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Q. I regret watching porn. How to come out of it?
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Hi doctor,I am 28 years old. I have a habit of watching porn. To me, I see it as real. I feel low and regret for my activity.
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Hi. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor,I am 28 years old. I have a habit of watching porn. To me, I see it as real. I feel low and regret for my activity. [/INST] Hi. For further information consult a psychiatrist online -->
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Q. Will the food taken in the previous night affect fasting blood sugar?
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Hi doctor, I am 48 years old and I have not been diabetic till now. Three months ago, my blood pressure readings were higher than usual and my doctor changed my medicines (Omnitan-H 20 mg and Amlopin-M 20 mg to Olmetrack 40 mg and Lnbloc 10 mg). I took the new medicines for some time, but they did not suit me as I had white coat hypertension and I stopped taking them with the consent of another doctor and returned to the older ones. He gave me some new medicines (Zevit, Clonafit Beta and Antoxid) to treat the anxiety and nervous weakness issues caused by the hypertension medicines. I have read that the side effect of these medicines is high blood sugar. I went for an early morning fasting blood sugar test last week, I had taken a glass of milk before sleeping and I took fenugreek water and garlic in the morning to lower my blood pressure. I had also been eating some sugarcane for a week before the test. My blood sugar was diagnosed to be 126 mg/dL. Is this because of the medicines and above factors? Or am I in the risk of being diabetic now?
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Hi. Revert back with the report to a diabetologist online -->
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<s>[INST]
Hi doctor, I am 48 years old and I have not been diabetic till now. Three months ago, my blood pressure readings were higher than usual and my doctor changed my medicines (Omnitan-H 20 mg and Amlopin-M 20 mg to Olmetrack 40 mg and Lnbloc 10 mg). I took the new medicines for some time, but they did not suit me as I had white coat hypertension and I stopped taking them with the consent of another doctor and returned to the older ones. He gave me some new medicines (Zevit, Clonafit Beta and Antoxid) to treat the anxiety and nervous weakness issues caused by the hypertension medicines. I have read that the side effect of these medicines is high blood sugar. I went for an early morning fasting blood sugar test last week, I had taken a glass of milk before sleeping and I took fenugreek water and garlic in the morning to lower my blood pressure. I had also been eating some sugarcane for a week before the test. My blood sugar was diagnosed to be 126 mg/dL. Is this because of the medicines and above factors? Or am I in the risk of being diabetic now? [/INST] Hi. Revert back with the report to a diabetologist online -->
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Q. I had a laparoscopic removal of a chocolate cyst. Is it possible for me to get pregnant?
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Hello doctor, I am a 23 year old female. I am not yet married. In October 2013, I had a laparoscopic removal of a chocolate cyst measuring 10cm. The doctor suggested me tablet Ovral-L. But, after that I had aneurysm and could not take those tablets. Now, when I got scanning done 4 days ago, they found 2 chocolate cysts size 4cm and 3cm. What should I do now? Is it possible for me to get pregnant after marriage?
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Hi. Yes, there are chances for the recurrence of chocolate cyst. Usually the cyst wall is removed while doing cystectomy (removal of the cyst) to decrease the chances of recurrence. For this, you can consult your gynaecologist and take only progesterones or GnRH agonists (Gonadotropin-Releasing Hormone Agonists). You can get your ovulation study done to see the number and size of developing follicles and their rupture, which means ovulatory cycles. If you are planning for a pregnancy then best will be to get a diagnostic laparoscopy done which will confirm the actual status of the cyst along with tubal patency, etc., and so many other things. Revert back to an obstetrician and gynaecologist online for further follow up -->
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<s>[INST]
Hello doctor, I am a 23 year old female. I am not yet married. In October 2013, I had a laparoscopic removal of a chocolate cyst measuring 10cm. The doctor suggested me tablet Ovral-L. But, after that I had aneurysm and could not take those tablets. Now, when I got scanning done 4 days ago, they found 2 chocolate cysts size 4cm and 3cm. What should I do now? Is it possible for me to get pregnant after marriage? [/INST] Hi. Yes, there are chances for the recurrence of chocolate cyst. Usually the cyst wall is removed while doing cystectomy (removal of the cyst) to decrease the chances of recurrence. For this, you can consult your gynaecologist and take only progesterones or GnRH agonists (Gonadotropin-Releasing Hormone Agonists). You can get your ovulation study done to see the number and size of developing follicles and their rupture, which means ovulatory cycles. If you are planning for a pregnancy then best will be to get a diagnostic laparoscopy done which will confirm the actual status of the cyst along with tubal patency, etc., and so many other things. Revert back to an obstetrician and gynaecologist online for further follow up -->
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Q. I have keratoconus in my right eye. Shall I go for C3R?
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Hi doctor, Recently, I was diagnosed with keratoconus. I did not use any spectacle. I used to see little blur mostly in the evening. My left eye is normal, but my right eye is most affected. I have attached one file. Please go through the file for the reference of my eye standards. Six months ago, I went for corneal topography test. Shall I go for C3R? Or should I look for any other options?
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Hi. I have gone through the records that you have sent (attachment removed to protect patient identity). Revert back with the answers for the above questions to an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, Recently, I was diagnosed with keratoconus. I did not use any spectacle. I used to see little blur mostly in the evening. My left eye is normal, but my right eye is most affected. I have attached one file. Please go through the file for the reference of my eye standards. Six months ago, I went for corneal topography test. Shall I go for C3R? Or should I look for any other options? [/INST] Hi. I have gone through the records that you have sent (attachment removed to protect patient identity). Revert back with the answers for the above questions to an eye care ophthalmologist online -->
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Q. I have a crush on an actor. How to come out of it?
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Hello doctor, I am married with two kids and a loving husband. I quit my job a year ago and started selling clothing online. I love watching movies. And recently I have a crush on an actor in a movie that is about cross country sport. Since I was young I used to get easily attracted to people who are good at sports. Hence, suddenly I am totally starstrucked by the lead character. And I follow the Instagram of the actor and I am trying to get to know about this actor. He is totally a good, charismatic person and have that odd looking feature. That is the thing I love about him. Now, every single second I cannot stop thinking about this actor. I cannot do my job well because I would go viewing his instagram and watch his videos most of the times. When I was young it was normal to have a crush, but now? I really feel my life is so complicated. I cannot stop thinking about the actor. I cry every time I had to watch him on television or view his Instagram and not doing my work properly. At this time I just hate myself. Please help me.
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Hi. Firstly, I must say it is very courageous of you to share your concerns here and I would thank you for doing so. 1. Celebrity obsession. 2. Anxiety. 3. Depression. For further information consult a psychiatrist online.--->
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<s>[INST]
Hello doctor, I am married with two kids and a loving husband. I quit my job a year ago and started selling clothing online. I love watching movies. And recently I have a crush on an actor in a movie that is about cross country sport. Since I was young I used to get easily attracted to people who are good at sports. Hence, suddenly I am totally starstrucked by the lead character. And I follow the Instagram of the actor and I am trying to get to know about this actor. He is totally a good, charismatic person and have that odd looking feature. That is the thing I love about him. Now, every single second I cannot stop thinking about this actor. I cannot do my job well because I would go viewing his instagram and watch his videos most of the times. When I was young it was normal to have a crush, but now? I really feel my life is so complicated. I cannot stop thinking about the actor. I cry every time I had to watch him on television or view his Instagram and not doing my work properly. At this time I just hate myself. Please help me. [/INST] Hi. Firstly, I must say it is very courageous of you to share your concerns here and I would thank you for doing so. 1. Celebrity obsession. 2. Anxiety. 3. Depression. For further information consult a psychiatrist online.--->
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Q. I have lines between my eyes and cheeks. Is there any way to reduce it without surgery?
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Hello doctor, I am a 14-year-old male and I got these lines between my eyes and cheeks, it is saggy but it does not hurt and I do not know why I got it. I have been doing some excercises to help reduce the line and I also put Aloe vera gel. I sleep eight hours and I start sleeping at 10 or 11 PM but it does not fade and I sleep on my right side (is this one of the reasons?). Sometimes my eyes feel tired. What is the cause of this and how do I get rid of them or reduce them without surgery? I do not have money to go to surgery. I hope I could get an answer.
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Hello. Sagging is due to loss of elasticity of the skin. Do you go out in the sun? UV rays exposure? Is your nutrition proper? Is your water intake adequate? Is there any environmental dust exposure? Stress? Poor nutrition? Non-surgical therapy such as face massage, face packs, masks, and anti gravity exercises can help. Protection from extrinsic factor (ultraviolet rays) with proper sunscreen, caps, umbrella, and clothing. Use photostable sunscreen 20 minutes before going outdoors for 20 days. Do daily skincare cleansing and moisturizing. Do you have adequate sleep and fluid intake? Avoid smoking and alcohol. Increase protein intake in your diet like nuts, milk, almonds, pulses, lentils, eggs, and dates. Maintain iron levels. Increase citrus fruits also. Vitamin C, A, E, and minerals are antioxidants which help in skin rejuvenation. I hope this helps.
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<s>[INST]
Hello doctor, I am a 14-year-old male and I got these lines between my eyes and cheeks, it is saggy but it does not hurt and I do not know why I got it. I have been doing some excercises to help reduce the line and I also put Aloe vera gel. I sleep eight hours and I start sleeping at 10 or 11 PM but it does not fade and I sleep on my right side (is this one of the reasons?). Sometimes my eyes feel tired. What is the cause of this and how do I get rid of them or reduce them without surgery? I do not have money to go to surgery. I hope I could get an answer. [/INST] Hello. Sagging is due to loss of elasticity of the skin. Do you go out in the sun? UV rays exposure? Is your nutrition proper? Is your water intake adequate? Is there any environmental dust exposure? Stress? Poor nutrition? Non-surgical therapy such as face massage, face packs, masks, and anti gravity exercises can help. Protection from extrinsic factor (ultraviolet rays) with proper sunscreen, caps, umbrella, and clothing. Use photostable sunscreen 20 minutes before going outdoors for 20 days. Do daily skincare cleansing and moisturizing. Do you have adequate sleep and fluid intake? Avoid smoking and alcohol. Increase protein intake in your diet like nuts, milk, almonds, pulses, lentils, eggs, and dates. Maintain iron levels. Increase citrus fruits also. Vitamin C, A, E, and minerals are antioxidants which help in skin rejuvenation. I hope this helps.
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Q. My MIL suffers from severe headache and vomiting post appendectomy surgery. Please suggest medication.
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Hello doctor, My MIL is 60 years old. She just had an appendectomy and is having some complications, including a severe headache and vomiting. The first day she ate some food and was fine. Today, she tried to drink some milk and vomited repeatedly several times. We live in a developing country and the doctors are not knowledgeable about these things. What are the potential complications that could cause such vomiting, and what treatments should be given?
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Hi. It would have been nice if you mentioned how many days over after the surgery. There are many causes for your symptoms but this would depend on the indication for which surgery was done and intraoperative findings. Some common causes and management I will explain. Post spinal headache: avoid using pillows, more liquids, and coffee will help. Some antiemetics can be added on. This is commonly seen in the first week after surgery. If you had a bad infected appendix, post-operative infected collections are common and this can cause your symptoms. But this will also cause fever and abdominal pain. Sometimes postoperative medications can cause small stomach ulcers and can cause these symptoms. You need to see your doctor and ask for antacids. Overall, if you are not having fever, loose stools, severe abdominal pain and vomiting and headache is not continuous, then nothing much to worry about. You can see your doctor if the symptoms are troubling you a lot. Simple Paracetamol should help you with headache. US (ultrasound) abdomen. Peptic ulcer.
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<s>[INST]
Hello doctor, My MIL is 60 years old. She just had an appendectomy and is having some complications, including a severe headache and vomiting. The first day she ate some food and was fine. Today, she tried to drink some milk and vomited repeatedly several times. We live in a developing country and the doctors are not knowledgeable about these things. What are the potential complications that could cause such vomiting, and what treatments should be given? [/INST] Hi. It would have been nice if you mentioned how many days over after the surgery. There are many causes for your symptoms but this would depend on the indication for which surgery was done and intraoperative findings. Some common causes and management I will explain. Post spinal headache: avoid using pillows, more liquids, and coffee will help. Some antiemetics can be added on. This is commonly seen in the first week after surgery. If you had a bad infected appendix, post-operative infected collections are common and this can cause your symptoms. But this will also cause fever and abdominal pain. Sometimes postoperative medications can cause small stomach ulcers and can cause these symptoms. You need to see your doctor and ask for antacids. Overall, if you are not having fever, loose stools, severe abdominal pain and vomiting and headache is not continuous, then nothing much to worry about. You can see your doctor if the symptoms are troubling you a lot. Simple Paracetamol should help you with headache. US (ultrasound) abdomen. Peptic ulcer.
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Q. Can you suggest an alternative ointment for Acepark gel?
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Hello doctor, I used to apply Acepark gel by park pharmaceutical to relieve pain or strain in muscle or joints. It is having composition of Aceclofenac, Linseed oil, Methyl salicylate and Menthol. It worked really good for me. But, I am not getting the same ointment now. Hence, please suggest alternative ointments with same composition. I am looking forward for your positive reply.
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Hello. For further information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, I used to apply Acepark gel by park pharmaceutical to relieve pain or strain in muscle or joints. It is having composition of Aceclofenac, Linseed oil, Methyl salicylate and Menthol. It worked really good for me. But, I am not getting the same ointment now. Hence, please suggest alternative ointments with same composition. I am looking forward for your positive reply. [/INST] Hello. For further information consult an orthopaedician and traumatologist online -->
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Q. Are there any medicines available to cure multiple cysts in ovary?
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Hi doctor, My niece aged 14 years weighs 60 kg. Recently her monthly cycles are not proper and she is having heavy pain at times in a day in her lower area. Recently we consulted a gynecologist and recommended to go for ultrasound scan of whole abdomen. In the scan report under ovaries section it was mentioned as RO 16 x 12 cm and LO 4.3 x 1.4 cm. Both ovaries show multiple cysts measuring 6 x 6 cm noted 10 to 15 in number in periphery with echogenic stroma. Cystic lesion noted in RO measuring 16 x 11 cm. No septa, solid or nodules detected. Please suggest me how to come out of this problem. Is there any medicine or exercise required which help us more and bring happiness in her life?
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Hi. I went through your query. I am really sorry to know your niece is suffering from stomach and irregular cycles. I understand it can be a very annoying problem. By the ultrasound report that you have given here, it seems your niece has PCOS (polycystic ovarian syndrome). It usually presents with irregular cycles and excessive weight problems. Other problems which also may be seen are acne, pimples, dark pigmentation on certain areas like neck and in between fingers, excessive hair on face, chin and other body parts, etc. To confirm her diagnosis you get a serum LH (luteinizing hormone) or FSH (follicle stimulating hormone) done. If ratio is of nearly 2:1 or greater it confirms that she has PCOS. PCOS is a very common but complex hormonal problem. She would really need to work hard to lose weight. As weight loss itself would help her achieve normal regular menstruation. Also I suggest you get a thyroid function test done because PCOS is also many times associated with thyroid problems. For the issue of painful and irregular cycles, it would be a good idea to put her on regular low dose hormone pills for three months and watch her response. It should help her out. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My niece aged 14 years weighs 60 kg. Recently her monthly cycles are not proper and she is having heavy pain at times in a day in her lower area. Recently we consulted a gynecologist and recommended to go for ultrasound scan of whole abdomen. In the scan report under ovaries section it was mentioned as RO 16 x 12 cm and LO 4.3 x 1.4 cm. Both ovaries show multiple cysts measuring 6 x 6 cm noted 10 to 15 in number in periphery with echogenic stroma. Cystic lesion noted in RO measuring 16 x 11 cm. No septa, solid or nodules detected. Please suggest me how to come out of this problem. Is there any medicine or exercise required which help us more and bring happiness in her life? [/INST] Hi. I went through your query. I am really sorry to know your niece is suffering from stomach and irregular cycles. I understand it can be a very annoying problem. By the ultrasound report that you have given here, it seems your niece has PCOS (polycystic ovarian syndrome). It usually presents with irregular cycles and excessive weight problems. Other problems which also may be seen are acne, pimples, dark pigmentation on certain areas like neck and in between fingers, excessive hair on face, chin and other body parts, etc. To confirm her diagnosis you get a serum LH (luteinizing hormone) or FSH (follicle stimulating hormone) done. If ratio is of nearly 2:1 or greater it confirms that she has PCOS. PCOS is a very common but complex hormonal problem. She would really need to work hard to lose weight. As weight loss itself would help her achieve normal regular menstruation. Also I suggest you get a thyroid function test done because PCOS is also many times associated with thyroid problems. For the issue of painful and irregular cycles, it would be a good idea to put her on regular low dose hormone pills for three months and watch her response. It should help her out. For further information consult an obstetrician and gynaecologist online -->
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Q. I have severe pain eight years after a scoliosis surgery. Could something be wrong?
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Hello doctor, I underwent scoliosis surgery eight years ago and have been experiencing a pain around my left shoulder blade. Recently this pain has gotten so bad it has become difficult to even breathe and sleep. Is it possible something is wrong with the rods that were placed during the surgery?
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Hello. For more information consult a spine health specialist online -->
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<s>[INST]
Hello doctor, I underwent scoliosis surgery eight years ago and have been experiencing a pain around my left shoulder blade. Recently this pain has gotten so bad it has become difficult to even breathe and sleep. Is it possible something is wrong with the rods that were placed during the surgery? [/INST] Hello. For more information consult a spine health specialist online -->
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Q. Can you propose some ayurveda remedy for my mother's constipation?
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Hi doctor, My mother aged 70 is suffering from chronic irregular emptying of bowels. Sometimes, she goes to the toilet once in three days and the quantity of stool will be very less. There is no problem with the form of stools. She tried taking Triphala tablets in the morning and evening for several months and tried to eat fiber regularly, but still, there is no improvement. Lavan bhaskar churna helps at times, but she avoids it as she suffers from high BP. She has been taking Olvance 20 (Olmesartan) once in the morning for high BP. Can you propose some remedy for the constipation? She does not want to take any laxatives, which are habit forming.
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Hi. Increased vata and aging resulted in constipation. 1. Kalyanaka gulam two teaspoons at bedtime with one glass warm water. The other option is Anuloma DS two tablets at bedtime with one glass warm water. 2. Also, you can visit an ayurveda treatment center and ask for Ksheera basti (milk enema). 1. She should eat lots of fibrous food and drink more warm water. 2. Should avoid processed food. Revert back after four weeks to an ayurveda specialist online.--->
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<s>[INST]
Hi doctor, My mother aged 70 is suffering from chronic irregular emptying of bowels. Sometimes, she goes to the toilet once in three days and the quantity of stool will be very less. There is no problem with the form of stools. She tried taking Triphala tablets in the morning and evening for several months and tried to eat fiber regularly, but still, there is no improvement. Lavan bhaskar churna helps at times, but she avoids it as she suffers from high BP. She has been taking Olvance 20 (Olmesartan) once in the morning for high BP. Can you propose some remedy for the constipation? She does not want to take any laxatives, which are habit forming. [/INST] Hi. Increased vata and aging resulted in constipation. 1. Kalyanaka gulam two teaspoons at bedtime with one glass warm water. The other option is Anuloma DS two tablets at bedtime with one glass warm water. 2. Also, you can visit an ayurveda treatment center and ask for Ksheera basti (milk enema). 1. She should eat lots of fibrous food and drink more warm water. 2. Should avoid processed food. Revert back after four weeks to an ayurveda specialist online.--->
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Q. How to prevent pregnancy other than using condoms and pills?
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Hi doctor, I am going to get married in four months. We want to know whether there is any other way to avoid pregnancy other than using condoms or taking pills. I have seen somewhere on the internet that if we do intercourse for some particular period, then pregnancy can be avoided. Is it true? If it is true, then what time it can be? My wife's period usually comes in the first fortnight, and always it is delayed by four to five days to the previous month. Another thing is that I wanted to ask whether there are any health implications for oral sex. What is the safest and least painful way for anal sex? Would sex toy be useful for making anal sex least painful? Please suggest.
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Hi. For further information consult a sexologist online -->
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<s>[INST]
Hi doctor, I am going to get married in four months. We want to know whether there is any other way to avoid pregnancy other than using condoms or taking pills. I have seen somewhere on the internet that if we do intercourse for some particular period, then pregnancy can be avoided. Is it true? If it is true, then what time it can be? My wife's period usually comes in the first fortnight, and always it is delayed by four to five days to the previous month. Another thing is that I wanted to ask whether there are any health implications for oral sex. What is the safest and least painful way for anal sex? Would sex toy be useful for making anal sex least painful? Please suggest. [/INST] Hi. For further information consult a sexologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I get pain in my lower tooth during sleep. Please suggest medication.
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Hi doctor, I am having pain in my lower tooth whenever I go to sleep. Due to lockdown, I am unable to consult the dentist. Can you please tell me any tablet that I can use in the meantime.
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Hello. Sorry for the pain you are bearing because of the prevailing situation. As you have already mentioned there is a cavity and when it reaches up to the pulp there develops an irreversible stage which generally is more painful during night time as we sleep. I think your tooth has reached the stage of irreversible pulpitis and a root canal treatment is now must in order to save the remaining tooth. So go for it as soon as the situation in your area gets better. For now, take Amoxicillin clavulanate 500 mg (thrice daily) for five days, Paracetamol 500 mg to thrice daily SOS. Do not take Paracetamol when there is no pain but do complete the Amoxicillin course. Additionally, you can take any one for gastritis if you have a tendency to develop gastritis with antibiotics. You can take PAN-D (Pantoprazole) or Omez (Omeprazole). Take them on empty stomach. Do salt water rinse regularly. You can apply clove oil at the site, it is a good anti-inflammatory. Maintain good oral hygiene regularly, but for sure get it treated. Avoid eating from the affected side until it gets treated or even if you eat make sure nothing gets lodged in that tooth. Do mouth rinses with plain water regularly so that there is no food stuck. Drink plenty of water. I hope this helps.
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<s>[INST]
Hi doctor, I am having pain in my lower tooth whenever I go to sleep. Due to lockdown, I am unable to consult the dentist. Can you please tell me any tablet that I can use in the meantime. [/INST] Hello. Sorry for the pain you are bearing because of the prevailing situation. As you have already mentioned there is a cavity and when it reaches up to the pulp there develops an irreversible stage which generally is more painful during night time as we sleep. I think your tooth has reached the stage of irreversible pulpitis and a root canal treatment is now must in order to save the remaining tooth. So go for it as soon as the situation in your area gets better. For now, take Amoxicillin clavulanate 500 mg (thrice daily) for five days, Paracetamol 500 mg to thrice daily SOS. Do not take Paracetamol when there is no pain but do complete the Amoxicillin course. Additionally, you can take any one for gastritis if you have a tendency to develop gastritis with antibiotics. You can take PAN-D (Pantoprazole) or Omez (Omeprazole). Take them on empty stomach. Do salt water rinse regularly. You can apply clove oil at the site, it is a good anti-inflammatory. Maintain good oral hygiene regularly, but for sure get it treated. Avoid eating from the affected side until it gets treated or even if you eat make sure nothing gets lodged in that tooth. Do mouth rinses with plain water regularly so that there is no food stuck. Drink plenty of water. I hope this helps.
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Q. My left side kidney was swollen and I have kidney stone. Do i need surgery to remove the kidney stone?
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Hello doctor, I am a 51-year-old female. I got sick about a month ago and I went to urgent care. My left kidney was swollen and I had an infection. I have a 2-cm kidney stone and they put a stent in. I do not want to have surgery. I am scared that the use of natural remedies can hurt the stent or move the stone to block where I go to pee. I had a CAT scan at urgent care. Will they use local anesthesia for this instead of general or something else? Can the kidney stones come out from behind? I have diabetes. Can lemons and olive oil help treat this? Currently, I am on Metformin, Aspirin, Simvastatin, and Lisinopril.
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Hello. A 2-cm kidney stone is a fairly large one and it will definitely require surgery. I cannot recommend using any natural remedies for a stone of this size though they will not affect the stent. The stone, however, can move to cause obstruction again, but this is unlikely if the stent remains in position. The surgery has to be done under general anesthesia. The procedure used varies based on the location of the stone and your treating urologist. I would have to have a look at the CT (computed tomography) scan images before I can make a plan. I would recommend you to go ahead with the surgery as that gives you the best chance of getting your stone removed. For more information consult a urologist online -->
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<s>[INST]
Hello doctor, I am a 51-year-old female. I got sick about a month ago and I went to urgent care. My left kidney was swollen and I had an infection. I have a 2-cm kidney stone and they put a stent in. I do not want to have surgery. I am scared that the use of natural remedies can hurt the stent or move the stone to block where I go to pee. I had a CAT scan at urgent care. Will they use local anesthesia for this instead of general or something else? Can the kidney stones come out from behind? I have diabetes. Can lemons and olive oil help treat this? Currently, I am on Metformin, Aspirin, Simvastatin, and Lisinopril. [/INST] Hello. A 2-cm kidney stone is a fairly large one and it will definitely require surgery. I cannot recommend using any natural remedies for a stone of this size though they will not affect the stent. The stone, however, can move to cause obstruction again, but this is unlikely if the stent remains in position. The surgery has to be done under general anesthesia. The procedure used varies based on the location of the stone and your treating urologist. I would have to have a look at the CT (computed tomography) scan images before I can make a plan. I would recommend you to go ahead with the surgery as that gives you the best chance of getting your stone removed. For more information consult a urologist online -->
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Q. What are the watery bubbles present on either side of my penis?
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Hi doctor, I have small watery bubbles on either side of my penis and they seem to have grown in number in the last few weeks. First they appeared around three months back, but very less in number. They do not cause any irritation, but increased in number and looks ugly. I have not used any medication for this. If it is not cleaned every day then some wax like white layer is formed around the head and the area covering foreskin. Please help me with this.
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Hi. I have read your query and can well understand your concern. Revert back with the details to a dermatologist online -->
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<s>[INST]
Hi doctor, I have small watery bubbles on either side of my penis and they seem to have grown in number in the last few weeks. First they appeared around three months back, but very less in number. They do not cause any irritation, but increased in number and looks ugly. I have not used any medication for this. If it is not cleaned every day then some wax like white layer is formed around the head and the area covering foreskin. Please help me with this. [/INST] Hi. I have read your query and can well understand your concern. Revert back with the details to a dermatologist online -->
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Q. Due to gas problem, I am unable to eat properly. Please help.
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Hi doctor, I am a 27 year old male. From the last 3 to 4 years, I am having a troublesome gas problem. If I did not have food, then immediately my stomach is getting filled with gas. And so, I am unable to eat after that. I have a few other problems too. I have been getting sex thoughts in mind from my 15 years of age. So, I ejaculate very quickly, but only a few drops like jelly. Also, after complete urination, I am finding a few drops of urine in my pant. Whenever I am getting tension or fear or anger, I feel like someone is pushing some heat into my body from head to back and hands. After some time, the feeling will get weak with a bit of hungry. What to do?
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Hello. Lifestyle related. Revert after a month to an ayurveda specialist online.--->
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<s>[INST]
Hi doctor, I am a 27 year old male. From the last 3 to 4 years, I am having a troublesome gas problem. If I did not have food, then immediately my stomach is getting filled with gas. And so, I am unable to eat after that. I have a few other problems too. I have been getting sex thoughts in mind from my 15 years of age. So, I ejaculate very quickly, but only a few drops like jelly. Also, after complete urination, I am finding a few drops of urine in my pant. Whenever I am getting tension or fear or anger, I feel like someone is pushing some heat into my body from head to back and hands. After some time, the feeling will get weak with a bit of hungry. What to do? [/INST] Hello. Lifestyle related. Revert after a month to an ayurveda specialist online.--->
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Q. I do not have erection for longer duration. Suggest siddha medicines to overcome this
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Hi, I used musli capsules for about 45 days. Even now I do not have erection for longer duration. Please suggest some measures in siddha medicine to overcome this.
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Hi. I can understand your problem. 50% of this problem is related to psychology and the method of practice. There are many drugs which can prolong your penis erection for a longer time, but they have very serious side effects. Please follow the following medical advice: Consult a siddha medicine specialist online for further queries -->
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<s>[INST]
Hi, I used musli capsules for about 45 days. Even now I do not have erection for longer duration. Please suggest some measures in siddha medicine to overcome this. [/INST] Hi. I can understand your problem. 50% of this problem is related to psychology and the method of practice. There are many drugs which can prolong your penis erection for a longer time, but they have very serious side effects. Please follow the following medical advice: Consult a siddha medicine specialist online for further queries -->
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Q. How to get rid of piles and constipation through ayurveda?
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Hi doctor, I am a 55 year old male. I am 5'8" tall and my weight is 69 kg. I am suffering from piles over three years but there is no bleeding. I constantly have some sensation in anus which troubles me while walking. I am noticing my right wrist and feet with swelling almost daily morning. My BP was high around 160-200 over three to four years but now it is normal. My blood sugar is normal. In urine test, sugar and albumin are absent, pus cells 1/2 hpf and epithelial cell occ. Serum glucose was 110 mg. Currently, I am using Pilorute cream and capsule Hamdoroid. But, it is not so beneficial. My doctor suggested surgery but I am not ready for it. Please suggest a remedy.
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Hi. Revert back with the answers for the above questions to an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am a 55 year old male. I am 5'8" tall and my weight is 69 kg. I am suffering from piles over three years but there is no bleeding. I constantly have some sensation in anus which troubles me while walking. I am noticing my right wrist and feet with swelling almost daily morning. My BP was high around 160-200 over three to four years but now it is normal. My blood sugar is normal. In urine test, sugar and albumin are absent, pus cells 1/2 hpf and epithelial cell occ. Serum glucose was 110 mg. Currently, I am using Pilorute cream and capsule Hamdoroid. But, it is not so beneficial. My doctor suggested surgery but I am not ready for it. Please suggest a remedy. [/INST] Hi. Revert back with the answers for the above questions to an ayurveda specialist online -->
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Q. Though my echo is normal, I still feel chest pain. What to do?
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Hi doctor, I am suffering from hiatal hernia. Now, I feel pain in my left hand, shoulder, chest and both sides of the shoulder blade. So, I consulted a cardiologist. He asked me to take an echo and it is normal. Still, I feel pain in the hand while working. When I was a child, I suffered with rheumatic fever and took antibiotics for five years.
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Hello. Revert back with the reports to a cardiologist online -->
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<s>[INST]
Hi doctor, I am suffering from hiatal hernia. Now, I feel pain in my left hand, shoulder, chest and both sides of the shoulder blade. So, I consulted a cardiologist. He asked me to take an echo and it is normal. Still, I feel pain in the hand while working. When I was a child, I suffered with rheumatic fever and took antibiotics for five years. [/INST] Hello. Revert back with the reports to a cardiologist online -->
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Q. I am weak and shaky after the flu. Is this normal?
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Hello doctor,I had what I believe was the flu. It started end of last month. I got mostly better, still had post nasal drip and persistent weakness. Got a worsened sore throat this week. I went to urgent care (as I am traveling) and was given Amoxi 875 for 10 days. Strep was negative. Lungs were clear. Throat clearing with the antibiotic but I am still weak. Is this normal or should I be concerned? By weak I mean, I do not really feel well after doing things like shower, grocery store for supplies, etc. I am not short of breath, just a little weak and shaky. How long after the flu am I safe from deadly pneumonia?
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Hello. From what you mentioned, you have experienced upper respiratory infection and you received appropriate therapy of antibiotics. Post-nasal drip is common after upper respiratory infection and will resolve over time gradually. Regarding pneumonia, you should not worry about it as you have no symptoms like high fever, rapid breathing or wet cough with dark phlegm, also your chest X-ray is free as you mentioned. Your weakness is most likely myalgia which accompanies the infection. It will improve within days. Have you performed CBC blood tests? I suggest: I suggest that you send me your chest X-ray if you have it in order to reassure you more. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor,I had what I believe was the flu. It started end of last month. I got mostly better, still had post nasal drip and persistent weakness. Got a worsened sore throat this week. I went to urgent care (as I am traveling) and was given Amoxi 875 for 10 days. Strep was negative. Lungs were clear. Throat clearing with the antibiotic but I am still weak. Is this normal or should I be concerned? By weak I mean, I do not really feel well after doing things like shower, grocery store for supplies, etc. I am not short of breath, just a little weak and shaky. How long after the flu am I safe from deadly pneumonia? [/INST] Hello. From what you mentioned, you have experienced upper respiratory infection and you received appropriate therapy of antibiotics. Post-nasal drip is common after upper respiratory infection and will resolve over time gradually. Regarding pneumonia, you should not worry about it as you have no symptoms like high fever, rapid breathing or wet cough with dark phlegm, also your chest X-ray is free as you mentioned. Your weakness is most likely myalgia which accompanies the infection. It will improve within days. Have you performed CBC blood tests? I suggest: I suggest that you send me your chest X-ray if you have it in order to reassure you more. For more information consult an internal medicine physician online -->
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Q. Condom broke while having sex. Can I take an I-pill to prevent pregnancy?
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Hello doctor, I had an I-pill nine months ago and I got my periods some two days later. Currently, three days before, while having an intercourse, my husband's condom broke. Can I take an I-pill now to avoid pregnancy? Can I take this now? Are there any side effects? I want to know about a daily contraception pill. Is it harmful? Of note, I had a medical abortion 10 months ago.
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Hello. Yes, you have to take it as you do not have any other option. It will harm your body if you take it so frequently. Your hormonal milieu is disturbed. Regarding side effects, you may experience bloating, heaviness, and stomach upset. For regular contraceptive pill, you need to tell me your last regular period. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I had an I-pill nine months ago and I got my periods some two days later. Currently, three days before, while having an intercourse, my husband's condom broke. Can I take an I-pill now to avoid pregnancy? Can I take this now? Are there any side effects? I want to know about a daily contraception pill. Is it harmful? Of note, I had a medical abortion 10 months ago. [/INST] Hello. Yes, you have to take it as you do not have any other option. It will harm your body if you take it so frequently. Your hormonal milieu is disturbed. Regarding side effects, you may experience bloating, heaviness, and stomach upset. For regular contraceptive pill, you need to tell me your last regular period. For more information consult an obstetrician and gynaecologist online -->
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Q. I am having back pain, but nothing wrong with my bones. Kindly help me.
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Hi doctor,I am having serious back pain in the upper left area of my back. I had x-ray and found nothing wrong with my bones. My doctor advised me to take various painkillers, but they did not work. I have been having the pain for several months now. I do not know what to do. Please help.
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Hi. For further information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hi doctor,I am having serious back pain in the upper left area of my back. I had x-ray and found nothing wrong with my bones. My doctor advised me to take various painkillers, but they did not work. I have been having the pain for several months now. I do not know what to do. Please help. [/INST] Hi. For further information consult an orthopaedician and traumatologist online -->
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Q. My 3 months old baby's vision has not developed yet. Is this normal?
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Hi doctor, My daughter is 3 months old now. We got her examined by an eye specialist this week, but the doctor said that her vision is not yet developed due to which she cannot see or differentiate colors. As per the doctor's examination my daughter's eyeballs, retina, etc., are fine but the link of the eyeball to the brain has not developed yet. We parents are concerned and wish to know what we should do in this situation. Is this normal? Can the vision develop in the future? If yes, how long we need to wait? We seek this consultation as a second expert opinion and advice.
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Hi. 1. VEP. 2. Refraction under atropine. 3. Cardiff count. Glasses with amblyopia therapy if required. Revert with the details to an eye care ophthalmologist online.--->
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<s>[INST]
Hi doctor, My daughter is 3 months old now. We got her examined by an eye specialist this week, but the doctor said that her vision is not yet developed due to which she cannot see or differentiate colors. As per the doctor's examination my daughter's eyeballs, retina, etc., are fine but the link of the eyeball to the brain has not developed yet. We parents are concerned and wish to know what we should do in this situation. Is this normal? Can the vision develop in the future? If yes, how long we need to wait? We seek this consultation as a second expert opinion and advice. [/INST] Hi. 1. VEP. 2. Refraction under atropine. 3. Cardiff count. Glasses with amblyopia therapy if required. Revert with the details to an eye care ophthalmologist online.--->
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Q. I have extreme hairfall along with painful boils and dandruff. Please suggest solution.
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Hello doctor, I am suffering from extreme hair fall and boils on my scalp. Hair is falling from the root for the last couple of years. These boils come with pus and they settle down, become dry and turn into dandruff. It is quite painful when the boils are in full swing as if someone is pulling your hair. I have had this problem earlier also and I have seen many doctors. They have loaded me with medicines and supplements. Every time I consulted a doctor, I would have their medicines for a month or two and then stop thinking it has not suited me or I find no difference. They use terms which confused me more than giving me confidence. I tried allopathy, unani and yoga for blood circulation. One doctor even suggested mesotherapy, serums, etc. But now the hair fall has been so bad from a normal sized clutch I have started using two sizes smaller and even that pokes. There is hair everywhere when I do shampoo, or comb when I just run my hands through it. There are a lot of gaps. Literally it pulls down my confidence. I am currently on Revital woman once daily, Btn forte once daily, D-rise sachet once a week with milk.
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Hi. I went through all your pictures (attachment removed to protect patient identity), investigation, and detailed history. Recurrent boils on the scalp can be a continuous problem for many people. It can also be pre-runner for seborrheic dermatitis. Minoxidil should not be used irregularly. Once started with minoxidil the result will be after six months and you should not stop in the middle. Otherwise, it will be followed by severe hair fall. Your vitamin D is low but you are already on medication. Hemoglobin is also very low. Please start iron supplements along with fresh vegetables, dates, and fruits rich in iron. Keep your dandruff under control. Continue BTN Forte (Biotin forte) and Revital. For iron, take Zincofer tablet daily. Please start on Microdox LBX (Doxycycline and Lactic acid bacillus)100 mg once a day for two weeks. Do not scratch the area. Use Scalpe shampoo. Dilute it with water, and make sure of 10 minutes contact with the scalp. Then wash off. Second-line antibiotics to be changed only step by step.
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<s>[INST]
Hello doctor, I am suffering from extreme hair fall and boils on my scalp. Hair is falling from the root for the last couple of years. These boils come with pus and they settle down, become dry and turn into dandruff. It is quite painful when the boils are in full swing as if someone is pulling your hair. I have had this problem earlier also and I have seen many doctors. They have loaded me with medicines and supplements. Every time I consulted a doctor, I would have their medicines for a month or two and then stop thinking it has not suited me or I find no difference. They use terms which confused me more than giving me confidence. I tried allopathy, unani and yoga for blood circulation. One doctor even suggested mesotherapy, serums, etc. But now the hair fall has been so bad from a normal sized clutch I have started using two sizes smaller and even that pokes. There is hair everywhere when I do shampoo, or comb when I just run my hands through it. There are a lot of gaps. Literally it pulls down my confidence. I am currently on Revital woman once daily, Btn forte once daily, D-rise sachet once a week with milk. [/INST] Hi. I went through all your pictures (attachment removed to protect patient identity), investigation, and detailed history. Recurrent boils on the scalp can be a continuous problem for many people. It can also be pre-runner for seborrheic dermatitis. Minoxidil should not be used irregularly. Once started with minoxidil the result will be after six months and you should not stop in the middle. Otherwise, it will be followed by severe hair fall. Your vitamin D is low but you are already on medication. Hemoglobin is also very low. Please start iron supplements along with fresh vegetables, dates, and fruits rich in iron. Keep your dandruff under control. Continue BTN Forte (Biotin forte) and Revital. For iron, take Zincofer tablet daily. Please start on Microdox LBX (Doxycycline and Lactic acid bacillus)100 mg once a day for two weeks. Do not scratch the area. Use Scalpe shampoo. Dilute it with water, and make sure of 10 minutes contact with the scalp. Then wash off. Second-line antibiotics to be changed only step by step.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. My friend suffers with low heart rate after head injury. Why?
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Hi doctor, This query is with regard to one of my friends. He got an accident five months back. He was hospitalized in ICU. Blood came from his ear and so had a CT scan done. An ENT doctor said that his ear is fine and no hearing problem. Later he was shifted to his native. He was in ICU there. His oxygen level is up to 97% and heart beat 50 bpm. He is in conscious state of mind and understands everything. He recognized everyone. Also all kind of bleeding has stopped. He is with saline and local antibiotics only. A neurosurgeon advised for an operation now. So, I need a second opinion here. Thanks in advance.
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Hi. We are here to help you. Probably your friend has got head injury that is causing the brain edema which is causing the low heart rate known as bradycardia. He should get a repeat CT done. We usually give saline, antibiotics and Mannitol to reduce the swelling that is in brain edema. If no relief or edema increases that is determined by clinical signs including both the pupils we go ahead for surgery. Revert back after the repeat CT scan to a neurologist online -->
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<s>[INST]
Hi doctor, This query is with regard to one of my friends. He got an accident five months back. He was hospitalized in ICU. Blood came from his ear and so had a CT scan done. An ENT doctor said that his ear is fine and no hearing problem. Later he was shifted to his native. He was in ICU there. His oxygen level is up to 97% and heart beat 50 bpm. He is in conscious state of mind and understands everything. He recognized everyone. Also all kind of bleeding has stopped. He is with saline and local antibiotics only. A neurosurgeon advised for an operation now. So, I need a second opinion here. Thanks in advance. [/INST] Hi. We are here to help you. Probably your friend has got head injury that is causing the brain edema which is causing the low heart rate known as bradycardia. He should get a repeat CT done. We usually give saline, antibiotics and Mannitol to reduce the swelling that is in brain edema. If no relief or edema increases that is determined by clinical signs including both the pupils we go ahead for surgery. Revert back after the repeat CT scan to a neurologist online -->
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Q. Why is my TSH extremely low?
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Hi doctor, I was diagnosed with Hashimoto's four years ago and maintained on NDT. All the tests are within the normal range although borderline till now. My result shows extremely low TSH 0.036 and FT4 0.28 and extremely high FT3 11. My cortisol and ACTH are also extremely low. My TPO is less than 1. What to do?
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Hi. Your answer is present in your question itself For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I was diagnosed with Hashimoto's four years ago and maintained on NDT. All the tests are within the normal range although borderline till now. My result shows extremely low TSH 0.036 and FT4 0.28 and extremely high FT3 11. My cortisol and ACTH are also extremely low. My TPO is less than 1. What to do? [/INST] Hi. Your answer is present in your question itself For further information consult an internal medicine physician online -->
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Q. How can alopecia be treated?
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Hello doctor, I have a problem with alopecia for four months. My hair is not growing. Kindly suggest some medicine. I am on vitamins.
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Hello. I saw your clinical picture (attachment removed to protect patient identity). The diagnosis is alopecia areata. The most effective treatment will be intralesional steroid injection. This is the injection given straight to the bald area. You need to meet a dermatologist for this. I suggest you take For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have a problem with alopecia for four months. My hair is not growing. Kindly suggest some medicine. I am on vitamins. [/INST] Hello. I saw your clinical picture (attachment removed to protect patient identity). The diagnosis is alopecia areata. The most effective treatment will be intralesional steroid injection. This is the injection given straight to the bald area. You need to meet a dermatologist for this. I suggest you take For more information consult a dermatologist online -->
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Q. I am unable to interact with anybody. I feel restless. Please help.
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Hi doctor,I am a 23 year old male. I feel stressed and pressurized because of lack of social skills. I am not happy with my life. I attribute it to the death of my dad in a road accident three years back. Previously, my life was full of happiness.Now, I feel lonely, tired, uninterested, selfish and silent. I tried different breathing techniques which work fo a short period. A month ago I had an appointment with a psychiatrist. He suggested I take Zosert 25 mg for a week. But, I do not see any difference. Help me.
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Hello. I understand what you are going through and you have my full sympathy. Take care. For more information consult a psychiatrist online -->
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<s>[INST]
Hi doctor,I am a 23 year old male. I feel stressed and pressurized because of lack of social skills. I am not happy with my life. I attribute it to the death of my dad in a road accident three years back. Previously, my life was full of happiness.Now, I feel lonely, tired, uninterested, selfish and silent. I tried different breathing techniques which work fo a short period. A month ago I had an appointment with a psychiatrist. He suggested I take Zosert 25 mg for a week. But, I do not see any difference. Help me. [/INST] Hello. I understand what you are going through and you have my full sympathy. Take care. For more information consult a psychiatrist online -->
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Q. How to cure premature ejaculation?
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Hi doctor, I am 32 years old married male. Since two years I am suffering from premature ejaculation. I tried to control it, but did not get better result. My wife is very much unsatisfied. How to cure this issue?
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Hi. As you know that the first thing in medicine is establishing a diagnosis which is correct. So, I would like to ask you a few questions. Revert back with the answers for the above questions to a sexologist online -->
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<s>[INST]
Hi doctor, I am 32 years old married male. Since two years I am suffering from premature ejaculation. I tried to control it, but did not get better result. My wife is very much unsatisfied. How to cure this issue? [/INST] Hi. As you know that the first thing in medicine is establishing a diagnosis which is correct. So, I would like to ask you a few questions. Revert back with the answers for the above questions to a sexologist online -->
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Q. Can latent TB scaring be misdiagnosed as interstitial lung disease with RA?
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Hello doctor, I am a 67-year-old female. I have a significant past medical history of TB and a lifetime history of bronchitis. My arthritis is currently being treated with Remicade. Last month, while in a temporary job I developed severe altitude sickness (SOB, fatigue, and confusion) followed by bronchitis (stuffy nose and productive cough). While there I needed to schedule a Remicade infusion and the doctor there said she heard crackles in my lungs and sent me for an immediate chest x-ray, high-resolution CT scan and a multitude of labs. To my surprise, I was diagnosed with RA, not PSA as my rheumatologist had diagnosed me before itself. Anyway, the radiology results state honeycomb lung damage amongst other ominous findings. At my follow up I was told I have RA-ILD. I am now back to my place and have no symptoms to alert me of any lung problems. I followed up with my PCP last week and she did not hear crackles in my lungs. My peak flow rate is 400 and my O2 sat is 100% at rest and 98% with fast walking. I will send my radiology report and lab results. My question is, can the latent TB lung scaring be misdiagnosed as RA-ILD or IPF? I would appreciate your opinion.
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Hello. I can understand your concern. According to your statement, you have been suffering from chronic bronchitis with rheumatoid arthritis with recently diagnosed with RA related interstitial lung disease or idiopathic pulmonary fibrosis. You had a history of PTB and taking anti-tubercular drugs. You are concerned about your recent diagnosis based on HRCT chest whether it is RA-ILD/IPF or latent TB related complications for your past sufferings and now you feel a lot better. Your HRCT of chest reveals (attachment removed to protect patient identity), interstitial fibrosis characterized by peripheral traction bronchiectasis, irregular reticulation in all lobes, microtubules with calcification in mid and lower lungs, lower lobe predominant microcystic changes without significant ground glass opacifications, hilar calcified lymph nodes consistent with chronic granulomatous disease, and bronchial wall thickening bilaterally. Similar type of radiological findings can be found in post TB fibrosis, chronic obstructive pulmonary disease which includes two key components chronic bronchitis and emphysema, RA-ILD or IPF, etc. You may not tell your doctor about your previous history of Latent TB. For that reason his diagnosis was RA-ILD or IPF as you are suffering from RA. So he was not wrong as your radiological reports suggest the above mentioned differential diagnosis. Again, on high altitude, your doctor found crackles as you are suffering from COPD and it may be associated with infections that time and now it not heard as your infection was subsided.
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<s>[INST]
Hello doctor, I am a 67-year-old female. I have a significant past medical history of TB and a lifetime history of bronchitis. My arthritis is currently being treated with Remicade. Last month, while in a temporary job I developed severe altitude sickness (SOB, fatigue, and confusion) followed by bronchitis (stuffy nose and productive cough). While there I needed to schedule a Remicade infusion and the doctor there said she heard crackles in my lungs and sent me for an immediate chest x-ray, high-resolution CT scan and a multitude of labs. To my surprise, I was diagnosed with RA, not PSA as my rheumatologist had diagnosed me before itself. Anyway, the radiology results state honeycomb lung damage amongst other ominous findings. At my follow up I was told I have RA-ILD. I am now back to my place and have no symptoms to alert me of any lung problems. I followed up with my PCP last week and she did not hear crackles in my lungs. My peak flow rate is 400 and my O2 sat is 100% at rest and 98% with fast walking. I will send my radiology report and lab results. My question is, can the latent TB lung scaring be misdiagnosed as RA-ILD or IPF? I would appreciate your opinion. [/INST] Hello. I can understand your concern. According to your statement, you have been suffering from chronic bronchitis with rheumatoid arthritis with recently diagnosed with RA related interstitial lung disease or idiopathic pulmonary fibrosis. You had a history of PTB and taking anti-tubercular drugs. You are concerned about your recent diagnosis based on HRCT chest whether it is RA-ILD/IPF or latent TB related complications for your past sufferings and now you feel a lot better. Your HRCT of chest reveals (attachment removed to protect patient identity), interstitial fibrosis characterized by peripheral traction bronchiectasis, irregular reticulation in all lobes, microtubules with calcification in mid and lower lungs, lower lobe predominant microcystic changes without significant ground glass opacifications, hilar calcified lymph nodes consistent with chronic granulomatous disease, and bronchial wall thickening bilaterally. Similar type of radiological findings can be found in post TB fibrosis, chronic obstructive pulmonary disease which includes two key components chronic bronchitis and emphysema, RA-ILD or IPF, etc. You may not tell your doctor about your previous history of Latent TB. For that reason his diagnosis was RA-ILD or IPF as you are suffering from RA. So he was not wrong as your radiological reports suggest the above mentioned differential diagnosis. Again, on high altitude, your doctor found crackles as you are suffering from COPD and it may be associated with infections that time and now it not heard as your infection was subsided.
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Q. I have stomach pain below the breast on the left side. Please help.
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Hi doctor, I have stomach pain below the breast on the left side with difficulty in depositing waste. I also get a fever during the early morning. Please help.
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Hi. You are suffering from constipation. Because of it, you have stomach pain below the breast on the left side with difficulty in depositing waste. When there is constipation, the waste does not get clear entirely from the bowel. This results in bowel enlargement which puts pressure on the diaphragm on the left side causing pain. Once you treat constipation, you will have no pain. Getting fever in the early morning occur due to a recent viral infection, or it can happen due to change in climate. Sometimes, hormonal changes also cause a feeling of fevering. If it persists, you have to check your thyroid hormones.
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<s>[INST]
Hi doctor, I have stomach pain below the breast on the left side with difficulty in depositing waste. I also get a fever during the early morning. Please help. [/INST] Hi. You are suffering from constipation. Because of it, you have stomach pain below the breast on the left side with difficulty in depositing waste. When there is constipation, the waste does not get clear entirely from the bowel. This results in bowel enlargement which puts pressure on the diaphragm on the left side causing pain. Once you treat constipation, you will have no pain. Getting fever in the early morning occur due to a recent viral infection, or it can happen due to change in climate. Sometimes, hormonal changes also cause a feeling of fevering. If it persists, you have to check your thyroid hormones.
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Q. Is it safe to go under anesthesia if I have bifascicular bundle block?
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Hello doctor, I am 60 years male. I have a BMI of 33. I have bifascicular bundle block. I take Salbutamol and Fluticasone (Relvar) puffers for asthma, which is lifelong. I have seen my GP and my cardiologist and been cleared for bariatric (gastric band) surgery next week, in order to expedite some weight loss, as my asthma has prevented me from much exercise. However, I am nervous about the anesthesia given my bundle block and I am here seeking informed discussion and expert counsel. That is, I am here seeking a basic outline of what will be the anesthetist's approach, given bifascicular block. I am an academic and I have a reasonable understanding of basic medical issues as found in peer-reviewed articles which I have read via my university. But obviously, I lack the medical training to be able to figure out the anesthetic procedure and peri-operative risk by myself. I am making this inquiry so that I might discuss this with my anesthetist in a more informed way before I meet him tomorrow.
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Hello, Welcome back to icliniq.com. Bifasicular block is commonly RBBB (right bundle branch block) with left or right axis deviation. I need to explain to you that patients with this block are safe to undergo anesthesia. I would have been happy if an ECG was attached. If LBBB (left bundle branch block) is associated with the bifascicular block, only then the risk increases, which is complete heart block which needs a pacemaker. In brief, there is no added risk due to bifascicular block. Please tell the anesthetist about this condition so that he keeps a temporary pacemaker ready if the need arises. There is just a 1 % chance of complete heart block. For more information consult an anesthesiologist online -->
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<s>[INST]
Hello doctor, I am 60 years male. I have a BMI of 33. I have bifascicular bundle block. I take Salbutamol and Fluticasone (Relvar) puffers for asthma, which is lifelong. I have seen my GP and my cardiologist and been cleared for bariatric (gastric band) surgery next week, in order to expedite some weight loss, as my asthma has prevented me from much exercise. However, I am nervous about the anesthesia given my bundle block and I am here seeking informed discussion and expert counsel. That is, I am here seeking a basic outline of what will be the anesthetist's approach, given bifascicular block. I am an academic and I have a reasonable understanding of basic medical issues as found in peer-reviewed articles which I have read via my university. But obviously, I lack the medical training to be able to figure out the anesthetic procedure and peri-operative risk by myself. I am making this inquiry so that I might discuss this with my anesthetist in a more informed way before I meet him tomorrow. [/INST] Hello, Welcome back to icliniq.com. Bifasicular block is commonly RBBB (right bundle branch block) with left or right axis deviation. I need to explain to you that patients with this block are safe to undergo anesthesia. I would have been happy if an ECG was attached. If LBBB (left bundle branch block) is associated with the bifascicular block, only then the risk increases, which is complete heart block which needs a pacemaker. In brief, there is no added risk due to bifascicular block. Please tell the anesthetist about this condition so that he keeps a temporary pacemaker ready if the need arises. There is just a 1 % chance of complete heart block. For more information consult an anesthesiologist online -->
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Q. What is PEP therapy for HIV?
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Hello doctor, I had an exposure with a call girl with protection. However, during intercourse, the condom broke. I am worried about HIV. Could you please guide me regarding what kind of tests I should undertake. Also, I would like to understand how many days later I should go for the test. As on today, it has been 24 hours since exposure.
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Hello. For more information consult an HIV AIDS specialist online -->
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<s>[INST]
Hello doctor, I had an exposure with a call girl with protection. However, during intercourse, the condom broke. I am worried about HIV. Could you please guide me regarding what kind of tests I should undertake. Also, I would like to understand how many days later I should go for the test. As on today, it has been 24 hours since exposure. [/INST] Hello. For more information consult an HIV AIDS specialist online -->
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Q. Why am I losing the erection on penetration?
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Hi doctor, I am getting morning erection and normal erection when I make love. But, I am losing the erection the moment I retract the foreskin to penetrate. I am able to watch porn and masturbate with ejaculation. My general masturbation technique is to rub the head along with the foreskin. What could be the problem here?
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Hi. Blood for TSH (thyroid-stimulating hormone), T3, T4 and fasting blood sugar. For further information consult an obstetrician and gynaecologist online.--->
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<s>[INST]
Hi doctor, I am getting morning erection and normal erection when I make love. But, I am losing the erection the moment I retract the foreskin to penetrate. I am able to watch porn and masturbate with ejaculation. My general masturbation technique is to rub the head along with the foreskin. What could be the problem here? [/INST] Hi. Blood for TSH (thyroid-stimulating hormone), T3, T4 and fasting blood sugar. For further information consult an obstetrician and gynaecologist online.--->
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Q. My BP fluctuates often. What should I do?
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Hi doctor, I am a 29 year old male. A year ago, I had severe headache, heaviness of head and tension. When I consulted a cardiologist, he conducted all tests and diagnosed me with high BP 150/90. He prescribed me Sartel 40 mg and Amlogard 2.5 mg for high BP. I had tablets for 15 days and then checked my BP and found it normal. So, I stopped using those tablets. While taking those tablets I felt like losing balance while walking. Over few months frequently I have been feeling burning eyes, intense heart beat and blood gets pumped with more pressure into head and body. I have some burning sensation in the bottom of the foot too. Due to this tension, I am unable to get a sound sleep. I have consulted two doctors. They said my BP is normal and sometimes higher at 130/90. How should I proceed now?
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Hi. I have worked through your query and understand your health issues. I assure you not to worry as you have consulted the appropriate expert physician who will take care all of your medical concerns. Your blood pressure (BP) was high in the first place and they started you on medicines for high BP. I like to add that this is still not normal for your age and it will definitely go high in the years to come. My advice to my patient at this young age is based primarily on the lifestyle changes and modification of habits based on the clinical scenario they have. I will put you on diet and exercise plan and a mild antihypertensive, if needed. We will slowly shift from medicine to lifestyle change only and your health will be under control forever regarding this issue. You need medicine, but if I put you simply on medicine and that is too in such a young age, you have to take the medicine life-long. What I expect from patients like you is a complete history. Revert back with the complete history to a cardiologist online -->
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<s>[INST]
Hi doctor, I am a 29 year old male. A year ago, I had severe headache, heaviness of head and tension. When I consulted a cardiologist, he conducted all tests and diagnosed me with high BP 150/90. He prescribed me Sartel 40 mg and Amlogard 2.5 mg for high BP. I had tablets for 15 days and then checked my BP and found it normal. So, I stopped using those tablets. While taking those tablets I felt like losing balance while walking. Over few months frequently I have been feeling burning eyes, intense heart beat and blood gets pumped with more pressure into head and body. I have some burning sensation in the bottom of the foot too. Due to this tension, I am unable to get a sound sleep. I have consulted two doctors. They said my BP is normal and sometimes higher at 130/90. How should I proceed now? [/INST] Hi. I have worked through your query and understand your health issues. I assure you not to worry as you have consulted the appropriate expert physician who will take care all of your medical concerns. Your blood pressure (BP) was high in the first place and they started you on medicines for high BP. I like to add that this is still not normal for your age and it will definitely go high in the years to come. My advice to my patient at this young age is based primarily on the lifestyle changes and modification of habits based on the clinical scenario they have. I will put you on diet and exercise plan and a mild antihypertensive, if needed. We will slowly shift from medicine to lifestyle change only and your health will be under control forever regarding this issue. You need medicine, but if I put you simply on medicine and that is too in such a young age, you have to take the medicine life-long. What I expect from patients like you is a complete history. Revert back with the complete history to a cardiologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I have a pink-colored patch on my bikini line which hurts on pressing. Please help.
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Hi doctor, There is a sort of pink-colored oval, slightly raised, flat patch on my bikini line, and it is very painful. I do not know what it is, and I am terrified. I get cysts on my bikini line quite often, but they always go away. It does not look like a cyst, and it just appeared like one or two days ago. Sometimes, it hurts to walk. I was on my period last week, so I wear different type of underwear and maybe that was too tighten on my bikini area. Also, I have been lying down on my side for an extended period of time due to social distancing. The lump is not really feeling over the area, just raised and flat. I have not had this issue before. The cyst only started to hurt when the side of my underwear pressed against it hard. Please help me.
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Hello. I have read through your problem thoroughly and seen the pictures too (attachment removed to protect patient identity). To me, it looks like an inflammatory boil with some induration (thickening of the underlying skin) due to some skin infections. It is mostly a folliculitis, hair follicle infection in the skin. It will mostly go away in two to three days. You can take some analgesics for pain relief and use some antibiotic cream for local application to prevent it from getting infected. Just keep the area aerated and change your undergarments frequently. Avoid shaving the bikini like till it heals, or else it may get infected. 1) Tablet Combiflam (Paracetamol + Ibuprofen) SOS after food for pain relief (if too painful). 2) Sitz bath (a small tub of lukewarm water with some Betadine solution or a spoon of salt) three to four times a day for pain relief. 3) Clean the genital area gently after using the restroom and apply the antibiotic cream to the affected area only (Clindamycin gel or Soframycin cream-Framycetin). Change undergarments frequently. If the lesion becomes like a collection of pus, as of now does not seem to have formed pus, you can take oral antibiotics.
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<s>[INST]
Hi doctor, There is a sort of pink-colored oval, slightly raised, flat patch on my bikini line, and it is very painful. I do not know what it is, and I am terrified. I get cysts on my bikini line quite often, but they always go away. It does not look like a cyst, and it just appeared like one or two days ago. Sometimes, it hurts to walk. I was on my period last week, so I wear different type of underwear and maybe that was too tighten on my bikini area. Also, I have been lying down on my side for an extended period of time due to social distancing. The lump is not really feeling over the area, just raised and flat. I have not had this issue before. The cyst only started to hurt when the side of my underwear pressed against it hard. Please help me. [/INST] Hello. I have read through your problem thoroughly and seen the pictures too (attachment removed to protect patient identity). To me, it looks like an inflammatory boil with some induration (thickening of the underlying skin) due to some skin infections. It is mostly a folliculitis, hair follicle infection in the skin. It will mostly go away in two to three days. You can take some analgesics for pain relief and use some antibiotic cream for local application to prevent it from getting infected. Just keep the area aerated and change your undergarments frequently. Avoid shaving the bikini like till it heals, or else it may get infected. 1) Tablet Combiflam (Paracetamol + Ibuprofen) SOS after food for pain relief (if too painful). 2) Sitz bath (a small tub of lukewarm water with some Betadine solution or a spoon of salt) three to four times a day for pain relief. 3) Clean the genital area gently after using the restroom and apply the antibiotic cream to the affected area only (Clindamycin gel or Soframycin cream-Framycetin). Change undergarments frequently. If the lesion becomes like a collection of pus, as of now does not seem to have formed pus, you can take oral antibiotics.
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Q. I have non-healing pimples. What can they be?
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Hi doctor, I am a 23 year old male. What seemed as a common pimple to me some months ago is causing me a great problem now. I had a few pimples on my face around 4-5 months back. I remember trying to put pressure on them and I messed it up. I had pimples all over my face. Then, I consulted a doctor and he suggested a cream (Epiduo gel, Benzoyl peroxide). It helped initially, but the pimples never really healed completely. And in the recent few weeks they have become more pervasive. I use to clean my face regularly but every day or two, a new pimple pops out. I have attached a picture for your reference. I would like to mention that I have dandruff in my hair. Kindly suggest a treatment.
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Hello. I had a look at your photographs (attachment removed to protect patient identity). 1. Drink lot of water. 2. Constipation can give rise to acne. 1. Avoid having coffee. 2. Stop smoking. 3. Avoid harsh soaps for washing your face. Revert back after 12 days with the photographs taken from front, left and right side for clear understanding to a dermatologist online.--->
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<s>[INST]
Hi doctor, I am a 23 year old male. What seemed as a common pimple to me some months ago is causing me a great problem now. I had a few pimples on my face around 4-5 months back. I remember trying to put pressure on them and I messed it up. I had pimples all over my face. Then, I consulted a doctor and he suggested a cream (Epiduo gel, Benzoyl peroxide). It helped initially, but the pimples never really healed completely. And in the recent few weeks they have become more pervasive. I use to clean my face regularly but every day or two, a new pimple pops out. I have attached a picture for your reference. I would like to mention that I have dandruff in my hair. Kindly suggest a treatment. [/INST] Hello. I had a look at your photographs (attachment removed to protect patient identity). 1. Drink lot of water. 2. Constipation can give rise to acne. 1. Avoid having coffee. 2. Stop smoking. 3. Avoid harsh soaps for washing your face. Revert back after 12 days with the photographs taken from front, left and right side for clear understanding to a dermatologist online.--->
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Q. Why are my WBC, RBC and monocytes low?
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Hi doctor, I have some red and purple dots on my stomach and hand. I have been sick for a long time and I lost my weight. My immune system is really bad. I had my blood test done and the result shows that the white blood cells are low at 3.9 and the red blood cells are 3.7. Also, my absolute monocytes are low. I have unknown bruising, bleeding gums, fatigue, throwing up feeling, loss of appetite and weight. What could this be? Please suggest me.
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Hi. Based on your query, my opinion is as follows: Nutritional improvement like vitamin B12, folic acid, iron, vitamin C and protein rich diet For further information consult a hematologist online.--->
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<s>[INST]
Hi doctor, I have some red and purple dots on my stomach and hand. I have been sick for a long time and I lost my weight. My immune system is really bad. I had my blood test done and the result shows that the white blood cells are low at 3.9 and the red blood cells are 3.7. Also, my absolute monocytes are low. I have unknown bruising, bleeding gums, fatigue, throwing up feeling, loss of appetite and weight. What could this be? Please suggest me. [/INST] Hi. Based on your query, my opinion is as follows: Nutritional improvement like vitamin B12, folic acid, iron, vitamin C and protein rich diet For further information consult a hematologist online.--->
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Q. is there any medicines for dysmenorrhea ?
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Hello doctor, I am a 24 year old female, who was diagnosed with dysmenorrhea about two years ago. Last year I was given Mefenamic acid by my doctor to take for the pain and nausea. But, the medicine is not helping me, I still have pain and vomiting. Is there anything else I can take for this?
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Hi. Dysmenorrhea is not a diagnosis, it is only a symptom. Let me put few possible causes and their evaluation and treatment forward. At this young age, the most common cause is spasmodic dysmenorrhea. The cervix is tight and the blood when trying to make its way during periods, will stretch the canal and cause pain. Pain is only during periods, on day 1 and 2. After that, the main bleeding is over, and pain disappears. If the amount of bleeding is more than normal, you can get a scan to rule out any masses or adhesions. The pain can be controlled by taking birth control pills for six months or more. It will stop ovulation, reduce the amount of blood loss and has no side effects, and it can be taken for any number of years. If you are sexually active, then it can be infection around the uterus know as PID (pelvic inflammatory disease). Vaginal infection is transmitted during sex, so both you and your partner have to be treated at the same time, or else you will get infected again. You may have white or yellow or grayish discharge with or without itching, foul smell, pain during sex. Before treatment, confirm that you are not pregnant. I suggest you try taking the following. Do treat it, as delay may send the infection inwards and may affect both of you. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Another possibility is endometriosis, every month the blood flows out, but a small fraction also flows into the abdomen through the tubes. This can settle around the uterus and cause adhesions onto the surrounding muscles, ligaments, and bones. This causes throbbing lower abdomen pain before periods, which gradually increases and stays even after periods are over. Sex is very painful. A scan can be done and the restricted mobility of uterus can be seen. This can be solved by reducing flow or stopping periods with hormone pills. Get an ultrasound scan of the pelvis, to rule out any uterine polyp or fibroids. There may be nothing but pain only, gradually increasing every month. Hope I have clarified your doubts, do write back. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am a 24 year old female, who was diagnosed with dysmenorrhea about two years ago. Last year I was given Mefenamic acid by my doctor to take for the pain and nausea. But, the medicine is not helping me, I still have pain and vomiting. Is there anything else I can take for this? [/INST] Hi. Dysmenorrhea is not a diagnosis, it is only a symptom. Let me put few possible causes and their evaluation and treatment forward. At this young age, the most common cause is spasmodic dysmenorrhea. The cervix is tight and the blood when trying to make its way during periods, will stretch the canal and cause pain. Pain is only during periods, on day 1 and 2. After that, the main bleeding is over, and pain disappears. If the amount of bleeding is more than normal, you can get a scan to rule out any masses or adhesions. The pain can be controlled by taking birth control pills for six months or more. It will stop ovulation, reduce the amount of blood loss and has no side effects, and it can be taken for any number of years. If you are sexually active, then it can be infection around the uterus know as PID (pelvic inflammatory disease). Vaginal infection is transmitted during sex, so both you and your partner have to be treated at the same time, or else you will get infected again. You may have white or yellow or grayish discharge with or without itching, foul smell, pain during sex. Before treatment, confirm that you are not pregnant. I suggest you try taking the following. Do treat it, as delay may send the infection inwards and may affect both of you. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Another possibility is endometriosis, every month the blood flows out, but a small fraction also flows into the abdomen through the tubes. This can settle around the uterus and cause adhesions onto the surrounding muscles, ligaments, and bones. This causes throbbing lower abdomen pain before periods, which gradually increases and stays even after periods are over. Sex is very painful. A scan can be done and the restricted mobility of uterus can be seen. This can be solved by reducing flow or stopping periods with hormone pills. Get an ultrasound scan of the pelvis, to rule out any uterine polyp or fibroids. There may be nothing but pain only, gradually increasing every month. Hope I have clarified your doubts, do write back. For more information consult an obstetrician and gynaecologist online -->
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Q. How to protect myself from STD?
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Hello Doctor, I am a 33 year old unmarried, healthy male. I have a steady girlfriend with whom I have sex regularly, as well as casual one night stands with other girls. I always practise safe sex, i.e, a) always use a condom b) never have uncovered oral sex (c) never have anal sex (d) always keep my penis covered with my undergarments till I put on the condom (e) always ensure that I pull out with one hand on the condom so that it does not slip out. I wanted to know what else can I do to prevent myself from any STD. 1. What are the chances of kissing my partner causing STD and should I avoid this? 2. I heard that a person can get herpes just through skin contact. Is this true and if so, what precautions can be taken for this? 3. Is there any vaccine I should take for herpes, hepatitis A and hepatitis B? 4. I do not use a lubricant, but use lubricated condoms. Is this the correct thing to do? 5. Can I try anal sex with my girlfriend. Is it safe? 6. Is it better to wash the penis immediately after intercourse to reduce the risk of STDs or should I just wipe the penis with a dry cloth after taking out the condom?
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Hi. I appreciate that you are very much conscious and alert while having sex and take all preventive measures. 1. Kissing can spread some diseases only if the other partner is infected .These diseases spread through saliva . There are so many diseases which spread through kissing like mononucleosis, certain kind of viral infections and sore throat and some other. I guess you are much concerned about STDs (Sexually Transmitted Diseases). HIV is present in saliva but till now no HIV case had been reported through kissing. But hepatitis B cases are reported and well documented and hepatitis A & C as well, so here I will advise you not to kiss women about whom you are not aware of their health status. 2. Herpes viruses are of many types and can spread through skin contact also. Here I think you are concerned with genital herpes virus which causes STD. This usually spreads via sexual intercourse but can also spread through body fluids like blood, saliva, oral sex (without a condom) if your partner is infected. 3. No, there is no vaccine available for herpes. But you must get hepatitis B vaccination done as it is a fatal disease. 4. If you are using lubricated condoms then no need to use a lubricant unless your partner is not comfortable without a lubricant. 5. Anal sex is usually not advisable as it can cause intense pain and injury inside your partner's anus and not safe for her. But if you insist and want to do, then apply a lubricating gel and can do at your own risk. 6. Washing genital organs after having sex is advisable. For further queries, consult a sexologist online -->
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<s>[INST]
Hello Doctor, I am a 33 year old unmarried, healthy male. I have a steady girlfriend with whom I have sex regularly, as well as casual one night stands with other girls. I always practise safe sex, i.e, a) always use a condom b) never have uncovered oral sex (c) never have anal sex (d) always keep my penis covered with my undergarments till I put on the condom (e) always ensure that I pull out with one hand on the condom so that it does not slip out. I wanted to know what else can I do to prevent myself from any STD. 1. What are the chances of kissing my partner causing STD and should I avoid this? 2. I heard that a person can get herpes just through skin contact. Is this true and if so, what precautions can be taken for this? 3. Is there any vaccine I should take for herpes, hepatitis A and hepatitis B? 4. I do not use a lubricant, but use lubricated condoms. Is this the correct thing to do? 5. Can I try anal sex with my girlfriend. Is it safe? 6. Is it better to wash the penis immediately after intercourse to reduce the risk of STDs or should I just wipe the penis with a dry cloth after taking out the condom? [/INST] Hi. I appreciate that you are very much conscious and alert while having sex and take all preventive measures. 1. Kissing can spread some diseases only if the other partner is infected .These diseases spread through saliva . There are so many diseases which spread through kissing like mononucleosis, certain kind of viral infections and sore throat and some other. I guess you are much concerned about STDs (Sexually Transmitted Diseases). HIV is present in saliva but till now no HIV case had been reported through kissing. But hepatitis B cases are reported and well documented and hepatitis A & C as well, so here I will advise you not to kiss women about whom you are not aware of their health status. 2. Herpes viruses are of many types and can spread through skin contact also. Here I think you are concerned with genital herpes virus which causes STD. This usually spreads via sexual intercourse but can also spread through body fluids like blood, saliva, oral sex (without a condom) if your partner is infected. 3. No, there is no vaccine available for herpes. But you must get hepatitis B vaccination done as it is a fatal disease. 4. If you are using lubricated condoms then no need to use a lubricant unless your partner is not comfortable without a lubricant. 5. Anal sex is usually not advisable as it can cause intense pain and injury inside your partner's anus and not safe for her. But if you insist and want to do, then apply a lubricating gel and can do at your own risk. 6. Washing genital organs after having sex is advisable. For further queries, consult a sexologist online -->
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Q. Can I take Cystone along with Neeri syrup to dissolve a kidney stone?
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Hi doctor, I have been detected with 4 mm stone in right vesicoureteral junction. It gives me immense pain. The doctors have performed flush therapy twice. But there is no good result. My serum creatinine is 1.4 mg/dL. They have given me Neeri syrup. Can I take tablet Cystone along with this syrup for the stone to get dissolved? What can I do now?
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Hi. I can understand your concern. 4 mm stone can be dissolved quickly. You are taking the right medicines for this. You can add tablet Cystone along with it. In the case of pain, which is not bearable, you can take painkillers. Avoid spicy and fried junk foods. Drink plenty of water. You can take these ayurvedic medicines to dissolve stone quickly: For more information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I have been detected with 4 mm stone in right vesicoureteral junction. It gives me immense pain. The doctors have performed flush therapy twice. But there is no good result. My serum creatinine is 1.4 mg/dL. They have given me Neeri syrup. Can I take tablet Cystone along with this syrup for the stone to get dissolved? What can I do now? [/INST] Hi. I can understand your concern. 4 mm stone can be dissolved quickly. You are taking the right medicines for this. You can add tablet Cystone along with it. In the case of pain, which is not bearable, you can take painkillers. Avoid spicy and fried junk foods. Drink plenty of water. You can take these ayurvedic medicines to dissolve stone quickly: For more information consult an ayurveda specialist online -->
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Q. How can vision be improved in a myopic?
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Hello doctor, I am 24 years old. I am suffering from myopia for the past four years and now suddenly my vision increased by 1, before it was -2.50 and now it became -3.50. I am really very depressed. Please suggest how can I improve my vision?
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Hello. In myopic persons, their refractive power can increase during the growing phase of their body (chances are more when there is a family history of myopia). Please get your eyes checked regularly. Once the power stops changing in last 1 to 2 years you can opt for LASIK surgery to get rid of spectacles, till then you can use contact lenses.
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<s>[INST]
Hello doctor, I am 24 years old. I am suffering from myopia for the past four years and now suddenly my vision increased by 1, before it was -2.50 and now it became -3.50. I am really very depressed. Please suggest how can I improve my vision? [/INST] Hello. In myopic persons, their refractive power can increase during the growing phase of their body (chances are more when there is a family history of myopia). Please get your eyes checked regularly. Once the power stops changing in last 1 to 2 years you can opt for LASIK surgery to get rid of spectacles, till then you can use contact lenses.
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Q. Is it safe to use Minoxidil continuously for male pattern baldness?
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Hi doctor, I am suffering from male pattern baldness along with dandruff. Because of dandruff, I keep on itching my scalp. I consulted a doctor, and she recommended me to use Betamethasone dipropionate and Zinc sulphate lotion along with Adgain capsule and a mild medicated shampoo. I used these products for a period of three months. Initially, I was very happy with its response. As my hair seemed perfect I quit the product for six months. Once I quit the product, again I had hair fall. Now, since one month I am using Minoxidil and have same feeling that once I stop this product again I will have same problem. Now, I would like to know, is it fine to use Betamethasone dipropionate and Zinc sulphate lotion for some time to regain the lost hair and then continue with Minoxidil? Can I start using Minoxidil continuously? Please suggest me, if any other alternative is present. Thank you in advance.
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Hello. Welcome to icliniq.com. I have read your query in detail and understood your concern. As far as Betamethasone dipropionate and Zinc sulphate lotion is concerned, it is mainly given for dandruff or seborrheic dermatitis and hair fall due to it. It has no effect on androgenetic hair loss. Since, you had dandruff this lotion would have helped to reduce hair fall because of it. Minoxidil is approved for androgenetic alopecia. It should be used in 5% concentration. During the initial part of therapy with Minoxidil, patients might interpret increased hair shedding. But it is temporary and it is due to new hair growth that pushes telogen hair (shedding of hair during the resting phase of hair follicle) out of hair follicle. In addition to Minoxidil I would also suggest you to take a tablet of Finasteride 1 mg once daily. Revert back after 2 weeks to a dermatologist online -->
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<s>[INST]
Hi doctor, I am suffering from male pattern baldness along with dandruff. Because of dandruff, I keep on itching my scalp. I consulted a doctor, and she recommended me to use Betamethasone dipropionate and Zinc sulphate lotion along with Adgain capsule and a mild medicated shampoo. I used these products for a period of three months. Initially, I was very happy with its response. As my hair seemed perfect I quit the product for six months. Once I quit the product, again I had hair fall. Now, since one month I am using Minoxidil and have same feeling that once I stop this product again I will have same problem. Now, I would like to know, is it fine to use Betamethasone dipropionate and Zinc sulphate lotion for some time to regain the lost hair and then continue with Minoxidil? Can I start using Minoxidil continuously? Please suggest me, if any other alternative is present. Thank you in advance. [/INST] Hello. Welcome to icliniq.com. I have read your query in detail and understood your concern. As far as Betamethasone dipropionate and Zinc sulphate lotion is concerned, it is mainly given for dandruff or seborrheic dermatitis and hair fall due to it. It has no effect on androgenetic hair loss. Since, you had dandruff this lotion would have helped to reduce hair fall because of it. Minoxidil is approved for androgenetic alopecia. It should be used in 5% concentration. During the initial part of therapy with Minoxidil, patients might interpret increased hair shedding. But it is temporary and it is due to new hair growth that pushes telogen hair (shedding of hair during the resting phase of hair follicle) out of hair follicle. In addition to Minoxidil I would also suggest you to take a tablet of Finasteride 1 mg once daily. Revert back after 2 weeks to a dermatologist online -->
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Q. I am taking medicines for an overstretched bladder with no improvement. Please help.
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Hello doctor,I have a problem of urine dripping for two to three minutes after I urinate. Also, even if I do not have an urge to urinate, I end up passing large amounts of urine. I visited a doctor and he ordered some tests, the results of which I have attached. After seeing the report, the doctor said that my bladder is overstretched, and gave me tablet Terazosin 2 mg for six months and advised me not to drink a lot of water. I have been taking this tablet for the last one and a half months, but there is no improvement. What medicines should I take for these issues?
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Hello. I have read your query and gone through your reports (attachment removed to protect patient identity). Regards. For more information consult a urologist online -->
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<s>[INST]
Hello doctor,I have a problem of urine dripping for two to three minutes after I urinate. Also, even if I do not have an urge to urinate, I end up passing large amounts of urine. I visited a doctor and he ordered some tests, the results of which I have attached. After seeing the report, the doctor said that my bladder is overstretched, and gave me tablet Terazosin 2 mg for six months and advised me not to drink a lot of water. I have been taking this tablet for the last one and a half months, but there is no improvement. What medicines should I take for these issues? [/INST] Hello. I have read your query and gone through your reports (attachment removed to protect patient identity). Regards. For more information consult a urologist online -->
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Q. Will using diaper cause urine infection and fever?
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Hi doctor,My baby is 11 months old. She is having on and off fever for a week. Her doctor prescribed antibiotic along with Paracetamol syrup. But, she does not like to have antibiotics. So, I only gave her Paracetamol. Is it because of that her fever is still not going? She had ear pain last week. But, now the doctor says that everything is fine with her ear. I make her wear a diaper when I put her sleep. Will using diaper cause urinary infection and fever? She drinks only a little water but urinates about 10 to 15 times a day. She is currently on Fepanil 250 mg 2.5 mL during fever, Erox CV 2 mL twice a day for five days and Oxycure P nasal drops. She is 9 kg now.
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Hi. For further information consult a paediatrician online -->
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<s>[INST]
Hi doctor,My baby is 11 months old. She is having on and off fever for a week. Her doctor prescribed antibiotic along with Paracetamol syrup. But, she does not like to have antibiotics. So, I only gave her Paracetamol. Is it because of that her fever is still not going? She had ear pain last week. But, now the doctor says that everything is fine with her ear. I make her wear a diaper when I put her sleep. Will using diaper cause urinary infection and fever? She drinks only a little water but urinates about 10 to 15 times a day. She is currently on Fepanil 250 mg 2.5 mL during fever, Erox CV 2 mL twice a day for five days and Oxycure P nasal drops. She is 9 kg now. [/INST] Hi. For further information consult a paediatrician online -->
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Q. What is the best treatment to remove accident scars on the face?
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Hello doctor, I have a hypertrophic scar on the left side of my face due to a road traffic accident from five years ago. I had undergone a scar revision surgery four years back but, no improvement was seen. So, I had a Z-plasty surgery two years back with a 40 % improvement. But, it is still visible and I am very conscious about it. Can this be improved further?
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Hello. For more information consult a plastic surgeon online -->
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<s>[INST]
Hello doctor, I have a hypertrophic scar on the left side of my face due to a road traffic accident from five years ago. I had undergone a scar revision surgery four years back but, no improvement was seen. So, I had a Z-plasty surgery two years back with a 40 % improvement. But, it is still visible and I am very conscious about it. Can this be improved further? [/INST] Hello. For more information consult a plastic surgeon online -->
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Q. I have blood in stools with pain and suffering. Why?
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Hello doctor, I am suffering from pain while passing stools and there are some blood spots on the stool. The pain is unbearable but there is no swelling as such. I am unable to go out due to the lockdown situation. Please guide me on what to do. Is this normal? I am a diabetic.
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Hello. I understand your condition. You say you are having bloodstained stools and there is no swelling in the anal region which is a good sign. Now based on your history, I suspect you must have had constipation a couple of times. Constipation ultimately will lead to hard stools which can cause a tear at the anal region. I also guess that you are having a fissure in the anal region i.e. a tear at the anal verge. And since it is painful and recent, it is of acute nature. I suggest you consume a high fiber diet. Regarding treatment, you have to sit in a tub filled warm water twice daily for five to ten minutes for ten days. It is advisable to put in 5-10 ml of Betadine solution, but if you are not able to go out due to lockdown you can use it as plain warm water. This process is called as sitz bath. If you can get to a pharmacy get an ointment Lidocaine 5%. Apply it thrice a day at the anal verge better to apply before and after defecation. Avoid straining and avoid constipation by including green leafy veggies in your diet and drink plenty of water. Kindly keep your sugar levels under control.
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<s>[INST]
Hello doctor, I am suffering from pain while passing stools and there are some blood spots on the stool. The pain is unbearable but there is no swelling as such. I am unable to go out due to the lockdown situation. Please guide me on what to do. Is this normal? I am a diabetic. [/INST] Hello. I understand your condition. You say you are having bloodstained stools and there is no swelling in the anal region which is a good sign. Now based on your history, I suspect you must have had constipation a couple of times. Constipation ultimately will lead to hard stools which can cause a tear at the anal region. I also guess that you are having a fissure in the anal region i.e. a tear at the anal verge. And since it is painful and recent, it is of acute nature. I suggest you consume a high fiber diet. Regarding treatment, you have to sit in a tub filled warm water twice daily for five to ten minutes for ten days. It is advisable to put in 5-10 ml of Betadine solution, but if you are not able to go out due to lockdown you can use it as plain warm water. This process is called as sitz bath. If you can get to a pharmacy get an ointment Lidocaine 5%. Apply it thrice a day at the anal verge better to apply before and after defecation. Avoid straining and avoid constipation by including green leafy veggies in your diet and drink plenty of water. Kindly keep your sugar levels under control.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I am anemic even after taking iron supplements. Why?
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Hi doctor, I have a history of anemia. I have been taking iron supplements prescribed by my doctor for the past few months. After a while, I had an appointment, and my doctor said that I am still very anemic. A few years ago, I had an eating problem. I was overeating, but I did not gain weight. Is there something wrong with me?
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I have a history of anemia. I have been taking iron supplements prescribed by my doctor for the past few months. After a while, I had an appointment, and my doctor said that I am still very anemic. A few years ago, I had an eating problem. I was overeating, but I did not gain weight. Is there something wrong with me? [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. I have a history of genital herpes. Will I get HIV despite using condoms?
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Hi doctor,I have a history of genital herpes, and the infected area is at the base of my penis where condoms do not cover. Should I worry about HIV if I use condoms regularly in the future? Or will I get HIV despite using condoms because of my herpes infection?
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Hi. An open wound or raw area is a potential focus for acquiring viral infections like HIV when contacted with an infected partner. However, once the wound heals, the risk falls back to that of normal skin as elsewhere. The risk for HIV in your case would be high only if you participate in intercourse when your genital herpes has not yet healed completely. It is advisable to abstain from all sexual activities for up to two weeks after an episode of herpes so that the infection resolves completely. You could continue to participate in sexual activities as normal people after two weeks. With the use of a condom, after the healing of the wound, your risk would be the same as any other person. For further information consult a HIV AIDS specialist online -->
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<s>[INST]
Hi doctor,I have a history of genital herpes, and the infected area is at the base of my penis where condoms do not cover. Should I worry about HIV if I use condoms regularly in the future? Or will I get HIV despite using condoms because of my herpes infection? [/INST] Hi. An open wound or raw area is a potential focus for acquiring viral infections like HIV when contacted with an infected partner. However, once the wound heals, the risk falls back to that of normal skin as elsewhere. The risk for HIV in your case would be high only if you participate in intercourse when your genital herpes has not yet healed completely. It is advisable to abstain from all sexual activities for up to two weeks after an episode of herpes so that the infection resolves completely. You could continue to participate in sexual activities as normal people after two weeks. With the use of a condom, after the healing of the wound, your risk would be the same as any other person. For further information consult a HIV AIDS specialist online -->
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Q. I am passing blood in stool. Am I suffering from piles or some other problem?
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Hi doctor, My query is that whether I am suffering from piles or it is some other problem. I have attached images for reference. For almost 10 days, I am passing blood in my stool. It is not much in quantity, but still, it is there. I was on Isotretinoin cycles for 10 to 12 weeks to cure my acne problem. Please suggest what to do for blood in stools?
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, My query is that whether I am suffering from piles or it is some other problem. I have attached images for reference. For almost 10 days, I am passing blood in my stool. It is not much in quantity, but still, it is there. I was on Isotretinoin cycles for 10 to 12 weeks to cure my acne problem. Please suggest what to do for blood in stools? [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. My periods are late by 4 to 5 days. Should I take any medicines to get periods?
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Hello doctor, I am 24 years old female. I have some issues regarding my menses. Last month, I took Unwanted 72 on the 19th, and I got my periods on the 26th. I had sex again on the ninth of this month, but I did not get my periods yet. So, I did home pregnancy tests, and the results were negative. What could be the cause of this delay? Is it pregnancy or anything else?
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Hi. Best wishes. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am 24 years old female. I have some issues regarding my menses. Last month, I took Unwanted 72 on the 19th, and I got my periods on the 26th. I had sex again on the ninth of this month, but I did not get my periods yet. So, I did home pregnancy tests, and the results were negative. What could be the cause of this delay? Is it pregnancy or anything else? [/INST] Hi. Best wishes. For more information consult an internal medicine physician online -->
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Q. There is a spot of rust in my orthodontic retainer. Can I continue to use it?
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Hello doctor, I have had braces for many years. I am almost finished with the treatment and currently use a retainer about once a week. I have just found rust and corrosion in the weld between the steel wires. How serious is this? What should one do? Can the retainer still be used?
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Hello. Hope this helps. Regards. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, I have had braces for many years. I am almost finished with the treatment and currently use a retainer about once a week. I have just found rust and corrosion in the weld between the steel wires. How serious is this? What should one do? Can the retainer still be used? [/INST] Hello. Hope this helps. Regards. For more information consult a dentist online -->
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Q. What does abutment of the nerve root mean?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Q. I would like to know the medicine to avoid pregnancy. Please guide.
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Hello doctor, I would like to know the medicines to avoid pregnancy as we had unprotected sex five days back and she forgot to take pills. Now, we want to get rid of this unwanted pregnancy. Please guide.
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Hi. I understand your problem. Revert back with the asked details to an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I would like to know the medicines to avoid pregnancy as we had unprotected sex five days back and she forgot to take pills. Now, we want to get rid of this unwanted pregnancy. Please guide. [/INST] Hi. I understand your problem. Revert back with the asked details to an obstetrician and gynaecologist online -->
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Q. What precaution should I take for fibroid and low lying placenta?
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Hi doctor, I am attaching the two ultrasound reports of 7th week and 14th week pregnancy. As per reports there are fibroid and low lying posterior placenta. What are chances of the baby to be delivered safe and sound? Will this fibroid contribute any bad effect to the baby or baby's growth in the uterus? Is there any way to remove this fibroid after baby's birth without causing any harm to the uterus? Are there any chances of another fibroid (in future), if the existing one removed by any treatment? What precautions need to take so that there are no or minimum harm to baby because of this fibroid? Any additional comment or advise would be highly appreciated. Thank you very much.
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Hi. Placenta previa. Bed rest. For further information consult an obstetrician and gynaecologist online.--->
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<s>[INST]
Hi doctor, I am attaching the two ultrasound reports of 7th week and 14th week pregnancy. As per reports there are fibroid and low lying posterior placenta. What are chances of the baby to be delivered safe and sound? Will this fibroid contribute any bad effect to the baby or baby's growth in the uterus? Is there any way to remove this fibroid after baby's birth without causing any harm to the uterus? Are there any chances of another fibroid (in future), if the existing one removed by any treatment? What precautions need to take so that there are no or minimum harm to baby because of this fibroid? Any additional comment or advise would be highly appreciated. Thank you very much. [/INST] Hi. Placenta previa. Bed rest. For further information consult an obstetrician and gynaecologist online.--->
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Q. Please suggest Ayurveda cure for gallstone and prostate enlargement.
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Hi doctor, I got gallstone and prostate enlargement and the PSA is 8. Abnormalities are noted in the lung parenchyma or pleura, but no pulmonary nodules seen. Also abnormalities are seen in neck and mediastinum. When I have cold, cough does not stop itself. I drink some water and I think while working. I joined the art of living ayurveda course and the doctor give me Haritaki, Yashtimadhu, Deva vati, Hingvastak, Triphala, and Maha triphala ghrita when I had colonitis 8-10 years back and it was cured. Presently, I am having Harnalidge for prostate enlargement. So, could you also give me an advise on ayurveda medicine for the gallstone and prostate enlargement problems this time. Thank you in advance.
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Hi. If you take these medicines regularly both your problems will be taken care of definitely. Revert back after a month to an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I got gallstone and prostate enlargement and the PSA is 8. Abnormalities are noted in the lung parenchyma or pleura, but no pulmonary nodules seen. Also abnormalities are seen in neck and mediastinum. When I have cold, cough does not stop itself. I drink some water and I think while working. I joined the art of living ayurveda course and the doctor give me Haritaki, Yashtimadhu, Deva vati, Hingvastak, Triphala, and Maha triphala ghrita when I had colonitis 8-10 years back and it was cured. Presently, I am having Harnalidge for prostate enlargement. So, could you also give me an advise on ayurveda medicine for the gallstone and prostate enlargement problems this time. Thank you in advance. [/INST] Hi. If you take these medicines regularly both your problems will be taken care of definitely. Revert back after a month to an ayurveda specialist online -->
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Q. What are the treatment options available for dilated pupil?
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Hi Doctor, I had a serious eye injury before 10 years due to cricket ball hit. At that time, my pupil got enlarged and dilated. Can it get treated now?
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Hi. After blunt trauma, pupil constrictor muscles may be damaged and that causes permanently dilated pupil called traumatic mydriasis. This just causes mild blurring or photophobia in bright light due to large aperture. But, in case of trauma, there are more important things to see that can cause decreased vision like cornea, lens, retina etc. Is everything fine in your case? Can you see normal in that eye? If everything is alright, then we can discuss about treatment options. Treatment Options: I would recommend you to visit your ophthalmologist (eye doctor). He will do a complete eye examination and give the best option accordingly. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi Doctor, I had a serious eye injury before 10 years due to cricket ball hit. At that time, my pupil got enlarged and dilated. Can it get treated now? [/INST] Hi. After blunt trauma, pupil constrictor muscles may be damaged and that causes permanently dilated pupil called traumatic mydriasis. This just causes mild blurring or photophobia in bright light due to large aperture. But, in case of trauma, there are more important things to see that can cause decreased vision like cornea, lens, retina etc. Is everything fine in your case? Can you see normal in that eye? If everything is alright, then we can discuss about treatment options. Treatment Options: I would recommend you to visit your ophthalmologist (eye doctor). He will do a complete eye examination and give the best option accordingly. For further information consult an eye care ophthalmologist online -->
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Q. TMT is positive. Should we take angiography or stress echo test?
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Hello doctor,My wife is 47 years old. Suddenly in sleep, she felt palpitations two to three days back and we went to the hospital and found ECG normal. Echo test is normal, Trop I test is normal but TMT is positive. The doctor advised to go for angiography but another doctor says that before angiography we should go for stress echo test. Please advise what has to be done first.
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Hello. Firstly, let me know if she has any risk factors like hypertension, diabetes, deranged lipid profile or family history of heart disease. Usually, what we do, since angiography is an invasive test, we make sure that the patient needs it or not. So initially, subjects the patients to minor tests like TMT (treadmill test) or stress echo or stress thallium. If either of the tests is abnormal then it is better to subject to the patient to angiography. Now, in our case, since her TMT is positive, it is better to subject her for angiography. There is no harm in having stress echo, but suppose it is positive then certainly she will need angiography. But if it is negative then we can again land up in a dilemma of which test to be relied upon. Then she will need some more tests like stress or CT coronary angiography to prove TMT was negative. So it is better to get an angiography done and clear all our doubts. There is sufficient evidence of abnormalities and angiography is a gold standard test. Also, discuss how strongly was TMT positive. If it is strongly positive then nothing to think and go ahead with angiography and if it is mild positive then you may think of stress echo. So overall, it is better to undergo angiography and no harm in stress echo if your doctor insists. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor,My wife is 47 years old. Suddenly in sleep, she felt palpitations two to three days back and we went to the hospital and found ECG normal. Echo test is normal, Trop I test is normal but TMT is positive. The doctor advised to go for angiography but another doctor says that before angiography we should go for stress echo test. Please advise what has to be done first. [/INST] Hello. Firstly, let me know if she has any risk factors like hypertension, diabetes, deranged lipid profile or family history of heart disease. Usually, what we do, since angiography is an invasive test, we make sure that the patient needs it or not. So initially, subjects the patients to minor tests like TMT (treadmill test) or stress echo or stress thallium. If either of the tests is abnormal then it is better to subject to the patient to angiography. Now, in our case, since her TMT is positive, it is better to subject her for angiography. There is no harm in having stress echo, but suppose it is positive then certainly she will need angiography. But if it is negative then we can again land up in a dilemma of which test to be relied upon. Then she will need some more tests like stress or CT coronary angiography to prove TMT was negative. So it is better to get an angiography done and clear all our doubts. There is sufficient evidence of abnormalities and angiography is a gold standard test. Also, discuss how strongly was TMT positive. If it is strongly positive then nothing to think and go ahead with angiography and if it is mild positive then you may think of stress echo. So overall, it is better to undergo angiography and no harm in stress echo if your doctor insists. For more information consult a cardiologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Will Nano-Leo give permanent solution for erection problem?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. I am not getting proper erection. Please advise some ayurveda medicine.
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Hi doctor, I am 53 years old male. I am taking hypertensive medications for the past 19 years. I am taking Telma 20 mg and Prolomet 15 mg in the morning. I am taking Aztor 5 mg during the night before bed. I am not getting a proper erection for the past two months. I want to reduce my obesity. Please advise ayurvedically.
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Hi. I have gone through the attachment (attachment removed to protect patient identity). Your blood glucose level is in a higher range. Try to control your sugar servings in the meal. Your vitamin B12 is in a lower range, so add fish, egg, milk and fortified products for it. You can also start a supplement after discussing with your physician. Your vitamin D level is slightly low. So spend some time in sunlight in the morning. Add fortified cereals, orange juice, soy milk, dairy products, egg yolks in your diet. There are mild changes in lipid profile and blood urea. But it is not of concern now. Now, coming to your current query about improper erection. The leading cause is the age. Just like females, men also face the problem of male menopause where every year some amount of testosterone falls. However, it is the rate of falling which may vary from person to person. Also, health conditions like high BP (blood pressure), increased blood glucose level, nutritional deficiency, lifestyle also play a role in decreasing erection. You can not get the same erection as you used to get during young. But these Ayurvedic medicines may help you to some extent. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am 53 years old male. I am taking hypertensive medications for the past 19 years. I am taking Telma 20 mg and Prolomet 15 mg in the morning. I am taking Aztor 5 mg during the night before bed. I am not getting a proper erection for the past two months. I want to reduce my obesity. Please advise ayurvedically. [/INST] Hi. I have gone through the attachment (attachment removed to protect patient identity). Your blood glucose level is in a higher range. Try to control your sugar servings in the meal. Your vitamin B12 is in a lower range, so add fish, egg, milk and fortified products for it. You can also start a supplement after discussing with your physician. Your vitamin D level is slightly low. So spend some time in sunlight in the morning. Add fortified cereals, orange juice, soy milk, dairy products, egg yolks in your diet. There are mild changes in lipid profile and blood urea. But it is not of concern now. Now, coming to your current query about improper erection. The leading cause is the age. Just like females, men also face the problem of male menopause where every year some amount of testosterone falls. However, it is the rate of falling which may vary from person to person. Also, health conditions like high BP (blood pressure), increased blood glucose level, nutritional deficiency, lifestyle also play a role in decreasing erection. You can not get the same erection as you used to get during young. But these Ayurvedic medicines may help you to some extent. For more information consult an ayurveda specialist online -->
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Q. I have 3. 5 pack-year history of smoking. Am I prone to leukemia?
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Hello doctor, I am 29 years old and I am a former smoker. I smoked half a pack a day from the age of 19 to 26 years (3.5 pack years). I stopped smoking three years ago. I also had three CT scans in my life that totaled just a little over 9 mSv. for some reason. I have attached the CT scan reports. I am worried about leukemia. Should I be worried even though I am young? I only have 3.5 pack-years and a total of 9 mSv as a radiation dosage?
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Hello. I have seen your CT scans (attachment removed to protect patient identity). As of now, you are not having any symptoms and CT (computed tomography) scans reveal no mass as well. So you are not having cancer as per the history. The risk cannot be predicted when the person smokes because genetic and environmental factors also play role in cancer development. Regular screening will be beneficial. Try to stop smoking firmly. Smoking has multiple adverse effects on body and cancer as well. You can investigate with blood peripheral smear examination and you can get checked by a doctor for a physical examination to palpate the liver, spleen and lymph nodes. A regular clinical checkup can be done once or twice a year. For more information consult a hematologist online -->
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<s>[INST]
Hello doctor, I am 29 years old and I am a former smoker. I smoked half a pack a day from the age of 19 to 26 years (3.5 pack years). I stopped smoking three years ago. I also had three CT scans in my life that totaled just a little over 9 mSv. for some reason. I have attached the CT scan reports. I am worried about leukemia. Should I be worried even though I am young? I only have 3.5 pack-years and a total of 9 mSv as a radiation dosage? [/INST] Hello. I have seen your CT scans (attachment removed to protect patient identity). As of now, you are not having any symptoms and CT (computed tomography) scans reveal no mass as well. So you are not having cancer as per the history. The risk cannot be predicted when the person smokes because genetic and environmental factors also play role in cancer development. Regular screening will be beneficial. Try to stop smoking firmly. Smoking has multiple adverse effects on body and cancer as well. You can investigate with blood peripheral smear examination and you can get checked by a doctor for a physical examination to palpate the liver, spleen and lymph nodes. A regular clinical checkup can be done once or twice a year. For more information consult a hematologist online -->
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Q. Having dandruff and hairfall. Suggest an Ayurvedic procedure or medicine.
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Dear Doctor, I have dandruff problem and it is causing massive hair fall. Kindly suggest me any Ayurvedic procedure or medicine for a cure.
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Hi. There are many reasons for dandruff. Close examination can help diagnose the exact reason for dandruff. I am sharing some steps which usually help cure dandruff. If dandruff still persist, consult a dermatologist online -->
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<s>[INST]
Dear Doctor, I have dandruff problem and it is causing massive hair fall. Kindly suggest me any Ayurvedic procedure or medicine for a cure. [/INST] Hi. There are many reasons for dandruff. Close examination can help diagnose the exact reason for dandruff. I am sharing some steps which usually help cure dandruff. If dandruff still persist, consult a dermatologist online -->
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Q. I am developing withdrawal symptoms of Paroxetine. Please help.
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Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, and pressure of studies has put me into depression. I was unusually weepy, and it was difficult to concentrate. I saw a doctor again, and he put me on Sertraline, explaining that the symptoms were actually due to depression. I was prescribed Paroxetine 25 mg CR by another psychiatrist. I did not take them and suffered from depression for six months. I was finally convinced by a counselor to take the drug. I started with Pexep CR 25 mg every night, and I took it for two months regularly. My depressive symptoms were greatly resolved, but my sleep cycle was not helped at all. A few day before, I read about chronotherapy for delayed phase sleep disorder and wanted to give it a try. I practiced the schedule for seven days and was sleeping fine but, I stopped taking Paroxetine after taking half tablets for seven days. From past 4 to 5 days, I have been experiencing vivid dreams with awakenings. While awake, my head seems to spin every 10 to 15 minutes for 4 to 5 seconds, which is disturbing. I am unable to concentrate on studies, which is putting me through anxiety and weepy phases. I know these are withdrawal symptoms of Paroxetine, but I do not want to go back to that drug. I am fine, and the only issue I have is delayed sleep phase onset insomnia. Please help me with withdrawal symptoms and treatment for delayed sleep phase onset insomnia. Thank you.
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Hi. Thanks for this query. Hope my answer helped you. Regards. For more information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I am a 26 year old male, and I am a doctor. From the past year, I have been suffering from delayed onset sleep disorder, I sleep at 4 AM and wake up after noon. I saw a psychiatrist, and he put me on Melatonin, Modafinil, and Zolfresh. But I am still unable to sleep at the desired time, and pressure of studies has put me into depression. I was unusually weepy, and it was difficult to concentrate. I saw a doctor again, and he put me on Sertraline, explaining that the symptoms were actually due to depression. I was prescribed Paroxetine 25 mg CR by another psychiatrist. I did not take them and suffered from depression for six months. I was finally convinced by a counselor to take the drug. I started with Pexep CR 25 mg every night, and I took it for two months regularly. My depressive symptoms were greatly resolved, but my sleep cycle was not helped at all. A few day before, I read about chronotherapy for delayed phase sleep disorder and wanted to give it a try. I practiced the schedule for seven days and was sleeping fine but, I stopped taking Paroxetine after taking half tablets for seven days. From past 4 to 5 days, I have been experiencing vivid dreams with awakenings. While awake, my head seems to spin every 10 to 15 minutes for 4 to 5 seconds, which is disturbing. I am unable to concentrate on studies, which is putting me through anxiety and weepy phases. I know these are withdrawal symptoms of Paroxetine, but I do not want to go back to that drug. I am fine, and the only issue I have is delayed sleep phase onset insomnia. Please help me with withdrawal symptoms and treatment for delayed sleep phase onset insomnia. Thank you. [/INST] Hi. Thanks for this query. Hope my answer helped you. Regards. For more information consult a psychiatrist online -->
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Q. My TSH value is 13. 38. Am I suffering from thyroid?
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Hi doctor, My TSH value is 13.38. Am I suffering from thyroid? Please suggest me.
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Hi. Revert back with the required details to an internal medicine physician online -->
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<s>[INST]
Hi doctor, My TSH value is 13.38. Am I suffering from thyroid? Please suggest me. [/INST] Hi. Revert back with the required details to an internal medicine physician online -->
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Q. I have severe constipation and bloating problem, with slight vaginal bleeding. Please help.
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Hello doctor, I am a 22 year old female, and I have been experiencing major constipation from the last month. Every time I eat, I experience bloating, and I am unable to go to the toilet later on. Have tried taking Sennetabs, Metamucil, increasing fiber, and water in the diet. I have this problem approximately five days a week. I have also been getting abdominal pains, and four days ago I had a light vaginal blood discharge for two days. I am taking tablet Estelle from a very long time, I am still taking it, so this would not have been my periods. I do not have any weight issues. I also get quite a bit of walking done in my job, so I am not sitting down all day long.
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Hello. I would need a little bit more history, Revert with more information to an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a 22 year old female, and I have been experiencing major constipation from the last month. Every time I eat, I experience bloating, and I am unable to go to the toilet later on. Have tried taking Sennetabs, Metamucil, increasing fiber, and water in the diet. I have this problem approximately five days a week. I have also been getting abdominal pains, and four days ago I had a light vaginal blood discharge for two days. I am taking tablet Estelle from a very long time, I am still taking it, so this would not have been my periods. I do not have any weight issues. I also get quite a bit of walking done in my job, so I am not sitting down all day long. [/INST] Hello. I would need a little bit more history, Revert with more information to an internal medicine physician online -->
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Q. My husband takes too many medications for his health conditions. Please advise.
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Hello doctor, My husband has been diagnosed with Alzheimer's and panic disorder with agoraphobia and is on several medicines. He is taking Glimepiride, Furosemide, Metformin-Januvia, Amlodipine, Lisinopril, Memantine, Pramipexole, Trintellix, Protonix, HCTZ, Tamsulosin, Donepezil, Clonazepam, Xanax, and Trazadone. I am concerned he is taking too many medicines. He just went off Abilify four months ago and started Haloperidol in the last two weeks. Both make him a zombie, with no facial expression, slowed movement, muscle weakness and restlessness. I took him off Haloperidol yesterday and he is now nervous, cannot be still, and cannot sleep. What medicines should he be taking?
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Hello. I went through your query. I can understand you are worried about your husband's health and the medications he is taking. Hope it helps. Feel free to ask more if you need further assistance. I would be happy to assist. Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, My husband has been diagnosed with Alzheimer's and panic disorder with agoraphobia and is on several medicines. He is taking Glimepiride, Furosemide, Metformin-Januvia, Amlodipine, Lisinopril, Memantine, Pramipexole, Trintellix, Protonix, HCTZ, Tamsulosin, Donepezil, Clonazepam, Xanax, and Trazadone. I am concerned he is taking too many medicines. He just went off Abilify four months ago and started Haloperidol in the last two weeks. Both make him a zombie, with no facial expression, slowed movement, muscle weakness and restlessness. I took him off Haloperidol yesterday and he is now nervous, cannot be still, and cannot sleep. What medicines should he be taking? [/INST] Hello. I went through your query. I can understand you are worried about your husband's health and the medications he is taking. Hope it helps. Feel free to ask more if you need further assistance. I would be happy to assist. Regards. For more information consult an internal medicine physician online -->
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Q. My report showed mild TR. Is that something to worry?
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Hello doctor, I have made an echo after I started having an uncomfortable chest pain and short of breath with little dizziness while I make an effort talking. But, I do not get tired that much even if I am working out. Can the symptoms be related to anxiety? However, the doctor said my heart is fine after I made the echo test. Nothing is abnormal except in a section called doppler. It says abnormal tricuspid flow mild TR, which he did not mention and I have no clue what it is. But, I read that in my test results. Is that something concerning? Sometimes, I get high blood pressure.
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Hi. For further information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I have made an echo after I started having an uncomfortable chest pain and short of breath with little dizziness while I make an effort talking. But, I do not get tired that much even if I am working out. Can the symptoms be related to anxiety? However, the doctor said my heart is fine after I made the echo test. Nothing is abnormal except in a section called doppler. It says abnormal tricuspid flow mild TR, which he did not mention and I have no clue what it is. But, I read that in my test results. Is that something concerning? Sometimes, I get high blood pressure. [/INST] Hi. For further information consult a cardiologist online -->
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Q. I am not pregnant, then why is my prolactin elevated?
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Hi doctor, My periods were two weeks late, so I went to the doctor a couple of days ago, and the pregnancy came back negative. So, I went to have my blood drawn yesterday, and they said I had elevated prolactin. I started my period the day after I went to the doctor (or so I think), and I am bleeding now but no cramping, which is weird for me. Anyway, I have been reading up on prolactin, and it says that it will not release any eggs and you could become infertile. Now I am confused if that is true then how am I on my period? I am scared that I could be pregnant and just be reeving negative tests. Why would my body be producing milk? I have never been late on my prior periods, so I thought I was pregnant, but I clearly am not. I am just so confused. I did not get to talk to my doctor today about my results because I could not get them on the phone and they are closed now. I tend to be a worrier, and this is killing me. My doctor wants me to get re-tested for prolactin, which is what I heard in the message they left. How can you all of a sudden have issues with prolactin if you are not pregnant? This has never happened to me before. I am not sure if it is my period or implantation bleeding?
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Hi. How are you doing? Just relax, those are too many questions. Let me say even this anxiety can cause a rise in prolactin. Let me tell you about ovulation and then about prolactin. Hope I have been able to clarify your query, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My periods were two weeks late, so I went to the doctor a couple of days ago, and the pregnancy came back negative. So, I went to have my blood drawn yesterday, and they said I had elevated prolactin. I started my period the day after I went to the doctor (or so I think), and I am bleeding now but no cramping, which is weird for me. Anyway, I have been reading up on prolactin, and it says that it will not release any eggs and you could become infertile. Now I am confused if that is true then how am I on my period? I am scared that I could be pregnant and just be reeving negative tests. Why would my body be producing milk? I have never been late on my prior periods, so I thought I was pregnant, but I clearly am not. I am just so confused. I did not get to talk to my doctor today about my results because I could not get them on the phone and they are closed now. I tend to be a worrier, and this is killing me. My doctor wants me to get re-tested for prolactin, which is what I heard in the message they left. How can you all of a sudden have issues with prolactin if you are not pregnant? This has never happened to me before. I am not sure if it is my period or implantation bleeding? [/INST] Hi. How are you doing? Just relax, those are too many questions. Let me say even this anxiety can cause a rise in prolactin. Let me tell you about ovulation and then about prolactin. Hope I have been able to clarify your query, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->
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Q. Are there any side effects in getting a bone marrow test?
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Hi doctor, My mother's age is 60 years, and six months back her WBC count was 26000. She got admitted for two days and was discharged, at that time her WBC count came to 9000. Now from the last month, she was feeling tired, so we checked the WBC count, and it was 14,000. We went to the general physician, who gave her antibiotics for a week, but again after a week, her WBC was same. The doctor told us not to take any medicines, and to wait for ten days. But, after ten days, her WBC count is up to 15,000. So, the doctor has suggested seeing a hematologist. I am worried about this situation. What can be the reasons for this? I am also attaching her latest reports. Is it necessary to do bone marrow test? Is there any side effects?
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Hi. I have seen your attached reports (attachment removed to protect patient identity). Consult a nearby hematologist for examination with keeping all this in mind. For further queries consult a hematologist online -->
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<s>[INST]
Hi doctor, My mother's age is 60 years, and six months back her WBC count was 26000. She got admitted for two days and was discharged, at that time her WBC count came to 9000. Now from the last month, she was feeling tired, so we checked the WBC count, and it was 14,000. We went to the general physician, who gave her antibiotics for a week, but again after a week, her WBC was same. The doctor told us not to take any medicines, and to wait for ten days. But, after ten days, her WBC count is up to 15,000. So, the doctor has suggested seeing a hematologist. I am worried about this situation. What can be the reasons for this? I am also attaching her latest reports. Is it necessary to do bone marrow test? Is there any side effects? [/INST] Hi. I have seen your attached reports (attachment removed to protect patient identity). Consult a nearby hematologist for examination with keeping all this in mind. For further queries consult a hematologist online -->
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Q. Every time I eat spicy food, I poop blood. Why?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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