Description
stringlengths 1
1.5k
| Patient
stringlengths 1
17.7k
| Doctor
stringlengths 2
11.4k
| text
stringlengths 77
18.8k
|
|---|---|---|---|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. What is VSD?
|
Hi doctor, My daughter is 28 days old. During her normal check up, after Doppler echocardiography it is found that she has a small VSD. The doctor said that it is normal and generally by a year it will get cured. But, I would like to have a second opinion with you. Please help.
|
Hi. I have gone through the report (attachment removed to protect patient identity). Let me try to explain you the diagnosis. For further information consult a paediatrician online -->
|
<s>[INST]
Hi doctor, My daughter is 28 days old. During her normal check up, after Doppler echocardiography it is found that she has a small VSD. The doctor said that it is normal and generally by a year it will get cured. But, I would like to have a second opinion with you. Please help. [/INST] Hi. I have gone through the report (attachment removed to protect patient identity). Let me try to explain you the diagnosis. For further information consult a paediatrician online -->
|
Q. Would antibiotics during pregnancy cause any harm?
|
Hi doctor, My wife is 8 weeks pregnant. A couple of days before, the doctor did a urine routine and report stated that 12 to 14 pus cells. Then, we did a urine culture as well and after 48 hours of the culture, the report came as bacteria not seen. In this case, do we need to take antibiotics to clear the infections? In the 4 weeks of pregnancy itself, she had an infection and took one week of Ceftum 250 mg antibiotics. Over the course of antibiotics, we repeated the urine routine and everything came as absent.
|
Hi. For further information consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hi doctor, My wife is 8 weeks pregnant. A couple of days before, the doctor did a urine routine and report stated that 12 to 14 pus cells. Then, we did a urine culture as well and after 48 hours of the culture, the report came as bacteria not seen. In this case, do we need to take antibiotics to clear the infections? In the 4 weeks of pregnancy itself, she had an infection and took one week of Ceftum 250 mg antibiotics. Over the course of antibiotics, we repeated the urine routine and everything came as absent. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
|
Q. My contact lens has dried out. Can I use it?
|
Hello Doctor, I did not use my contact lenses for two weeks. When I opened the lens case after 2 weeks, my coloured (monthly) lenses had dried out. One of the them seems to be a little smaller. Can I use it?
|
Hi Consult an eye care ophthalmologist online to choose contact lenses that suit you -->
|
<s>[INST]
Hello Doctor, I did not use my contact lenses for two weeks. When I opened the lens case after 2 weeks, my coloured (monthly) lenses had dried out. One of the them seems to be a little smaller. Can I use it? [/INST] Hi Consult an eye care ophthalmologist online to choose contact lenses that suit you -->
|
Q. Is the smell of car paint dangerous to lungs?
|
Hi doctor, My car just got back from the workshop and got a new lacquering spray paint all over after storm damage. When I got my first ride, I still felt a spray paint smell inside the car. Of course, I drove with open windows and tried to clean it as much as possible. Now, after a week the smell is still there, but a lot less strong. What I am concerned about is, is this smell dangerous for my lungs? Or is this just something I should not worry about? After sitting in the car for 20 seconds, I do not feel the smell anymore. I read on the internet about lacquering and all the awful chemicals such as Isocyanate. Is this something dangerous while working with it? I do not have any symptoms unless a very stuffy nose and dry airways after driving for 2 hours with open windows and 9 degrees Celsius outside. Please make me feel safe.
|
Hello. For further doubts consult a pulmonologist online -->
|
<s>[INST]
Hi doctor, My car just got back from the workshop and got a new lacquering spray paint all over after storm damage. When I got my first ride, I still felt a spray paint smell inside the car. Of course, I drove with open windows and tried to clean it as much as possible. Now, after a week the smell is still there, but a lot less strong. What I am concerned about is, is this smell dangerous for my lungs? Or is this just something I should not worry about? After sitting in the car for 20 seconds, I do not feel the smell anymore. I read on the internet about lacquering and all the awful chemicals such as Isocyanate. Is this something dangerous while working with it? I do not have any symptoms unless a very stuffy nose and dry airways after driving for 2 hours with open windows and 9 degrees Celsius outside. Please make me feel safe. [/INST] Hello. For further doubts consult a pulmonologist online -->
|
Q. How can jock itch be treated?
|
Hello doctor, I am a 29-year-old non-diabetic male. I am suffering from a jock itch and ringworm infection. I have been applying Quadriderm cream but I have not noticed any significant improvement. Rather, the itching has intensified. The inner thigh and anal area have turned brown. On ringworms, I have applied Candiderma Plus. But, there is no improvement. I have attached pictures of the infected area.
|
Hello. I have gone through the attachments (attachment removed to protect patient identity). I suggest you take an oral antifungal like Zimig 250 mg (Terbinafine) or Canditral (Itraconazole) 200 mg capsule once a day for four weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Topically, you may apply either Lulifincream (Luliconazole) 1% cream or Onabet (Sertaconazole) 2% cream twice daily for four weeks. In addition to this, you may take tablet Cetirizine 10 mg once daily for symptomatic relief from itching. For more information consult a dermatologist online -->
|
<s>[INST]
Hello doctor, I am a 29-year-old non-diabetic male. I am suffering from a jock itch and ringworm infection. I have been applying Quadriderm cream but I have not noticed any significant improvement. Rather, the itching has intensified. The inner thigh and anal area have turned brown. On ringworms, I have applied Candiderma Plus. But, there is no improvement. I have attached pictures of the infected area. [/INST] Hello. I have gone through the attachments (attachment removed to protect patient identity). I suggest you take an oral antifungal like Zimig 250 mg (Terbinafine) or Canditral (Itraconazole) 200 mg capsule once a day for four weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. Topically, you may apply either Lulifincream (Luliconazole) 1% cream or Onabet (Sertaconazole) 2% cream twice daily for four weeks. In addition to this, you may take tablet Cetirizine 10 mg once daily for symptomatic relief from itching. For more information consult a dermatologist online -->
|
Q. What does abutment of the nerve root mean?
|
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
|
Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
|
<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
|
Q. Do you have any suggestion for vision-related tinnitus?
|
Hi doctor, I have vision-related tinnitus. I have been nearsighted for a while. Approximately, three months ago, I went to see a speaker, sat in the back and ended up looking at him out-of-focus for an hour. The next day, my ears started ringing. Looking at my computer tends to make it louder. I have special blue light blocking computer glasses. I got polarized yellow clip to use at night, in addition to three screens over my computer as well as a couple programs to warm the screen's color temperature. But, I am still experiencing elevated ringing. My audiology test revealed a slight hearing loss in left ear, but nothing that would have brought on sudden tinnitus. I am currently on Nortriptyline to aid sleep. I have an appointment to see an ophthalmologist. I am searching for any immediate help possible. Do you like to give any suggestions for a particular polarized shade for to clip on or use over my prescription specs?
|
Hello. From what you have described, you have tinnitus that gets exacerbated on looking at the computer screen. There is no established connection between looking at a bright object and worsening of tinnitus, though there may be isolated reports. Tinnitus is usually caused due to an inner ear problem. In my opinion, you should seek an ENT consultation instead of an eye checkup as your main problem is tinnitus. An ENT consultation will help you find out the real cause for your tinnitus. For further information consult an eye care ophthalmologist online -->
|
<s>[INST]
Hi doctor, I have vision-related tinnitus. I have been nearsighted for a while. Approximately, three months ago, I went to see a speaker, sat in the back and ended up looking at him out-of-focus for an hour. The next day, my ears started ringing. Looking at my computer tends to make it louder. I have special blue light blocking computer glasses. I got polarized yellow clip to use at night, in addition to three screens over my computer as well as a couple programs to warm the screen's color temperature. But, I am still experiencing elevated ringing. My audiology test revealed a slight hearing loss in left ear, but nothing that would have brought on sudden tinnitus. I am currently on Nortriptyline to aid sleep. I have an appointment to see an ophthalmologist. I am searching for any immediate help possible. Do you like to give any suggestions for a particular polarized shade for to clip on or use over my prescription specs? [/INST] Hello. From what you have described, you have tinnitus that gets exacerbated on looking at the computer screen. There is no established connection between looking at a bright object and worsening of tinnitus, though there may be isolated reports. Tinnitus is usually caused due to an inner ear problem. In my opinion, you should seek an ENT consultation instead of an eye checkup as your main problem is tinnitus. An ENT consultation will help you find out the real cause for your tinnitus. For further information consult an eye care ophthalmologist online -->
|
Q. How to prevent further deterioration of gap between the front teeth?
|
Hi doctor, I have always had perfect teeth. But recently, I noticed a small gap forming between my front two teeth and my incisor had rotated a bit. Tooth gaps are in my family. Is there any way I can prevent my teeth from deteriorating?
|
Hi. I have read through your complaint and the relevant details. For further information consult a dentist online -->
|
<s>[INST]
Hi doctor, I have always had perfect teeth. But recently, I noticed a small gap forming between my front two teeth and my incisor had rotated a bit. Tooth gaps are in my family. Is there any way I can prevent my teeth from deteriorating? [/INST] Hi. I have read through your complaint and the relevant details. For further information consult a dentist online -->
|
Q. My erection problem is getting worse. Please suggest some treatment.
|
Hi doctor, I am 46 years old. My weight is 75 kg and my height is 6 feet. I have no diabetes or BP, but have asthma and it is under control. I am facing problems in getting erections. It is getting worse with time. Please suggest some treatment for this. Thank you.
|
Hello. Revert back with the detailed information to a sexologist online -->
|
<s>[INST]
Hi doctor, I am 46 years old. My weight is 75 kg and my height is 6 feet. I have no diabetes or BP, but have asthma and it is under control. I am facing problems in getting erections. It is getting worse with time. Please suggest some treatment for this. Thank you. [/INST] Hello. Revert back with the detailed information to a sexologist online -->
|
Q. Could my HIV test be false negative as I got tested after six years of exposure?
|
Hi doctor,I would like to begin with my dropped CD4 count of 350, which I had six years ago. Two weeks later, it raised to 398. The doctor said it could be entirely reasonable for a woman to have a count of CD4 around 400. The reason for dropping maybe due to a previous infection and stress. I had no any infection previously, but a low-risk exposure to HIV eight months before and no further risks ever since. Last year, I had my first ever HIV test (third generation antibody), which came back negative. I also had two more the same kind of test after that with negative results. Only recently, I am experiencing recurrent colds and blocked, runny nose, vaginal infections, fungi like discoloration on two of my fingers and red dots or spots, rashes on one of my shoulders. Could these symptoms be related anyhow to HIV or AIDS? Could my test be falsely negative due to late testing after my exposure of six plus years? Should I have another CD4 count or other tests? Thank you for your time and answer.
|
Hi. For further information consult a HIV AIDS specialist online -->
|
<s>[INST]
Hi doctor,I would like to begin with my dropped CD4 count of 350, which I had six years ago. Two weeks later, it raised to 398. The doctor said it could be entirely reasonable for a woman to have a count of CD4 around 400. The reason for dropping maybe due to a previous infection and stress. I had no any infection previously, but a low-risk exposure to HIV eight months before and no further risks ever since. Last year, I had my first ever HIV test (third generation antibody), which came back negative. I also had two more the same kind of test after that with negative results. Only recently, I am experiencing recurrent colds and blocked, runny nose, vaginal infections, fungi like discoloration on two of my fingers and red dots or spots, rashes on one of my shoulders. Could these symptoms be related anyhow to HIV or AIDS? Could my test be falsely negative due to late testing after my exposure of six plus years? Should I have another CD4 count or other tests? Thank you for your time and answer. [/INST] Hi. For further information consult a HIV AIDS specialist online -->
|
Q. My ALP increased to 278 after stopping Udimarin Forte. Should I be worried?
|
Hello doctor, My 54-year-old father had been operated for gallbladder 14 years ago. Since then, his liver enzymes like SGPT and SGOT remain at 55 and recently his ALP was seen 140 and GGT at 79 which became normal after taking Udimarin Forte tablet. After stopping the medicine, the ALP again increased to 278. He takes Thyronorm 75 mcg for hypothyroidism and Cilacar 10 mg, a BP medicine. For triglycerides, he takes Rosumac F which got changed to E-Cod Plus. He also has a deficiency of vitamin D and takes Uprise-D3 once a week for that. He does not have any symptoms now but before sometimes he complained bitter taste in the mouth in the morning which went away after taking Liv.52 DS which he currently takes. He is a nondrinker and a nonsmoker. Is there anything to worry? Please help.
|
Hello. There is nothing to worry. Possibly, he has mild fatty liver because of which SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamate-pyruvate transaminase) are mildly elevated. However, the ALP (alkaline phosphatase) is elevated in either obstruction of the bile duct or due to bone disease like vitamin D deficiency which he has. I would still suggest an ultrasonogram of the abdomen to look for fatty liver and CBD (common bile duct) anatomy. For more information consult an internal medicine physician online -->
|
<s>[INST]
Hello doctor, My 54-year-old father had been operated for gallbladder 14 years ago. Since then, his liver enzymes like SGPT and SGOT remain at 55 and recently his ALP was seen 140 and GGT at 79 which became normal after taking Udimarin Forte tablet. After stopping the medicine, the ALP again increased to 278. He takes Thyronorm 75 mcg for hypothyroidism and Cilacar 10 mg, a BP medicine. For triglycerides, he takes Rosumac F which got changed to E-Cod Plus. He also has a deficiency of vitamin D and takes Uprise-D3 once a week for that. He does not have any symptoms now but before sometimes he complained bitter taste in the mouth in the morning which went away after taking Liv.52 DS which he currently takes. He is a nondrinker and a nonsmoker. Is there anything to worry? Please help. [/INST] Hello. There is nothing to worry. Possibly, he has mild fatty liver because of which SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamate-pyruvate transaminase) are mildly elevated. However, the ALP (alkaline phosphatase) is elevated in either obstruction of the bile duct or due to bone disease like vitamin D deficiency which he has. I would still suggest an ultrasonogram of the abdomen to look for fatty liver and CBD (common bile duct) anatomy. For more information consult an internal medicine physician online -->
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
|
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. Will Nano-Leo give permanent solution for erection problem?
|
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
|
Hi. For further doubts consult a sexologist online -->
|
<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
|
Q. Can I use health supplement for fatigue?
|
Hi doctor, I have fatigue issues. Can you suggest a health supplement. I was thinking of using Amway Nutrilite Siberian Ginseng With Ginkgo Biloba. Further I am currently having vitamin B12 and Vitamin D deficiency for which I am using specific supplement as suggested by my physician which includes Mecobalamin 1500 mcg and Cholecalciferol granules in addition to spending some time in sun. I further wanted to know whether Amway Nutrilite Siberian Ginseng With Ginkgo Biloba will react with any of the current medication. Also, I have attached my latest blood test reports.
|
Hi. I appreciate your efforts for uploading the laboratory reports (attachment removed to protect patient identity). 1. You are suffering from fatigue syndrome and the reason for that is you have low vitamin and nutrient levels, deranged liver functions (although little one), high cholesterol and deranged lipid profile. 2. Yes, you may use the Amway product. It is a good brand for dermatological and dietary supplements. But there is little to no research available from third party or independent unbiased researchers. So, the safety of dietary products and other drug interactions with your other medications are not much documented. 3. Your supplements are good for vitamins. 4. You have to lower your weight, increase physical activity and have to keep a check on your cholesterol levels to keep in normal range. 5. Try diet modifications too. If these things do not work I will suggest then to start some lipid lowering medicine like statin. 6. Avoid alcohol and smoking if you do. It is hazardous for your liver which already is not working good. 1. HbSAg (hepatitis B surface antigen) and Anti-HCV (human papillomavirus) both by ELISA (enzyme-linked immunosorbent assay). 2. Ultrasound abdomen complete. 1. Take capsule SeaMega for fatigue and your cholesterol. 2. Take Salmon fish in food. Revert back with the laboratory reports to an internal medicine physician online.--->
|
<s>[INST]
Hi doctor, I have fatigue issues. Can you suggest a health supplement. I was thinking of using Amway Nutrilite Siberian Ginseng With Ginkgo Biloba. Further I am currently having vitamin B12 and Vitamin D deficiency for which I am using specific supplement as suggested by my physician which includes Mecobalamin 1500 mcg and Cholecalciferol granules in addition to spending some time in sun. I further wanted to know whether Amway Nutrilite Siberian Ginseng With Ginkgo Biloba will react with any of the current medication. Also, I have attached my latest blood test reports. [/INST] Hi. I appreciate your efforts for uploading the laboratory reports (attachment removed to protect patient identity). 1. You are suffering from fatigue syndrome and the reason for that is you have low vitamin and nutrient levels, deranged liver functions (although little one), high cholesterol and deranged lipid profile. 2. Yes, you may use the Amway product. It is a good brand for dermatological and dietary supplements. But there is little to no research available from third party or independent unbiased researchers. So, the safety of dietary products and other drug interactions with your other medications are not much documented. 3. Your supplements are good for vitamins. 4. You have to lower your weight, increase physical activity and have to keep a check on your cholesterol levels to keep in normal range. 5. Try diet modifications too. If these things do not work I will suggest then to start some lipid lowering medicine like statin. 6. Avoid alcohol and smoking if you do. It is hazardous for your liver which already is not working good. 1. HbSAg (hepatitis B surface antigen) and Anti-HCV (human papillomavirus) both by ELISA (enzyme-linked immunosorbent assay). 2. Ultrasound abdomen complete. 1. Take capsule SeaMega for fatigue and your cholesterol. 2. Take Salmon fish in food. Revert back with the laboratory reports to an internal medicine physician online.--->
|
Q. I am experiencing itchiness and redness in my eyes. Kindly suggest.
|
Hello doctor, I am experiencing itchiness and redness in my eyes since a few days. I have been administering eye drops twice or thrice a day since two to three days but the problem persists. The redness is more after waking up and it subsides a bit after using eye drops (Itone eye drops). A major part of my day involves using a laptop. The itchiness and redness are slight, not very extreme. Kindly suggest.
|
Hello. From your description, I feel that you could have allergic conjunctivitis with some degree of dry eyes. The major symptom of allergic conjunctivitis being itching and of dry eyes being burning sensation. Both conditions cause redness and irritation and are aggravated by each other. My advice to you is: I recommended that you see an ophthalmologist in case of the following - 1. The redness, watering, and irritation are worsening in spite of the above measures. 2. There is a drop in the visual ability/clarity of vision goes down - check each eye by closing the other. 3. Your eyes stick together when you open your eyes for the first time in the morning after sleep. Hope you get well soon. Kindly revert back to me in case you have any further questions. Review after two weeks. Revert after two weeks to an eye care ophthalmologist online -->
|
<s>[INST]
Hello doctor, I am experiencing itchiness and redness in my eyes since a few days. I have been administering eye drops twice or thrice a day since two to three days but the problem persists. The redness is more after waking up and it subsides a bit after using eye drops (Itone eye drops). A major part of my day involves using a laptop. The itchiness and redness are slight, not very extreme. Kindly suggest. [/INST] Hello. From your description, I feel that you could have allergic conjunctivitis with some degree of dry eyes. The major symptom of allergic conjunctivitis being itching and of dry eyes being burning sensation. Both conditions cause redness and irritation and are aggravated by each other. My advice to you is: I recommended that you see an ophthalmologist in case of the following - 1. The redness, watering, and irritation are worsening in spite of the above measures. 2. There is a drop in the visual ability/clarity of vision goes down - check each eye by closing the other. 3. Your eyes stick together when you open your eyes for the first time in the morning after sleep. Hope you get well soon. Kindly revert back to me in case you have any further questions. Review after two weeks. Revert after two weeks to an eye care ophthalmologist online -->
|
Q. What could the pain in my scrotum in the spermatic cord region be?
|
Hello doctor, I am a 32-year-old male with a weight of 58 kg and my height is 5 feet 3 inches. I have been married for six years. I have two children. I had yellowish like liquid discharge from my penis a year ago with burning while urinating. I consulted a urologist and he prescribed me Norflox 400 mg for one week and after which it went away. This month, I had pain in my scrotum in the right spermatic cord region above the testicle. My urologist told me to have sonography. My sonography report concluded "diffuse thickening at the right spermatic cord region." Otherwise, the report is normal. The doctor prescribed me Cefixime 100 mg and an anti-inflammatory tablet for 10 days. My pain decreased about 60%. A week ago, I had masturbation and I had pain at the same place in the scrotum. I had taken a urine culture test and I have attached the report. My question is do I have sexually transmitted diseases or urinary tract infection? Can I please know what to do? What medicines should I take for a permanent cure?
|
Hello. I have gone through your symptoms. You seem to be suffering from an infection in your spermatic cord that is the cause of your scrotal pain. This is treated with antibiotics but the duration of treatment is usually for two weeks or more. The pain you have on masturbation is due to the inflammation of the spermatic cord through which the sperms come out into the urethra. I would suggest you keep your scrotum elevated with a tight underwear for pain relief. It would also be necessary to make sure that the infection has been cleared by testing both urine and semen for infection as your symptoms are not resolved. For more information consult a urologist online -->
|
<s>[INST]
Hello doctor, I am a 32-year-old male with a weight of 58 kg and my height is 5 feet 3 inches. I have been married for six years. I have two children. I had yellowish like liquid discharge from my penis a year ago with burning while urinating. I consulted a urologist and he prescribed me Norflox 400 mg for one week and after which it went away. This month, I had pain in my scrotum in the right spermatic cord region above the testicle. My urologist told me to have sonography. My sonography report concluded "diffuse thickening at the right spermatic cord region." Otherwise, the report is normal. The doctor prescribed me Cefixime 100 mg and an anti-inflammatory tablet for 10 days. My pain decreased about 60%. A week ago, I had masturbation and I had pain at the same place in the scrotum. I had taken a urine culture test and I have attached the report. My question is do I have sexually transmitted diseases or urinary tract infection? Can I please know what to do? What medicines should I take for a permanent cure? [/INST] Hello. I have gone through your symptoms. You seem to be suffering from an infection in your spermatic cord that is the cause of your scrotal pain. This is treated with antibiotics but the duration of treatment is usually for two weeks or more. The pain you have on masturbation is due to the inflammation of the spermatic cord through which the sperms come out into the urethra. I would suggest you keep your scrotum elevated with a tight underwear for pain relief. It would also be necessary to make sure that the infection has been cleared by testing both urine and semen for infection as your symptoms are not resolved. For more information consult a urologist online -->
|
Q. How to reduce the dosage and gradually stop my medicines without side effects?
|
Hello doctor,I am a 23 year old male. I want to quit my medicines permanently. I am taking Valkem OD 500, Soltus 100 mg, Flunil 20, and Ativan 2 mg. How to reduce the doses and completely stop taking these medications without any side effects?
|
Hello. I went through your post. You are on Divalproex (Valkem) which is used for epilepsy; in addition, you are on antidepressants and antipsychotic meds. Firstly, if you have a seizure disorder, for which you are taking Valkem, then your EEG (electroencephalogram) should be normal and you should have had no fits for the last two and a half years. The problem is, you have not mentioned what was the reason for starting this treatment. You can decrease Ativan (Lorazepam) to 1 mg and Flunil (Fluoxetine) to 10 mg. Consult your specialist doctor, discuss with him or her and decrease it with their consent. However, before decreasing the dosage of Soltus and Valkem you need to mention why you were started on it. Regards. For more information consult an internal medicine physician online -->
|
<s>[INST]
Hello doctor,I am a 23 year old male. I want to quit my medicines permanently. I am taking Valkem OD 500, Soltus 100 mg, Flunil 20, and Ativan 2 mg. How to reduce the doses and completely stop taking these medications without any side effects? [/INST] Hello. I went through your post. You are on Divalproex (Valkem) which is used for epilepsy; in addition, you are on antidepressants and antipsychotic meds. Firstly, if you have a seizure disorder, for which you are taking Valkem, then your EEG (electroencephalogram) should be normal and you should have had no fits for the last two and a half years. The problem is, you have not mentioned what was the reason for starting this treatment. You can decrease Ativan (Lorazepam) to 1 mg and Flunil (Fluoxetine) to 10 mg. Consult your specialist doctor, discuss with him or her and decrease it with their consent. However, before decreasing the dosage of Soltus and Valkem you need to mention why you were started on it. Regards. For more information consult an internal medicine physician online -->
|
Q. Why do I have dry mouth two months after unprotected oral sex?
|
Hello doctor, I am writing hoping you can give me a sigh of relief or a little clarity. First, let me start by saying I do have an HIV phobia. However, below will give you a better idea of my story. Two months back, I had unprotected oral sex with a guy that lasted for about two minutes. He then penetrated me unprotected for about a minute in which I made him put on a condom. After we were done, he cleaned himself up and penetrated me again for about three minutes. Ten days later, I noticed I had a sore throat and dry cough with a very low temperature and immediately scheduled a visit with my doctor as I was really nervous. I had a slight fever and asked my doctor to perform an STD test. When I got my results back I tested HSV 2 positive. I thought I was fine as far as those results were concerned. However, I read that there was a window period that I needed to test. As time went on I started to have a very upset stomach, gassy, bloated and diarrhea. I am also lactose intolerant. So, I suspected that it was from that. It went away but today I have it again, however, I am taking Penicillin and I heard that this was one of the symptoms. I have a dry mouth which I also heard could be from the Penicillin as well. My period for this month is noticeably lighter than normal which I am freaking out about. I never got a rash or anything or that I noticed. About a week ago, my husband started having diarrhea with an upset stomach and I noticed a rash on his knee which looks more like a bruise than a rash. It was red and purple with no bumps and very small but had no other symptoms. I also noticed that I had a small lymph node in the neck (which is the reason I am on the Clindamycin). I got nervous and decided to go back to the doctor so that she could test me for HIV again and the results were still negative. The lymph node has gotten smaller and stopped hurting, however, I do not see a stone or anything in my mouth that looks like a stone. Now my mouth is really dry not producing any saliva. This is my biggest concern. I also developed thrush. I have stopped taking any medicines so that I can see which medicine it is. Can you please give me some insight?
|
Hi. A fourth generation HIV duo test is considered reliable and conclusive if it is still negative after six weeks. Most STD (sexually transmitted diseases) specialists consider this six weeks gap as the upper limit of the window period for an HIV duo test result to be considered final. Since your exposure was two months back and your last HIV duo test was almost eight weeks after exposure, your test result is reliable and conclusive. You do not need to worry about HIV from that particular episode. For more information consult a HIV AIDS specialist online -->
|
<s>[INST]
Hello doctor, I am writing hoping you can give me a sigh of relief or a little clarity. First, let me start by saying I do have an HIV phobia. However, below will give you a better idea of my story. Two months back, I had unprotected oral sex with a guy that lasted for about two minutes. He then penetrated me unprotected for about a minute in which I made him put on a condom. After we were done, he cleaned himself up and penetrated me again for about three minutes. Ten days later, I noticed I had a sore throat and dry cough with a very low temperature and immediately scheduled a visit with my doctor as I was really nervous. I had a slight fever and asked my doctor to perform an STD test. When I got my results back I tested HSV 2 positive. I thought I was fine as far as those results were concerned. However, I read that there was a window period that I needed to test. As time went on I started to have a very upset stomach, gassy, bloated and diarrhea. I am also lactose intolerant. So, I suspected that it was from that. It went away but today I have it again, however, I am taking Penicillin and I heard that this was one of the symptoms. I have a dry mouth which I also heard could be from the Penicillin as well. My period for this month is noticeably lighter than normal which I am freaking out about. I never got a rash or anything or that I noticed. About a week ago, my husband started having diarrhea with an upset stomach and I noticed a rash on his knee which looks more like a bruise than a rash. It was red and purple with no bumps and very small but had no other symptoms. I also noticed that I had a small lymph node in the neck (which is the reason I am on the Clindamycin). I got nervous and decided to go back to the doctor so that she could test me for HIV again and the results were still negative. The lymph node has gotten smaller and stopped hurting, however, I do not see a stone or anything in my mouth that looks like a stone. Now my mouth is really dry not producing any saliva. This is my biggest concern. I also developed thrush. I have stopped taking any medicines so that I can see which medicine it is. Can you please give me some insight? [/INST] Hi. A fourth generation HIV duo test is considered reliable and conclusive if it is still negative after six weeks. Most STD (sexually transmitted diseases) specialists consider this six weeks gap as the upper limit of the window period for an HIV duo test result to be considered final. Since your exposure was two months back and your last HIV duo test was almost eight weeks after exposure, your test result is reliable and conclusive. You do not need to worry about HIV from that particular episode. For more information consult a HIV AIDS specialist online -->
|
Q. Inspite of having Zovirax, rashes on my penis has not subsided. Why is it?
|
Hi doctor, I am a 30 year old male. I got rashes on my glans penis after sex with my wife. I have consulted a doctor and he suggested to use Zovirax 200 mg four times a day for one week, thinking that it is herpes. But, I think it is not. I have used it but no improvement at all. The rashes getting disappeared within a week when there is a gap of intercourse. After sex, I am developing rashes again and as there is a gap of one week, the rashes getting disappeared. This has started only one month back. No pain, no itching, the rashes look red. I think it may be fungal or bacterial infection. What medicine shall I use? When I used Candid dusting powder, the rashes are getting cured. Kindly suggest.
|
Hi. Revert back with clear pictures to a dermatologist online -->
|
<s>[INST]
Hi doctor, I am a 30 year old male. I got rashes on my glans penis after sex with my wife. I have consulted a doctor and he suggested to use Zovirax 200 mg four times a day for one week, thinking that it is herpes. But, I think it is not. I have used it but no improvement at all. The rashes getting disappeared within a week when there is a gap of intercourse. After sex, I am developing rashes again and as there is a gap of one week, the rashes getting disappeared. This has started only one month back. No pain, no itching, the rashes look red. I think it may be fungal or bacterial infection. What medicine shall I use? When I used Candid dusting powder, the rashes are getting cured. Kindly suggest. [/INST] Hi. Revert back with clear pictures to a dermatologist online -->
|
Q. I have tightness in chest. Is it start of a heart attack?
|
Hi doctor, I am suffering with cold and cough. A week before I had cold, I felt some tightness in my chest that was aching. It was associated with some burning sensation on top of my back and around my shoulder blades. Since I had cold, the condition has got worse and has remained for few days constantly. It is slightly painful and causes discomfort. I get quick sharp pain while stretching or lifting. The pain gets worse when I am standing. I have chest congestion and off late been coughing up yellow phlegm. My chest feels tight when I cough. I have been having neck pain too. I am very much worried and concerned about my heart. I will be flying for a few days so, now it is giving me a huge concern. I would like to know, is it the start of a heart attack? Please help. Thank you in advance.
|
Hi. I have thoroughly gone through your case and can understand your genuine concerns. 1. Muscular spasm for example: respiratory muscles like diaphragm, abdominal muscles, chest accessory muscles of respiration and back muscles. 2. There is an aching lung tissue because of bad cough. 3. Chest infection (respiratory tract infections). 4. When you cough on already aching muscles you will have chest tightness. This is known as the guarding reflex of the body. I would suggest you to start with these medications after consulting your cardiologist for physical examination. 1. Tablet Azithromycin (Zithromax). 2. Tablet Ebastine (Ebatrol). 3. Tablet Ibuprofen (Advil). 4. Start having a good cough syrup. 5. If you are not allergic to vicks, then apply vicks vaporub over the chest and neck to get better relief. 1. Start using a nebulizer. 2. Use vicks warm mist humidifier. In case you are allergic to vicks, then use only plain water in the humidifier. 3. Drink lots of fluids and take good rest. 4. In order to prevent constipation, take lots of fiber rich foods and whole grain containing healthy foods. 5. Avoid processed foods, coffee, tea and energy drinks. For further queries consult a cardiologist online.--->
|
<s>[INST]
Hi doctor, I am suffering with cold and cough. A week before I had cold, I felt some tightness in my chest that was aching. It was associated with some burning sensation on top of my back and around my shoulder blades. Since I had cold, the condition has got worse and has remained for few days constantly. It is slightly painful and causes discomfort. I get quick sharp pain while stretching or lifting. The pain gets worse when I am standing. I have chest congestion and off late been coughing up yellow phlegm. My chest feels tight when I cough. I have been having neck pain too. I am very much worried and concerned about my heart. I will be flying for a few days so, now it is giving me a huge concern. I would like to know, is it the start of a heart attack? Please help. Thank you in advance. [/INST] Hi. I have thoroughly gone through your case and can understand your genuine concerns. 1. Muscular spasm for example: respiratory muscles like diaphragm, abdominal muscles, chest accessory muscles of respiration and back muscles. 2. There is an aching lung tissue because of bad cough. 3. Chest infection (respiratory tract infections). 4. When you cough on already aching muscles you will have chest tightness. This is known as the guarding reflex of the body. I would suggest you to start with these medications after consulting your cardiologist for physical examination. 1. Tablet Azithromycin (Zithromax). 2. Tablet Ebastine (Ebatrol). 3. Tablet Ibuprofen (Advil). 4. Start having a good cough syrup. 5. If you are not allergic to vicks, then apply vicks vaporub over the chest and neck to get better relief. 1. Start using a nebulizer. 2. Use vicks warm mist humidifier. In case you are allergic to vicks, then use only plain water in the humidifier. 3. Drink lots of fluids and take good rest. 4. In order to prevent constipation, take lots of fiber rich foods and whole grain containing healthy foods. 5. Avoid processed foods, coffee, tea and energy drinks. For further queries consult a cardiologist online.--->
|
Q. Is Zoloft safe for a 13 year old boy who is suffering from bipolar disorder?
|
Hi doctor, I am concerned about the medication that my 13 year old son is currently taking for bipolar disorder. He was diagnosed bipolar disorder at the age of 7. After trying several medications Depakote was the one that worked best. My ex-husband got custody of him 4 years ago and pulled him off from his medication. Last month my son threatened suicide and was hospitalized and placed on Zoloft. I recently spoke with my son's counselor and she said that Zoloft is used to treat depression and that he should be on a secondary medication for bipolar. His past medicines are Intuniv and Depakote and his current medicines are Zoloft and Vyvanse. I have tried speaking with my son's therapist. However, my ex-husband has told her not to speak to me regarding my son's treatment. I have noticed in conversations as well as visits with my son that he sometimes seems more depressed and agitated even threatening to run away from home. Is Zoloft used to treat bipolar without any secondary medication? Is it safe for a 13 year old?
|
Hi. First of all, I want to inform you that Vyvanse (Lisdexamfetamine) and Intuniv (Guanfacine) tablets are indicated for Attention deficit hyperactivity disorder (ADHD). Depakote (Valproic acid) is an antiepileptic and mood stabilizer. It is useful for bipolar disorder. If your child is diagnosed with bipolar, then he should receive Depakote or other mood stabilizer. Zoloft (Sertraline) is an antidepressant and by this chance of switch to mania is there. So, in bipolar patients if depressive symptoms are prominent, then antidepressant can be given only under the cover of mood stabilizer. Antidepressant should not be used for long term in bipolar patients. Once depressive symptoms get resolve, patient should maintain only on mood stabilizer. Antidepressant should get taper off gradually. For further information consult a psychiatrist online -->
|
<s>[INST]
Hi doctor, I am concerned about the medication that my 13 year old son is currently taking for bipolar disorder. He was diagnosed bipolar disorder at the age of 7. After trying several medications Depakote was the one that worked best. My ex-husband got custody of him 4 years ago and pulled him off from his medication. Last month my son threatened suicide and was hospitalized and placed on Zoloft. I recently spoke with my son's counselor and she said that Zoloft is used to treat depression and that he should be on a secondary medication for bipolar. His past medicines are Intuniv and Depakote and his current medicines are Zoloft and Vyvanse. I have tried speaking with my son's therapist. However, my ex-husband has told her not to speak to me regarding my son's treatment. I have noticed in conversations as well as visits with my son that he sometimes seems more depressed and agitated even threatening to run away from home. Is Zoloft used to treat bipolar without any secondary medication? Is it safe for a 13 year old? [/INST] Hi. First of all, I want to inform you that Vyvanse (Lisdexamfetamine) and Intuniv (Guanfacine) tablets are indicated for Attention deficit hyperactivity disorder (ADHD). Depakote (Valproic acid) is an antiepileptic and mood stabilizer. It is useful for bipolar disorder. If your child is diagnosed with bipolar, then he should receive Depakote or other mood stabilizer. Zoloft (Sertraline) is an antidepressant and by this chance of switch to mania is there. So, in bipolar patients if depressive symptoms are prominent, then antidepressant can be given only under the cover of mood stabilizer. Antidepressant should not be used for long term in bipolar patients. Once depressive symptoms get resolve, patient should maintain only on mood stabilizer. Antidepressant should get taper off gradually. For further information consult a psychiatrist online -->
|
Q. How to know the reason for low testosterone?
|
Hi doctor, I am 34 years old. My weight is 84 kg. I am married for four years. I am unable to make a relationship with my wife. The erection problem is there for the past two years. I checked my testosterone level, which is 183. Why is it low? Please advise me the ways to increase the testosterone level. I am currently taking Tadalafil 10 mg. For your information, I am a vegetarian.
|
Hi. Revert with the reports to an endocrinologist online -->
|
<s>[INST]
Hi doctor, I am 34 years old. My weight is 84 kg. I am married for four years. I am unable to make a relationship with my wife. The erection problem is there for the past two years. I checked my testosterone level, which is 183. Why is it low? Please advise me the ways to increase the testosterone level. I am currently taking Tadalafil 10 mg. For your information, I am a vegetarian. [/INST] Hi. Revert with the reports to an endocrinologist online -->
|
Q. The slightest intake of sugar causes premature ejaculation. Please help.
|
Hello doctor, I feel some discomfort in my urethra, which results in premature ejaculation. I suspect it is due to irritation from the intake of sugary food or any other food. The slightest intake of sugar causes premature ejaculation.
|
Hello. For more information consult a urologist online -->
|
<s>[INST]
Hello doctor, I feel some discomfort in my urethra, which results in premature ejaculation. I suspect it is due to irritation from the intake of sugary food or any other food. The slightest intake of sugar causes premature ejaculation. [/INST] Hello. For more information consult a urologist online -->
|
Q. Every time I eat spicy food, I poop blood. Why?
|
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
|
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
|
<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
|
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. Shall I continue both Atisarahara vati and Deva vati to cure diarrhea?
|
Hi doctor, I was suddenly down with loose motions (two watery motions) and the next day I had a vomit. Immediately, I consulted my allopathy doctor, and he diagnosed it as either viral gastritis or severe hyperacidity. He put me on the antibiotic for five days. There was no motion or vomit after that, but there was some discomfort in stomach especially after eating. Then, I started taking Atisarahara vati two tablets with buttermilk three times a day for about four to five days and then reduced to two times a day before food. I had loose motions around once or twice since starting the medicine. The motion was not loose, but it was with gas, discomfort, etc. Yesterday, I got Deva vati tablets. I took overall three tablets till now with lukewarm water. I find relief and hope this settles my stomach problem. My question is should I take Atisarahara vati also with Deva vati or only Deva vati? Do you recommend any other with Deva vati? I am 62 years old in relatively good health. I do not take outside food, spicy, oily, etc. Somehow, I was erratic on the timing of the meal. But, now I have set a regular timing for food.
|
Hi. For further information consult an ayurveda specialist online -->
|
<s>[INST]
Hi doctor, I was suddenly down with loose motions (two watery motions) and the next day I had a vomit. Immediately, I consulted my allopathy doctor, and he diagnosed it as either viral gastritis or severe hyperacidity. He put me on the antibiotic for five days. There was no motion or vomit after that, but there was some discomfort in stomach especially after eating. Then, I started taking Atisarahara vati two tablets with buttermilk three times a day for about four to five days and then reduced to two times a day before food. I had loose motions around once or twice since starting the medicine. The motion was not loose, but it was with gas, discomfort, etc. Yesterday, I got Deva vati tablets. I took overall three tablets till now with lukewarm water. I find relief and hope this settles my stomach problem. My question is should I take Atisarahara vati also with Deva vati or only Deva vati? Do you recommend any other with Deva vati? I am 62 years old in relatively good health. I do not take outside food, spicy, oily, etc. Somehow, I was erratic on the timing of the meal. But, now I have set a regular timing for food. [/INST] Hi. For further information consult an ayurveda specialist online -->
|
Q. Is the abortion process complete or not?
|
Hello doctor, I recently had an abortion pill. I took Mifepristone tablet first then after 36 hours, I took four tablets of Misoprostol of 200 mcg orally. At first, there was light bleeding during one hour then after some time I had heavy bleeding and it almost soaked two pads and it continued for almost two to four hours. After that, I am having light bleeding. There is little blood coming out from the vagina. I thought abortion process was not completed so again after 24 hours I took four more Misoprostol of 200 mcg but after that, there is still no result of heavy bleeding. I wanted to know what to do next and whether the abortion process is completed or not. Please help me through this. I have nausea, vomiting and abdominal pain along with it.
|
Hello. I guess you have not passed any tissue or mass like structures out of the vagina. So we cannot be sure about the complete termination of pregnancy. Presence of just bleeding does not ensure the complete termination. So our priority is to confirm it. Now it is a time for you to get yourself examined by a gynecologist, an ultrasound of the pelvis to look for complete or incomplete termination. Ultrasound will confirm the status of pregnancy. However, it is not recommended to have excess doses of Misoprostol now. Also, although the risk of infection is not high, keep watch for fever and if developed then have antibiotics started immediately. So overall, next most important step is an ultrasound of pelvis and if incomplete termination then an evacuation. For more information consult an internal medicine physician online -->
|
<s>[INST]
Hello doctor, I recently had an abortion pill. I took Mifepristone tablet first then after 36 hours, I took four tablets of Misoprostol of 200 mcg orally. At first, there was light bleeding during one hour then after some time I had heavy bleeding and it almost soaked two pads and it continued for almost two to four hours. After that, I am having light bleeding. There is little blood coming out from the vagina. I thought abortion process was not completed so again after 24 hours I took four more Misoprostol of 200 mcg but after that, there is still no result of heavy bleeding. I wanted to know what to do next and whether the abortion process is completed or not. Please help me through this. I have nausea, vomiting and abdominal pain along with it. [/INST] Hello. I guess you have not passed any tissue or mass like structures out of the vagina. So we cannot be sure about the complete termination of pregnancy. Presence of just bleeding does not ensure the complete termination. So our priority is to confirm it. Now it is a time for you to get yourself examined by a gynecologist, an ultrasound of the pelvis to look for complete or incomplete termination. Ultrasound will confirm the status of pregnancy. However, it is not recommended to have excess doses of Misoprostol now. Also, although the risk of infection is not high, keep watch for fever and if developed then have antibiotics started immediately. So overall, next most important step is an ultrasound of pelvis and if incomplete termination then an evacuation. For more information consult an internal medicine physician online -->
|
Q. Despite normal ECG, I have sweating and chest pain. What to do?
|
Hi doctor, I am a 28 year old male. I am having habit of drinking alcohol and using tobacco daily. Since last four months, I feel lightheaded and dizzy. Sometimes, I am having heavy sweating and chest pain. I had done ECG and it was found to be normal. Sometimes, I feel like blood in my saliva. I am feeling uncomfortable with sleep too. Please help me.
|
Hi. We are here to help you. Revert back with the investigation reports to a general medicine physician online -->
|
<s>[INST]
Hi doctor, I am a 28 year old male. I am having habit of drinking alcohol and using tobacco daily. Since last four months, I feel lightheaded and dizzy. Sometimes, I am having heavy sweating and chest pain. I had done ECG and it was found to be normal. Sometimes, I feel like blood in my saliva. I am feeling uncomfortable with sleep too. Please help me. [/INST] Hi. We are here to help you. Revert back with the investigation reports to a general medicine physician online -->
|
Q. I fear that my ptosis and strabismus cannot be corrected. Please help.
|
Hello doctor, I am 26 years old. I am working in software field. I do have problems of ptosis and strabismus in my left eye since birth. I am not able to see with this eye until I forcefully close my right (dedicated) eye. I got operated for ptosis when I was 11, and it got recovered a lot. But, strabismus remains the same, and it affects my life a lot due to the cosmetic reason. I could not get socialized and try to avoid society. I had a lot of consultations with local doctors. Let me share my last meeting and my conclusion. According to my local doctor, my upper lift muscle is dead by birth, and it cannot be restored ever. I have to stop thinking about fixing it. If surgery fixes it, then it will never appear as parallel as the right (dominant eye). Also, now my brain is receiving (single) right eye's image, and after surgery, my brain will receive two images. But, it will be difficult to focus on any of them. He also said that superior rectus muscle or inferior oblique muscle of left eye has stopped working or affected after my eyelid operation or those are dead by birth cause, and there is nothing to pull the eyeball upwards. The eyeball does not move and focus towards upwards and outwards. Also, he mentioned about Brown syndrome. If this is a Brown syndrome, then the left lower eye that is affected, tethered or held down by the tight superior oblique tendon muscle. If this is true, then, in this case, the eye neither moves upward nor inwards towards the nose. But, my left eye moves inwards, but difficulty with moving outwards. Please clarify my doubts
|
Hi. For further information consult an eye care ophthalmologist online -->
|
<s>[INST]
Hello doctor, I am 26 years old. I am working in software field. I do have problems of ptosis and strabismus in my left eye since birth. I am not able to see with this eye until I forcefully close my right (dedicated) eye. I got operated for ptosis when I was 11, and it got recovered a lot. But, strabismus remains the same, and it affects my life a lot due to the cosmetic reason. I could not get socialized and try to avoid society. I had a lot of consultations with local doctors. Let me share my last meeting and my conclusion. According to my local doctor, my upper lift muscle is dead by birth, and it cannot be restored ever. I have to stop thinking about fixing it. If surgery fixes it, then it will never appear as parallel as the right (dominant eye). Also, now my brain is receiving (single) right eye's image, and after surgery, my brain will receive two images. But, it will be difficult to focus on any of them. He also said that superior rectus muscle or inferior oblique muscle of left eye has stopped working or affected after my eyelid operation or those are dead by birth cause, and there is nothing to pull the eyeball upwards. The eyeball does not move and focus towards upwards and outwards. Also, he mentioned about Brown syndrome. If this is a Brown syndrome, then the left lower eye that is affected, tethered or held down by the tight superior oblique tendon muscle. If this is true, then, in this case, the eye neither moves upward nor inwards towards the nose. But, my left eye moves inwards, but difficulty with moving outwards. Please clarify my doubts [/INST] Hi. For further information consult an eye care ophthalmologist online -->
|
Q. Does sex position affect the possibility of pregnancy?
|
Hi doctor, I am 32 years old and my wife is 31. We had hiccups initially in having sex due to my masturbation habit. After a while it was better and last month we had good sex of about 80% and successfully ejaculated. We planned for a baby last month, such that our intercourse falls during her fertilization period. However, pregnancy did not happen and on the 30th day she got her period. But strangely, she had pain all day long and also tonight she is bleeding like menses. It had been third month after our marriage, and we are planning for baby. What could be wrong even after ejaculation? Though I was able to successfully ejaculate, it was possible mainly during women on top position and we did that mostly. Since I am much taller than her, it was difficult for me to reach top orgasm on normal man on top position. Does this position be the reason? Apart from Absolut-3G, I also took garlic soup, almonds and dates often. Should I take anything more? Kindly advice what to do?
|
Hi. For further information consult a sexologist online -->
|
<s>[INST]
Hi doctor, I am 32 years old and my wife is 31. We had hiccups initially in having sex due to my masturbation habit. After a while it was better and last month we had good sex of about 80% and successfully ejaculated. We planned for a baby last month, such that our intercourse falls during her fertilization period. However, pregnancy did not happen and on the 30th day she got her period. But strangely, she had pain all day long and also tonight she is bleeding like menses. It had been third month after our marriage, and we are planning for baby. What could be wrong even after ejaculation? Though I was able to successfully ejaculate, it was possible mainly during women on top position and we did that mostly. Since I am much taller than her, it was difficult for me to reach top orgasm on normal man on top position. Does this position be the reason? Apart from Absolut-3G, I also took garlic soup, almonds and dates often. Should I take anything more? Kindly advice what to do? [/INST] Hi. For further information consult a sexologist online -->
|
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
|
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
|
Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
|
<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
|
Q. I had a possible rubella infection during early pregnancy. Will my baby's health be affected?
|
Hello doctor, I am a 27 year old married woman, who weighs 75 kg, and I am 5.6 feet tall. I am trying to conceive from last year, but ever since I started to try, my regular menstrual cycle of 28 days got delayed by 6 to 10 days. During my last periods, I noticed some red rashes on my face and upper part of my body, with a fever of 100 oF. I did not go for any test, but I took two anti-allergic tablets, which I bought previously for an allergy from chili and hot food. After taking the tablets, I was fine in two days. But, I missed my next period, so I went for an ultrasound. And it confirmed that I was pregnant and detected a single live fetus of approximately seven weeks. However, my doctor advised me to undergo rubella IgG test along with certain other routine tests. All other test reports were fine, except rubella IgG test showed the result to be positive. My doctor told me that I was immune to rubella, so no need to worry, and I should not go for rubella IgM test, as I recently had a history of red rashes. I was not satisfied, so I went for both rubella IgG and IgM tests, and the result was negative. However, I was perplexed, and I wanted to be sure about my rubella infection, so I repeated the tests again. This time the reports said rubella antibody IgG as 291 IU/mL, reference range used was 15 IU/mL, positive. It also detected rubella antibody IgM as positive. I have attached all my reports. Do you find any inconsistency in the reports of different labs for tests done on different dates? Why is rubella IgG, which stays lifelong unchanged is decreasing? Was I immunized against rubella when the infection happened? Why did then new infection occur? And the most important question is, will my baby be affected by this infection which occurred in early pregnancy? I do not want to give birth to a disabled or abnormal child. It is my first pregnancy. What should I do? Should I go for an abortion?
|
Hi. I can understand your concern, and I have seen all your reports (attachment removed to protect patient identity). Hope it will help you. Feel free to contact if you have any further query. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, I am a 27 year old married woman, who weighs 75 kg, and I am 5.6 feet tall. I am trying to conceive from last year, but ever since I started to try, my regular menstrual cycle of 28 days got delayed by 6 to 10 days. During my last periods, I noticed some red rashes on my face and upper part of my body, with a fever of 100 oF. I did not go for any test, but I took two anti-allergic tablets, which I bought previously for an allergy from chili and hot food. After taking the tablets, I was fine in two days. But, I missed my next period, so I went for an ultrasound. And it confirmed that I was pregnant and detected a single live fetus of approximately seven weeks. However, my doctor advised me to undergo rubella IgG test along with certain other routine tests. All other test reports were fine, except rubella IgG test showed the result to be positive. My doctor told me that I was immune to rubella, so no need to worry, and I should not go for rubella IgM test, as I recently had a history of red rashes. I was not satisfied, so I went for both rubella IgG and IgM tests, and the result was negative. However, I was perplexed, and I wanted to be sure about my rubella infection, so I repeated the tests again. This time the reports said rubella antibody IgG as 291 IU/mL, reference range used was 15 IU/mL, positive. It also detected rubella antibody IgM as positive. I have attached all my reports. Do you find any inconsistency in the reports of different labs for tests done on different dates? Why is rubella IgG, which stays lifelong unchanged is decreasing? Was I immunized against rubella when the infection happened? Why did then new infection occur? And the most important question is, will my baby be affected by this infection which occurred in early pregnancy? I do not want to give birth to a disabled or abnormal child. It is my first pregnancy. What should I do? Should I go for an abortion? [/INST] Hi. I can understand your concern, and I have seen all your reports (attachment removed to protect patient identity). Hope it will help you. Feel free to contact if you have any further query. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Severe heart palpitations in a 20-year-old man. What can be done?
|
Hello doctor, I am a 20-year-old healthy young man. I do not drink or smoke but I do work a lot. I work for 60 hours actually and just moved out of my house with my family. I got my own new place as well as trying to maintain a relationship with my current girlfriend. I do not really have any health issues besides occasional high blood pressure. I have been having palpitations for the last month. I get a few palpitations every single day and some are scary and uncomfortable while others really do not bother me. I have had an EKG in the past. I have attached the reports of the same. I saw a cardiologist and they did a few different tests and said my heart looks normal but I am still getting the palpitations even though my doctor put me on Metoprolol which is a beta blocker. What do you suggest?
|
Hello. I have gone through your reports (attachment removed to protect patient identity). All the tests are fine. The cardiologist said your heart is normal. So, you do not have to worry. Tablet Metoprolol has been given for symptomatic relief for your palpitation. Probably, you are having stress. Manage your stress and you will be fine. For more information consult a cardiologist online -->
|
<s>[INST]
Hello doctor, I am a 20-year-old healthy young man. I do not drink or smoke but I do work a lot. I work for 60 hours actually and just moved out of my house with my family. I got my own new place as well as trying to maintain a relationship with my current girlfriend. I do not really have any health issues besides occasional high blood pressure. I have been having palpitations for the last month. I get a few palpitations every single day and some are scary and uncomfortable while others really do not bother me. I have had an EKG in the past. I have attached the reports of the same. I saw a cardiologist and they did a few different tests and said my heart looks normal but I am still getting the palpitations even though my doctor put me on Metoprolol which is a beta blocker. What do you suggest? [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). All the tests are fine. The cardiologist said your heart is normal. So, you do not have to worry. Tablet Metoprolol has been given for symptomatic relief for your palpitation. Probably, you are having stress. Manage your stress and you will be fine. For more information consult a cardiologist online -->
|
Q. I have white color eruption on my penis head. What is it?
|
Hi doctor, I am 22 years old. I saw some eruption on my penis head for the first time yesterday. The color of the eruption is white. They are localized at very small area. I have attached the photos for your reference.
|
Hi. Revert back with the photographs to a dermatologist online -->
|
<s>[INST]
Hi doctor, I am 22 years old. I saw some eruption on my penis head for the first time yesterday. The color of the eruption is white. They are localized at very small area. I have attached the photos for your reference. [/INST] Hi. Revert back with the photographs to a dermatologist online -->
|
Q. How to get rid of a small bulge of extra skin on my thumb?
|
Hello doctor, My thumb got burned two years back, it used to peel off and I used to keep biting and peeling it further. Now it has formed a small bulge of extra skin. Can I get rid of it?
|
Hi. I have read your concern. Revert with more information to a dermatologist online -->
|
<s>[INST]
Hello doctor, My thumb got burned two years back, it used to peel off and I used to keep biting and peeling it further. Now it has formed a small bulge of extra skin. Can I get rid of it? [/INST] Hi. I have read your concern. Revert with more information to a dermatologist online -->
|
Q. What can we do for faster recovery of diabetic foot ulcer?
|
Hello doctor, My mother is 53 years old and she weighs 60 kg. She has fell down and tried home remedy for foot but, the foot has become worse. Now she is hospitalized. Her sugar level was 295 on the first day and now they have controlled it with insulin and today her sugar level is 180. What can we do for faster recovery? I have sent a photograph of the wound. Kindly view it and advice.
|
Hello. From the pictures, it is a clearly indicative of diabetic foot ulceration (attachment removed to protect patient identity).
|
<s>[INST]
Hello doctor, My mother is 53 years old and she weighs 60 kg. She has fell down and tried home remedy for foot but, the foot has become worse. Now she is hospitalized. Her sugar level was 295 on the first day and now they have controlled it with insulin and today her sugar level is 180. What can we do for faster recovery? I have sent a photograph of the wound. Kindly view it and advice. [/INST] Hello. From the pictures, it is a clearly indicative of diabetic foot ulceration (attachment removed to protect patient identity).
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
|
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
|
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
|
Hi. For further doubts consult a sexologist online -->
|
<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
|
Q. How to gain weight?
|
Hi doctor, I am very thin. I want to gain more mass and weight. For that I am consuming multivitamin tablets and protein powder, but no use. I have a doubt that whatever I am taking is not 100% digesting to supply that energy to my body? What do I do?
|
Hi. For further information consult a general medicine physician online -->
|
<s>[INST]
Hi doctor, I am very thin. I want to gain more mass and weight. For that I am consuming multivitamin tablets and protein powder, but no use. I have a doubt that whatever I am taking is not 100% digesting to supply that energy to my body? What do I do? [/INST] Hi. For further information consult a general medicine physician online -->
|
Q. How to treat my mother's sigmoid colon ulcer?
|
Hi doctor, My mother, who is 45 years old, has ulcers in the sigmoid colon for the last 15 years. The problem got reduced in the past two years, but, it started again now. She is having white sticky stools and pain in the left lower abdomen. She is also facing trouble with passing urine. She consulted a local doctor and used the medicines of urinary tract infection. Since then, the condition got worse. She is taking Pre pro, Traxol 200 mg, Menopace, EstroG, Spasmodart and Rantac D. Please help.
|
Hi. For further information consult an internal medicine physician online -->
|
<s>[INST]
Hi doctor, My mother, who is 45 years old, has ulcers in the sigmoid colon for the last 15 years. The problem got reduced in the past two years, but, it started again now. She is having white sticky stools and pain in the left lower abdomen. She is also facing trouble with passing urine. She consulted a local doctor and used the medicines of urinary tract infection. Since then, the condition got worse. She is taking Pre pro, Traxol 200 mg, Menopace, EstroG, Spasmodart and Rantac D. Please help. [/INST] Hi. For further information consult an internal medicine physician online -->
|
Q. What causes cold hands and feet along with fatigue?
|
Hi doctor, I am having cold hands and feet. I also have little bit of fatigue. Two years ago, I lost 90 pounds with diet and exercise. I had high blood pressure and anemia when I was pregnant with twins three years ago. Now, I have taken a complete blood count. I am attaching the reports for your reference. Please guide.
|
Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: Nutritional. Thyroid hormone profile. For further information consult a hematologist online.--->
|
<s>[INST]
Hi doctor, I am having cold hands and feet. I also have little bit of fatigue. Two years ago, I lost 90 pounds with diet and exercise. I had high blood pressure and anemia when I was pregnant with twins three years ago. Now, I have taken a complete blood count. I am attaching the reports for your reference. Please guide. [/INST] Hi. Based on your query and attached report (attachment removed to protect patient identity), my opinion is as follows: Nutritional. Thyroid hormone profile. For further information consult a hematologist online.--->
|
Q. I have pus oozing lesion in my underarm. What can it be?
|
Hi doctor, I am a 41 year old female. I am obese. My weight is 89 kg and height is 5 feet 7 inches. Currently, I am taking Thyronorm 75 mcg and Storfib 145. Previously, I used to get lymph node enlargement in underarms and groin area, but they never become lesions. I have been having a pus oozing lesion in my underarm for the past 1.5 years. When I take antibiotic, it heals. But once I stop the medicine, it recurs. Earlier, I showed this lesion to a lady physician who suggested an ultrasound scan. Scan revealed a pocket of pus, but no changes in surrounding tissue. This lesion started, when I changed my deodorant once. My 14 year old son also has the same issue. He gets lesions in his underarms, sometimes heals and at other times pus leaks. I do not feel any thickness in my breasts in self-examination. I feel it is more dermatological. Please share your valuable opinion. Thank you.
|
Hello. Revert back with the photographs to a dermatologist online -->
|
<s>[INST]
Hi doctor, I am a 41 year old female. I am obese. My weight is 89 kg and height is 5 feet 7 inches. Currently, I am taking Thyronorm 75 mcg and Storfib 145. Previously, I used to get lymph node enlargement in underarms and groin area, but they never become lesions. I have been having a pus oozing lesion in my underarm for the past 1.5 years. When I take antibiotic, it heals. But once I stop the medicine, it recurs. Earlier, I showed this lesion to a lady physician who suggested an ultrasound scan. Scan revealed a pocket of pus, but no changes in surrounding tissue. This lesion started, when I changed my deodorant once. My 14 year old son also has the same issue. He gets lesions in his underarms, sometimes heals and at other times pus leaks. I do not feel any thickness in my breasts in self-examination. I feel it is more dermatological. Please share your valuable opinion. Thank you. [/INST] Hello. Revert back with the photographs to a dermatologist online -->
|
Q. Can clove oil cause this whitish-yellowish kind of blister above the tooth?
|
Hello doctor, One week ago, I got a bad toothache. I had a cavity in my molar, the tooth before my wisdom teeth (far top left). I have been taking Amoxicillin three times a day. So I went to the dentist and he looked In my mouth and said I need a root canal. I thought it was hurting my mind and I used clove oil essentially on my gums to soothe the pain. But the next evening, I noticed whitish yellowish kind of blister above the tooth. I am not sure what caused this. I have sent pictures of the first day and now for comparisons.
|
Hello. I have gone through the attachment (attachment removed to protect patient identity). The white ulceration on your gums is because of the use of clove oil. Clove oil basically is used to numb the tooth pain but it can lead to irritation around your gums since it is very strong. You need to stop using the clove oil and start with the root canal treatment. For healing of the ulcer, you can start with Chlorhexidine gluconate based mouthwash at least twice a day for a week which will lead to the healing. For more information consult a dentist online -->
|
<s>[INST]
Hello doctor, One week ago, I got a bad toothache. I had a cavity in my molar, the tooth before my wisdom teeth (far top left). I have been taking Amoxicillin three times a day. So I went to the dentist and he looked In my mouth and said I need a root canal. I thought it was hurting my mind and I used clove oil essentially on my gums to soothe the pain. But the next evening, I noticed whitish yellowish kind of blister above the tooth. I am not sure what caused this. I have sent pictures of the first day and now for comparisons. [/INST] Hello. I have gone through the attachment (attachment removed to protect patient identity). The white ulceration on your gums is because of the use of clove oil. Clove oil basically is used to numb the tooth pain but it can lead to irritation around your gums since it is very strong. You need to stop using the clove oil and start with the root canal treatment. For healing of the ulcer, you can start with Chlorhexidine gluconate based mouthwash at least twice a day for a week which will lead to the healing. For more information consult a dentist online -->
|
Q. Why do I have loose skin around eyes?
|
Hi doctor, I am facing problem of loose skin around eyes. Ophthalmologists have described it to be eye allergy. They have suggested anti-inflammatory drops Systane Ultra, but it did not help. Is this a case of plastic surgery? Also, why has this happened so quickly over a period of five months? I have low confidence and not interested in anything. Please help.
|
Hello. I have seen your pictures (attachments removed to protect patient identity) and can appreciate the puffiness below both eyes. Get these important tests done. Revert back after the tests to a cosmetologist online -->
|
<s>[INST]
Hi doctor, I am facing problem of loose skin around eyes. Ophthalmologists have described it to be eye allergy. They have suggested anti-inflammatory drops Systane Ultra, but it did not help. Is this a case of plastic surgery? Also, why has this happened so quickly over a period of five months? I have low confidence and not interested in anything. Please help. [/INST] Hello. I have seen your pictures (attachments removed to protect patient identity) and can appreciate the puffiness below both eyes. Get these important tests done. Revert back after the tests to a cosmetologist online -->
|
Q. What does the gradual increase in my mother's MCV and MCH indicate?
|
Hi doctor, My mother, who is 60 years old, is currently under treatment for hypothyroidism, hypertension and stage 2 osteoarthritis of knee joints. She is currently on the following medicines: Eltroxin 50 mcg, Olmezest 20 mg, Gemcal D3 and E-cod Plus. I have attached a copy of her recent kidney, thyroid, lipid and hemogram reports. Her Hb is reported as 10.8 with the blood smear report mentioning RBCs mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. Platelets appear mildly reduced in smear. Macroplatelets are seen. Following this, our doctor advised to test ferritin, B12 and folic acid. It came as normal, although the samples were provided after mild breakfast. Another thing I wanted to mention is that last year also, she was diagnosed with mild anemia with Hb 10.6 and ferritin 39. However, following Orofer XT for three months her Hb was improved to 12.4. After that due to gastritis issues, the doctor had advised her to take Orofer XT once a week and it was stopped three months back. At that time, her Hb was 12.0.
|
Hi. Based on your query, my opinion is as follows: Hypothyroidism or nutritional deficiencies. Reticulocyte count. Revert back with the reports to a hematologist online.--->
|
<s>[INST]
Hi doctor, My mother, who is 60 years old, is currently under treatment for hypothyroidism, hypertension and stage 2 osteoarthritis of knee joints. She is currently on the following medicines: Eltroxin 50 mcg, Olmezest 20 mg, Gemcal D3 and E-cod Plus. I have attached a copy of her recent kidney, thyroid, lipid and hemogram reports. Her Hb is reported as 10.8 with the blood smear report mentioning RBCs mild anisopoikilocytosis. Predominantly macrocytic normochromic with macroovalocytes. Platelets appear mildly reduced in smear. Macroplatelets are seen. Following this, our doctor advised to test ferritin, B12 and folic acid. It came as normal, although the samples were provided after mild breakfast. Another thing I wanted to mention is that last year also, she was diagnosed with mild anemia with Hb 10.6 and ferritin 39. However, following Orofer XT for three months her Hb was improved to 12.4. After that due to gastritis issues, the doctor had advised her to take Orofer XT once a week and it was stopped three months back. At that time, her Hb was 12.0. [/INST] Hi. Based on your query, my opinion is as follows: Hypothyroidism or nutritional deficiencies. Reticulocyte count. Revert back with the reports to a hematologist online.--->
|
Q. My small penis creates an inferiority complex when using public toilets. Help.
|
Hello doctor,I am a 28 year old male. I am married and have a child. But, my penis is small. It is 2 inches in the normal stage and 4.2 inches during erection. I do not have any sexual issue. I have a good erection and my wife is getting an orgasm. But, the issue is I cannot use the public toilets or swimming pool. I am depressed due to the penis size. Please advise good medicines to increase the size.
|
Hello. I read your query and understand your concerns. I hope this helps you. Feel free to write back to me if you have more questions. For more information consult a sexologist online -->
|
<s>[INST]
Hello doctor,I am a 28 year old male. I am married and have a child. But, my penis is small. It is 2 inches in the normal stage and 4.2 inches during erection. I do not have any sexual issue. I have a good erection and my wife is getting an orgasm. But, the issue is I cannot use the public toilets or swimming pool. I am depressed due to the penis size. Please advise good medicines to increase the size. [/INST] Hello. I read your query and understand your concerns. I hope this helps you. Feel free to write back to me if you have more questions. For more information consult a sexologist online -->
|
Q. What is the effect of Giloy in preventing cancer, especially due to HPV?
|
Hello doctor,I wanted to know the benefits of Giloy. Can it prevent cancer? Western medicine has no answer to many viruses such as HPV. What is the effect of Giloy on our immune system? Is it immensely good? Also, is there any way to detoxify one's body through Ayurvedic herbs?
|
Hello. For more information consult an ayurveda specialist online -->
|
<s>[INST]
Hello doctor,I wanted to know the benefits of Giloy. Can it prevent cancer? Western medicine has no answer to many viruses such as HPV. What is the effect of Giloy on our immune system? Is it immensely good? Also, is there any way to detoxify one's body through Ayurvedic herbs? [/INST] Hello. For more information consult an ayurveda specialist online -->
|
Q. Why did my stomach pain end up in hospital admission?
|
Hi doctor, I have been admitted in a hospital for three times in a year with a complaint of constipation. I did not poop for four weeks. There was no fecal impaction, but my intestines were not moving. They gave me an NG tube to clean me out. My GI doctor prescribed me so many laxatives, but nothing worked. I had an endoscopy and colonoscopy. They showed nothing, but a very stretched out colon and intestines. My doctor advised me that I can make my colon and intestine, normal with strict diet and laxatives. But still, I cannot produce a bowel movement without laxatives. If I do not take laxatives, then it will result in constipation. I have been diagnosed with IBS-C. I also get random vomiting. I have been on anti-reflux and nausea pills. I am scheduled for small bowel manometry, antroduodenal manometry, motility testing along with an endoscopy and colonoscopy. How long will this testing be? Do you think that another endoscopy and colonoscopy will help my condition? Though I had stomach pain for many years, why it ends up in hospital admission nowadays? Currently, I am on Ondansetron 8 mg, Metronidazole 500 mg, Dicyclomine 20 mg, Promethazine 25 mg and Lansoprazole.
|
Hi. Intestine dysmotility. Primary motility disorder of intestine. Supportive medications need to be continued. Avoid constipation, adequate amount of fluid intake and can try semi-solid or crushed diet during active symptoms. For further information consult a medical gastroenterologist online.--->
|
<s>[INST]
Hi doctor, I have been admitted in a hospital for three times in a year with a complaint of constipation. I did not poop for four weeks. There was no fecal impaction, but my intestines were not moving. They gave me an NG tube to clean me out. My GI doctor prescribed me so many laxatives, but nothing worked. I had an endoscopy and colonoscopy. They showed nothing, but a very stretched out colon and intestines. My doctor advised me that I can make my colon and intestine, normal with strict diet and laxatives. But still, I cannot produce a bowel movement without laxatives. If I do not take laxatives, then it will result in constipation. I have been diagnosed with IBS-C. I also get random vomiting. I have been on anti-reflux and nausea pills. I am scheduled for small bowel manometry, antroduodenal manometry, motility testing along with an endoscopy and colonoscopy. How long will this testing be? Do you think that another endoscopy and colonoscopy will help my condition? Though I had stomach pain for many years, why it ends up in hospital admission nowadays? Currently, I am on Ondansetron 8 mg, Metronidazole 500 mg, Dicyclomine 20 mg, Promethazine 25 mg and Lansoprazole. [/INST] Hi. Intestine dysmotility. Primary motility disorder of intestine. Supportive medications need to be continued. Avoid constipation, adequate amount of fluid intake and can try semi-solid or crushed diet during active symptoms. For further information consult a medical gastroenterologist online.--->
|
Q. I have pain in gum and lower teeth with redness in tongue. Please help.
|
Hello doctor, I have pain in the gums and lower teeth. I also note some redness at the base of the tongue. Please suggest.
|
Hello. I read your query and also saw the image you had sent. (attachment removed to protect patient identity). You have pain in the gums and teeth, also redness at the base of the tongue. Causes for the gum pain are: 1. Improper oral hygiene because of which you have gum problems and also the recession of gums. 2. Badly decayed teeth (in the image), I can see some teeth are decayed. Because of these, you have an infection in gums and the redness. You have to visit the dentist for full mouth rehabilitation, means you have to take 1. Radiograph of all teeth. 2. Detection of caries. 3. Checking mobility. Treatment plan: Visit the dentist for full mouth cleaning. Maintain proper oral hygiene by following: 1. Two times brushing with a soft toothbrush. 2. Use Chlorhexidine mouthwash twice a day after brushing. 3. Use can use Metrogyl gel to massage the gums. For pain, take tablet Ketorol DT (Ketorolac) twice a day for three days, capsule Amoxicillin 500 mg two times a day for three days and antacid before meals tablet PAN D (Pantoprazole) two times a day for three days. After three days.
|
<s>[INST]
Hello doctor, I have pain in the gums and lower teeth. I also note some redness at the base of the tongue. Please suggest. [/INST] Hello. I read your query and also saw the image you had sent. (attachment removed to protect patient identity). You have pain in the gums and teeth, also redness at the base of the tongue. Causes for the gum pain are: 1. Improper oral hygiene because of which you have gum problems and also the recession of gums. 2. Badly decayed teeth (in the image), I can see some teeth are decayed. Because of these, you have an infection in gums and the redness. You have to visit the dentist for full mouth rehabilitation, means you have to take 1. Radiograph of all teeth. 2. Detection of caries. 3. Checking mobility. Treatment plan: Visit the dentist for full mouth cleaning. Maintain proper oral hygiene by following: 1. Two times brushing with a soft toothbrush. 2. Use Chlorhexidine mouthwash twice a day after brushing. 3. Use can use Metrogyl gel to massage the gums. For pain, take tablet Ketorol DT (Ketorolac) twice a day for three days, capsule Amoxicillin 500 mg two times a day for three days and antacid before meals tablet PAN D (Pantoprazole) two times a day for three days. After three days.
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
|
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. Can I give Babygesic drops for fever?
|
Hi doctor, My baby, who is 1 year old, is suffering from fever. It is 104 Fahrenheit from last one hour. Please help me.
|
Hello. Revert back with answers to the above questions to an internal medicine physician online -->
|
<s>[INST]
Hi doctor, My baby, who is 1 year old, is suffering from fever. It is 104 Fahrenheit from last one hour. Please help me. [/INST] Hello. Revert back with answers to the above questions to an internal medicine physician online -->
|
Q. How to deal with a person obsessed over a girl?
|
Hello doctor, My 26 year old son has a very volatile open relationship with a girl and they are basically friends with benefits. Her family does not like my son and forbids his access to their home. Due to some situations we got to know that she is seeing someone else too. As a result of which, the girl is asking our son to contact the other man to tell him to back off, my son has been threatened. Now we are concerned about his safety. My son has become obsessed over this girl and due to this there has been distance between us. He is not ready to listen to anyone and sometimes acts like a child. We do not know how to handle him now. We are worried because he gets depressed and we are concerned that there are chances he might hurt himself. Because of this problem, our relationship has got affected. We did take him to a doctor, but not of much help. Please help us with some solution. Thank you.
|
Hello. It is better that you are concerned about your son and you want to keep your family together. It is a good sign for a healthy family support. For further information consult a psychiatrist online -->
|
<s>[INST]
Hello doctor, My 26 year old son has a very volatile open relationship with a girl and they are basically friends with benefits. Her family does not like my son and forbids his access to their home. Due to some situations we got to know that she is seeing someone else too. As a result of which, the girl is asking our son to contact the other man to tell him to back off, my son has been threatened. Now we are concerned about his safety. My son has become obsessed over this girl and due to this there has been distance between us. He is not ready to listen to anyone and sometimes acts like a child. We do not know how to handle him now. We are worried because he gets depressed and we are concerned that there are chances he might hurt himself. Because of this problem, our relationship has got affected. We did take him to a doctor, but not of much help. Please help us with some solution. Thank you. [/INST] Hello. It is better that you are concerned about your son and you want to keep your family together. It is a good sign for a healthy family support. For further information consult a psychiatrist online -->
|
Q. How to get rid of melasma?
|
Hi doctor, I am a 28 year old male. I am having melasma over the last eight years. I am using Lookbrite cream at night and Melalite and Dermadew lotion in the morning with Suncros sunscreen SPF 26. But when I stop using it, the melasma increases. It becomes more darken on cheeks and nose. Please suggest any medicine to get rid of these ugly spots.
|
Hi. I have read your question and understood your concern. Melasma can relapse. Therefore, you must continue with a maintenance regime once your melasma clears. I suggest you to use a higher SPF sunscreen like Sebamed sunscreen SPF 50+. In addition I would suggest you to use Aziderm 20% gel (Azelaic acid) twice daily for dark spots. In morning use Aziderm after washing face and after 30 minutes, apply sunscreen over it. At night apply Aziderm and leave it overnight. Aziderm is slower acting, but it is safe. It can also be used for maintenance therapy. Melalite (Hydroquinone) and Lookbrite (combination of Hydroquinone, Tretinoin and Mometasone furoate) are steroid based creams and cannot be used for more than a month as they can have side effects. For further information consult a dermatologist online -->
|
<s>[INST]
Hi doctor, I am a 28 year old male. I am having melasma over the last eight years. I am using Lookbrite cream at night and Melalite and Dermadew lotion in the morning with Suncros sunscreen SPF 26. But when I stop using it, the melasma increases. It becomes more darken on cheeks and nose. Please suggest any medicine to get rid of these ugly spots. [/INST] Hi. I have read your question and understood your concern. Melasma can relapse. Therefore, you must continue with a maintenance regime once your melasma clears. I suggest you to use a higher SPF sunscreen like Sebamed sunscreen SPF 50+. In addition I would suggest you to use Aziderm 20% gel (Azelaic acid) twice daily for dark spots. In morning use Aziderm after washing face and after 30 minutes, apply sunscreen over it. At night apply Aziderm and leave it overnight. Aziderm is slower acting, but it is safe. It can also be used for maintenance therapy. Melalite (Hydroquinone) and Lookbrite (combination of Hydroquinone, Tretinoin and Mometasone furoate) are steroid based creams and cannot be used for more than a month as they can have side effects. For further information consult a dermatologist online -->
|
Q. I had sex in the 5th week of pregnancy and saw vaginal bleeding. Why?
|
Hi doctor, I am in the fifth week of pregnancy. I am worried because after intercourse, I saw some vaginal bleeding with feeble cramps on the left side of abdomen and in lower back. Please suggest what should I do? I am traveling tomorrow by flight. Do I need to take any extra precaution?
|
Hello. For further information consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hi doctor, I am in the fifth week of pregnancy. I am worried because after intercourse, I saw some vaginal bleeding with feeble cramps on the left side of abdomen and in lower back. Please suggest what should I do? I am traveling tomorrow by flight. Do I need to take any extra precaution? [/INST] Hello. For further information consult an obstetrician and gynaecologist online -->
|
Q. I have loose motions with fever and body ache. What is the cause?
|
Hi doctor, I have a fever. When I checked it, it was 100 F. Please help. I am attaching the prescription of the medicines that I take regularly.
|
Hello. I just read your query about your fever and saw your medications for your other conditions (attachment removed to protect patient identity). Hope you find my advice of some benefit. Good luck. Revert with more information to a family physician online -->
|
<s>[INST]
Hi doctor, I have a fever. When I checked it, it was 100 F. Please help. I am attaching the prescription of the medicines that I take regularly. [/INST] Hello. I just read your query about your fever and saw your medications for your other conditions (attachment removed to protect patient identity). Hope you find my advice of some benefit. Good luck. Revert with more information to a family physician online -->
|
Q. Due to cold, I get sound in my ears and jaw. What could it be?
|
Hello doctor, I have cold three weeks ago and I got a sound in my ear which is similar to a heartbeat, but the rhythm is very irregular. Last week, it got worse with another sensation which is a kind of sound around the neck. In adition to that, I have sounds coming from my jaw on the same side which is accompaonied with physical cracking in the place where the jaw is connected ti the skull. My relatives can hear the sound when I eat. Also, I tried to wash my ears with water and water might have went into my ear. I had a scarf around my neck from yesterday and my lymph nodes suddenly got swollen with slight neck pain. Last, but not least, I have a clearly sensible lymph node behind my ear which is about the size of a small bean and is movable. Generally, I am healthy and do not have any chronic disease. I do not have an oppurtunity to reach my doctor if it is urgent, but I am afraid it can develop to something serious.
|
Hi. I understand your concern. Your symptoms suggest a condition called tinnitus. Tinnitus is defined as an auditory perception of internal origins such as a buzzing, ringing, or whistling tone and can be perceived as either pulsatile or non-pulsatile. It can have a significant influence on well-being and performance in daily activities. Your symptoms suggest it is pulsatile in nature. Identification of the underlying cause of pulsatile tinnitus is important for adequate treatment and for prognosis estimation. It can be due to cold and inner ear infection as you also have painful lymph nodes. But you did not mention a fever. If it is infection antibiotics dose will be helpful. Complete and detailed history is essential, which includes possible accompanying complaints like vertigo, hearing loss, ear discharge, and earache. We are worried about an underlying vascular etiology that can be suspected when pulsatile tinnitus is influenced by vascular compression or when a vascular bruit is heard by auscultation. In general, head and neck MRI (magnetic resonance imaging) and CT (computed tomography) provide complementary diagnostic imaging information. I suggest you consult an ENT specialist.
|
<s>[INST]
Hello doctor, I have cold three weeks ago and I got a sound in my ear which is similar to a heartbeat, but the rhythm is very irregular. Last week, it got worse with another sensation which is a kind of sound around the neck. In adition to that, I have sounds coming from my jaw on the same side which is accompaonied with physical cracking in the place where the jaw is connected ti the skull. My relatives can hear the sound when I eat. Also, I tried to wash my ears with water and water might have went into my ear. I had a scarf around my neck from yesterday and my lymph nodes suddenly got swollen with slight neck pain. Last, but not least, I have a clearly sensible lymph node behind my ear which is about the size of a small bean and is movable. Generally, I am healthy and do not have any chronic disease. I do not have an oppurtunity to reach my doctor if it is urgent, but I am afraid it can develop to something serious. [/INST] Hi. I understand your concern. Your symptoms suggest a condition called tinnitus. Tinnitus is defined as an auditory perception of internal origins such as a buzzing, ringing, or whistling tone and can be perceived as either pulsatile or non-pulsatile. It can have a significant influence on well-being and performance in daily activities. Your symptoms suggest it is pulsatile in nature. Identification of the underlying cause of pulsatile tinnitus is important for adequate treatment and for prognosis estimation. It can be due to cold and inner ear infection as you also have painful lymph nodes. But you did not mention a fever. If it is infection antibiotics dose will be helpful. Complete and detailed history is essential, which includes possible accompanying complaints like vertigo, hearing loss, ear discharge, and earache. We are worried about an underlying vascular etiology that can be suspected when pulsatile tinnitus is influenced by vascular compression or when a vascular bruit is heard by auscultation. In general, head and neck MRI (magnetic resonance imaging) and CT (computed tomography) provide complementary diagnostic imaging information. I suggest you consult an ENT specialist.
|
Q. Does hair fall stop immediately with the use of Proscar?
|
Hi doctor,I have been on Rogaine for 6 years and now on Proscar for 10 days. I had used it before, but went off. I cannot tell if I am still losing hair or not. Does hair loss stop immediately once Proscar is used?
|
Hi. For further doubts consult a dermatologist online -->
|
<s>[INST]
Hi doctor,I have been on Rogaine for 6 years and now on Proscar for 10 days. I had used it before, but went off. I cannot tell if I am still losing hair or not. Does hair loss stop immediately once Proscar is used? [/INST] Hi. For further doubts consult a dermatologist online -->
|
Q. Is it safe to give Ostocalcium and Cholecalciferol together to a baby?
|
Hi doctor, My daughter is 10 months old. She weighs 8 kg now. When she was 5 months old, her pediatrician suggested the following: 2-0-2 mL of Ostocalcium per day and one Cholecalciferol IP 60000 IU granules per month, from 5 month to 12 month of age that means 8 dosages in 8 month. Now my questions are, My wife, who is having history of kidney stone, is taking calcium tablet 500 mg and she is feeding breast milk to baby. Is it safe for my baby to give Ostocalcium 2 mL per day and Cholecalciferol IP 60000 IU granules per month? Or will it make any problem for kidney or any other complication? Is it mandatory to give? Can I stop it now as we completed 6 month of dosage as of today?
|
Hi. Vitamin D, calcium, CBC (complete blood count). For further information consult a paediatrician online.--->
|
<s>[INST]
Hi doctor, My daughter is 10 months old. She weighs 8 kg now. When she was 5 months old, her pediatrician suggested the following: 2-0-2 mL of Ostocalcium per day and one Cholecalciferol IP 60000 IU granules per month, from 5 month to 12 month of age that means 8 dosages in 8 month. Now my questions are, My wife, who is having history of kidney stone, is taking calcium tablet 500 mg and she is feeding breast milk to baby. Is it safe for my baby to give Ostocalcium 2 mL per day and Cholecalciferol IP 60000 IU granules per month? Or will it make any problem for kidney or any other complication? Is it mandatory to give? Can I stop it now as we completed 6 month of dosage as of today? [/INST] Hi. Vitamin D, calcium, CBC (complete blood count). For further information consult a paediatrician online.--->
|
Q. Delayed conception or intrauterine pregnancy of uncertain viability.
|
Hi, I am 24 years. I did urine pregnancy test and got tested as positive. After 10 days, I visited doctor and I got it confirmed. After 17 days I got 3 drops of bleeding. Doctor scanned and told negative. Again in urine test another light line found. Doctor saw that strip and she gave some tablets to use. And she told embryo is not visible in scan and she told me to come after 1 month to scan again. Am I pregnant or not?
|
Hello. Please do not hesitate to send in further queries to an obstetrician and gynaecologist online -->
|
<s>[INST]
Hi, I am 24 years. I did urine pregnancy test and got tested as positive. After 10 days, I visited doctor and I got it confirmed. After 17 days I got 3 drops of bleeding. Doctor scanned and told negative. Again in urine test another light line found. Doctor saw that strip and she gave some tablets to use. And she told embryo is not visible in scan and she told me to come after 1 month to scan again. Am I pregnant or not? [/INST] Hello. Please do not hesitate to send in further queries to an obstetrician and gynaecologist online -->
|
Q. Can erythema nodosum occur at the same spot in both feet?
|
Hi doctor, I am a 33 year old female with a history of erythema nodosum. I used to get outbreaks over my bilateral shins and ankles. Last bad outbreak was probably around seven to eight years ago. I woke up this morning with pain and swelling of the lateral parts of both the feet around the cuboid bone. The strange thing was that it continued to hurt with radiating pain throughout the day. I made a podiatrist appointment. After x-rays and examination, he diagnosed me with peroneal tendonitis and gave me orthotic boots and ankle braces to wear. The doctor seemed confused by the swelling and the fact that this happened so acutely with no injury, increase activity, etc. However, it did not hurt me until I reach home. I am realizing that the pain is so familiar, like my nodules, which I used to get on my shins. I am just wondering if it could really be erythema nodosum on that part of my foot and especially being that it is occurring bilaterally at the same exact location on each foot. Is this possible? Thank you so much for your help with this matter.
|
Hi. We are here to help you. Streptococcal infection. ESR and swab. Revert back with the investigation reports to a rheumatologist online.--->
|
<s>[INST]
Hi doctor, I am a 33 year old female with a history of erythema nodosum. I used to get outbreaks over my bilateral shins and ankles. Last bad outbreak was probably around seven to eight years ago. I woke up this morning with pain and swelling of the lateral parts of both the feet around the cuboid bone. The strange thing was that it continued to hurt with radiating pain throughout the day. I made a podiatrist appointment. After x-rays and examination, he diagnosed me with peroneal tendonitis and gave me orthotic boots and ankle braces to wear. The doctor seemed confused by the swelling and the fact that this happened so acutely with no injury, increase activity, etc. However, it did not hurt me until I reach home. I am realizing that the pain is so familiar, like my nodules, which I used to get on my shins. I am just wondering if it could really be erythema nodosum on that part of my foot and especially being that it is occurring bilaterally at the same exact location on each foot. Is this possible? Thank you so much for your help with this matter. [/INST] Hi. We are here to help you. Streptococcal infection. ESR and swab. Revert back with the investigation reports to a rheumatologist online.--->
|
Q. Can you suggest some medicine for ear blockage?
|
Hello doctor, I am suffering from a left ear blockage, and it happens to me many times. Blockages get open when I move my jaw. I am suffering from this issue for the past two to three years, but not regularly. Commonly, I used to get it after swimming and due to cold. I am not taking any medicine right now. Can you suggest me any medication?
|
Hi. Revert with reports to an ENT otolaryngologist online -->
|
<s>[INST]
Hello doctor, I am suffering from a left ear blockage, and it happens to me many times. Blockages get open when I move my jaw. I am suffering from this issue for the past two to three years, but not regularly. Commonly, I used to get it after swimming and due to cold. I am not taking any medicine right now. Can you suggest me any medication? [/INST] Hi. Revert with reports to an ENT otolaryngologist online -->
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
|
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. My girlfriend is suffering from headaches, vomiting, and dizziness. How to reduce pain?
|
Hello I'm 18 year old and I want to help my girlfriend who is also 18 years old. He suffers from headache, vomiting, dizziness and sometimes forgetfulness. In 2018 he checked for his head and also had CT-SCAN and the result was that he was negative for brain tumor but in recent days he experienced signs and symptoms of a brain tumor but was unable to check up due to Enhanced Community Quarantine here. Do you have any tips for reducing the pain she is feeling?
|
Hi, Welcome to icliniq. I hope you are doing well. I understand your concern. I need to know more about the symptoms. I need to know, how frequently she gets a headache, how long she gets a headache, whether it is continuous or intermittent. Any precipitating factors are present such too much noise or too much light. At this age, the most common headache is migraine headaches. It is intermittent, associated with nausea stomach upset, some times vomiting and dizziness. Aggravated by noisy surroundings and lack of sleep. Some time s there are triggers such as lack of sleep, strong smells, hunger. You also must know about red flags or warning symptoms such as severe unilateral headache, Fever, a new type of headache, blurring of vision or weakness. IIf they are present she may be required evaluation. Again migraine is benign conditions can be managed by avoiding triggers. Have a healthy lifestyle and maintain adequate sleep. For pain, paracetamol 500 mg is useful. Hope this is helpful. regards.
|
<s>[INST]
Hello I'm 18 year old and I want to help my girlfriend who is also 18 years old. He suffers from headache, vomiting, dizziness and sometimes forgetfulness. In 2018 he checked for his head and also had CT-SCAN and the result was that he was negative for brain tumor but in recent days he experienced signs and symptoms of a brain tumor but was unable to check up due to Enhanced Community Quarantine here. Do you have any tips for reducing the pain she is feeling? [/INST] Hi, Welcome to icliniq. I hope you are doing well. I understand your concern. I need to know more about the symptoms. I need to know, how frequently she gets a headache, how long she gets a headache, whether it is continuous or intermittent. Any precipitating factors are present such too much noise or too much light. At this age, the most common headache is migraine headaches. It is intermittent, associated with nausea stomach upset, some times vomiting and dizziness. Aggravated by noisy surroundings and lack of sleep. Some time s there are triggers such as lack of sleep, strong smells, hunger. You also must know about red flags or warning symptoms such as severe unilateral headache, Fever, a new type of headache, blurring of vision or weakness. IIf they are present she may be required evaluation. Again migraine is benign conditions can be managed by avoiding triggers. Have a healthy lifestyle and maintain adequate sleep. For pain, paracetamol 500 mg is useful. Hope this is helpful. regards.
|
Q. What is the treatment for raised blood pressure and heavy feeling in head?
|
Hi, I am a 65-year-old female. My sugar level before three months was fasting 180 mg/dl, postprandial 253 mg/dl and HbA1C 8 %. After having medication, the test done a few days back showed fasting 93 mg/dl, postprandial 80 mg/dl, HbA1C 7 %, triglycerides 259 and VLDL cholesterol 51.80. Also, the blood pressure is 200/100 mmHg. I am taking the following medications: Glycomet GP 2 (one tablet in the morning and one tablet in the evening daily). Galvus 50 (one tablet in the morning daily). Tricinod 10/6.5 (one tablet morning daily). Cilamet XL 50 (one tablet evening daily). Neurokind LC (one tablet afternoon daily). Ecosprin AV 75 (one tablet evening daily). Trika 0.5 (one tablet evening daily). In the past, I was on Met XL 100 (one tablet in the morning daily), Met XL (one tablet in the evening daily), Stamlo 0.5 (one tablet in the morning daily), Ecosprin AV 75 (one tablet evening daily) and Gemer 1 (one tablet morning daily). Currently, my blood pressure is high and feeling heavy on in one side the of head and weak. Kindly suggest whether the medicine given above are correct and whether I can continue with the same or not.
|
Hi. Your sugar is well controlled. In fact, you need to decrease the dose of Glycomet GP 2 (Glimipiride and Metformin) to Glycomet GP 1. Major problem is that you have accelerated bloodstream pressure. Instead of Tricinod (Telmisartan, Clinidipine, Chlorthalidone), better would be taking tablet Telvas 3D (Telmisartan and Hydrochlorothiazide) once a day and if needed, add Prazopress XL (Prazosin) 5 mg at bedtime that will bring down your blood pressure. You have mildly increased triglycerides. For this, you can increase exercise daily or you may add tablet Fenofibrate. For more information consult an internal medicine physician online -->
|
<s>[INST]
Hi, I am a 65-year-old female. My sugar level before three months was fasting 180 mg/dl, postprandial 253 mg/dl and HbA1C 8 %. After having medication, the test done a few days back showed fasting 93 mg/dl, postprandial 80 mg/dl, HbA1C 7 %, triglycerides 259 and VLDL cholesterol 51.80. Also, the blood pressure is 200/100 mmHg. I am taking the following medications: Glycomet GP 2 (one tablet in the morning and one tablet in the evening daily). Galvus 50 (one tablet in the morning daily). Tricinod 10/6.5 (one tablet morning daily). Cilamet XL 50 (one tablet evening daily). Neurokind LC (one tablet afternoon daily). Ecosprin AV 75 (one tablet evening daily). Trika 0.5 (one tablet evening daily). In the past, I was on Met XL 100 (one tablet in the morning daily), Met XL (one tablet in the evening daily), Stamlo 0.5 (one tablet in the morning daily), Ecosprin AV 75 (one tablet evening daily) and Gemer 1 (one tablet morning daily). Currently, my blood pressure is high and feeling heavy on in one side the of head and weak. Kindly suggest whether the medicine given above are correct and whether I can continue with the same or not. [/INST] Hi. Your sugar is well controlled. In fact, you need to decrease the dose of Glycomet GP 2 (Glimipiride and Metformin) to Glycomet GP 1. Major problem is that you have accelerated bloodstream pressure. Instead of Tricinod (Telmisartan, Clinidipine, Chlorthalidone), better would be taking tablet Telvas 3D (Telmisartan and Hydrochlorothiazide) once a day and if needed, add Prazopress XL (Prazosin) 5 mg at bedtime that will bring down your blood pressure. You have mildly increased triglycerides. For this, you can increase exercise daily or you may add tablet Fenofibrate. For more information consult an internal medicine physician online -->
|
Q. How long is it safe to use Relibeta injection for multiple sclerosis?
|
Hello doctor,My fiance had been diagnosed with relapsing-remitting multiple sclerosis three months ago and she was advised for weekly Relibeta injection. Now, she is perfectly fine without any sign or symptoms. How long would it be safe to use Relibeta injection?
|
Hello. Relibeta (Interferon Beta - 1A) is a disease-modifying agent, used to prevent relapses. It can be used for many years. It is effective in preventing relapses. It is necessary to check periodically for complete blood count and liver enzymes. Kind regards. For more information consult a neurologist online -->
|
<s>[INST]
Hello doctor,My fiance had been diagnosed with relapsing-remitting multiple sclerosis three months ago and she was advised for weekly Relibeta injection. Now, she is perfectly fine without any sign or symptoms. How long would it be safe to use Relibeta injection? [/INST] Hello. Relibeta (Interferon Beta - 1A) is a disease-modifying agent, used to prevent relapses. It can be used for many years. It is effective in preventing relapses. It is necessary to check periodically for complete blood count and liver enzymes. Kind regards. For more information consult a neurologist online -->
|
Q. Can Vitamin B12 improve my low platetlet count?
|
Hello doctor, I have a history of low platelet count for the last 15 years. My latest count was 4000 cells per microliter. I have not undergone any treatment for this problem. My B12 level is 26.2 pg/ml, biological reference interval is 25.1 - 165, serum ferritin is 12.0 and hemoglobin is 11.0. I recently read that there is a relation between Vitamin B12 and platelet count. Should I start Vitamin B12 therapy to check whether it improves my platelet count?
|
Hello. Vitamin B12 deficiency is a very rare cause of thrombocytopenia (low platelet count) and usually, the counts are not very low as in your case. Since your vitamin B12 levels are towards the lower range of normal and bordering on deficiency, you can take vitamin B12 supplements. If your platelet count does not improve, you need to get a proper hematologic assessment done to determine the cause. Your serum ferritin levels are very low and your hemoglobin is also low. You can take iron and folic acid tablets as well to help with your anemia. For more information consult a hematologist online -->
|
<s>[INST]
Hello doctor, I have a history of low platelet count for the last 15 years. My latest count was 4000 cells per microliter. I have not undergone any treatment for this problem. My B12 level is 26.2 pg/ml, biological reference interval is 25.1 - 165, serum ferritin is 12.0 and hemoglobin is 11.0. I recently read that there is a relation between Vitamin B12 and platelet count. Should I start Vitamin B12 therapy to check whether it improves my platelet count? [/INST] Hello. Vitamin B12 deficiency is a very rare cause of thrombocytopenia (low platelet count) and usually, the counts are not very low as in your case. Since your vitamin B12 levels are towards the lower range of normal and bordering on deficiency, you can take vitamin B12 supplements. If your platelet count does not improve, you need to get a proper hematologic assessment done to determine the cause. Your serum ferritin levels are very low and your hemoglobin is also low. You can take iron and folic acid tablets as well to help with your anemia. For more information consult a hematologist online -->
|
Q. My son often suffers with dry cough. Why?
|
Hi doctor, My son is 5.6 years old. He is having dry cough for the last 8 to 10 weeks. It is very often worse at night. Also, he had a bad ulcer and pain. He also had a dry cough twice last year, but not this bad. Please advise.
|
Hello. For further information consult a child health specialist online -->
|
<s>[INST]
Hi doctor, My son is 5.6 years old. He is having dry cough for the last 8 to 10 weeks. It is very often worse at night. Also, he had a bad ulcer and pain. He also had a dry cough twice last year, but not this bad. Please advise. [/INST] Hello. For further information consult a child health specialist online -->
|
Q. What is the chance of getting glandular fever through e-cigarette sharing?
|
Hi doctor, My friend had glandular fever in the starting of last month. On last weekend, I had two puffs on an e-cigarette in which he had before me. His doctor said he is not contagious, but could be in rare viral scenarios. I do not know what does it mean. What is the chance of me getting glandular fever? His doctor said it was only contagious in a rare infectious way.
|
Hi. For further information consult an internal medicine physician online -->
|
<s>[INST]
Hi doctor, My friend had glandular fever in the starting of last month. On last weekend, I had two puffs on an e-cigarette in which he had before me. His doctor said he is not contagious, but could be in rare viral scenarios. I do not know what does it mean. What is the chance of me getting glandular fever? His doctor said it was only contagious in a rare infectious way. [/INST] Hi. For further information consult an internal medicine physician online -->
|
Q. Can I switch from Metronidazole to Soolantra cream for rosacea?
|
Hello doctor, I live in a tropical country, where the exposure to the sun is too much. My skin used to be fair before moving to this country. Back in my country, I used to never go out in the sun. After I moved here, my skin is burnt. It was red at first, and then the blood vessels were visible. I started using Metronidazole cream from two years, for 4 to 5 months with breaks, after I was diagnosed with rosacea. I even tried laser treatment last year, but it did not help much. My condition is slowly getting worse, and I stopped Metronidazole cream last year. When can I start using Metronidazole again? Can I switch to Soolantra? I have read that it is a new cream for type 2 rosacea. Do I have type one or type 2 rosacea? Should I try laser or IPL? I have attached a picture of my skin.
|
Hi. Hope this is helpful. For more information consult a dermatologist online -->
|
<s>[INST]
Hello doctor, I live in a tropical country, where the exposure to the sun is too much. My skin used to be fair before moving to this country. Back in my country, I used to never go out in the sun. After I moved here, my skin is burnt. It was red at first, and then the blood vessels were visible. I started using Metronidazole cream from two years, for 4 to 5 months with breaks, after I was diagnosed with rosacea. I even tried laser treatment last year, but it did not help much. My condition is slowly getting worse, and I stopped Metronidazole cream last year. When can I start using Metronidazole again? Can I switch to Soolantra? I have read that it is a new cream for type 2 rosacea. Do I have type one or type 2 rosacea? Should I try laser or IPL? I have attached a picture of my skin. [/INST] Hi. Hope this is helpful. For more information consult a dermatologist online -->
|
Q. How to find the exact date of conception?
|
Hi doctor, According to my LMP, I was 9 weeks and 5 days pregnant, and ultrasound showed I was 9 weeks and 3 days pregnant. There was a CRL measurement of 26.96 mm. I had sex on the last day of my periods and then again after 11 days. And, my LMP and ultrasound calculation show two days difference. So, can I tell that I pregnant on the second event? My periods are irregular. The previous month, I also had endometriosis surgery. I have heard that endometriosis surgery can cause high fertility and regular ovulation. Since my LMP and ultrasound are close enough, is it safe to say ovulation was normal at least for that month?
|
Hi. Your estimation is correct. There is the least possibility of conceiving on the last day of the period. You must have conceived around the second event. Now, LMP (last menstrual period) and ultrasound time cannot match exactly. Although in your case, it is almost the same. Do not confuse about two days difference. Ultrasound calculates the period of gestation according to some measurements as you have seen CRL (crown-rump length) at different periods and separate parameters for calculating the time of gestation. Now, LMP also cannot tell you exactly the day of ovulation until unless ovulation study was done and you have seen the size of the follicle and then its rupture to release the egg. Usually, early scan done at six weeks or so is the best predictor of your dates. But, now also, everything is fine, and you can monitor growth in further scans. For further information consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hi doctor, According to my LMP, I was 9 weeks and 5 days pregnant, and ultrasound showed I was 9 weeks and 3 days pregnant. There was a CRL measurement of 26.96 mm. I had sex on the last day of my periods and then again after 11 days. And, my LMP and ultrasound calculation show two days difference. So, can I tell that I pregnant on the second event? My periods are irregular. The previous month, I also had endometriosis surgery. I have heard that endometriosis surgery can cause high fertility and regular ovulation. Since my LMP and ultrasound are close enough, is it safe to say ovulation was normal at least for that month? [/INST] Hi. Your estimation is correct. There is the least possibility of conceiving on the last day of the period. You must have conceived around the second event. Now, LMP (last menstrual period) and ultrasound time cannot match exactly. Although in your case, it is almost the same. Do not confuse about two days difference. Ultrasound calculates the period of gestation according to some measurements as you have seen CRL (crown-rump length) at different periods and separate parameters for calculating the time of gestation. Now, LMP also cannot tell you exactly the day of ovulation until unless ovulation study was done and you have seen the size of the follicle and then its rupture to release the egg. Usually, early scan done at six weeks or so is the best predictor of your dates. But, now also, everything is fine, and you can monitor growth in further scans. For further information consult an obstetrician and gynaecologist online -->
|
Q. I do not have bleeding even after taking Primolut-N. Do I need to worry about pregnancy?
|
Hello doctor, I had unprotected sex with my partner on the 25th two months ago, and the expected date of my period was on the 19th of the same month. I gulped down an I-pill within six hours. Later, I had withdrawal bleeding on the 1st of last month. The bleeding lasted for three days. This month, my period was late. So, I went to a gynecologist. She prescribed me Primolut-N for three days and told me to wait for a week. My HCG test was negative, but my periods have not yet started. Do I need to worry about pregnancy or is it just hormonal imbalance?
|
Hello. Regards. For more information consult a family physician online -->
|
<s>[INST]
Hello doctor, I had unprotected sex with my partner on the 25th two months ago, and the expected date of my period was on the 19th of the same month. I gulped down an I-pill within six hours. Later, I had withdrawal bleeding on the 1st of last month. The bleeding lasted for three days. This month, my period was late. So, I went to a gynecologist. She prescribed me Primolut-N for three days and told me to wait for a week. My HCG test was negative, but my periods have not yet started. Do I need to worry about pregnancy or is it just hormonal imbalance? [/INST] Hello. Regards. For more information consult a family physician online -->
|
Q. What is the dose and duration for ofloxacin in infants?
|
Hi, Please let me know the dose and duration for ofloxacin in infants with authentic studies.
|
Hi, Thank you for your query on icliniq. Hope I have answered your query. Consult a paediatrician online -->
|
<s>[INST]
Hi, Please let me know the dose and duration for ofloxacin in infants with authentic studies. [/INST] Hi, Thank you for your query on icliniq. Hope I have answered your query. Consult a paediatrician online -->
|
Q. After hernia surgery, can I lift heavy weight?
|
Hi doctor, I am a 29 year old. My doctor said that I have an umbilical hernia. Either open surgery or laparoscopy, which would be the best? After which surgery, can I lift heavy weights? I am a sports person and a bodybuilder. Please suggest.
|
Hi. If your cardiovascular status that is heart and lung functions are fine, then you can go for laparoscopic surgery. That is cosmetically better and less invasive. The scar will be much bigger in open, so chances of scar rupture and dehiscence are higher in open. The possibility of strenuous exercise in the future will be less with open surgery. However, whenever you go for laparoscopy surgery the consent for open surgery is always taken. For further information consult an internal medicine physician online -->
|
<s>[INST]
Hi doctor, I am a 29 year old. My doctor said that I have an umbilical hernia. Either open surgery or laparoscopy, which would be the best? After which surgery, can I lift heavy weights? I am a sports person and a bodybuilder. Please suggest. [/INST] Hi. If your cardiovascular status that is heart and lung functions are fine, then you can go for laparoscopic surgery. That is cosmetically better and less invasive. The scar will be much bigger in open, so chances of scar rupture and dehiscence are higher in open. The possibility of strenuous exercise in the future will be less with open surgery. However, whenever you go for laparoscopy surgery the consent for open surgery is always taken. For further information consult an internal medicine physician online -->
|
Q. My vaccinated pet dog scratched me today. Should I get the rabies vaccination?
|
Hi doctor, I have scratched by my pet vaccinated dog today few hours ago. Also there was no bleeding in my hand. But there is some redness there. So guide me that it is still necessary to have ARV. Also before 5months ago i was vaccinated with arv when there is scratch of dog then .
|
Hello. Welcome to icliniq. Although unvaccinated animals are more likely to transmit rabies, vaccinated animals can also do so if the vaccination of the biting animal was ineffective for any reason. A history of rabies vaccination in an animal is not always a guarantee that the biting animal is not rabid. Animal vaccine failures may occur because of improper administration or poor quality of the vaccine, poor health status of the animal, and the fact that one vaccine dose does not always provide long-lasting protection against rabies infection in dogs/cats. The scratch on your skin comes under category II for post exposure prophylaxis for which anti rabies vaccine is indicated . And although you have taken the vaccine 5 months before and your dog is also vaccinated there are very minimal chances of you or your dog having rabies but there is a very miniscule chance. But according to the guidelines you should get vaccinated again. Make sure to clean the area of scratch properly and thoroughly with soap and water. Observe your pet for the next 10 days and see if it’s health deteriorates which if does would be a strong indication to get vaccinated. Dog bite Anti rabies vaccines Wash the area thoroughly with soap and water Follow up after 10 days
|
<s>[INST]
Hi doctor, I have scratched by my pet vaccinated dog today few hours ago. Also there was no bleeding in my hand. But there is some redness there. So guide me that it is still necessary to have ARV. Also before 5months ago i was vaccinated with arv when there is scratch of dog then . [/INST] Hello. Welcome to icliniq. Although unvaccinated animals are more likely to transmit rabies, vaccinated animals can also do so if the vaccination of the biting animal was ineffective for any reason. A history of rabies vaccination in an animal is not always a guarantee that the biting animal is not rabid. Animal vaccine failures may occur because of improper administration or poor quality of the vaccine, poor health status of the animal, and the fact that one vaccine dose does not always provide long-lasting protection against rabies infection in dogs/cats. The scratch on your skin comes under category II for post exposure prophylaxis for which anti rabies vaccine is indicated . And although you have taken the vaccine 5 months before and your dog is also vaccinated there are very minimal chances of you or your dog having rabies but there is a very miniscule chance. But according to the guidelines you should get vaccinated again. Make sure to clean the area of scratch properly and thoroughly with soap and water. Observe your pet for the next 10 days and see if it’s health deteriorates which if does would be a strong indication to get vaccinated. Dog bite Anti rabies vaccines Wash the area thoroughly with soap and water Follow up after 10 days
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
|
Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.