leg pain due to some pressure on the nerves. Assessment will include intensity of back pain, intensity of leg pain, the distance you walk without any requirement of analgesic and detailed neurological examination including assessment of motor power, sensory evaluation and evaluation of deep tendon reflexes. This will then be followed by dynamic x-ray and MRI scan of lumbar spine if required. Depending upon the correlation of clinical examination and investigation results, management can then be formulated. If you have localized back pain with some radiculopathy symptoms with no other neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations for initial period of two to three weeks. We will observe your response to this conservative management protocol for next two to three weeks. If you are not feeling better, then we might have to get some investigations like dynamic x-rays of lower back and few blood tests for evaluation. Enclose your previous investigation and doctor's prescription. I can see them and advise you accordingly. Disc prolapse. X-ray LS (lumbosacral) spine - AP (anteroposterior) and lateral (flexion and extension) views. Avoid lifting heavyweight and acute forward bending in mornings. Revert back with the investigation reports to an orthopaedician and traumatologist online.--->
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<s>[INST]
Hi doctor, I have been recently diagnosed with sciatica. I have some difficulty in walking. I am having Tramadol and Paracetamol for pain relief but they are not helping much. Could you tell me the underlying cause? Will I require a walking aid? [/INST] Hi,Welcome to icliniq.com. As you must be aware by now, sciatica is a term used when a person experiences radiating leg pain due to some pressure on the nerves. Assessment will include intensity of back pain, intensity of leg pain, the distance you walk without any requirement of analgesic and detailed neurological examination including assessment of motor power, sensory evaluation and evaluation of deep tendon reflexes. This will then be followed by dynamic x-ray and MRI scan of lumbar spine if required. Depending upon the correlation of clinical examination and investigation results, management can then be formulated. If you have localized back pain with some radiculopathy symptoms with no other neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations for initial period of two to three weeks. We will observe your response to this conservative management protocol for next two to three weeks. If you are not feeling better, then we might have to get some investigations like dynamic x-rays of lower back and few blood tests for evaluation. Enclose your previous investigation and doctor's prescription. I can see them and advise you accordingly. Disc prolapse. X-ray LS (lumbosacral) spine - AP (anteroposterior) and lateral (flexion and extension) views. Avoid lifting heavyweight and acute forward bending in mornings. Revert back with the investigation reports to an orthopaedician and traumatologist online.--->
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Q. What does glaucoma suspected patient mean?
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Hi doctor, I had eye checkup nine months back as I had light pain in right eye. The doctor advised me to get OCT and CCT. With the test reports he said that I have glaucoma. He advised me to take an eye drop named Lumigan one drop daily at night in both eyes. I am not satisfied with his opinion and so went to another doctor. He said no glaucoma and advised to take vitamin tablet daily. After a week consulted another doctor and he said that the OCT report is normal and no need to take any eye drop. After a week I went to a famous eye hospital and consulted there. Again took an OCT and reported to have glaucoma and advised to take Brimosun 0.15% drops twice daily with a gap of 12 hours. A month later went to another hospital and the doctor said he is in confused state and asked me to check my eye regularly and take OCT for every six months. Then two months later I visited a glaucoma expert and he examined my eye deeply and done another OCT. After all tests he said I am a glaucoma suspect patient and advised to take eye drop Timolast 0.5% or Timolet od every morning one drop in both eyes. My eye pressure is always between 20 and 24 in both eyes. My first and second time CCT reports are 502-503 and 533-534 respectively. My OCT reports showed 10% area in red figure and balance in green figure in the left eye and 10% area in yellow and balance in green in the right eye. Is it necessary to take glaucoma drop? If yes, which one to take from the above? Is Timolet a highly concentrated one in comparison of Brimosun 0.15%? My mother suffered with glaucoma. I am taking Thyronorm 75 daily. Please advise me in detail. Thank you.
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Hi. First of all please relax. There is nothing to worry. All the doctors are correct. Now let me explain you. Glaucoma is a very slowly progressive disease. You are glaucoma suspect means you are at risk of glaucoma or have many predisposing factors for glaucoma, but there is no conclusive evidence to diagnose glaucoma. Predisposing factors present in you are as follows: All these factors make you susceptible for glaucoma, but it is not conclusive. You should not worry about glaucoma or loss of eye sight. Having said that you can use Timolast eye drop (Timolol) or Timolet eye drop twice a day, there is no harm in using this eye drop. Some doctors give Lumigan (Bimatoprost) and some give Brimosun (Brimonidine). There is no harm in using any of these eye drops, but please use only one of these. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I had eye checkup nine months back as I had light pain in right eye. The doctor advised me to get OCT and CCT. With the test reports he said that I have glaucoma. He advised me to take an eye drop named Lumigan one drop daily at night in both eyes. I am not satisfied with his opinion and so went to another doctor. He said no glaucoma and advised to take vitamin tablet daily. After a week consulted another doctor and he said that the OCT report is normal and no need to take any eye drop. After a week I went to a famous eye hospital and consulted there. Again took an OCT and reported to have glaucoma and advised to take Brimosun 0.15% drops twice daily with a gap of 12 hours. A month later went to another hospital and the doctor said he is in confused state and asked me to check my eye regularly and take OCT for every six months. Then two months later I visited a glaucoma expert and he examined my eye deeply and done another OCT. After all tests he said I am a glaucoma suspect patient and advised to take eye drop Timolast 0.5% or Timolet od every morning one drop in both eyes. My eye pressure is always between 20 and 24 in both eyes. My first and second time CCT reports are 502-503 and 533-534 respectively. My OCT reports showed 10% area in red figure and balance in green figure in the left eye and 10% area in yellow and balance in green in the right eye. Is it necessary to take glaucoma drop? If yes, which one to take from the above? Is Timolet a highly concentrated one in comparison of Brimosun 0.15%? My mother suffered with glaucoma. I am taking Thyronorm 75 daily. Please advise me in detail. Thank you. [/INST] Hi. First of all please relax. There is nothing to worry. All the doctors are correct. Now let me explain you. Glaucoma is a very slowly progressive disease. You are glaucoma suspect means you are at risk of glaucoma or have many predisposing factors for glaucoma, but there is no conclusive evidence to diagnose glaucoma. Predisposing factors present in you are as follows: All these factors make you susceptible for glaucoma, but it is not conclusive. You should not worry about glaucoma or loss of eye sight. Having said that you can use Timolast eye drop (Timolol) or Timolet eye drop twice a day, there is no harm in using this eye drop. Some doctors give Lumigan (Bimatoprost) and some give Brimosun (Brimonidine). There is no harm in using any of these eye drops, but please use only one of these. For further information consult an eye care ophthalmologist online -->
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Q. I get recurrent folliculitis in my upper leg and pubic hairs. Please help.
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Hello doctor, I have recurrent folliculitis. The most common areas are in my upper legs and skin where my pubic hair lies. I hope you can help me out in explaining why this happens to me. I have this for almost two years now. I was given antibiotics once in the past.
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Hi. Recurrent folliculitis occurs in people who has deficiency to fight staphylococcus aureus bacteria. These are small boils which occur repeatedly at multiple sites of the body. Antibiotic heals them but they again appear after a few weeks or days. It can develop any time during life and may vanish within a short period. Repeated antibiotic courses has to be done but precautions which I am writing down if taken properly mitigate this problem. First thing is you have to take an antibiotic course for the presenting complaint. Take Amoxiclav 625 mg (Amoxicillin and Clavulanic acid) thrice daily for five days and Mupirocin ointment twice daily. This has to be continued for a longer period of up to 1 month. Apply it inside the nostril, in the axilla, in the pubic area, in umbilicus daily twice. Use antibacterial soap like Cetrilak (Cetrimide). Do not touch the parts of the body repeatedly like scratching, as it also transmits this bacteria. In some people, if Amoxiclav does not work we give other antibiotics but you have to try this first. Review after four weeks.
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<s>[INST]
Hello doctor, I have recurrent folliculitis. The most common areas are in my upper legs and skin where my pubic hair lies. I hope you can help me out in explaining why this happens to me. I have this for almost two years now. I was given antibiotics once in the past. [/INST] Hi. Recurrent folliculitis occurs in people who has deficiency to fight staphylococcus aureus bacteria. These are small boils which occur repeatedly at multiple sites of the body. Antibiotic heals them but they again appear after a few weeks or days. It can develop any time during life and may vanish within a short period. Repeated antibiotic courses has to be done but precautions which I am writing down if taken properly mitigate this problem. First thing is you have to take an antibiotic course for the presenting complaint. Take Amoxiclav 625 mg (Amoxicillin and Clavulanic acid) thrice daily for five days and Mupirocin ointment twice daily. This has to be continued for a longer period of up to 1 month. Apply it inside the nostril, in the axilla, in the pubic area, in umbilicus daily twice. Use antibacterial soap like Cetrilak (Cetrimide). Do not touch the parts of the body repeatedly like scratching, as it also transmits this bacteria. In some people, if Amoxiclav does not work we give other antibiotics but you have to try this first. Review after four weeks.
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Q. Is normal delivery possible if the baby weighs more?
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Hi doctor, My wife has completed 39 weeks of pregnancy. We got an ultrasound yesterday, and the report is completely normal. But her labor pain is not getting induced, so the doctor is suggesting cesarean, as the baby's weight is 3.65 kg. My wife would like to have a normal delivery by inducing pain artificially. Our first baby was normally delivered six years ago, by inducing pain artificially when he was 3.33 kg. My wife is 35 years old, and I am attaching the latest ultrasound reports. Is there any harm to the baby during normal delivery in our case? Is there any chance of the head or shoulder getting stuck? Is the baby's weight more than normal? What is the possibility of normal delivery after inducing pain? Thanks and regards.
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Hi. I have seen the reports (attachment removed to protect patient identity), and it is normal. No, delivery is risk-free, normal or caesarean. If her BP (blood pressure) and blood sugar are normal, then there is no contraindication to normal delivery. Regarding the chances of the head getting stuck, it can be assessed only at the onset of labor by internal physical examination of her pelvis and relative size to head of the baby. A baby of this size may be delivered vaginally, but many parameters should be optimum. She had normal delivery six years back, she is 35 now, her pelvic bones and muscles may have become less stretchable, and she may not get good enough contractions, and the labor may become prolonged in that case the baby in the womb may get less oxygen. These are possibilities that may or may not happen, if she goes into labor, she and the baby has to be carefully monitored, and if the things do not go wrong, then she may deliver normally. Until the outcome, no prediction can be made with surety. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My wife has completed 39 weeks of pregnancy. We got an ultrasound yesterday, and the report is completely normal. But her labor pain is not getting induced, so the doctor is suggesting cesarean, as the baby's weight is 3.65 kg. My wife would like to have a normal delivery by inducing pain artificially. Our first baby was normally delivered six years ago, by inducing pain artificially when he was 3.33 kg. My wife is 35 years old, and I am attaching the latest ultrasound reports. Is there any harm to the baby during normal delivery in our case? Is there any chance of the head or shoulder getting stuck? Is the baby's weight more than normal? What is the possibility of normal delivery after inducing pain? Thanks and regards. [/INST] Hi. I have seen the reports (attachment removed to protect patient identity), and it is normal. No, delivery is risk-free, normal or caesarean. If her BP (blood pressure) and blood sugar are normal, then there is no contraindication to normal delivery. Regarding the chances of the head getting stuck, it can be assessed only at the onset of labor by internal physical examination of her pelvis and relative size to head of the baby. A baby of this size may be delivered vaginally, but many parameters should be optimum. She had normal delivery six years back, she is 35 now, her pelvic bones and muscles may have become less stretchable, and she may not get good enough contractions, and the labor may become prolonged in that case the baby in the womb may get less oxygen. These are possibilities that may or may not happen, if she goes into labor, she and the baby has to be carefully monitored, and if the things do not go wrong, then she may deliver normally. Until the outcome, no prediction can be made with surety. For more information consult an obstetrician and gynaecologist online -->
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Q. I was masturbating and noticed soreness under head of penis. What is it?
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Hi doctor, Yesterday I was doing my thing (masturbating) and I noticed a little soreness under the head of penis. I have been going at it probably twice a day lately. I am just a little concerned that it may be herpes. But I have not been sexually active for a very long time. Also, I have had two negative herpes blood test 28 weeks post exposure and again 70 weeks post exposure from my last sexual encounter and both negative. I did test positive for HSV1 though. I usually get between one to three outbreaks annually on my top and bottom lip. Anyway, I have noticed irritation in that area in the past when I masturbate so I am not sure if it is just a minor chaffing or friction burn or possibly herpes. I am currently being treated for genital warts that my last girlfriend left me with almost 17 months ago. So I am very conscious of any changes below the belt. I did not happen to notice any blistering but the area looks shiny and a little wet. I am not experiencing any pain either.
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Hi. I have been through your case in detail. Well in short as you know there are two possibilities: 1. Friction erosion. 2. It could be herpes infection. Herpes 2 usually on genitalia and herpes 1 on lips. As now there is no limitation in having herpes 1 on genitalia due to common oral sex. So in my opinion, you may have it as blistering is not the only presentation, superficial erosions also represent herpes. So it is always better to keep pathology of herpes in mind rather rely only on the frictional blister. For management, do the following: All treatment for seven days. For more information consult a dermatologist online -->
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<s>[INST]
Hi doctor, Yesterday I was doing my thing (masturbating) and I noticed a little soreness under the head of penis. I have been going at it probably twice a day lately. I am just a little concerned that it may be herpes. But I have not been sexually active for a very long time. Also, I have had two negative herpes blood test 28 weeks post exposure and again 70 weeks post exposure from my last sexual encounter and both negative. I did test positive for HSV1 though. I usually get between one to three outbreaks annually on my top and bottom lip. Anyway, I have noticed irritation in that area in the past when I masturbate so I am not sure if it is just a minor chaffing or friction burn or possibly herpes. I am currently being treated for genital warts that my last girlfriend left me with almost 17 months ago. So I am very conscious of any changes below the belt. I did not happen to notice any blistering but the area looks shiny and a little wet. I am not experiencing any pain either. [/INST] Hi. I have been through your case in detail. Well in short as you know there are two possibilities: 1. Friction erosion. 2. It could be herpes infection. Herpes 2 usually on genitalia and herpes 1 on lips. As now there is no limitation in having herpes 1 on genitalia due to common oral sex. So in my opinion, you may have it as blistering is not the only presentation, superficial erosions also represent herpes. So it is always better to keep pathology of herpes in mind rather rely only on the frictional blister. For management, do the following: All treatment for seven days. For more information consult a dermatologist online -->
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Q. How to prevent the spread of HSV-1 virus to new outbreak sites?
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Hello doctor, I am a 46-year-old male. I have recurring HSV-1 around the base (and inside) the nose. I have an outbreak now and my last outbreak was about 52 days ago. In childhood, I began with blisters on the lips; in the past five to 10 years, it seems it has migrated to the nose. Also, in the past, I could take Acyclovir or Valacyclovir successfully for treatment. And for a period of some years, I was able to take 500 mg Valacyclovir daily as a prophylaxis. But now those drugs (and also Famciclovir, which I have tried recently) each cause dose-dependent unpleasant side effects of CNS stimulation and muscle tension. So, my upcoming question is regarding treatment strategy and options. My inclination when outbreaks recur is to take Famciclovir at a low dose (250 mg initially and 125 mg every 12 hours for three days). It is not clear how much this may actually help, but it is what I feel comfortable presently doing and the side effects are at least tolerable at this dose. I would not want to take it daily at this dose though. There tends to be a crash after finishing it from the drop/lapse in stimulation. With this background, on to my questions: Does the frequency of outbreaks increase the likelihood of spreading the virus to new locations? Again, I am seeing a frequency of about every two months. I am particularly concerned about ocular herpes. What I am driving at is, can I feel safe in avoiding taking a daily, preventive dosing of an antiviral? And when I get an outbreak, do I need to treat it at a high dose of antiviral (or treat it at all, really) to prevent the spread to new outbreak sites (such as to the eye, or even other parts of the face)? I worry that I need to try to endure the side effects of the antivirals in order to prevent the virus from spreading to new locations (again, such as the eye). Perhaps you can help assuage me of this fear. My current medications are Synthroid 75 mcg daily, Lansoprazole 30 mg daily AM, Omeprazole 40 mg daily PM and Prozac 35 mg daily.
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Hello. Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a 46-year-old male. I have recurring HSV-1 around the base (and inside) the nose. I have an outbreak now and my last outbreak was about 52 days ago. In childhood, I began with blisters on the lips; in the past five to 10 years, it seems it has migrated to the nose. Also, in the past, I could take Acyclovir or Valacyclovir successfully for treatment. And for a period of some years, I was able to take 500 mg Valacyclovir daily as a prophylaxis. But now those drugs (and also Famciclovir, which I have tried recently) each cause dose-dependent unpleasant side effects of CNS stimulation and muscle tension. So, my upcoming question is regarding treatment strategy and options. My inclination when outbreaks recur is to take Famciclovir at a low dose (250 mg initially and 125 mg every 12 hours for three days). It is not clear how much this may actually help, but it is what I feel comfortable presently doing and the side effects are at least tolerable at this dose. I would not want to take it daily at this dose though. There tends to be a crash after finishing it from the drop/lapse in stimulation. With this background, on to my questions: Does the frequency of outbreaks increase the likelihood of spreading the virus to new locations? Again, I am seeing a frequency of about every two months. I am particularly concerned about ocular herpes. What I am driving at is, can I feel safe in avoiding taking a daily, preventive dosing of an antiviral? And when I get an outbreak, do I need to treat it at a high dose of antiviral (or treat it at all, really) to prevent the spread to new outbreak sites (such as to the eye, or even other parts of the face)? I worry that I need to try to endure the side effects of the antivirals in order to prevent the virus from spreading to new locations (again, such as the eye). Perhaps you can help assuage me of this fear. My current medications are Synthroid 75 mcg daily, Lansoprazole 30 mg daily AM, Omeprazole 40 mg daily PM and Prozac 35 mg daily. [/INST] Hello. Regards. For more information consult an internal medicine physician online -->
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Q. What could this mass on top of the intestine be?
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Hello doctor,There was something found on top of the intestine that measured 17 x 4 cm. We would like to receive a diagnosis from your doctors. We have attached the reports for your reference. We have known about this diagnosis for about four days. The patient experienced pain in his back, so he went to the hospital. They told him that he has very, very small kidney stones that have passed successfully.But, at the same time, they found this 17 x 4 cm mass on top of his intestine. So, they told him to perform a CT scan. Appendectomy was performed in 1985. He is currently on Aspirin. Please help.
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Hello. I evaluated your CT (computed tomography) images (attachment removed to protect patient identity) and found this thin-walled cystic lesion in the right iliac fossa with curvilinear as well as chunky wall calcification arising likely from the ileocecal junction. Probable cause could be postoperative changes and complications. Differential diagnoses include mucocele from an appendicular stump and mucinous cystadenoma of the appendicular stump. It is elevating the right kidney and indenting the right psoas muscle; however, the fat planes appear well preserved. Above findings indicate a benign process more likely than a malignant one. I would require the coronal and sagittal plane images for localization of the lesion and then only I can provide the possible diagnosis. This professional advice provided by me stands subject to the actual examination of report and image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult a radiologist online -->
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<s>[INST]
Hello doctor,There was something found on top of the intestine that measured 17 x 4 cm. We would like to receive a diagnosis from your doctors. We have attached the reports for your reference. We have known about this diagnosis for about four days. The patient experienced pain in his back, so he went to the hospital. They told him that he has very, very small kidney stones that have passed successfully.But, at the same time, they found this 17 x 4 cm mass on top of his intestine. So, they told him to perform a CT scan. Appendectomy was performed in 1985. He is currently on Aspirin. Please help. [/INST] Hello. I evaluated your CT (computed tomography) images (attachment removed to protect patient identity) and found this thin-walled cystic lesion in the right iliac fossa with curvilinear as well as chunky wall calcification arising likely from the ileocecal junction. Probable cause could be postoperative changes and complications. Differential diagnoses include mucocele from an appendicular stump and mucinous cystadenoma of the appendicular stump. It is elevating the right kidney and indenting the right psoas muscle; however, the fat planes appear well preserved. Above findings indicate a benign process more likely than a malignant one. I would require the coronal and sagittal plane images for localization of the lesion and then only I can provide the possible diagnosis. This professional advice provided by me stands subject to the actual examination of report and image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult a radiologist online -->
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Q. I lose my erection when I try to penetrate. Why?
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Hi doctor, I am a 38 year old male, who is a regular smoker, and I work abroad. I go home for two months every year. From the last two years, I am facing problems in my sex life, when I go home. My penis is not getting erect fully, and when I try to penetrate, I lose my erection. I drink alcohol only during my vacation. Hoping to hear from you soon. Thank you.
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Hi. Depending on the reports, the treatment is advised. Stop smoking. Revert with more information an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 38 year old male, who is a regular smoker, and I work abroad. I go home for two months every year. From the last two years, I am facing problems in my sex life, when I go home. My penis is not getting erect fully, and when I try to penetrate, I lose my erection. I drink alcohol only during my vacation. Hoping to hear from you soon. Thank you. [/INST] Hi. Depending on the reports, the treatment is advised. Stop smoking. Revert with more information an obstetrician and gynaecologist 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 grandfather has cough for about three weeks. Please suggest medication.
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Hi doctor, I would like to ask about my grandpa's coughing situation as it already lasted for almost three weeks. He has been taking his medicines since then. But his cough still remains the same. Are there any suggested medicines or easy home remedies to follow?
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Hi. It seems your grandfather is having a cough for three weeks. Cough in adults are classified as acute, subacute, or chronic based on the duration. Acute cough lasts up to three weeks, subacute cough lasts three to eight weeks, and chronic cough lasts longer than eight weeks. Subacute cough often has a post-infectious origin and will typically resolve without treatment. It is usually secondary to asthma or bacterial sinusitis. Reassurance is a good approach in otherwise healthy patients. Oral or inhaled corticosteroids, Ipratropium, or cough suppressants may be prescribed to help with sleep. The viral infection or bacterial infection mostly produce a fever and cough with expectoration. These symptoms you did not mention, I assume they are absent. Post viral cough can be last up to six weeks. I would like to ask about red flags symptoms such as weight loss, night sweats, and hemoptysis. If they are present you need further evaluation on an urgent basis. Other common causes of chronic cough (usually more than eight weeks) are allergic. Most often, chronic cough is due to postnasal drainage, asthma, and/or gastroesophageal disease. Some drugs such as ACE inhibitor (a type of anti-hypertensive medication) also results in chronic cough. Stopping such medication helps. Other remedies are steam inhalation alone or with menthol. Cough drops or lozenges soothe an irritated throat. Saltwater gargle. Honey is also helpful. Antacid for GERD (gastroesophageal reflux disease), and at night sleep with two pillows so that head remains elevated.
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<s>[INST]
Hi doctor, I would like to ask about my grandpa's coughing situation as it already lasted for almost three weeks. He has been taking his medicines since then. But his cough still remains the same. Are there any suggested medicines or easy home remedies to follow? [/INST] Hi. It seems your grandfather is having a cough for three weeks. Cough in adults are classified as acute, subacute, or chronic based on the duration. Acute cough lasts up to three weeks, subacute cough lasts three to eight weeks, and chronic cough lasts longer than eight weeks. Subacute cough often has a post-infectious origin and will typically resolve without treatment. It is usually secondary to asthma or bacterial sinusitis. Reassurance is a good approach in otherwise healthy patients. Oral or inhaled corticosteroids, Ipratropium, or cough suppressants may be prescribed to help with sleep. The viral infection or bacterial infection mostly produce a fever and cough with expectoration. These symptoms you did not mention, I assume they are absent. Post viral cough can be last up to six weeks. I would like to ask about red flags symptoms such as weight loss, night sweats, and hemoptysis. If they are present you need further evaluation on an urgent basis. Other common causes of chronic cough (usually more than eight weeks) are allergic. Most often, chronic cough is due to postnasal drainage, asthma, and/or gastroesophageal disease. Some drugs such as ACE inhibitor (a type of anti-hypertensive medication) also results in chronic cough. Stopping such medication helps. Other remedies are steam inhalation alone or with menthol. Cough drops or lozenges soothe an irritated throat. Saltwater gargle. Honey is also helpful. Antacid for GERD (gastroesophageal reflux disease), and at night sleep with two pillows so that head remains elevated.
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Q. I overdosed on Benadryl and I feel lightheaded. When will I feel normal?
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Hello doctor, I am a healthy 15 year old male. It has been two weeks since I overdosed on Benadryl and I still feel lightheaded and everything is like a dream. The dose I had taken was 500mg. I also get random confusion spells. When will I feel normal?
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Hello. Revert back to a general practitioner online for further follow up -->
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<s>[INST]
Hello doctor, I am a healthy 15 year old male. It has been two weeks since I overdosed on Benadryl and I still feel lightheaded and everything is like a dream. The dose I had taken was 500mg. I also get random confusion spells. When will I feel normal? [/INST] Hello. Revert back to a general practitioner online for further follow up -->
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Q. Am I a candidate for circumcision?
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Hello doctor, I am an 18-year-old male. Do I have a potentiality for circumcision? I have maximum turgid retraction without pain depicted in the first image. Enquiring as to whether a circumcision would benefit and possible logistics of such. What would be involved in my particular instance? What "type" of excision would be most beneficial in terms of the amount of skin removed and the inner or outer prepuce and frenulum is retained. I have a history of frenulum tears and I am unresponsive to topical creams. Please help.
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Hello. From your description, it is understood that you have had trauma and tears of the frenulum. I would suggest I consider circumcision. The standard procedure includes removal of the whole of the prepuce. There are some options like cosmetic circumcision where the foreskin on the glans alone is removed. For more information consult a general surgeon online -->
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<s>[INST]
Hello doctor, I am an 18-year-old male. Do I have a potentiality for circumcision? I have maximum turgid retraction without pain depicted in the first image. Enquiring as to whether a circumcision would benefit and possible logistics of such. What would be involved in my particular instance? What "type" of excision would be most beneficial in terms of the amount of skin removed and the inner or outer prepuce and frenulum is retained. I have a history of frenulum tears and I am unresponsive to topical creams. Please help. [/INST] Hello. From your description, it is understood that you have had trauma and tears of the frenulum. I would suggest I consider circumcision. The standard procedure includes removal of the whole of the prepuce. There are some options like cosmetic circumcision where the foreskin on the glans alone is removed. For more information consult a general surgeon online -->
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Q. How to prevent the recurrence of PUNLMP?
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Hi doctor, I had PUNLMP a year ago. I consulted a physician, and he did a TURBT. Now, I just have my follow up cystoscopy every three months. I am 25 years old. I am afraid of what to do and what to avoid. I have never smoked. But yes, I have been with smokers. I just wanted to know what would my life like and how to prevent recurrence. What should I do that it never happens again? What are my chances that I can complete an average human life age?
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Hi. For further information consult a urologist online -->
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<s>[INST]
Hi doctor, I had PUNLMP a year ago. I consulted a physician, and he did a TURBT. Now, I just have my follow up cystoscopy every three months. I am 25 years old. I am afraid of what to do and what to avoid. I have never smoked. But yes, I have been with smokers. I just wanted to know what would my life like and how to prevent recurrence. What should I do that it never happens again? What are my chances that I can complete an average human life age? [/INST] Hi. For further information consult a urologist online -->
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Q. Is there a permanent cure for premature ejaculation?
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Hello doctor, I have a problem of premature ejaculation. I want to make it perfect. My sex time was just 10 to 20 seconds. Please help.
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Hi. I have read and understood your problem. Premature ejaculation is very common. It is usually not associated with any disease, but may be PE due to anxiety. However, there may be problem with prostate gland and thyroid hormone. You can learn to control PE by doing this exercise - Pull your muscles at the end of urination for few seconds then release, repeat this several times daily. Another method is stop-start technique: When you feel that you are going to ejaculate, stop the sexual stimulation and divert your mind, the penis will relax. After sometime start the stimulation again and repeat the procedure. Over few months you will gradually increase your ejaculation time. Most often it is a chronic problem; you have to take medicines in between and period off medicine. You can apply Lignocaine gel to head of penis 10 minutes before sex and wipe it off before starting sex. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I have a problem of premature ejaculation. I want to make it perfect. My sex time was just 10 to 20 seconds. Please help. [/INST] Hi. I have read and understood your problem. Premature ejaculation is very common. It is usually not associated with any disease, but may be PE due to anxiety. However, there may be problem with prostate gland and thyroid hormone. You can learn to control PE by doing this exercise - Pull your muscles at the end of urination for few seconds then release, repeat this several times daily. Another method is stop-start technique: When you feel that you are going to ejaculate, stop the sexual stimulation and divert your mind, the penis will relax. After sometime start the stimulation again and repeat the procedure. Over few months you will gradually increase your ejaculation time. Most often it is a chronic problem; you have to take medicines in between and period off medicine. You can apply Lignocaine gel to head of penis 10 minutes before sex and wipe it off before starting sex. For further information consult an obstetrician and gynaecologist online -->
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Q. What can cause on and off tingling in arms and legs?
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Hi doctor, About two and a half months ago, I was at work with one leg tucked under the other in a computer chair. When I got up to use the restroom, I noticed tingling in my lower leg and developed drop foot as a result. My first visit was to a podiatrist and he suggested me to visit a neurologist. The neurologist did not run any scientific test and determined I likely crushed my peroneal nerve and said to return in four to six weeks for physical therapy. About two weeks later, while lying in bed on my side, I noticed my arm tingle a bit and when I got up to shake it out the tingling eventually subsided. But, I have experienced weakness in that arm. Last night while sitting upright on my bed, my left leg began to experience a similar sensation. The limbs are still functional and the tingling does not persist, but it feels weak. The uncertainty due to the lack of scientific testing is weighing very heavily on me and the troubling issue is the onset of additional symptoms which are causing occasional unsettling stomach feelings due to the mental anguish I have been experiencing. Mainly the fact that all of my limbs feel weak are making me very concerned.
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Hi. I have read your complaints and first of all I should compliment you for having patiently written a thorough history of events. Let us analyze your problems You have tingling in all four limbs and weakness in all four limbs. That is upper limbs and lower limbs on both sides, but onset on various days. The next important point which you have told is the mode of onset and the tingling eventually subsided. The following parameters can be found out only by a clinical examination and they are most important to fix the diagnosis. In the same way, need to get at least two investigations, nerve conduction studies and MRI spine. It can be either a peripheral vascular disease leading to low perfusion or a peripheral neuropathy. I would strongly recommend as well as request you to consult your neurologist immediately and treat these symptoms as top priority. 1. Nerve conduction studies. 2. MRI spine. The symptoms suggest either it could be peripheral neuropathy or peripheral vascular disease. Revert back with the investigation report to a neurologist online.--->
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<s>[INST]
Hi doctor, About two and a half months ago, I was at work with one leg tucked under the other in a computer chair. When I got up to use the restroom, I noticed tingling in my lower leg and developed drop foot as a result. My first visit was to a podiatrist and he suggested me to visit a neurologist. The neurologist did not run any scientific test and determined I likely crushed my peroneal nerve and said to return in four to six weeks for physical therapy. About two weeks later, while lying in bed on my side, I noticed my arm tingle a bit and when I got up to shake it out the tingling eventually subsided. But, I have experienced weakness in that arm. Last night while sitting upright on my bed, my left leg began to experience a similar sensation. The limbs are still functional and the tingling does not persist, but it feels weak. The uncertainty due to the lack of scientific testing is weighing very heavily on me and the troubling issue is the onset of additional symptoms which are causing occasional unsettling stomach feelings due to the mental anguish I have been experiencing. Mainly the fact that all of my limbs feel weak are making me very concerned. [/INST] Hi. I have read your complaints and first of all I should compliment you for having patiently written a thorough history of events. Let us analyze your problems You have tingling in all four limbs and weakness in all four limbs. That is upper limbs and lower limbs on both sides, but onset on various days. The next important point which you have told is the mode of onset and the tingling eventually subsided. The following parameters can be found out only by a clinical examination and they are most important to fix the diagnosis. In the same way, need to get at least two investigations, nerve conduction studies and MRI spine. It can be either a peripheral vascular disease leading to low perfusion or a peripheral neuropathy. I would strongly recommend as well as request you to consult your neurologist immediately and treat these symptoms as top priority. 1. Nerve conduction studies. 2. MRI spine. The symptoms suggest either it could be peripheral neuropathy or peripheral vascular disease. Revert back with the investigation report to a neurologist online.--->
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Q. Is oral thrush a sign of HIV?
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Hi doctor, I am a pregnant woman. I am very much worried about HIV. Because my tongue skin is getting peeled off and my armpit lumps are painful. I did not test for HIV yet. If it is positive, then should I have to abort my baby or can I safely deliver a baby? I am in a big depression now.
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a pregnant woman. I am very much worried about HIV. Because my tongue skin is getting peeled off and my armpit lumps are painful. I did not test for HIV yet. If it is positive, then should I have to abort my baby or can I safely deliver a baby? I am in a big depression now. [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. How long do I have to wait after Cortisone shot to have surgery?
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Hello doctor, I had a Cortisone shot 10 days ago. It did not help. I will most likely be undergoing surgery for a hip arthroscopy and/or sports hernia. How long do I have to wait after the cortisone shot to have surgery to not risk infection? Also, I take 500 mg turmeric, a multivitamin, 2400 mg vitamin D and 1200 (900 mg omega 3) mg fish oil. How long before surgery should I stop taking those supplements?
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Hello. There are two schools of thought regarding the risk of infection in total knee/hip replacement after local steroid injections. As the causes of infection are multifactorial, results favoring both schools of thought are seen. Since you are only undergoing arthroscopy or hernia repair, the duration of surgery, soft tissue handling, the absence of prosthesis all favor very low risk of infection. You can continue turmeric, multivitamin, and fish oil until the day before your surgery. Vitamin D supplements should, however, be taken only after physician consultation and if the serum levels of vitamin D are normal, they should be discontinued. Excess Vitamin D intake can lead to hypervitaminosis D. For more information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, I had a Cortisone shot 10 days ago. It did not help. I will most likely be undergoing surgery for a hip arthroscopy and/or sports hernia. How long do I have to wait after the cortisone shot to have surgery to not risk infection? Also, I take 500 mg turmeric, a multivitamin, 2400 mg vitamin D and 1200 (900 mg omega 3) mg fish oil. How long before surgery should I stop taking those supplements? [/INST] Hello. There are two schools of thought regarding the risk of infection in total knee/hip replacement after local steroid injections. As the causes of infection are multifactorial, results favoring both schools of thought are seen. Since you are only undergoing arthroscopy or hernia repair, the duration of surgery, soft tissue handling, the absence of prosthesis all favor very low risk of infection. You can continue turmeric, multivitamin, and fish oil until the day before your surgery. Vitamin D supplements should, however, be taken only after physician consultation and if the serum levels of vitamin D are normal, they should be discontinued. Excess Vitamin D intake can lead to hypervitaminosis D. For more information consult an orthopaedician and traumatologist online -->
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Q. Can a viral infection increase the ESR level?
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Hello doctor, I am 30 years old male. My recent blood report shows high ESR level (48 mm/hr). I am having a cough, fever, and a headache since eight days. The doctor told me that I have a viral infection, and has given me antibiotics and a cough syrup. Please guide.
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Hi. Consult your physician, with keeping all this in mind. Revert with more information to a general practitioner online -->
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<s>[INST]
Hello doctor, I am 30 years old male. My recent blood report shows high ESR level (48 mm/hr). I am having a cough, fever, and a headache since eight days. The doctor told me that I have a viral infection, and has given me antibiotics and a cough syrup. Please guide. [/INST] Hi. Consult your physician, with keeping all this in mind. Revert with more information to a general practitioner online -->
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Q. Why am I waking up automatically during midnight? Is this common in asthma?
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Hi doctor, I have a body pain in the back left of my body, and I have pain on the backside of the head. Nowadays, I am waking up automatically during midnight, and I have a feeling of having reduced breathing. I am an asthma patient. I am using Budamate 200 inhaler. Is this due to my asthma problem or any other?
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Hi. I can understand your concern and your symptoms could be related to a tension-type headache. You can have a wrong posture. Waking up in midnight can happen due to asthma or a panic attack. For this reason, it is essential to do a pulmonary function test and a cervical spine X-ray study.
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<s>[INST]
Hi doctor, I have a body pain in the back left of my body, and I have pain on the backside of the head. Nowadays, I am waking up automatically during midnight, and I have a feeling of having reduced breathing. I am an asthma patient. I am using Budamate 200 inhaler. Is this due to my asthma problem or any other? [/INST] Hi. I can understand your concern and your symptoms could be related to a tension-type headache. You can have a wrong posture. Waking up in midnight can happen due to asthma or a panic attack. For this reason, it is essential to do a pulmonary function test and a cervical spine X-ray study.
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Q. I feel uneasy while peeing. Is this UTI?
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Hi doctor, I am a sexually active female. After a day of such vigorous activity, I am suffering with symptoms such as stinging and burning sensation while peeing. I am getting the urge to pee again and again while actually do not pee much. I still feel that my bladder is not fully emptied. There is a little pressure in the pelvic area with mild pain and discomfort. My urine is smelly too. As per what I read over the internet it seemed to be UTI. So, I ignored it for a day or two but the symptoms are still there and strong. I would very much appreciate you to get a solution for this as soon as possible.
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Hi. For further information consult an urologist online -->
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<s>[INST]
Hi doctor, I am a sexually active female. After a day of such vigorous activity, I am suffering with symptoms such as stinging and burning sensation while peeing. I am getting the urge to pee again and again while actually do not pee much. I still feel that my bladder is not fully emptied. There is a little pressure in the pelvic area with mild pain and discomfort. My urine is smelly too. As per what I read over the internet it seemed to be UTI. So, I ignored it for a day or two but the symptoms are still there and strong. I would very much appreciate you to get a solution for this as soon as possible. [/INST] Hi. For further information consult an urologist online -->
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Q. I have digestive issues ever since I took antibiotics a year and a half ago. Please help.
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I took an antibiotic a year and a half ago and I’ve had digestive issues ever cents I crave sugar often and mostly eat carbohydrates like bread and chocolate. I recently started to have a green smoothies that had two big handfuls of spinach in them with protein powder every morning for four or five days plus eating regular meals some being salads and some being more protein-based.It’s been about a week since I started this and I feel like I have not fully gone to the bathroom since I feel somewhat of a pain in my stomach and I wake up feeling like I have a fever and I’m just afraid somethings not right and that I’m very constipated. Constipation was one of my main issues this past year and a half and I’m here is if Make an appointment with my gastroenterologist and if I need to get this removed. Thank you
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Hi there thnx for the query.i can understand ur concern. according to ur statement u had digestive problem and u took antibiotics for one and half year that antibiotic's name isn't mentioned here. now u have been suffering from constipation for one and half year and for the seven dayser it has become very severe.firstly exact causes should be found out and then treat the causes the causes of constipation vary such as dehydration or eating foods with too little fibres. again more serious cases, it can be result of stress,hormonal changes,spinal injuries,muscle problems,carcinoma and other structural problems affecting the digestive tract. u should try the following quick treatment to make ur moves- take fibre supplements like Calcium polycarvophil(Fibercon),Psyllium(Metamucil, konsyl),Methylcellulose etc. eat a serving of high fibre food like oats,whole grain bread or cereal,fibrous veggiess and fruits,rice and beans etc. proper dehydration- typically at least eight(8) ounce glasses of clear liquid per day is necessary for normal bowel movement. take a laxative stimulants r designed to force a bowel movement by squeezing the intestines like Bisacodyl(Dulcolax,Ducodyl),Senna-sennosides(Senokot) etc. take an osmotic laxative is designed to help move fluids through the colon like Magnesium hydroxide(Phillips Milk of Magnesia), Polyethylene glycol(Miralax), Lactulose(Kristalose) etc. try a lubricant laxative such as mineral oil add a slick coat to ur intestine's walls,allowing stool to move through ur colon and out of ur body more easily. Use a stool softener such as Docusate sodium(Colace) or Ducosate calcium (Surfak), can moisten the stool by pulling water from intestine. try an enema include Sodium phosphate (Fleet),Soapsuds,Tape water enemas etc. Rectal suppossitories like Glycerin,bisacodyl etc help encourage bowel movements by softening stool. try to perform light exercise regularly. try colonic massage. u should undergo USG of W/A,MRI of spine, Thyroid test(t3,t4,tsh),CBC etc to find out the causes responsible for ur chronic constipation. please inform me after taking above mentioned measures and undergoing investigations,then i will be able to treat u further.
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<s>[INST]
I took an antibiotic a year and a half ago and I’ve had digestive issues ever cents I crave sugar often and mostly eat carbohydrates like bread and chocolate. I recently started to have a green smoothies that had two big handfuls of spinach in them with protein powder every morning for four or five days plus eating regular meals some being salads and some being more protein-based.It’s been about a week since I started this and I feel like I have not fully gone to the bathroom since I feel somewhat of a pain in my stomach and I wake up feeling like I have a fever and I’m just afraid somethings not right and that I’m very constipated. Constipation was one of my main issues this past year and a half and I’m here is if Make an appointment with my gastroenterologist and if I need to get this removed. Thank you [/INST] Hi there thnx for the query.i can understand ur concern. according to ur statement u had digestive problem and u took antibiotics for one and half year that antibiotic's name isn't mentioned here. now u have been suffering from constipation for one and half year and for the seven dayser it has become very severe.firstly exact causes should be found out and then treat the causes the causes of constipation vary such as dehydration or eating foods with too little fibres. again more serious cases, it can be result of stress,hormonal changes,spinal injuries,muscle problems,carcinoma and other structural problems affecting the digestive tract. u should try the following quick treatment to make ur moves- take fibre supplements like Calcium polycarvophil(Fibercon),Psyllium(Metamucil, konsyl),Methylcellulose etc. eat a serving of high fibre food like oats,whole grain bread or cereal,fibrous veggiess and fruits,rice and beans etc. proper dehydration- typically at least eight(8) ounce glasses of clear liquid per day is necessary for normal bowel movement. take a laxative stimulants r designed to force a bowel movement by squeezing the intestines like Bisacodyl(Dulcolax,Ducodyl),Senna-sennosides(Senokot) etc. take an osmotic laxative is designed to help move fluids through the colon like Magnesium hydroxide(Phillips Milk of Magnesia), Polyethylene glycol(Miralax), Lactulose(Kristalose) etc. try a lubricant laxative such as mineral oil add a slick coat to ur intestine's walls,allowing stool to move through ur colon and out of ur body more easily. Use a stool softener such as Docusate sodium(Colace) or Ducosate calcium (Surfak), can moisten the stool by pulling water from intestine. try an enema include Sodium phosphate (Fleet),Soapsuds,Tape water enemas etc. Rectal suppossitories like Glycerin,bisacodyl etc help encourage bowel movements by softening stool. try to perform light exercise regularly. try colonic massage. u should undergo USG of W/A,MRI of spine, Thyroid test(t3,t4,tsh),CBC etc to find out the causes responsible for ur chronic constipation. please inform me after taking above mentioned measures and undergoing investigations,then i will be able to treat u further.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Is it safe to take Udiliv during pregnancy?
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Hi doctor, My wife is in her 7th month of pregnancy. Since last 15 to 20 days, she has been experiencing itching throughout her body. She was ordered liver function test. Report for blood sample collected and attached. Based on this report, she has been taking Udiliv 150 mg twice a day and also Liv 52 tonic twice a day for the past 10 days. Her LFT was repeated and the report for the same has also been attached here. Still parameters are out of range. Please suggest what should be done based on these two reports? Should she continue taking Udiliv 150 mg twice a day? Itching is still persisting, especially during the night. Is it something alarming?
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Hello. She is suffering from IHCP or intrahepatic cholestasis of pregnancy (attachment removed to protect patient identity) and hence the itching. The parameters have deranged and AST (aspartate aminotransferase), ALT (alanine aminotransferase) and Alkaline phosphatase have increased because the dose of Udiliv (Ursodeoxycholic acid) being prescribed has been low. Please consult your specialist doctor, discuss with him or her and get the dosage increased. Then, the liver function test can be repeated again after a week. Also, remember that in cases of IHCP, pregnancy should be terminated at 37 week period of gestation and should not be allowed to continue further for the chances of complication. Revert back after a week to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My wife is in her 7th month of pregnancy. Since last 15 to 20 days, she has been experiencing itching throughout her body. She was ordered liver function test. Report for blood sample collected and attached. Based on this report, she has been taking Udiliv 150 mg twice a day and also Liv 52 tonic twice a day for the past 10 days. Her LFT was repeated and the report for the same has also been attached here. Still parameters are out of range. Please suggest what should be done based on these two reports? Should she continue taking Udiliv 150 mg twice a day? Itching is still persisting, especially during the night. Is it something alarming? [/INST] Hello. She is suffering from IHCP or intrahepatic cholestasis of pregnancy (attachment removed to protect patient identity) and hence the itching. The parameters have deranged and AST (aspartate aminotransferase), ALT (alanine aminotransferase) and Alkaline phosphatase have increased because the dose of Udiliv (Ursodeoxycholic acid) being prescribed has been low. Please consult your specialist doctor, discuss with him or her and get the dosage increased. Then, the liver function test can be repeated again after a week. Also, remember that in cases of IHCP, pregnancy should be terminated at 37 week period of gestation and should not be allowed to continue further for the chances of complication. Revert back after a week to an obstetrician and gynaecologist online -->
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Q. Are sunken eyes reversible?
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Hello doctor, I delivered my baby three years back. After a year, I started suffering from sunken eyes due to lack of sleep, high stress and improper nutrition. For the last six months, I am taking good care of myself and my eyes have slightly improved. I want to know if sunken eyes are reversible. If yes, then how long will it take? I am 31 years old. Please help.
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Hi. You have explained your problem well. For further information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I delivered my baby three years back. After a year, I started suffering from sunken eyes due to lack of sleep, high stress and improper nutrition. For the last six months, I am taking good care of myself and my eyes have slightly improved. I want to know if sunken eyes are reversible. If yes, then how long will it take? I am 31 years old. Please help. [/INST] Hi. You have explained your problem well. For further information consult an internal medicine physician online -->
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Q. Will PCOS delay pregnancy?
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Hi doctor, I am 28 years old. My height is 5'4" and weight is 70 kg. We have been trying for pregnancy for a year. My husband's reports were all normal. I am having PCOS, but my periods are very regular. I am on Oxetol 300 mg for partial seizure since one year. I am also taking Metformin 500 mg thrice daily for five months. I have not used any contraceptive pills still now. My insulin levels are also normal. Please help me out. I am getting very much depressed.
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Hello. Having seen your PCOS reports (attachment removed to protect patient identity), it is suggested that you should opt for controlled ovarian stimulation and intrauterine insemination procedure. For further information consult a childbirth educator online -->
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<s>[INST]
Hi doctor, I am 28 years old. My height is 5'4" and weight is 70 kg. We have been trying for pregnancy for a year. My husband's reports were all normal. I am having PCOS, but my periods are very regular. I am on Oxetol 300 mg for partial seizure since one year. I am also taking Metformin 500 mg thrice daily for five months. I have not used any contraceptive pills still now. My insulin levels are also normal. Please help me out. I am getting very much depressed. [/INST] Hello. Having seen your PCOS reports (attachment removed to protect patient identity), it is suggested that you should opt for controlled ovarian stimulation and intrauterine insemination procedure. For further information consult a childbirth educator online -->
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Q. I have fungal infection in my ear. Is it mandatory to stay at the hospital overnight for a microsuction?
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Hello doctor, I was diagnosed with fungal ear infection yesterday.
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Hi, Welcome in icliniq.com.I would like to tell you that fungal infection in ear is quite common and it may be treated by: Most of the times patients are treated as out door patients but some times if there are some associated complications or patient's general condition is low due to some other associated diseases, then hospitalization becomes essential. Revert back to an ENT otolaryngologist online for further follow up -->
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<s>[INST]
Hello doctor, I was diagnosed with fungal ear infection yesterday. [/INST] Hi, Welcome in icliniq.com.I would like to tell you that fungal infection in ear is quite common and it may be treated by: Most of the times patients are treated as out door patients but some times if there are some associated complications or patient's general condition is low due to some other associated diseases, then hospitalization becomes essential. Revert back to an ENT otolaryngologist online for further follow up -->
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Q. I was advised ayurvedic medicines for work-related stress. Will this help?
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Hello doctor, I have developed anxiety problems due to severe work-related stress. I work in the IT services with timings from 2 PM to 11 PM. So, I go to bed by 1 AM and wake up around 6.45 AM every day. Due to stress, I am having palpitations. I had a full echo, ECG, and a treadmill test to rule out cardiac problems and the results were normal. I was advised Betacap 20 mg and Restyl 0.25 each once a day. I have been taking these medications for close to one and a half years now. However, during a Siddha camp in our office for stress, they reviewed my medications and have advised me to take Ashwagandha 400 mg twice, one in morning and night each along with my allopathy medications. Also, I have lost my sex drive due to stress. I would like to take advice on this medication and dosage. Will these ayurvedic supplements cause any interactions?
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Hello. I have prescribed you the yogic drugs, which will make you healthy mentally as well as physically. After three months, you can stop Betacap. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I have developed anxiety problems due to severe work-related stress. I work in the IT services with timings from 2 PM to 11 PM. So, I go to bed by 1 AM and wake up around 6.45 AM every day. Due to stress, I am having palpitations. I had a full echo, ECG, and a treadmill test to rule out cardiac problems and the results were normal. I was advised Betacap 20 mg and Restyl 0.25 each once a day. I have been taking these medications for close to one and a half years now. However, during a Siddha camp in our office for stress, they reviewed my medications and have advised me to take Ashwagandha 400 mg twice, one in morning and night each along with my allopathy medications. Also, I have lost my sex drive due to stress. I would like to take advice on this medication and dosage. Will these ayurvedic supplements cause any interactions? [/INST] Hello. I have prescribed you the yogic drugs, which will make you healthy mentally as well as physically. After three months, you can stop Betacap. For more information consult an ayurveda specialist online -->
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Q. I have a lump inside my groin with moving skin. What could it be?
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Hello doctor, I am an 18-year-old male. I have a lump on the inside of my groin. It is about the size of a 5 cent Australian piece, and I can feel it under my skin almost as if the skin moves over the top of it. So, I do not think it is a dermatological thing. I have little spots around my pubic area but I think that is because of the hairs. This feels like something different. It does not look inflamed from the outside, and it is not sore to touch (just a bit tender). It feels like it rolls underneath my skin but stays in the same spot obviously.
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Hi. If I am not wrong 5 cents Australian piece is around 2 cm in size. As you have described, it is a lymph node in your inguinal region. The human body has about 600 lymph nodes. Their role is to clean antigens from the extracellular fluid. It helps in fighting inflammation and infection. Lymphadenopathy (LAP) is the term to describe the conditions in which lymph nodes become abnormal in size, consistency, and number. A normal-sized lymph node is usually less than 1 cm in diameter. An inguinal lymph node size up to 1.5 cm should be considered normal. Lymphadenopathy can be called generalized when it affects two or more parts of the body. Enlarged lymph nodes associated with significant fever, night sweats, and unexplained weight loss (more than 10% in less than six months) are considered as red flags. It required an urgent evaluation for lymphoma. Those are not present in your case. Pain and tenderness on a lymph node is a non-specific finding. It is typically due to minor infection. Other causes of the inguinal lymph node are benign reactive lymphadenopathy, sexually transmitted disease, cellulitis or local infection, etc. Benign reactive inguinal lymphadenopathy is seen in patients who walk barefooted outdoors. If it is tender you can take Paracetamol. Keep watch. Avoid walking barefoot. Keep hygiene of your private parts. If it persists and associated pain or fever or other site engaged lymph nodes, you will need an evaluation. I hope this helps. Regards.
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<s>[INST]
Hello doctor, I am an 18-year-old male. I have a lump on the inside of my groin. It is about the size of a 5 cent Australian piece, and I can feel it under my skin almost as if the skin moves over the top of it. So, I do not think it is a dermatological thing. I have little spots around my pubic area but I think that is because of the hairs. This feels like something different. It does not look inflamed from the outside, and it is not sore to touch (just a bit tender). It feels like it rolls underneath my skin but stays in the same spot obviously. [/INST] Hi. If I am not wrong 5 cents Australian piece is around 2 cm in size. As you have described, it is a lymph node in your inguinal region. The human body has about 600 lymph nodes. Their role is to clean antigens from the extracellular fluid. It helps in fighting inflammation and infection. Lymphadenopathy (LAP) is the term to describe the conditions in which lymph nodes become abnormal in size, consistency, and number. A normal-sized lymph node is usually less than 1 cm in diameter. An inguinal lymph node size up to 1.5 cm should be considered normal. Lymphadenopathy can be called generalized when it affects two or more parts of the body. Enlarged lymph nodes associated with significant fever, night sweats, and unexplained weight loss (more than 10% in less than six months) are considered as red flags. It required an urgent evaluation for lymphoma. Those are not present in your case. Pain and tenderness on a lymph node is a non-specific finding. It is typically due to minor infection. Other causes of the inguinal lymph node are benign reactive lymphadenopathy, sexually transmitted disease, cellulitis or local infection, etc. Benign reactive inguinal lymphadenopathy is seen in patients who walk barefooted outdoors. If it is tender you can take Paracetamol. Keep watch. Avoid walking barefoot. Keep hygiene of your private parts. If it persists and associated pain or fever or other site engaged lymph nodes, you will need an evaluation. I hope this helps. Regards.
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Q. Developed with nodular acne on my left cheek. Is this prescription effective?
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Hello, I am a male, 24 years old. I have recently developed with nodular acne on my left cheek and visited a dermatologist. The doctor has prescribed the following for 15 days for pimples: Rejuglow face wash gel. Nilac ointment (twice daily). Minoz 50 tablet (once daily). He has asked me to come after 15 days for prescription of scars; once pimples are eliminated. Are the prescription mentioned above effective? How many days and what ointment/face wash gel/home remedy is effective in reducing the scar faster? (he has told it takes 3 months) Give a second opinion.
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Hi, Thanks for writing to us. Acne treatment depends upon the type of acne lesions. From the treatment provided it seems, you are having pustular (pus filled) or papular (red raised bumps) lesions. In case of nodular acne, lesions are large nodules. For nodular acne we usually prescribe oral isotretinoin in dose of 20 mg to 40 mg daily depending on severity. If there are just one or two nodules then we can also treat the same by intralesional steroid and antibiotic injections. In papular or pustular acne, I prefer tablet doxycycline 100mg twice in a day or minocycline 100mg daily (minoz once daily) along with topical adapalene clindamycin gel like deriva CMS or epiduo gel, once in a night application. Usually lesions subside by two weeks to a month. In case of nodular acne treatment, it needs to be continued for a month or may be more as it is a severe acne variant. For marks and scars, one may use topical creams like glycolic acid, azelaic acid, kojic acid, tretinoin cream etc. One may also take sessions of chemical peels or microdermabrasion. The treatment advised and time required for response depends upon the severity of scar. For further clarification, kindly send us the pictures of the acne lesions and ask a dermatologist or an acne specialist online -->
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<s>[INST]
Hello, I am a male, 24 years old. I have recently developed with nodular acne on my left cheek and visited a dermatologist. The doctor has prescribed the following for 15 days for pimples: Rejuglow face wash gel. Nilac ointment (twice daily). Minoz 50 tablet (once daily). He has asked me to come after 15 days for prescription of scars; once pimples are eliminated. Are the prescription mentioned above effective? How many days and what ointment/face wash gel/home remedy is effective in reducing the scar faster? (he has told it takes 3 months) Give a second opinion. [/INST] Hi, Thanks for writing to us. Acne treatment depends upon the type of acne lesions. From the treatment provided it seems, you are having pustular (pus filled) or papular (red raised bumps) lesions. In case of nodular acne, lesions are large nodules. For nodular acne we usually prescribe oral isotretinoin in dose of 20 mg to 40 mg daily depending on severity. If there are just one or two nodules then we can also treat the same by intralesional steroid and antibiotic injections. In papular or pustular acne, I prefer tablet doxycycline 100mg twice in a day or minocycline 100mg daily (minoz once daily) along with topical adapalene clindamycin gel like deriva CMS or epiduo gel, once in a night application. Usually lesions subside by two weeks to a month. In case of nodular acne treatment, it needs to be continued for a month or may be more as it is a severe acne variant. For marks and scars, one may use topical creams like glycolic acid, azelaic acid, kojic acid, tretinoin cream etc. One may also take sessions of chemical peels or microdermabrasion. The treatment advised and time required for response depends upon the severity of scar. For further clarification, kindly send us the pictures of the acne lesions and ask a dermatologist or an acne specialist online -->
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Q. Is it safe to take Gabapentin for back stiffness?
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Hello doctor, I am a 33 year old unmarried male, and I have a back stiffness problem for more than three years. Everyone gives the says that my posture is not proper while walking. Two years back when I consulted a doctor, he suspected ankylosing spondylitis, but HLA-B27 was negative. After seeing the x-ray, the doctor told that there are some fusions between the bones. He recommended few vitamin tablets for few months, and he asked to do exercise. So, I started swimming, but from the last six months, I am not able to continue because of my job transfer. In the last two years, the condition did not worsen, but the stiffness remains the same. So, I consulted another doctor, who took an x-ray, MRI scan, blood test, ESR, etc., and I have attached my test report. The doctor told this is neither spondylitis nor arthritis, and he asked me not to worry. If it is ankylosing spondylitis, then it would have gotten worse in the last two years. He said that there is only mild fusion at present. So, he recommended some calcium tablets and Gabapentin tablet. I read a lot of negative reviews on this tablet, with relation to nerves. I am taking this from the last one month. I would like to know your opinion on the following, what is the actual condition and seriousness of this problem? Currently, I am having the stiffness and posture problem. Will it affect me more in the future? Can I take Gabapentin tablet? Is there any solution to improve my posture? I have got some suggestions to use hot and cold therapy, can I do it? Thank you.
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Hello. I have seen the attached reports (attachment removed to protect patient identity). Revert with more information to a rheumatologist online -->
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<s>[INST]
Hello doctor, I am a 33 year old unmarried male, and I have a back stiffness problem for more than three years. Everyone gives the says that my posture is not proper while walking. Two years back when I consulted a doctor, he suspected ankylosing spondylitis, but HLA-B27 was negative. After seeing the x-ray, the doctor told that there are some fusions between the bones. He recommended few vitamin tablets for few months, and he asked to do exercise. So, I started swimming, but from the last six months, I am not able to continue because of my job transfer. In the last two years, the condition did not worsen, but the stiffness remains the same. So, I consulted another doctor, who took an x-ray, MRI scan, blood test, ESR, etc., and I have attached my test report. The doctor told this is neither spondylitis nor arthritis, and he asked me not to worry. If it is ankylosing spondylitis, then it would have gotten worse in the last two years. He said that there is only mild fusion at present. So, he recommended some calcium tablets and Gabapentin tablet. I read a lot of negative reviews on this tablet, with relation to nerves. I am taking this from the last one month. I would like to know your opinion on the following, what is the actual condition and seriousness of this problem? Currently, I am having the stiffness and posture problem. Will it affect me more in the future? Can I take Gabapentin tablet? Is there any solution to improve my posture? I have got some suggestions to use hot and cold therapy, can I do it? Thank you. [/INST] Hello. I have seen the attached reports (attachment removed to protect patient identity). Revert with more information to a rheumatologist online -->
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Q. I have a swollen lymph node in neck since birth. Is it something serious?
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Hello doctor, I have swollen lymph node on the left back side of the neck. I am not sure from when I have it but I start noticing it from two months. It is not hurting me and my CBC report is normal. I do not have any other symptoms like fever, night sweat or weight loss. I wanted to know is it possible that I have this swollen lymph node from birth or do I need to worry about it?
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Hello. These are subcentimeter lymph nodes which usually are benign and harmless. However, if you develop fever, joint pains, rash, change in appetite, weight loss or night sweats this should be investigated further by biopsy or FNAC (fine .needle aspiration cytology). You can also get a repeat ultrasound in the next six months to follow up on the size of these lymph nodes. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I have swollen lymph node on the left back side of the neck. I am not sure from when I have it but I start noticing it from two months. It is not hurting me and my CBC report is normal. I do not have any other symptoms like fever, night sweat or weight loss. I wanted to know is it possible that I have this swollen lymph node from birth or do I need to worry about it? [/INST] Hello. These are subcentimeter lymph nodes which usually are benign and harmless. However, if you develop fever, joint pains, rash, change in appetite, weight loss or night sweats this should be investigated further by biopsy or FNAC (fine .needle aspiration cytology). You can also get a repeat ultrasound in the next six months to follow up on the size of these lymph nodes. For more information consult an internal medicine physician online -->
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Q. What is the use of quadruple marker test?
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Hello doctor, My wife is 18 weeks pregnant with twin gestations. She has conceived through IUI treatment. We want an urgent and detailed feedback regarding her quadruple marker report. How authentic are the report findings, considering there are no other marker tests done before, like double marker? What could be our next steps? I have attached the quadruple marker report. Thank you.
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Hi. I have gone through your question and understand your concerns. I have reviewed the quadruple marker report (attachment removed to protect patient identity). For further information consult a fetal medicine specialist online -->
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<s>[INST]
Hello doctor, My wife is 18 weeks pregnant with twin gestations. She has conceived through IUI treatment. We want an urgent and detailed feedback regarding her quadruple marker report. How authentic are the report findings, considering there are no other marker tests done before, like double marker? What could be our next steps? I have attached the quadruple marker report. Thank you. [/INST] Hi. I have gone through your question and understand your concerns. I have reviewed the quadruple marker report (attachment removed to protect patient identity). For further information consult a fetal medicine specialist online -->
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Q. My leg muscles are very sore after I started playing sports. Can you help?
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Hello doctor, I have been playing volleyball, basketball, and athletics for around two weeks, but my leg muscles are still sore. Standing in the same position gives some relief. When someone touches my legs even softly, they ache hard. It is paining around my ankles and knees mainly. With this thing on, I am playing sports continuously. Can you help?
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Hello. This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, I have been playing volleyball, basketball, and athletics for around two weeks, but my leg muscles are still sore. Standing in the same position gives some relief. When someone touches my legs even softly, they ache hard. It is paining around my ankles and knees mainly. With this thing on, I am playing sports continuously. Can you help? [/INST] Hello. This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist 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 blood sugar level increased with quitting alcohol. Shall I increase Trajenta dose?
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Hello doctor, I am a diabetic. One month back I used to drink alcohol about 350 ml every night and in the morning I take one tablet of Trajenta. Since I have stopped drinking, I feel to eat some sweet and I do eat some ice cream once a day or a Bournvita milk. When I check my sugar randomly now on On- touch Ultra it is between 200 to 265 mg/dL. So to maintain my sugar level can I have two tablets of Trajenta in the morning and evening?
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Hi. From your history, I could understand that you are suffering from uncontrolled type 2 diabetes for one month. Usually, uncontrolled blood sugars may not initially show symptoms, that does not mean it is safe to have high blood sugars for a long time. We are controlling sugars to prevent complications which are usually manifested 5-10 years later. In your case, the blood sugars might have slightly lowered after stopping drinks that might be causing relative hypoglycemia symptoms, which usually will be over within a couple of weeks. Anyway, still your blood sugars are uncontrolled. I will advise you to follow a better diet pattern with limited calories according to your activities and a low glycemic index food intake. Also, try to spend 30 minutes daily for regular aerobic exercises. Coming to your medication, do not increase Trajenta 5 (Linagliptin). Continue the same dosage. You can add a new tablet for better sugar control. Avoid drinks completely for avoiding sugar fluctuations. HBA1c (glycated hemoglobin),serum creatinine, and urine albumin creatinine ratio. Continue Trajenta 5 mg 0-0-1. Add tablet Amaryl M1 1-0-0 (before food). Fundus examination by an ophthalmologist to rule out diabetic retinopathy. Review after three weeks.
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<s>[INST]
Hello doctor, I am a diabetic. One month back I used to drink alcohol about 350 ml every night and in the morning I take one tablet of Trajenta. Since I have stopped drinking, I feel to eat some sweet and I do eat some ice cream once a day or a Bournvita milk. When I check my sugar randomly now on On- touch Ultra it is between 200 to 265 mg/dL. So to maintain my sugar level can I have two tablets of Trajenta in the morning and evening? [/INST] Hi. From your history, I could understand that you are suffering from uncontrolled type 2 diabetes for one month. Usually, uncontrolled blood sugars may not initially show symptoms, that does not mean it is safe to have high blood sugars for a long time. We are controlling sugars to prevent complications which are usually manifested 5-10 years later. In your case, the blood sugars might have slightly lowered after stopping drinks that might be causing relative hypoglycemia symptoms, which usually will be over within a couple of weeks. Anyway, still your blood sugars are uncontrolled. I will advise you to follow a better diet pattern with limited calories according to your activities and a low glycemic index food intake. Also, try to spend 30 minutes daily for regular aerobic exercises. Coming to your medication, do not increase Trajenta 5 (Linagliptin). Continue the same dosage. You can add a new tablet for better sugar control. Avoid drinks completely for avoiding sugar fluctuations. HBA1c (glycated hemoglobin),serum creatinine, and urine albumin creatinine ratio. Continue Trajenta 5 mg 0-0-1. Add tablet Amaryl M1 1-0-0 (before food). Fundus examination by an ophthalmologist to rule out diabetic retinopathy. Review after three weeks.
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Q. My right ear is slightly blocked. Please suggest a remedy.
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Hello doctor, Two days back, I had a severe pain in my right ear. One fine evening, the pain went severe starting from the head till the chin. I had visited an ENT doctor who removed a lot of earwax through EUM suction procedure. Since then, I got relief from the pain. But, I feel my right ear is slightly blocked compared to my left one. I again visited the ENT doctor who said my ear is clear and there is nothing that I should worry about. Can you suggest any other remedy to follow? I am worried if this block would stay permanent. I had a cold that has now resulted in a dry cough with phlegm. I will be traveling abroad in two days.
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Hello. Do revert back if you need any further help. Let us know the progress with medicines. If doing the tests, please share the reports. For more information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, Two days back, I had a severe pain in my right ear. One fine evening, the pain went severe starting from the head till the chin. I had visited an ENT doctor who removed a lot of earwax through EUM suction procedure. Since then, I got relief from the pain. But, I feel my right ear is slightly blocked compared to my left one. I again visited the ENT doctor who said my ear is clear and there is nothing that I should worry about. Can you suggest any other remedy to follow? I am worried if this block would stay permanent. I had a cold that has now resulted in a dry cough with phlegm. I will be traveling abroad in two days. [/INST] Hello. Do revert back if you need any further help. Let us know the progress with medicines. If doing the tests, please share the reports. For more information consult an ENT otolaryngologist online -->
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Q. How can the ringing in my ears be treated?
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Hello doctor, I have had ringing in my ears for two or three months. My doctor said it was an ear infection in both ears. I had two courses of Augmentin, but it did not improve. I had to change my doctor for some reason. The new doctor gave me Soframycin ear drops but when I went back to her for followup, she had changed her location. So, I went to a third doctor who said there were white balls in my ears. She thought it was a fungal infection and prescribed Bactrim DS and Candibiotic ear drops. When I returned, one ear had cleared up. She took a swab and then rinsed out my other ear finding a large amount of white matter like balls. I have just received the results of the swab which says it is not fungal and there were no known bacteria, but there was blood in the sample. So, they now think it is bacterial and want me to go back on antibiotics. The noise is sometimes loud and sometimes quiet, but it is always there. My hearing is not impaired at all but rather more sensitive than normal. My ears burn and throb at times but there is no great pain. Drops of vinegar and water help. I am not sure what to do. Please help.
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Hello. You seem to be suffering from tinnitus which is nothing but a ringing sensation in the ears. There are various causes for tinnitus and the most common among them are a sensorineural hearing loss, Eustachian tube dysfunction, otosclerosis, ossicular discontinuity where ear bones become dislodged from their joints, chronic middle ear infection etc. But, the most common cause for ringing sound in the ear is a sensorineural hearing loss, probably age-related. Even unrecognizable minimal sensorineural hearing loss can cause disturbing tinnitus. Usually, fungal or bacterial infection of the external ear will not cause tinnitus. It is unlikely that it is bacterial or fungal. Infection of the ear canal is causing the ringing sound in the ear. There may be a small perforation of your eardrum or there may be a collection of fluid in your middle ear which can cause the ringing sensation in the ear. There can also be ear blockage. In that case, your symptoms should resolve with antibiotics within a few weeks. You should undergo pure tone audiogram to assess your hearing threshold. If there is a significant change in higher frequency hearing then that is the cause for your tinnitus. If your symptoms persist then hearing aids or tinnitus maskers will help you to overcome your problems. There are other treatment modalities such as a tinnitus retraining therapy which can be helpful in some patients You should consider visiting an audiologist also after consultation with your doctor. For more information consult an ENT Otolaryngologist online -->
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<s>[INST]
Hello doctor, I have had ringing in my ears for two or three months. My doctor said it was an ear infection in both ears. I had two courses of Augmentin, but it did not improve. I had to change my doctor for some reason. The new doctor gave me Soframycin ear drops but when I went back to her for followup, she had changed her location. So, I went to a third doctor who said there were white balls in my ears. She thought it was a fungal infection and prescribed Bactrim DS and Candibiotic ear drops. When I returned, one ear had cleared up. She took a swab and then rinsed out my other ear finding a large amount of white matter like balls. I have just received the results of the swab which says it is not fungal and there were no known bacteria, but there was blood in the sample. So, they now think it is bacterial and want me to go back on antibiotics. The noise is sometimes loud and sometimes quiet, but it is always there. My hearing is not impaired at all but rather more sensitive than normal. My ears burn and throb at times but there is no great pain. Drops of vinegar and water help. I am not sure what to do. Please help. [/INST] Hello. You seem to be suffering from tinnitus which is nothing but a ringing sensation in the ears. There are various causes for tinnitus and the most common among them are a sensorineural hearing loss, Eustachian tube dysfunction, otosclerosis, ossicular discontinuity where ear bones become dislodged from their joints, chronic middle ear infection etc. But, the most common cause for ringing sound in the ear is a sensorineural hearing loss, probably age-related. Even unrecognizable minimal sensorineural hearing loss can cause disturbing tinnitus. Usually, fungal or bacterial infection of the external ear will not cause tinnitus. It is unlikely that it is bacterial or fungal. Infection of the ear canal is causing the ringing sound in the ear. There may be a small perforation of your eardrum or there may be a collection of fluid in your middle ear which can cause the ringing sensation in the ear. There can also be ear blockage. In that case, your symptoms should resolve with antibiotics within a few weeks. You should undergo pure tone audiogram to assess your hearing threshold. If there is a significant change in higher frequency hearing then that is the cause for your tinnitus. If your symptoms persist then hearing aids or tinnitus maskers will help you to overcome your problems. There are other treatment modalities such as a tinnitus retraining therapy which can be helpful in some patients You should consider visiting an audiologist also after consultation with your doctor. For more information consult an ENT Otolaryngologist online -->
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Q. Why do I have fat balls all over my body?
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Hi doctor, I am 27 years old and my weight is normal. I have fat balls on my body everywhere and some are painful. How can I get rid of those? Please help.
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Hi. From your description, most probably you have lipoma which is the accumulation of fat. If they are painful, get them surgically removed. Please tell me the following things to help you better: Revert with the answers to a dermatologist online -->
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<s>[INST]
Hi doctor, I am 27 years old and my weight is normal. I have fat balls on my body everywhere and some are painful. How can I get rid of those? Please help. [/INST] Hi. From your description, most probably you have lipoma which is the accumulation of fat. If they are painful, get them surgically removed. Please tell me the following things to help you better: Revert with the answers to a dermatologist online -->
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Q. Can I father a child with one testicle?
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Hi doctor, I am 31 years old. I have only one testicle by birth. Can I become a father? Please find my attached semen analysis report. I have few clarifications in my reports. My sperm count is 16 million/cumm, is it normal? I read on internet normal sperm count is above 20 million. My pus cell is in the range of 6-8/hpf, is this normal? Please check my report and clear my doubts and suggest any solution. Thank you.
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Hi. For further queries consult a urologist online -->
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<s>[INST]
Hi doctor, I am 31 years old. I have only one testicle by birth. Can I become a father? Please find my attached semen analysis report. I have few clarifications in my reports. My sperm count is 16 million/cumm, is it normal? I read on internet normal sperm count is above 20 million. My pus cell is in the range of 6-8/hpf, is this normal? Please check my report and clear my doubts and suggest any solution. Thank you. [/INST] Hi. For further queries consult a urologist online -->
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Q. Does Orlistat help in losing weight?
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Hi doctor, I am an unmarried 23 year old female. My height and weight are 5'6" and 105 kg respectively. Till now I do not have any medical issue. From childhood, I am a bit fat. So I would like to know, is there any tablet which can help me lose weight along with diet? I heard that Xenical (Orlistat) will help to lose weight. Is it right?
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Hi. I have gone through your case in detail. Lifestyles or hormonal imbalance. Blood test, sugar profile, hormonal profile. Revert back after a week for follow up to a dietician online.--->
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<s>[INST]
Hi doctor, I am an unmarried 23 year old female. My height and weight are 5'6" and 105 kg respectively. Till now I do not have any medical issue. From childhood, I am a bit fat. So I would like to know, is there any tablet which can help me lose weight along with diet? I heard that Xenical (Orlistat) will help to lose weight. Is it right? [/INST] Hi. I have gone through your case in detail. Lifestyles or hormonal imbalance. Blood test, sugar profile, hormonal profile. Revert back after a week for follow up to a dietician online.--->
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Q. How does Nicotex chewing gum help quit smoking?
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Hello doctor, How does Nicotex chewing gum help in quitting smoking?
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Hello. Wishing you a good health. For more information consult a general practitioner online -->
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<s>[INST]
Hello doctor, How does Nicotex chewing gum help in quitting smoking? [/INST] Hello. Wishing you a good health. For more information consult a general practitioner online -->
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Q. Does low Hb count cause paleness of nails and tongue?
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Hello doctor, I have little spots here and there along with white discharge. I had PCOD problem previously. I took a scan last month and the report was normal. I feel like my Hb count is low. I am feeling very tired and sleepy. Are these spots because of the low Hb count? Prescribe some ways to improve my Hb count. I am attaching my scan report too.
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Hello. I read your query. Your scan report was normal (attachment removed to protect patient identity). Different types of infections may cause itching or an abnormal discharge. These include: Regarding low Hb (hemoglobin), you can treat it, but before that, we need to know the cause to prevent its recurrence. I would like to ask few questions so that I can know the cause of low hemoglobin count. It is advisable to go for a blood investigation before starting the treatment for anemia, or the reports may alter. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I have little spots here and there along with white discharge. I had PCOD problem previously. I took a scan last month and the report was normal. I feel like my Hb count is low. I am feeling very tired and sleepy. Are these spots because of the low Hb count? Prescribe some ways to improve my Hb count. I am attaching my scan report too. [/INST] Hello. I read your query. Your scan report was normal (attachment removed to protect patient identity). Different types of infections may cause itching or an abnormal discharge. These include: Regarding low Hb (hemoglobin), you can treat it, but before that, we need to know the cause to prevent its recurrence. I would like to ask few questions so that I can know the cause of low hemoglobin count. It is advisable to go for a blood investigation before starting the treatment for anemia, or the reports may alter. For more information consult an internal medicine physician online -->
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Q. Can a child be a victim for sexual abuse?
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Hello doctor, Would a 4 year old child, who is diagnosed with gastroenteritis, show severe inflammation from rectum all the way up to the tail end of the colon? He was diagnosed based on vomiting and diarrhea. His vomit and diarrhea were of the consistency of thick peanut butter and both looked identical. I had never seen vomit or stool that looked liked thick, whipped paste and in very light brown color. He had no fever, no abdominal pain but cried and cried that his butt really hurt. They did a CAT scan thinking it might be his appendix but the CAT scan came back negative but clearly showed an inflamed rectum and lower colon, about 12" from the anus. My little boy was in play therapy for reasons of possible sexual abuse and reported to his therapist six weeks later that he was forced to sleep naked with an adult male and he did not like it. If a small child's anus and rectum suffered trauma, could that result in the child throwing up and defecating this paste type substance? The ER doctor was puzzled because he said it was unusual that diarrhea inflamed the entire colon and not the tail end and rectum.
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Hi. It is really very unfortunate that you are dealing with this problem. I wish your child a good health. For further queries consult a child health specialist online -->
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<s>[INST]
Hello doctor, Would a 4 year old child, who is diagnosed with gastroenteritis, show severe inflammation from rectum all the way up to the tail end of the colon? He was diagnosed based on vomiting and diarrhea. His vomit and diarrhea were of the consistency of thick peanut butter and both looked identical. I had never seen vomit or stool that looked liked thick, whipped paste and in very light brown color. He had no fever, no abdominal pain but cried and cried that his butt really hurt. They did a CAT scan thinking it might be his appendix but the CAT scan came back negative but clearly showed an inflamed rectum and lower colon, about 12" from the anus. My little boy was in play therapy for reasons of possible sexual abuse and reported to his therapist six weeks later that he was forced to sleep naked with an adult male and he did not like it. If a small child's anus and rectum suffered trauma, could that result in the child throwing up and defecating this paste type substance? The ER doctor was puzzled because he said it was unusual that diarrhea inflamed the entire colon and not the tail end and rectum. [/INST] Hi. It is really very unfortunate that you are dealing with this problem. I wish your child a good health. For further queries consult a child health specialist online -->
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Q. I am passing urine with little strain. Why?
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Hi doctor, I am 40 years old. From last two days I am suffering from frequent urination during day time with little bit burning sensation. My blood sugar and BP are normal. Urine flow is not so strong. I used to urine by pressing the penis and this is not the first time. As far as I can recall it from age 20, I am often suffer with the same issue. Please suggest me.
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Hi.I have some more queries about your complaints. As male urethra is S shaped some urine gets trapped and milking often clears the trapped urine at the end of urination. The complaints you have quoted may fit into one of the below. BPH usually occurs after 50 years, which is not in your case as you are having these for the last 20 years. Recurrent UTI is a consideration which can be ruled out by CUE (cumulative urinary excretion). For strictures and diverticulum you need catheterization to rule out or radiographic evaluation of urethra with contrast like retrograde cystourethrogram and ultrasound. I would advise you to avoid dairy. 1. CUE. 2. Ultrasonography of abdomen with focus on prostate and post volume. Revert back with the answers to the above questions to an internal medicine physician online.--->
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<s>[INST]
Hi doctor, I am 40 years old. From last two days I am suffering from frequent urination during day time with little bit burning sensation. My blood sugar and BP are normal. Urine flow is not so strong. I used to urine by pressing the penis and this is not the first time. As far as I can recall it from age 20, I am often suffer with the same issue. Please suggest me. [/INST] Hi.I have some more queries about your complaints. As male urethra is S shaped some urine gets trapped and milking often clears the trapped urine at the end of urination. The complaints you have quoted may fit into one of the below. BPH usually occurs after 50 years, which is not in your case as you are having these for the last 20 years. Recurrent UTI is a consideration which can be ruled out by CUE (cumulative urinary excretion). For strictures and diverticulum you need catheterization to rule out or radiographic evaluation of urethra with contrast like retrograde cystourethrogram and ultrasound. I would advise you to avoid dairy. 1. CUE. 2. Ultrasonography of abdomen with focus on prostate and post volume. Revert back with the answers to the above questions to an internal medicine physician online.--->
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Q. Can you explain the conditions which cause right lower abdominal pain?
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Hi doctor, I am having mild pain in my mid and right lower abdomen region. When I press, I can feel some gas moving inside. I poked it continuously. I am also burping and passing gas. My doubts are, is the pain due to gas? Or did my constant poking worsen it? Or is it something serious like appendicitis? I have attached my blood reports with this. Please guide.
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Hi. I want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case history and reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. The normal CBC (complete blood count) and no raise in white blood cell count says that it is not an appendix pain. So, relax and do not worry much. 2. Pain in this area can be due to the urinary tract infection and that is very common in this age group. 3. Other reasons may be stomach or small intestine ulcers and increased acidity in the stomach but it does not seem to in consistent with your history. Also liver or gallbladder involvement can cause such pain. Complete abdominal ultrasound including kidney, ureter and bladder. 1. You can take tablet Phenazopyridine for pain. I usually prescribe it for only two days. 2. You just keep taking Nitrofurantoin as prescribed. 3. Add cranberry juice which will help you a lot. 4. You should not poke the area and feel relaxed. 5. Take plenty of water and take more of vegetables, salads and fruits in diet. Revert back with the investigation report to an general medicine physician online.--->
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<s>[INST]
Hi doctor, I am having mild pain in my mid and right lower abdomen region. When I press, I can feel some gas moving inside. I poked it continuously. I am also burping and passing gas. My doubts are, is the pain due to gas? Or did my constant poking worsen it? Or is it something serious like appendicitis? I have attached my blood reports with this. Please guide. [/INST] Hi. I want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case history and reports (attachment removed to protect patient identity) and can well understand your genuine health concerns. 1. The normal CBC (complete blood count) and no raise in white blood cell count says that it is not an appendix pain. So, relax and do not worry much. 2. Pain in this area can be due to the urinary tract infection and that is very common in this age group. 3. Other reasons may be stomach or small intestine ulcers and increased acidity in the stomach but it does not seem to in consistent with your history. Also liver or gallbladder involvement can cause such pain. Complete abdominal ultrasound including kidney, ureter and bladder. 1. You can take tablet Phenazopyridine for pain. I usually prescribe it for only two days. 2. You just keep taking Nitrofurantoin as prescribed. 3. Add cranberry juice which will help you a lot. 4. You should not poke the area and feel relaxed. 5. Take plenty of water and take more of vegetables, salads and fruits in diet. Revert back with the investigation report to an general medicine physician online.--->
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Q. HPV is revealed from my abnormal pap test. What should I do as a preventive measure?
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Hello doctor, My gynecologist told me that I had an abnormality in my pap test, and I have HPV. Eventually, she will need to look at my cervix to make sure what strain it is. The information she gave me was very bland. All she told me was that if I have sex just use a condom, which I always do. But I wanted to know, what can I do physically and sexually with what I have?
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Hello. May I know what was the abnormality detected on your pap smear? As per your gynecologist, if you have got HPV (human papillomavirus) infection (high-risk HPV strains), that is responsible for the development of cervical cancer, you need to be further evaluated. So your gynecologist would be having a look at your cervix through a magnified camera that can pick up certain changes on the cervix, and can hint on the development of any precancerous changes. If present it can be tackled at an early stage before actual cancer sets it. So cervical cancer screening methods can detect changes almost five years before the actual development of cancer, so it is advisable you get regular pap smears as advised by your gynecologist and be under her follow. It would have been helpful if you could share the reports of pap smear and HPV testing with me so that I could guide you better. The reason your gynecologist asked to use condoms is that HPV infection is usually acquired through sexual contact. So to prevent repeated infection and also to prevent other sexually transmitted infections, which can further aid in acquiring HPV infection can be prevented by using condoms regularly. Regular pap and HPV testing. Avoid smoking and multiple sexual partners.
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<s>[INST]
Hello doctor, My gynecologist told me that I had an abnormality in my pap test, and I have HPV. Eventually, she will need to look at my cervix to make sure what strain it is. The information she gave me was very bland. All she told me was that if I have sex just use a condom, which I always do. But I wanted to know, what can I do physically and sexually with what I have? [/INST] Hello. May I know what was the abnormality detected on your pap smear? As per your gynecologist, if you have got HPV (human papillomavirus) infection (high-risk HPV strains), that is responsible for the development of cervical cancer, you need to be further evaluated. So your gynecologist would be having a look at your cervix through a magnified camera that can pick up certain changes on the cervix, and can hint on the development of any precancerous changes. If present it can be tackled at an early stage before actual cancer sets it. So cervical cancer screening methods can detect changes almost five years before the actual development of cancer, so it is advisable you get regular pap smears as advised by your gynecologist and be under her follow. It would have been helpful if you could share the reports of pap smear and HPV testing with me so that I could guide you better. The reason your gynecologist asked to use condoms is that HPV infection is usually acquired through sexual contact. So to prevent repeated infection and also to prevent other sexually transmitted infections, which can further aid in acquiring HPV infection can be prevented by using condoms regularly. Regular pap and HPV testing. Avoid smoking and multiple sexual partners.
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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 am a vegetarian. I would like to gain weight without any side effects. Please help.
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Hello Doctor, I am a 26 year old male. I would like to gain weight without any side effects. My height is 164cm and my weight is 54kg. I am a vegetarian and I do not take eggs. I am a software engineer and my work does not involve much physical movement. Please suggest me a suitable diet plan and exercise.
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Hi, It is very important to gain weight in a healthy way (i.e, gaining muscle and not fat). For this, both diet and exercise play a major role. DIET: EXERCISE: Consult a dietician online for any modifications in your diet chart -->
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<s>[INST]
Hello Doctor, I am a 26 year old male. I would like to gain weight without any side effects. My height is 164cm and my weight is 54kg. I am a vegetarian and I do not take eggs. I am a software engineer and my work does not involve much physical movement. Please suggest me a suitable diet plan and exercise. [/INST] Hi, It is very important to gain weight in a healthy way (i.e, gaining muscle and not fat). For this, both diet and exercise play a major role. DIET: EXERCISE: Consult a dietician online for any modifications in your diet chart -->
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Q. I have some black spots on penile skin. What are these?
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Hi doctor,I am having some black spots on penile skin. What to do?
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor,I am having some black spots on penile skin. What to do? [/INST] Hi. For further information consult a dermatologist online -->
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Q. I am suffering from ankylosing spondylitis. Kindly suggest new medications.
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Hello doctor, I am suffering from ankylosing spondylitis (HLA B27 positive and Rh factor negative) since 10 years, now on Saaz-DS, SI joints are fused. Movement restrictions of neck, forward bending and morning stiffness with sciatica. Kindly suggest the new medications and NSAIDs. I have attached HLA B27 with recent blood reports.
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Hello. The NSAIDs you can take are Etoricoxib 90 mg once daily or Diclofenac 75 mg twice daily. You can try this out and see which one helps more. Once your pain is controlled, you can try to reduce the dose to alternate days or even lesser depending on your pain. Folic acid supplementation at 5 mg daily and vitamin D supplementation at 60K weekly for two months and then monthly should also continue. Please do regular physical exercises. For more information consult a rheumatologist online -->
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<s>[INST]
Hello doctor, I am suffering from ankylosing spondylitis (HLA B27 positive and Rh factor negative) since 10 years, now on Saaz-DS, SI joints are fused. Movement restrictions of neck, forward bending and morning stiffness with sciatica. Kindly suggest the new medications and NSAIDs. I have attached HLA B27 with recent blood reports. [/INST] Hello. The NSAIDs you can take are Etoricoxib 90 mg once daily or Diclofenac 75 mg twice daily. You can try this out and see which one helps more. Once your pain is controlled, you can try to reduce the dose to alternate days or even lesser depending on your pain. Folic acid supplementation at 5 mg daily and vitamin D supplementation at 60K weekly for two months and then monthly should also continue. Please do regular physical exercises. For more information consult a rheumatologist online -->
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Q. The blisters on my penis look like herpetic lesions, then why did HSV test come back negative?
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Hi doctor, I am a 37 year old male, who weighs 195 lbs, and I am 5.10 feet tall. I had blisters on my penis, so I went to a clinic. The doctor said that it appears to be herpes, but because I do not have pain, fever, or any other symptoms, he believed this was from friction. He told me to get HSV-1 and HSV-2 tests, which came back negative. However, I have read that this test may have been done too soon and my body might not have enough antibodies to detect the disease. Is this correct? If you have blisters from herpes, would not your body immediately have antibodies building up to fight the virus causing this, enough to register on the blood work? I am attaching a photo of the blisters.
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Hi. Thank you for the query. I have seen the attached photo (attachment removed to protect patient identity). For more information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I am a 37 year old male, who weighs 195 lbs, and I am 5.10 feet tall. I had blisters on my penis, so I went to a clinic. The doctor said that it appears to be herpes, but because I do not have pain, fever, or any other symptoms, he believed this was from friction. He told me to get HSV-1 and HSV-2 tests, which came back negative. However, I have read that this test may have been done too soon and my body might not have enough antibodies to detect the disease. Is this correct? If you have blisters from herpes, would not your body immediately have antibodies building up to fight the virus causing this, enough to register on the blood work? I am attaching a photo of the blisters. [/INST] Hi. Thank you for the query. I have seen the attached photo (attachment removed to protect patient identity). For more information consult a dermatologist online -->
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Q. Do we need biopsy for nasal polyp?
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Hi doctor,My mother is having difficulty in breathing. We have consulted a doctor. Based up on the diagnosis, he advised a surgery for the polyp in the right side of her nose. She is 45 years old. Her weight is 65 kg and height is 5'4". Currently, no biopsy has been done. Do we need to check biopsy? Can you please provide your opinion and the severity level?
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Hi. I got to understand that the primary complaint of your mother is nasal obstruction. How long is it present? If it is antrochoanal polyp, as CT suggests (attachment removed to protect patient identity), it needs surgery. AC polyp does not reduce with medicines. More important reason to get surgery is that in above 40 years age with nasal polyp is a risk. Biopsy has to be taken to rule out malignancy when it is only on one side. Risk of surgery depends on general condition and surgery when done endoscopically does not cause much risk. BP, diabetes and other underlying systemic diseases are risk factors. For further information consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor,My mother is having difficulty in breathing. We have consulted a doctor. Based up on the diagnosis, he advised a surgery for the polyp in the right side of her nose. She is 45 years old. Her weight is 65 kg and height is 5'4". Currently, no biopsy has been done. Do we need to check biopsy? Can you please provide your opinion and the severity level? [/INST] Hi. I got to understand that the primary complaint of your mother is nasal obstruction. How long is it present? If it is antrochoanal polyp, as CT suggests (attachment removed to protect patient identity), it needs surgery. AC polyp does not reduce with medicines. More important reason to get surgery is that in above 40 years age with nasal polyp is a risk. Biopsy has to be taken to rule out malignancy when it is only on one side. Risk of surgery depends on general condition and surgery when done endoscopically does not cause much risk. BP, diabetes and other underlying systemic diseases are risk factors. For further information consult an ENT otolaryngologist online -->
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Q. How to prevent a gum pain from becoming an abscess?
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Hello doctor, I am experiencing gum pain on a back molar. I am trying to catch it before it becomes an abscess. Please help. I am currently on Levothyroxine.
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Hi. I am sorry for the pain you are bearing. Though I needed more details and a photograph, what type of pain is it? Is it only around the gums or in the tooth also? If it is only in the gums means there is some periodontal problem maybe some food has got stuck up there. Do you remember eating any such thing recently, where you felt a sudden pressure on it or from the sides? Under the prevailing situation you cannot go for a scaling even but kindly go for it as soon as possible. For now, I would suggest you to do a salt warm water rinse four to five times a day and gentle finger massage. You can also apply clove oil if you have. If pain is not bearable you can go for a pain killer Paracetamol or Ibuprofen. As you have not mentioned whether there is a cavity or not I cannot prescribe you antibiotics. Do revert back for more queries.
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<s>[INST]
Hello doctor, I am experiencing gum pain on a back molar. I am trying to catch it before it becomes an abscess. Please help. I am currently on Levothyroxine. [/INST] Hi. I am sorry for the pain you are bearing. Though I needed more details and a photograph, what type of pain is it? Is it only around the gums or in the tooth also? If it is only in the gums means there is some periodontal problem maybe some food has got stuck up there. Do you remember eating any such thing recently, where you felt a sudden pressure on it or from the sides? Under the prevailing situation you cannot go for a scaling even but kindly go for it as soon as possible. For now, I would suggest you to do a salt warm water rinse four to five times a day and gentle finger massage. You can also apply clove oil if you have. If pain is not bearable you can go for a pain killer Paracetamol or Ibuprofen. As you have not mentioned whether there is a cavity or not I cannot prescribe you antibiotics. Do revert back for more queries.
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Q. Please suggest yoga asanas that would improve blood flow to testicles.
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Hi doctor, Please suggest me the yoga names to improve blood flow to the testicles. I have weak erections, watery semen, and loss of libido. I am taking Pantogem DSR for indigestion and Stalopam plus for stress. My local doctor prescribed these medicines.
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Hello. Continue with the prescribed medication. Along with that meditation, exercises, and yoga can help improve your condition. Deep breathing, inhalation through nose and exhalation through the mouth, improves blood circulation. Suryanamaskar is the most efficient form of yoga that can be used for all conditions. Morning time count of 10 should be followed. Balasana (child's pose) can improve the pelvic floor organ functioning. I also suggest: Along with all these yoga poses, a good diet rich in fiber and proteins can help alleviate your condition. Pranayama should be included with all yoga poses. Destressing is the most important factor. For more information consult a fitness expert online -->
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<s>[INST]
Hi doctor, Please suggest me the yoga names to improve blood flow to the testicles. I have weak erections, watery semen, and loss of libido. I am taking Pantogem DSR for indigestion and Stalopam plus for stress. My local doctor prescribed these medicines. [/INST] Hello. Continue with the prescribed medication. Along with that meditation, exercises, and yoga can help improve your condition. Deep breathing, inhalation through nose and exhalation through the mouth, improves blood circulation. Suryanamaskar is the most efficient form of yoga that can be used for all conditions. Morning time count of 10 should be followed. Balasana (child's pose) can improve the pelvic floor organ functioning. I also suggest: Along with all these yoga poses, a good diet rich in fiber and proteins can help alleviate your condition. Pranayama should be included with all yoga poses. Destressing is the most important factor. For more information consult a fitness expert online -->
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Q. How to manage heavy menstrual flow?
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Hi doctor, I have been suffering from heavy menstrual flow for the past 1.5 years. Around six months, I had heavy flow with clots. Now, I have been menstruating for the past 20 days continuously with heavy flow and clots. My current medication includes capsule Gynae CVP, tablet Augmentin and capsule Zevit. I am also having a urine infection now. For this, I am drinking plenty of water and other fluid. Please help.
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Hi. You are losing blood heavily. Kindly upload your reports as well. Since you are bleeding for the last 20 days continuously, first we should try to stop this. I suggest tablet Meftaris (combination of Tranexamic acid and Mefenamic acid) one tablet thrice a day for three days and also tablet Regestrone (Norethindrone) 5 mg thrice a day for 5 days. This will certainly control the bleeding. Also, start some Iron preparation if it suits you. By that time send your ultrasound report. It can be a fibroid uterus or abnormal uterine bleeding due to endometrial hyperplasia and need to be followed further. Also get your CBC - complete blood count, coagulation profile and thyroid function tests done. For UTI (urinary tract infection), you are already taking antibiotics. After finishing its course, get a routine urine examination again to see if pus cells are present or not. Revert back with the reports to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I have been suffering from heavy menstrual flow for the past 1.5 years. Around six months, I had heavy flow with clots. Now, I have been menstruating for the past 20 days continuously with heavy flow and clots. My current medication includes capsule Gynae CVP, tablet Augmentin and capsule Zevit. I am also having a urine infection now. For this, I am drinking plenty of water and other fluid. Please help. [/INST] Hi. You are losing blood heavily. Kindly upload your reports as well. Since you are bleeding for the last 20 days continuously, first we should try to stop this. I suggest tablet Meftaris (combination of Tranexamic acid and Mefenamic acid) one tablet thrice a day for three days and also tablet Regestrone (Norethindrone) 5 mg thrice a day for 5 days. This will certainly control the bleeding. Also, start some Iron preparation if it suits you. By that time send your ultrasound report. It can be a fibroid uterus or abnormal uterine bleeding due to endometrial hyperplasia and need to be followed further. Also get your CBC - complete blood count, coagulation profile and thyroid function tests done. For UTI (urinary tract infection), you are already taking antibiotics. After finishing its course, get a routine urine examination again to see if pus cells are present or not. Revert back with the reports to an obstetrician and gynaecologist online -->
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Q. What is the reason for a small, painless lump in the IV injection area?
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Hi doctor, I had a fistulectomy surgery. I was given IV for two days. It was attached to my right wrist and it was removed after two days. On that spot, where the injection was inserted, a very small, painless lump sort of a thing formed. It is already 39 days after surgery, but that small, painless lump is still there. What is the reason for this? What should I do to get rid of it?
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Hi. Please relax and do not worry. For further information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I had a fistulectomy surgery. I was given IV for two days. It was attached to my right wrist and it was removed after two days. On that spot, where the injection was inserted, a very small, painless lump sort of a thing formed. It is already 39 days after surgery, but that small, painless lump is still there. What is the reason for this? What should I do to get rid of it? [/INST] Hi. Please relax and do not worry. For further information consult a general surgeon online -->
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Q. Can I take ayurveda medicine for more than 5 years for kidney problem?
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Hi doctor, My creatinine is between 1.70 to 2.10 for the last five years. I am on ayurveda kidney medicine. Can I take ayurveda medicine for kidney problem for more than 5 to 10 years? Will it cause any side effect on long term use?
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Hello. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, My creatinine is between 1.70 to 2.10 for the last five years. I am on ayurveda kidney medicine. Can I take ayurveda medicine for kidney problem for more than 5 to 10 years? Will it cause any side effect on long term use? [/INST] Hello. For further information consult an ayurveda specialist online -->
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Q. Is memory loss a side effect of schizoaffective disorder treatment?
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Hi doctor, I was diagnosed with schizoaffective disorder and was treated with Zyprexa. After a while, it turned out that I have neutropenia as a side effect. So, I was given Lithium about half a year ago. Now, instead of Zyprexa, I am taking Ridazin for the last three weeks. What are the side effects of this new medicine? Because, I feel like I have some sort of memory loss. Does it have anything to do with it?
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Hi. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I was diagnosed with schizoaffective disorder and was treated with Zyprexa. After a while, it turned out that I have neutropenia as a side effect. So, I was given Lithium about half a year ago. Now, instead of Zyprexa, I am taking Ridazin for the last three weeks. What are the side effects of this new medicine? Because, I feel like I have some sort of memory loss. Does it have anything to do with it? [/INST] Hi. For further information consult a psychiatrist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. ECG report shows down spikes with heart palpitations. Please explain my report.
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Hello doctor, I had heart palpitations every day and ECG has picked up some downward spikes when I feel a palpitation. Please explain my ECG.
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Hello. I have gone through your query that you frequently have palpitations. But I am sorry to tell you that I am unable to see the ECG image you have attached, it is not getting downloaded probably due to some error or a corrupt file. I kindly request you to please attach a new image of your ECG along with a few more details about your present symptoms. Do you have any known cardiac disease? Whenever you get palpitations do you have any other associated cardiac symptoms like chest pain, shortness of breath, giddiness, or sweating? During palpitations do you feel increased heartbeats or a missing/skipped beats or just a bounding pulse? Do you have anxiety or stress? Kindly get back with the above details and a new ECG image for further discussion and management strategy.
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<s>[INST]
Hello doctor, I had heart palpitations every day and ECG has picked up some downward spikes when I feel a palpitation. Please explain my ECG. [/INST] Hello. I have gone through your query that you frequently have palpitations. But I am sorry to tell you that I am unable to see the ECG image you have attached, it is not getting downloaded probably due to some error or a corrupt file. I kindly request you to please attach a new image of your ECG along with a few more details about your present symptoms. Do you have any known cardiac disease? Whenever you get palpitations do you have any other associated cardiac symptoms like chest pain, shortness of breath, giddiness, or sweating? During palpitations do you feel increased heartbeats or a missing/skipped beats or just a bounding pulse? Do you have anxiety or stress? Kindly get back with the above details and a new ECG image for further discussion and management strategy.
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Q. Can balancing issue occur due to vestibular lesion or cervical myelopathy?
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Hi doctor, I am a 45 year old male. My weight is 96 kg and height is 184 cm. I have severe sleep apnea and minor CAD with hypertension. I am facing problems of imbalance and lightheadedness. This started some six months back. Then, I was diagnosed with an uncompensated vestibular lesion. After a while, the symptoms improved. But now, again for the last two to three weeks the symptoms have become more pronounced. I feel unbalanced while standing and I cannot easily stand in a queue. Once I start walking it improves. I also feel lightheaded from time to time. The feeling is not of vertigo, but rather a feeling that I might faint, though I have not actually fainted. This feeling comes on at any time, even while sitting down. My doctor, a spine specialist, on examination noted Romberg positive, Hoffman positive and DTR ++ exaggerated reflexes. He advised me to have a cervical spine MRI. I have taken an MRI and the report is attached herewith. What does the MRI reveal? It is mentioned as moderate cervical cord compression with myelopathic changes. How serious is this? What would be the treatment and prognosis? Is this cord compression the cause of my imbalance and lightheadedness? I also feel breathless on exertion like bending down. Can this be related to the above? I had an angiogram recently which shows only minor artery disease and I am currently on medication for the same. Thank you.
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Hello. Upright neck x-rays, if not already done. Cerebellar and vestibular lesions. Cervical spondylotic myelopathy (CSM). Revert back with the report images to a neuro surgeon online.--->
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<s>[INST]
Hi doctor, I am a 45 year old male. My weight is 96 kg and height is 184 cm. I have severe sleep apnea and minor CAD with hypertension. I am facing problems of imbalance and lightheadedness. This started some six months back. Then, I was diagnosed with an uncompensated vestibular lesion. After a while, the symptoms improved. But now, again for the last two to three weeks the symptoms have become more pronounced. I feel unbalanced while standing and I cannot easily stand in a queue. Once I start walking it improves. I also feel lightheaded from time to time. The feeling is not of vertigo, but rather a feeling that I might faint, though I have not actually fainted. This feeling comes on at any time, even while sitting down. My doctor, a spine specialist, on examination noted Romberg positive, Hoffman positive and DTR ++ exaggerated reflexes. He advised me to have a cervical spine MRI. I have taken an MRI and the report is attached herewith. What does the MRI reveal? It is mentioned as moderate cervical cord compression with myelopathic changes. How serious is this? What would be the treatment and prognosis? Is this cord compression the cause of my imbalance and lightheadedness? I also feel breathless on exertion like bending down. Can this be related to the above? I had an angiogram recently which shows only minor artery disease and I am currently on medication for the same. Thank you. [/INST] Hello. Upright neck x-rays, if not already done. Cerebellar and vestibular lesions. Cervical spondylotic myelopathy (CSM). Revert back with the report images to a neuro surgeon online.--->
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Q. If I quit smoking, will my RBC, hemoglobin, and PCV levels come back to normal?
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Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly from last year, it is still high. From the past 15 days, I completely quit alcohol and cigarette. Will the RBC, hemoglobin, and PCV come back to normal? If so, how much time will it take approximately? Last year, my hemoglobin was 20.1 g/dL, but now it is 17.4 g/dL, PCV is 55, and RBC is 6.72. Please help and suggest some treatment. Will it ever be normal? I have attached my reports.
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Hi. I have gone through your attached reports (attachment removed to protect patient identity). Hope your concern is solved. For further queries consult a hematologist online -->
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<s>[INST]
Hello doctor, I am suffering from hypertension since few years, and I am currently on medication Telmisartan. I am an alcoholic and smoker, and I smoke approximately 15 cigarettes a day for the last five years. My current CBC report suggests high RBC, hemoglobin, and PCV. Though it reduced slightly from last year, it is still high. From the past 15 days, I completely quit alcohol and cigarette. Will the RBC, hemoglobin, and PCV come back to normal? If so, how much time will it take approximately? Last year, my hemoglobin was 20.1 g/dL, but now it is 17.4 g/dL, PCV is 55, and RBC is 6.72. Please help and suggest some treatment. Will it ever be normal? I have attached my reports. [/INST] Hi. I have gone through your attached reports (attachment removed to protect patient identity). Hope your concern is solved. For further queries consult a hematologist online -->
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Q. Pregnancy tests are positive even after taking 2 MTPs vaginally. Why?
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Hello doctor, I missed my period 18 days back. As the pregnancy test was positive had one tablet from MTP kit 15 days back. The same day night 2 tablets were given vaginally. On the next day, 2 tablets were given orally. Still I have not got my periods.
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Hello. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I missed my period 18 days back. As the pregnancy test was positive had one tablet from MTP kit 15 days back. The same day night 2 tablets were given vaginally. On the next day, 2 tablets were given orally. Still I have not got my periods. [/INST] Hello. For further information consult an obstetrician and gynaecologist online -->
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Q. Age 50years, 1. Fatty changes in Liver, 2. Bulky Uterus with Fibroid, 3. Blood sugar 201mg/dL
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Dear Doctor, My mother is 50 years old. According to the report, She has got: Fatty changes in the liver. Bulky uterus with fibroid. Blood sugar 201.0mg/dL. Kindly interpret the report.
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Hi. Diagnosis (according to available information):Fibroid Uterus, Type II Diabetes Mellitus. Further information required: With respect to the above diagnosis, the treatment plan is as follows, Consult a general surgeon online for further help -->
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<s>[INST]
Dear Doctor, My mother is 50 years old. According to the report, She has got: Fatty changes in the liver. Bulky uterus with fibroid. Blood sugar 201.0mg/dL. Kindly interpret the report. [/INST] Hi. Diagnosis (according to available information):Fibroid Uterus, Type II Diabetes Mellitus. Further information required: With respect to the above diagnosis, the treatment plan is as follows, Consult a general surgeon online for further help -->
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Q. Is injectable Botox safe for a patient with Sjogren's syndrome?
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Hi doctor, I am suffering from Sjogren's syndrome. I have a few questions about safety of cosmetic procedures. Is botox injectable safe? Is ultherapy or laser safe for a patient with Sjogren's? Kindly advice.
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Hi. Revert back with detailed information to a dermatologist online -->
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<s>[INST]
Hi doctor, I am suffering from Sjogren's syndrome. I have a few questions about safety of cosmetic procedures. Is botox injectable safe? Is ultherapy or laser safe for a patient with Sjogren's? Kindly advice. [/INST] Hi. Revert back with detailed information to a dermatologist online -->
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Q. Diagnosed with low lying placenta. Is there any complications during long flight travel?
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Hello doctor, My wife was diagnosed with low lying placenta. We need suggestion regarding long flight travel.
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Hi. For further clarifications consult a general practitioner online -->
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<s>[INST]
Hello doctor, My wife was diagnosed with low lying placenta. We need suggestion regarding long flight travel. [/INST] Hi. For further clarifications consult a general practitioner online -->
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Q. Is the value of Homocysteine-14. 86 too high to take Ecosprin?
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Hello doctor, My wife is 27 years old and 10 weeks pregnant now. Her last month period date (LMP) is 13/06/2015 and she had natural conception. This is her first pregnancy and she was operated for left ovarian dermoid cyst and left ovary was removed in the February 2013. As per the blood test report done on 3/08/15, her homocysteine level is 14.86 umol/L. She is taking the following tablets as of now: Tablet MCBM 69 1-0-1 from 3/8/15 till date. Tablet Duphaston 10 mg 1-0-1 from 3/8/15 till date. Thyronorm 50 mcg 1-0-0 (before food) from 7/8/15 till date. Also she was advised to take one Ecosprin tablet 75 mg (0-0-1) after food to avoid blood clotting and miscarriage, during our visit to the doctor on 18/8/15. Please advise on the below aspect: Is the value of Homocysteine (14.86) too high to take Ecosprin tablet now in the first trimester of pregnancy? Is MCBM 69 tablet sufficient enough to take care of Homocysteine level?
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Hi. I have thoroughly gone through your case and can well understand your genuine concerns. MCBM 69 is the tablet used to aid in production of blood products and also to prevent any suspected neural tube defect in baby. It contains multivitamins, for example: Mecobalamin, Pyridoxine and Folic acid. This will help your wife to improve her hemoglobin levels. Ecosprin is pregnancy category C and D and usually dangerous to prescribe in last three months of pregnancy and lactation, as it may be a danger to the developing baby then. We may still prescribe it in first three months of pregnancy, if the benefits overweigh the risks. Homocysteine levels are not so correlated to prescribe Ecosprin tablet. Consult back the prescribing physician for time period for which he prescribed it for your wife and exact indication why he had prescribed it. Homocysteine levels test is also advised in cases of homocystinuria. Homocysteine levels also rise in cases of decreased estrogen levels. And your wife has got her one ovary removed, so she has low estrogen and high homocysteine levels may be due to that. 14.86 is not very high levels of homocysteine, but you have to keep a check and do serial tests to keep an eye if the levels are going up or low. Homocysteine levels in plasma may also increase in hypothyroidism, and in deficiency of folic acid, vitamin B6 and B12 deficiency. Your wife seems to be hypothyroid as she is on thyronorm. Thyroid profile. Comprehensive metabolic profile. Serial serum Homocysteine levels. Do not stop taking any medications without actually consulting the treating physician. He has all the case details and have done complete physical examination too. Get back to an internal medicine physician online for further follow up -->
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<s>[INST]
Hello doctor, My wife is 27 years old and 10 weeks pregnant now. Her last month period date (LMP) is 13/06/2015 and she had natural conception. This is her first pregnancy and she was operated for left ovarian dermoid cyst and left ovary was removed in the February 2013. As per the blood test report done on 3/08/15, her homocysteine level is 14.86 umol/L. She is taking the following tablets as of now: Tablet MCBM 69 1-0-1 from 3/8/15 till date. Tablet Duphaston 10 mg 1-0-1 from 3/8/15 till date. Thyronorm 50 mcg 1-0-0 (before food) from 7/8/15 till date. Also she was advised to take one Ecosprin tablet 75 mg (0-0-1) after food to avoid blood clotting and miscarriage, during our visit to the doctor on 18/8/15. Please advise on the below aspect: Is the value of Homocysteine (14.86) too high to take Ecosprin tablet now in the first trimester of pregnancy? Is MCBM 69 tablet sufficient enough to take care of Homocysteine level? [/INST] Hi. I have thoroughly gone through your case and can well understand your genuine concerns. MCBM 69 is the tablet used to aid in production of blood products and also to prevent any suspected neural tube defect in baby. It contains multivitamins, for example: Mecobalamin, Pyridoxine and Folic acid. This will help your wife to improve her hemoglobin levels. Ecosprin is pregnancy category C and D and usually dangerous to prescribe in last three months of pregnancy and lactation, as it may be a danger to the developing baby then. We may still prescribe it in first three months of pregnancy, if the benefits overweigh the risks. Homocysteine levels are not so correlated to prescribe Ecosprin tablet. Consult back the prescribing physician for time period for which he prescribed it for your wife and exact indication why he had prescribed it. Homocysteine levels test is also advised in cases of homocystinuria. Homocysteine levels also rise in cases of decreased estrogen levels. And your wife has got her one ovary removed, so she has low estrogen and high homocysteine levels may be due to that. 14.86 is not very high levels of homocysteine, but you have to keep a check and do serial tests to keep an eye if the levels are going up or low. Homocysteine levels in plasma may also increase in hypothyroidism, and in deficiency of folic acid, vitamin B6 and B12 deficiency. Your wife seems to be hypothyroid as she is on thyronorm. Thyroid profile. Comprehensive metabolic profile. Serial serum Homocysteine levels. Do not stop taking any medications without actually consulting the treating physician. He has all the case details and have done complete physical examination too. Get back to an internal medicine physician online for further follow up -->
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Q. Why do I have disturbed bowel movements after having curd?
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Hello doctor, I am 32 years old. I feel like I have some digestion issue with curd. Whenever I have curd, I had to visit bathroom frequently. Yesterday afternoon I had curd rice along with boiled chicken after having mutton. Since then I using bathroom frequently, but had a kind of constipation effect and gas problem. Today, I had roti and vegetable kurma for breakfast. After that it worsened with liquid form and seems like diarrhea. Also stomach feels little bloated, slightly diffused pain, some slight rumbling inside and frequent urge to use toilet. What tablet should I take? Am I allergic to curd? I do not have similar problem with milk or buttermilk. Now what food should I eat and what to avoid? Is there a way to keep me energetic with some juice or fruit? Should I visit a doctor? Please guide.
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Hello. For further clarifications consult a general practitioner online -->
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<s>[INST]
Hello doctor, I am 32 years old. I feel like I have some digestion issue with curd. Whenever I have curd, I had to visit bathroom frequently. Yesterday afternoon I had curd rice along with boiled chicken after having mutton. Since then I using bathroom frequently, but had a kind of constipation effect and gas problem. Today, I had roti and vegetable kurma for breakfast. After that it worsened with liquid form and seems like diarrhea. Also stomach feels little bloated, slightly diffused pain, some slight rumbling inside and frequent urge to use toilet. What tablet should I take? Am I allergic to curd? I do not have similar problem with milk or buttermilk. Now what food should I eat and what to avoid? Is there a way to keep me energetic with some juice or fruit? Should I visit a doctor? Please guide. [/INST] Hello. For further clarifications consult a general practitioner online -->
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Q. I have severe throat pain. Please help.
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Hi doctor, I feel as though I may have Streptococcus infection or tonsillitis. I have been fine healthwise. All of a sudden this morning I woke up with severe throat pain. I am Type A Streptococcus. When I had Streptococcus infection, my lymph nodes never hurt too much and they were never too swollen or hurt by touch. This time, it hurts to put any amount of pressure on my throat, even to move my neck. I cannot even swallow my own saliva unless I force it. I have no appetite either. Please help.
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Hi. The condition you have is URTI (upper respiratory tract infection) with odynophagia (pain on swallow). It includes GAS (group A Streptococcus) causing tonsillitis and tonsillopharyngitis. It is an infectious disease and usually a childhood disease. Recurrent streptococcal infections are usually of concern and lead to many suppurative and non- suppurative complications. You need to probe and ascertain the probable source of infection. It is a communicable illness and can spread through salivary droplets. I would hence recommend you to refrain from any intimate relationship and maintain good oral hygiene. Throat swab and culture or RADT (rapid antigen detection test). 1. Tonsillitis. 2. Tonsillopharyngitis. 3. Quinsy (peritonsillar abscess). 4. Viral pharyngitis. 5. Coryza (rhinitis). URTI and GAS tonsillopharyngitis. 1. After investigation, I suggest you to take Z-pak (Azithromycin). 2. If it is not responsive as in your previous history then you may have tablet Amoxicillin 500 mg thrice daily for 10 days. 3. If you are allergic to Penicillin then tablet Clarithromycin 250 mg twice daily for 10 days. 4. Tablet PCM 500 mg (Paracetamol) if any fever. 1. Spread by droplets of saliva. So maintain best oral hygiene with mouth wash. 2. Do salt water gargling repeatedly with lukewarm water. 3. Have more water liquid and bland diet not to hurt your oral mucosa. For further information consult an internal medicine physician online.--->
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<s>[INST]
Hi doctor, I feel as though I may have Streptococcus infection or tonsillitis. I have been fine healthwise. All of a sudden this morning I woke up with severe throat pain. I am Type A Streptococcus. When I had Streptococcus infection, my lymph nodes never hurt too much and they were never too swollen or hurt by touch. This time, it hurts to put any amount of pressure on my throat, even to move my neck. I cannot even swallow my own saliva unless I force it. I have no appetite either. Please help. [/INST] Hi. The condition you have is URTI (upper respiratory tract infection) with odynophagia (pain on swallow). It includes GAS (group A Streptococcus) causing tonsillitis and tonsillopharyngitis. It is an infectious disease and usually a childhood disease. Recurrent streptococcal infections are usually of concern and lead to many suppurative and non- suppurative complications. You need to probe and ascertain the probable source of infection. It is a communicable illness and can spread through salivary droplets. I would hence recommend you to refrain from any intimate relationship and maintain good oral hygiene. Throat swab and culture or RADT (rapid antigen detection test). 1. Tonsillitis. 2. Tonsillopharyngitis. 3. Quinsy (peritonsillar abscess). 4. Viral pharyngitis. 5. Coryza (rhinitis). URTI and GAS tonsillopharyngitis. 1. After investigation, I suggest you to take Z-pak (Azithromycin). 2. If it is not responsive as in your previous history then you may have tablet Amoxicillin 500 mg thrice daily for 10 days. 3. If you are allergic to Penicillin then tablet Clarithromycin 250 mg twice daily for 10 days. 4. Tablet PCM 500 mg (Paracetamol) if any fever. 1. Spread by droplets of saliva. So maintain best oral hygiene with mouth wash. 2. Do salt water gargling repeatedly with lukewarm water. 3. Have more water liquid and bland diet not to hurt your oral mucosa. For further information consult an internal medicine physician online.--->
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Q. What homeopathy medicines can help atherosclerosis?
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Hello doctor, My calcium coronary score is very high around 1800. Can you prescribe me homeopathic medicines which can effectively treat the plaque and atherosclerosis? I would prefer preparations from established medical companies. Have you heard of R12 from Dr Reckeweg? Please opine on the same too.
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Hello. Calcium coronary score (CCS) increase causes the development of coronary artery disease. It causes fatty plaque formation in the coronary artery leading to narrowing of the artery. It is also called as cardiac calcium scoring. For men, CCS has 15-year mortality ranging from 3.5% for CCS of 0 and 18% for a CCS more than and equal to 400 (P<0.001). There is a cumulative 15-year mortality rate among women and men with low-intermediate Framingham risk scores based on coronary artery calcium (CAC) scores. Here we need to control lipid profile, hypertension, and diabetes. So, I need other investigations like lipid profile, diabetic profile. For homeopathy, we need a thorough case history to practice medicine. I suggest you take Calcarea Carbonica Carb 200 potency and Allium Sativum Q. For more information consult a homeopathic physician online -->
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<s>[INST]
Hello doctor, My calcium coronary score is very high around 1800. Can you prescribe me homeopathic medicines which can effectively treat the plaque and atherosclerosis? I would prefer preparations from established medical companies. Have you heard of R12 from Dr Reckeweg? Please opine on the same too. [/INST] Hello. Calcium coronary score (CCS) increase causes the development of coronary artery disease. It causes fatty plaque formation in the coronary artery leading to narrowing of the artery. It is also called as cardiac calcium scoring. For men, CCS has 15-year mortality ranging from 3.5% for CCS of 0 and 18% for a CCS more than and equal to 400 (P<0.001). There is a cumulative 15-year mortality rate among women and men with low-intermediate Framingham risk scores based on coronary artery calcium (CAC) scores. Here we need to control lipid profile, hypertension, and diabetes. So, I need other investigations like lipid profile, diabetic profile. For homeopathy, we need a thorough case history to practice medicine. I suggest you take Calcarea Carbonica Carb 200 potency and Allium Sativum Q. For more information consult a homeopathic physician online -->
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Q. I have Carpal Tunnel syndrome with pain in my hands. Please help.
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Hello doctor, I am a 17-year-old female. I was diagnosed with Carpal Tunnel syndrome last year but the pain started before that. At that time my hand only hurt when it was bent to a certain position, and it hurts when I am on my fours or when push-up position. It did not hurt when my hand was squeezed or doing hand exercises. The doctor prescribed me with Etoricoxib (Arcoxia) 60 m which I took twice a day for a week and told me not to move my right hand. I tried not to use it as much as possible but since it was school time, it required me to use my hand. After the medication was over, I was not able to come back to the hospital (even though I was told to if the pain did not go away) and talk to my doctor about the condition of my hand. Now, my hand, specifically the palm of the thumb, started to hurt even if it was not bent or I am in a push-up position. It is more painful when it is squeezed. Our place is quarantined and I am sure getting appointments will be hard during this time, so I am trying to relieve the pain at home. But still, I want to have some instructions from the professional. I have 10 Arcoxia pills here at home, should I take it to relieve the pain? Should I follow the initial instructions of my doctor and take it twice every day or just take it whenever I feel pain? What should I do?
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Hello. Please take the pain killer Etoricoxib only if you feel pain. Try to apply a wrist support belt. It will help your wrist to keep in position. Carpel tunnel syndrome. MRI (magnetic resonance imaging) of the wrist. Nerve compression. Carpel tunnel syndrome. Tablet Etoricoxib 120 mg 1 tablet for 10 days, GABA 200 mg one tablet for one month, Rabiprazole 20 mg one tablet for 10 days, Meco OD 1500 microgram one tablet for one month. Do not lift heavy weight. With MRI report.
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<s>[INST]
Hello doctor, I am a 17-year-old female. I was diagnosed with Carpal Tunnel syndrome last year but the pain started before that. At that time my hand only hurt when it was bent to a certain position, and it hurts when I am on my fours or when push-up position. It did not hurt when my hand was squeezed or doing hand exercises. The doctor prescribed me with Etoricoxib (Arcoxia) 60 m which I took twice a day for a week and told me not to move my right hand. I tried not to use it as much as possible but since it was school time, it required me to use my hand. After the medication was over, I was not able to come back to the hospital (even though I was told to if the pain did not go away) and talk to my doctor about the condition of my hand. Now, my hand, specifically the palm of the thumb, started to hurt even if it was not bent or I am in a push-up position. It is more painful when it is squeezed. Our place is quarantined and I am sure getting appointments will be hard during this time, so I am trying to relieve the pain at home. But still, I want to have some instructions from the professional. I have 10 Arcoxia pills here at home, should I take it to relieve the pain? Should I follow the initial instructions of my doctor and take it twice every day or just take it whenever I feel pain? What should I do? [/INST] Hello. Please take the pain killer Etoricoxib only if you feel pain. Try to apply a wrist support belt. It will help your wrist to keep in position. Carpel tunnel syndrome. MRI (magnetic resonance imaging) of the wrist. Nerve compression. Carpel tunnel syndrome. Tablet Etoricoxib 120 mg 1 tablet for 10 days, GABA 200 mg one tablet for one month, Rabiprazole 20 mg one tablet for 10 days, Meco OD 1500 microgram one tablet for one month. Do not lift heavy weight. With MRI report.
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Q. I broke a blister in my foot and it hurts when I walk. What to do?
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Hi doctor, I broke a foot blister with a pin and the skin appeared intact. I disinfected it and put a dressing. But it hurts when I walk. Is this normal?
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Hello. You have broken the blister with the pin and I would recommend you not to do that in the future as it is a non-sterile method of doing so and can cause infections in that area. Having said that, I would like to ask you, is there redness around that area? Is there any discharge coming out from the wound? If yes, then you need to start some antibiotics and also take care of the wound. Make sure you clean it everyday and dress it up well. As foot is the dependent part of the body and all your body weight is on it so even a small blister will be painful during walking, standing, etc., for a few days until the blister heals. Blister. Foot blister- local trauma. Tablet Paracetamol one tablet twice daily, Betadine ointment for local application, tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. Proper foot hygiene. Regular dressing. You might get a little diarrhea after taking the tablet Augmentin which will subside once you stop the drugs. Usually eating probiotics like yogurt will help with the diarrhea.
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<s>[INST]
Hi doctor, I broke a foot blister with a pin and the skin appeared intact. I disinfected it and put a dressing. But it hurts when I walk. Is this normal? [/INST] Hello. You have broken the blister with the pin and I would recommend you not to do that in the future as it is a non-sterile method of doing so and can cause infections in that area. Having said that, I would like to ask you, is there redness around that area? Is there any discharge coming out from the wound? If yes, then you need to start some antibiotics and also take care of the wound. Make sure you clean it everyday and dress it up well. As foot is the dependent part of the body and all your body weight is on it so even a small blister will be painful during walking, standing, etc., for a few days until the blister heals. Blister. Foot blister- local trauma. Tablet Paracetamol one tablet twice daily, Betadine ointment for local application, tablet Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. Proper foot hygiene. Regular dressing. You might get a little diarrhea after taking the tablet Augmentin which will subside once you stop the drugs. Usually eating probiotics like yogurt will help with the diarrhea.
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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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