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Q. Is whistling sound in a baby's breath a serious problem?
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Hi doctor, My son is 1 month 3 days old. Now and then he is suffering from cold and sneezing. A whistling sound is also coming when he inhales. Kindly suggest few medicine and advice accordingly. Thank you.
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Hi. For further queries consult a paediatrician online -->
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<s>[INST]
Hi doctor, My son is 1 month 3 days old. Now and then he is suffering from cold and sneezing. A whistling sound is also coming when he inhales. Kindly suggest few medicine and advice accordingly. Thank you. [/INST] Hi. For further queries consult a paediatrician online -->
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Q. Is mild hereditary spherocytosis the correct diagnosis?
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Hello doctor, I have been diagnosed with mild hereditary spherocytosis. My eyes still yellow. Is it unlikely hematologist who diagnosed me three years ago misdiagnosed? I do not doubt he knows his stuff. More about me getting worried. I lost weight a couple of months ago. I went very yellow in the eyes. I have always felt tired. I have had gallbladder out four years ago, I bruise easily, I do get little red skin dots at times, menstrual cycles can be irregular and spleen slightly enlarged.
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Hello. I have gone through your lab reports (attachment removed to protect patient identity) and they are consistent with the diagnosis made by your doctor.Yellowish tint of the eyes is due to increased bilirubin levels. This is due to the increased red blood cell destruction in the spleen and is commonly a complication of hereditary spherocytosis. It is understandable that you are feeling weak since your body is producing red blood cells at an accelerated rate to compensate for the destruction occurring in the spleen. This is also the reason why your spleen is enlarged. If your condition worsens, your doctor might suggest a splenectomy. This will not cure the condition but will relieve the symptoms since the site of destruction of red blood cells will be removed and your red blood cells will be able to survive for a longer period in the blood. Splenectomy, however, can predispose one to certain bacterial infections and it is important that you receive the appropriate vaccines regularly. You could take folic acid and vitamin B12 supplements since one of your blood tests show macrocytic anemia. For more information consult a hematologist online -->
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<s>[INST]
Hello doctor, I have been diagnosed with mild hereditary spherocytosis. My eyes still yellow. Is it unlikely hematologist who diagnosed me three years ago misdiagnosed? I do not doubt he knows his stuff. More about me getting worried. I lost weight a couple of months ago. I went very yellow in the eyes. I have always felt tired. I have had gallbladder out four years ago, I bruise easily, I do get little red skin dots at times, menstrual cycles can be irregular and spleen slightly enlarged. [/INST] Hello. I have gone through your lab reports (attachment removed to protect patient identity) and they are consistent with the diagnosis made by your doctor.Yellowish tint of the eyes is due to increased bilirubin levels. This is due to the increased red blood cell destruction in the spleen and is commonly a complication of hereditary spherocytosis. It is understandable that you are feeling weak since your body is producing red blood cells at an accelerated rate to compensate for the destruction occurring in the spleen. This is also the reason why your spleen is enlarged. If your condition worsens, your doctor might suggest a splenectomy. This will not cure the condition but will relieve the symptoms since the site of destruction of red blood cells will be removed and your red blood cells will be able to survive for a longer period in the blood. Splenectomy, however, can predispose one to certain bacterial infections and it is important that you receive the appropriate vaccines regularly. You could take folic acid and vitamin B12 supplements since one of your blood tests show macrocytic anemia. For more information consult a hematologist online -->
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Q. Kindly advise if I should get my tooth extracted.
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Hi doctor, I had a lump approximately 3 cm away from the bottom of the tooth on the outer portion of the jaw. It was approximately 2 cm in diameter. After cleaning with salt solution, my doctor prescribed Lincomycin 500 capsules thrice daily for five days. As there was swelling on some portions of bottom jaw, he did not extract the tooth. But, he tells that he will extract the tooth as soon as the swelling subsides. He said that there is an infection in the tooth and left the tooth hole open. Subsequently, I consulted my local doctor yesterday evening. While examining and dressing my tooth and pressing the lump about one tablespoonful of pus got discharged through the upper portion of the tooth hole. This quantity had accumulated during the last five days after the last dressing. I am very much worried and nervous over the local doctor's treatment after he has spoiled the tooth by overdrilling into the jaw. Due to worry, I am spending sleepless nights. I am also highly underweight and only 40 kg. Based on the above facts, kindly advise whether I continue with the treatment and get the tooth extracted or not.
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Hello. For further information consult a dentist online -->
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<s>[INST]
Hi doctor, I had a lump approximately 3 cm away from the bottom of the tooth on the outer portion of the jaw. It was approximately 2 cm in diameter. After cleaning with salt solution, my doctor prescribed Lincomycin 500 capsules thrice daily for five days. As there was swelling on some portions of bottom jaw, he did not extract the tooth. But, he tells that he will extract the tooth as soon as the swelling subsides. He said that there is an infection in the tooth and left the tooth hole open. Subsequently, I consulted my local doctor yesterday evening. While examining and dressing my tooth and pressing the lump about one tablespoonful of pus got discharged through the upper portion of the tooth hole. This quantity had accumulated during the last five days after the last dressing. I am very much worried and nervous over the local doctor's treatment after he has spoiled the tooth by overdrilling into the jaw. Due to worry, I am spending sleepless nights. I am also highly underweight and only 40 kg. Based on the above facts, kindly advise whether I continue with the treatment and get the tooth extracted or not. [/INST] Hello. For further information consult a dentist online -->
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Q. I have missed periods. Is this pregnancy or a disease amenorrhea?
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Hi doctor,I had unprotected sex at 11 PM but took I-pill the next morning at 9 AM. I have missed periods. I have heard about the disease amenorrhea. Is this pregnancy or a disease amenorrhea? If amenorrhea happens, can it be easily cured? How she I have regular periods? Is it a matter of fear or a common disease? Please help us.
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Hi. Most probably, missed periods in your case, is because of I-pill. Please tell me the last periods date, date of intercourse, and usual cycle length so that I can guide you precisely. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor,I had unprotected sex at 11 PM but took I-pill the next morning at 9 AM. I have missed periods. I have heard about the disease amenorrhea. Is this pregnancy or a disease amenorrhea? If amenorrhea happens, can it be easily cured? How she I have regular periods? Is it a matter of fear or a common disease? Please help us. [/INST] Hi. Most probably, missed periods in your case, is because of I-pill. Please tell me the last periods date, date of intercourse, and usual cycle length so that I can guide you precisely. For more information consult an obstetrician and gynaecologist online -->
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Q. Kindly suggest a medicine for acne.
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Hi doctor,I have sensitive, oily and acne prone skin. My skin is a very fair complexion. I need topical medication for acne that lasts on the face for more two to three months. The acne is often without a white head. They are red and become brown with time. It happens with climatic change, hormonal change and even after applying a new face product. I am a 34 years old female software engineer. I have one kid. My weight is 58 kg and height is 5'4".
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Hi. I understand that you have acne problem. Revert back with the answer to the above question to a dermatologist online -->
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<s>[INST]
Hi doctor,I have sensitive, oily and acne prone skin. My skin is a very fair complexion. I need topical medication for acne that lasts on the face for more two to three months. The acne is often without a white head. They are red and become brown with time. It happens with climatic change, hormonal change and even after applying a new face product. I am a 34 years old female software engineer. I have one kid. My weight is 58 kg and height is 5'4". [/INST] Hi. I understand that you have acne problem. Revert back with the answer to the above question to a dermatologist online -->
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. What is the reason for no bleeding after I-pill?
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Hello doctor, I had unprotected sex on the 11th and the guy did not ejaculate. I was worried since it was the 20th day of my menstrual cycle and I have an average of a 32-day cycle. So, I took an I-pill within seven hours. My last period was on the 23rd of last month and the next period is due on the 24th of this month. I track my period using an app and it said that I have medium chances of pregnancy. It has been 10 days since I have taken the I-pill. I am worried that there is no bleeding yet. I took a pregnancy test and it came negative. Can you explain why my bleeding may not have started yet?
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Hello. Ideally, the withdrawal bleeding following an I-pill should start in the next five to seven days but it can be delayed often due to increased stress on one hand and the other reason is I-pill failure and pregnancy. So, the best would be to get a serum beta hCG test done now. If the hCG levels are less than 5 mIU then you are surely not pregnant and can wait safely for a few more days to allow your withdrawal bleed to start. Regards. For more information consult a family physician online -->
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<s>[INST]
Hello doctor, I had unprotected sex on the 11th and the guy did not ejaculate. I was worried since it was the 20th day of my menstrual cycle and I have an average of a 32-day cycle. So, I took an I-pill within seven hours. My last period was on the 23rd of last month and the next period is due on the 24th of this month. I track my period using an app and it said that I have medium chances of pregnancy. It has been 10 days since I have taken the I-pill. I am worried that there is no bleeding yet. I took a pregnancy test and it came negative. Can you explain why my bleeding may not have started yet? [/INST] Hello. Ideally, the withdrawal bleeding following an I-pill should start in the next five to seven days but it can be delayed often due to increased stress on one hand and the other reason is I-pill failure and pregnancy. So, the best would be to get a serum beta hCG test done now. If the hCG levels are less than 5 mIU then you are surely not pregnant and can wait safely for a few more days to allow your withdrawal bleed to start. Regards. For more information consult a family physician online -->
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Q. My pregnant wife started bleeding after a fall. What should I do?
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Hello doctor, My wife, who is in the first trimester of her pregnancy, slipped on our son's baseball in our garage yesterday and fell. She landed on some workout equipment, which hurt her stomach at a 45o angle at the mid bottom section. She is still in pain, and now she has a bleeding with a discharge of mucus-like blood chunks. She has never bled before with our first child, and I am in need of some immediate guidance.
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Hello. From your description, it appears that there is a cause for concern. It sounds like a threatened abortion to me. You will need to rush her to an obstetrician as soon as possible, to get a scan done, and see the viability of the fetus. Hope everything goes fine and God be with you. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, My wife, who is in the first trimester of her pregnancy, slipped on our son's baseball in our garage yesterday and fell. She landed on some workout equipment, which hurt her stomach at a 45o angle at the mid bottom section. She is still in pain, and now she has a bleeding with a discharge of mucus-like blood chunks. She has never bled before with our first child, and I am in need of some immediate guidance. [/INST] Hello. From your description, it appears that there is a cause for concern. It sounds like a threatened abortion to me. You will need to rush her to an obstetrician as soon as possible, to get a scan done, and see the viability of the fetus. Hope everything goes fine and God be with you. For more information consult an internal medicine physician online -->
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Q. What is this white spot that is painless and not itchy?
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Hello doctor, My penis is having a white pimple like spot on the corona. But, it is not painful or itchy. There are also white spots on the neck of the glans. What can be the problem? I have been applying topical antifungal cream (Miconazole cream BP 2%). But, it does not seem to be working. Please help.
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Hi. For further information consult an andrologist online -->
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<s>[INST]
Hello doctor, My penis is having a white pimple like spot on the corona. But, it is not painful or itchy. There are also white spots on the neck of the glans. What can be the problem? I have been applying topical antifungal cream (Miconazole cream BP 2%). But, it does not seem to be working. Please help. [/INST] Hi. For further information consult an andrologist online -->
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Q. Can I grow any longer by taking HGH?
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Hi doctor, Can I grow any longer? I am 16 years old. My parents' heights are about 5'5" and 5'0" and my sister is 5'1". I had my knee's and hand's X-ray and both of them are fused. Since then I have grown only an inch or two. I was 5'1" back then now I am like 5'3" or 5'4" in morning. I have been taking Vitamin D supplements along with Vitamin A, Zinc, and Magnesium. Doing yoga on regular basis and body weight exercises like push-ups, chin-ups, pull-ups, and dips. I have been sprinting and skipping rope and my diet is full of protein (junk food only on Sunday). I do not know how I stunted my growth. Maybe late night cravings with junk food and also bad sleeping habits might have contributed to my short stature. I have heard men do not stop growing until the age of 21 or 25. When I compare my legs to my friends we have the same length, maybe an inch or two difference but they are like 5'10" or 5'11". I have hairs on my legs from a year an a half. I have little facial hair (not too much). My genitals are not fully grown but I have pubic hairs. I want to be at least 5'7" or 5'8". Since taking HGH will not affect my legs (growth plates ossified) but will it affect my spine? I feel like my torso is very short compared to my dad too. If I can get prescription for HGH, will taking it lengthen my spine or harden the long bones which will result in growth (2-3 inches)? I have been looking for answers online but I found none relating to spine growth from HGH. As far as I have seen in gigantism most of their height comes from their torso. If I take HGH will my spine grow like theirs too? Since I am only 16 and not fully matured. I do not want to do the leg lengthening surgery (will affect my athletic performance) and also I forgot to mention I have never got a growth spurt in my life. All my height growth has been gradual. When I looked at my friends after a long summer they shot up to 4 to 5 inches. Whereas I stayed the same. Please tell me if I can do anything regarding my height.
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Hello. I just read your query and from what you have mentioned it appears that you would like to grow taller. Well, your predicted height according to your parents' height is expected to be 5'5". Even if your X-ray shows that your bones have fused it is still possible for you to grow naturally taller until 21 years of age. Human growth hormone does not work unless a person is actually deficient in it. And, no you cannot have a targeted growth by taking it. You might cause more harm to your self than good. Your habits are good but you need to start doing more of cardiovascular exercises like cycling and playing sports like basketball which involves jumping and stretching more. Every single person is different as to when they can achieve a growth spurt. Of prime importance is proper sleep as natural secretion of growth hormone occurs at night time.So, be positive and keep up the good work. For more information consult an endocrinologist online -->
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<s>[INST]
Hi doctor, Can I grow any longer? I am 16 years old. My parents' heights are about 5'5" and 5'0" and my sister is 5'1". I had my knee's and hand's X-ray and both of them are fused. Since then I have grown only an inch or two. I was 5'1" back then now I am like 5'3" or 5'4" in morning. I have been taking Vitamin D supplements along with Vitamin A, Zinc, and Magnesium. Doing yoga on regular basis and body weight exercises like push-ups, chin-ups, pull-ups, and dips. I have been sprinting and skipping rope and my diet is full of protein (junk food only on Sunday). I do not know how I stunted my growth. Maybe late night cravings with junk food and also bad sleeping habits might have contributed to my short stature. I have heard men do not stop growing until the age of 21 or 25. When I compare my legs to my friends we have the same length, maybe an inch or two difference but they are like 5'10" or 5'11". I have hairs on my legs from a year an a half. I have little facial hair (not too much). My genitals are not fully grown but I have pubic hairs. I want to be at least 5'7" or 5'8". Since taking HGH will not affect my legs (growth plates ossified) but will it affect my spine? I feel like my torso is very short compared to my dad too. If I can get prescription for HGH, will taking it lengthen my spine or harden the long bones which will result in growth (2-3 inches)? I have been looking for answers online but I found none relating to spine growth from HGH. As far as I have seen in gigantism most of their height comes from their torso. If I take HGH will my spine grow like theirs too? Since I am only 16 and not fully matured. I do not want to do the leg lengthening surgery (will affect my athletic performance) and also I forgot to mention I have never got a growth spurt in my life. All my height growth has been gradual. When I looked at my friends after a long summer they shot up to 4 to 5 inches. Whereas I stayed the same. Please tell me if I can do anything regarding my height. [/INST] Hello. I just read your query and from what you have mentioned it appears that you would like to grow taller. Well, your predicted height according to your parents' height is expected to be 5'5". Even if your X-ray shows that your bones have fused it is still possible for you to grow naturally taller until 21 years of age. Human growth hormone does not work unless a person is actually deficient in it. And, no you cannot have a targeted growth by taking it. You might cause more harm to your self than good. Your habits are good but you need to start doing more of cardiovascular exercises like cycling and playing sports like basketball which involves jumping and stretching more. Every single person is different as to when they can achieve a growth spurt. Of prime importance is proper sleep as natural secretion of growth hormone occurs at night time.So, be positive and keep up the good work. For more information consult an endocrinologist online -->
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Q. I am continuously taking Nilavarai choornam. Is there any side effect in taking this choornam?
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Hello doctor, I am continuously taking Nilavarai choornam (2 grams after food in the night). I have been taking this for the past 2 years. Is there any side effect in taking this choornam?
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Hi. I appreciate your regularity in taking Nilavarai choornam regularly. You need to have a break in between in taking this choornam. If you continuously take, it may alter (destroy) the intestinal beneficial bacteria, which are essential for producing some vitamins and help in local intestinal immunity. This 'purgative abuse' may also injure your intestinal villi, which will lead to malabsorption and improper digestion. The anthroquinone present in the senna plant (nilavarai) can cause black pigmentation in intestine or other mucosal parts. It also can cause inflammation in the colon. Hence, my advice is as follows; Hope this helps. Revert back to a siddha medicine specialist online for further follow up -->
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<s>[INST]
Hello doctor, I am continuously taking Nilavarai choornam (2 grams after food in the night). I have been taking this for the past 2 years. Is there any side effect in taking this choornam? [/INST] Hi. I appreciate your regularity in taking Nilavarai choornam regularly. You need to have a break in between in taking this choornam. If you continuously take, it may alter (destroy) the intestinal beneficial bacteria, which are essential for producing some vitamins and help in local intestinal immunity. This 'purgative abuse' may also injure your intestinal villi, which will lead to malabsorption and improper digestion. The anthroquinone present in the senna plant (nilavarai) can cause black pigmentation in intestine or other mucosal parts. It also can cause inflammation in the colon. Hence, my advice is as follows; Hope this helps. Revert back to a siddha medicine specialist online for further follow up -->
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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 sinusitis. Am I at high risk of getting Coronavirus infection?
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Hello doctor, I am a sinusitis patient. But I do not face any breathing problems. And I am just 21 year old. Is Corona dangerous for sinusitis patients? Please tell me I really want to know.
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Hi. Corona is dangerous for each and everyone one of us. However, there are few conditions where the patient's body immunity is on the lower side. One such condition is recurrent allergy associated sinusitis. You may be completely asymptomatic, but in general patients probe for allergy and associated sinusitis do have a slightly higher risk for acquiring any infection for that matter. It is always better to take adequate care and precautionary measures must be followed at all costs failing which you not only expose yourself but expose others as well. Make sure that the sinusitis and related symptoms are treated in an effective manner. I have not gone into the treatment for sinusitis as your question was very specific regarding the lethality of Coronavirus in patients with sinusitis. I hope this helps.
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<s>[INST]
Hello doctor, I am a sinusitis patient. But I do not face any breathing problems. And I am just 21 year old. Is Corona dangerous for sinusitis patients? Please tell me I really want to know. [/INST] Hi. Corona is dangerous for each and everyone one of us. However, there are few conditions where the patient's body immunity is on the lower side. One such condition is recurrent allergy associated sinusitis. You may be completely asymptomatic, but in general patients probe for allergy and associated sinusitis do have a slightly higher risk for acquiring any infection for that matter. It is always better to take adequate care and precautionary measures must be followed at all costs failing which you not only expose yourself but expose others as well. Make sure that the sinusitis and related symptoms are treated in an effective manner. I have not gone into the treatment for sinusitis as your question was very specific regarding the lethality of Coronavirus in patients with sinusitis. I hope this helps.
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Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. I have a blistering skin condition on the base of penis. What could it be?
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Hello doctor, I have a blistering skin condition on the base of my penis. One month ago, I had some ingrown hair which I pulled and it healed very slowly. Now, it appeared from nowhere. It is not itching, neither is it painful. I always use a condom.
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Hello. I have seen the photos attached by you (attachment removed to protect patient identity). It is going in favor of herpes. For further queries consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have a blistering skin condition on the base of my penis. One month ago, I had some ingrown hair which I pulled and it healed very slowly. Now, it appeared from nowhere. It is not itching, neither is it painful. I always use a condom. [/INST] Hello. I have seen the photos attached by you (attachment removed to protect patient identity). It is going in favor of herpes. For further queries consult a dermatologist online -->
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Q. My sister's palm is getting black and hard. Why?
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Hi doctor, My sister's right hand and wrist are aching continuously since the past few weeks. The pain has become much greater now. She says that under her little finger, the pain is comparatively greater than in the rest of her hand. Her palm has turned black and hard a little.
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Hello. Revert with more information to an internal medicine physician online -->
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<s>[INST]
Hi doctor, My sister's right hand and wrist are aching continuously since the past few weeks. The pain has become much greater now. She says that under her little finger, the pain is comparatively greater than in the rest of her hand. Her palm has turned black and hard a little. [/INST] Hello. Revert with more information to an internal medicine physician online -->
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Q. Can you look at my MRI and explain the reason for burning pain in feet?
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Hi doctor, I have had a problem with my feet now for four years. About four years ago, I had some burning pain in feet. I cannot stand for more than 15 minutes or the pain gets very bad. Four years ago, I also had really bad pain in my legs after standing all day. That has diminished and now I still have the pain in the bottom of my feet. I have seen a million doctors for this and no one has an answer for me. I have narcolepsy. My neurologist asked me to get an MRI of brain and lower back and said everything looks fine. Actually, she is a sleep specialist. So, I need a second opinion for my MRI report. My regular medication includes Xyrem, Zoloft and Nexium. I also think I have an issue with my upper spine as I am having pain in my neck. I think the pain is due to pinched nerve since moving my head in one direction hurt pretty bad and a few days later the pain would go away. This happened a lot in the past and I just ignored it as it goes away in a few days. Can you look at my MRI? Thank you.
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Hi. I am sorry that you have had this pain for the past four years. From what you have written, I find that you have problem with feet for four years, burning pain on the bottom of feet and you cannot stand for more than 15 minutes. Your MRI report (attachment removed to protect patient identity) findings are as follows: Based on these, the pain in your feet can be due to two possibilities. Peripheral neuropathy, probably due to diabetes or due to Sodium oxybate (Xyrem) or compression of nerves in the spinal column. The diagnosis can be fixed by clinical examination of motor, power and sensory system and reflexes followed by nerve conduction study. This will tell whether the problem is in the nerves of your legs and feet or whether the problem is in the spinal cord. You may also need to do a glucose tolerance test to rule out diabetes. Even though, Oxybate can cause peripheral neuropathy, diabetes is a more common cause. I would suggest that you at least evaluate your blood glucose levels, so that we can start treatment for the pain. 1. Peripheral neuropathy, probably due to diabetes or due to Sodium oxybate (Xyrem). 2. Compression of nerves in the spinal column. 1. Clinical Examination of motor, power and sensory system and reflexes. 2. Nerve conduction study. 3. Glucose tolerance test. Revert back with the investigation tests to a neuro surgeon online.--->
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<s>[INST]
Hi doctor, I have had a problem with my feet now for four years. About four years ago, I had some burning pain in feet. I cannot stand for more than 15 minutes or the pain gets very bad. Four years ago, I also had really bad pain in my legs after standing all day. That has diminished and now I still have the pain in the bottom of my feet. I have seen a million doctors for this and no one has an answer for me. I have narcolepsy. My neurologist asked me to get an MRI of brain and lower back and said everything looks fine. Actually, she is a sleep specialist. So, I need a second opinion for my MRI report. My regular medication includes Xyrem, Zoloft and Nexium. I also think I have an issue with my upper spine as I am having pain in my neck. I think the pain is due to pinched nerve since moving my head in one direction hurt pretty bad and a few days later the pain would go away. This happened a lot in the past and I just ignored it as it goes away in a few days. Can you look at my MRI? Thank you. [/INST] Hi. I am sorry that you have had this pain for the past four years. From what you have written, I find that you have problem with feet for four years, burning pain on the bottom of feet and you cannot stand for more than 15 minutes. Your MRI report (attachment removed to protect patient identity) findings are as follows: Based on these, the pain in your feet can be due to two possibilities. Peripheral neuropathy, probably due to diabetes or due to Sodium oxybate (Xyrem) or compression of nerves in the spinal column. The diagnosis can be fixed by clinical examination of motor, power and sensory system and reflexes followed by nerve conduction study. This will tell whether the problem is in the nerves of your legs and feet or whether the problem is in the spinal cord. You may also need to do a glucose tolerance test to rule out diabetes. Even though, Oxybate can cause peripheral neuropathy, diabetes is a more common cause. I would suggest that you at least evaluate your blood glucose levels, so that we can start treatment for the pain. 1. Peripheral neuropathy, probably due to diabetes or due to Sodium oxybate (Xyrem). 2. Compression of nerves in the spinal column. 1. Clinical Examination of motor, power and sensory system and reflexes. 2. Nerve conduction study. 3. Glucose tolerance test. Revert back with the investigation tests to a neuro surgeon online.--->
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Q. Can Risperidone cause breast cancer?
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Hi doctor, I took Risperidone 3 mg daily for 11 months. Can it cause breast cancer? Also, I took ayurveda medicine for irregular periods. When I developed loss of appetite and nausea I stopped it. I took it only for one and a half month. I did not inform my psychiatrist about this. Please help.
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Hi. In any case, please get the following tests. Serum prolactin level, thyroid profile, hemogram, RBS (random blood sugar), KFT (kidney function tests) and LFT (liver function tests). Revert back with the reports and specific persisting symptoms to a psychotherapist online.--->
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<s>[INST]
Hi doctor, I took Risperidone 3 mg daily for 11 months. Can it cause breast cancer? Also, I took ayurveda medicine for irregular periods. When I developed loss of appetite and nausea I stopped it. I took it only for one and a half month. I did not inform my psychiatrist about this. Please help. [/INST] Hi. In any case, please get the following tests. Serum prolactin level, thyroid profile, hemogram, RBS (random blood sugar), KFT (kidney function tests) and LFT (liver function tests). Revert back with the reports and specific persisting symptoms to a psychotherapist online.--->
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Q. The 25th week pregnancy scan showed oligohydramnios and IUGR. What to do?
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Hi doctor, I am 31 weeks and two days pregnant. I had an ultrasound at 20 weeks, and everything was normal. However, with time, I noticed there was little or no movement, and the baby's movement was more like a ball rolling in a difficult position. So, my doctor sent me for an ultrasound at the thirtieth week. The scan showed severe oligohydramnios and intrauterine growth restriction. My due date was brought forward by a month. On the twenty-fifth week, the baby's weight was 603 g. I have tried rehydration and bed rest. Can you offer more help?
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Hi. Let me put forth few facts about pregnancy and baby growth. The growth of the baby is progressive, but if it stops at some stage, that amount of growth cannot be regained. Some reason has been missed by the doctor during the pregnancy monitoring. There could be many causes like uncontrolled diabetes, severe thyrotoxicosis, inadequate food intake or severe vomiting, or a condition called APLA (antiphospholipid antibodies) syndrome (here the baby is rejected by mother's body gradually, as it is a foreign body). So blood flow gradually reduces, as the blood flow to baby's kidney reduces, baby's urine output reduces and thus oligohydramnios becomes severe. In the same way, the baby has to be monitored with scans every week or more often depending on the scan report, fluid level, and doppler scan changes. We cannot take the baby out very early because it will die of immaturity. We can give the mother Steroid prophylaxis at around 28 weeks, to improve baby's lung maturity and to prevent hemorrhage in the baby. Once any of the findings are abnormal, the baby has to be immediately delivered. All we can do is wait and monitor. At least in the next pregnancy, such problems should be anticipated. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am 31 weeks and two days pregnant. I had an ultrasound at 20 weeks, and everything was normal. However, with time, I noticed there was little or no movement, and the baby's movement was more like a ball rolling in a difficult position. So, my doctor sent me for an ultrasound at the thirtieth week. The scan showed severe oligohydramnios and intrauterine growth restriction. My due date was brought forward by a month. On the twenty-fifth week, the baby's weight was 603 g. I have tried rehydration and bed rest. Can you offer more help? [/INST] Hi. Let me put forth few facts about pregnancy and baby growth. The growth of the baby is progressive, but if it stops at some stage, that amount of growth cannot be regained. Some reason has been missed by the doctor during the pregnancy monitoring. There could be many causes like uncontrolled diabetes, severe thyrotoxicosis, inadequate food intake or severe vomiting, or a condition called APLA (antiphospholipid antibodies) syndrome (here the baby is rejected by mother's body gradually, as it is a foreign body). So blood flow gradually reduces, as the blood flow to baby's kidney reduces, baby's urine output reduces and thus oligohydramnios becomes severe. In the same way, the baby has to be monitored with scans every week or more often depending on the scan report, fluid level, and doppler scan changes. We cannot take the baby out very early because it will die of immaturity. We can give the mother Steroid prophylaxis at around 28 weeks, to improve baby's lung maturity and to prevent hemorrhage in the baby. Once any of the findings are abnormal, the baby has to be immediately delivered. All we can do is wait and monitor. At least in the next pregnancy, such problems should be anticipated. For more information consult an obstetrician and gynaecologist online -->
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Q. I feel pain near my ear while opening mouth. Is it a serious problem?
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Hi doctor,I have pain in my face just next to my right ear while opening my mouth. My doctor told me that it is a parotid gland infection. Is it a serious problem? He gave Chymoral tablet. Is that right?
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Hi. Do you have a swelling at the same place? Parotitis (inflammation of parotid gland) is associated with swelling and fever. Does pain increases while eating? Do you have jaw pain or clicking while eating? Then, it can be temporomandibular joint arthritis. Are you taking Chymoral plus or Chymoral forte? If it is Chymoral plus, then it is enough as it has anti-inflammatory property also. In the case of parotitis, you need antibiotics and Vitamin C supplement. And, in the case of temporomandibular problem hot fomentation is required to the area where you have pain in addition to Chymoral plus. For further information consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor,I have pain in my face just next to my right ear while opening my mouth. My doctor told me that it is a parotid gland infection. Is it a serious problem? He gave Chymoral tablet. Is that right? [/INST] Hi. Do you have a swelling at the same place? Parotitis (inflammation of parotid gland) is associated with swelling and fever. Does pain increases while eating? Do you have jaw pain or clicking while eating? Then, it can be temporomandibular joint arthritis. Are you taking Chymoral plus or Chymoral forte? If it is Chymoral plus, then it is enough as it has anti-inflammatory property also. In the case of parotitis, you need antibiotics and Vitamin C supplement. And, in the case of temporomandibular problem hot fomentation is required to the area where you have pain in addition to Chymoral plus. For further information consult an ENT otolaryngologist online -->
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Q. I am worried about blurred vision after firework injury. Please help.
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Hi doctor, I met with a firework injury. A small cracker burst a little away and hit my eye. A few debris got into my eyes with a little force. There is no redness, but my vision is a little blurred. I am doing cold compress and have bought Eye Spa eye drops. My concern is the blurred vision. Please help
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Hi. From what you have described, you have decreased vision after getting hit with firecracker debris. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I met with a firework injury. A small cracker burst a little away and hit my eye. A few debris got into my eyes with a little force. There is no redness, but my vision is a little blurred. I am doing cold compress and have bought Eye Spa eye drops. My concern is the blurred vision. Please help [/INST] Hi. From what you have described, you have decreased vision after getting hit with firecracker debris. For further information consult an eye care ophthalmologist online -->
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Q. Can HSV positive cause abortion?
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Hi doctor, Myself and my wife got tested for chromosome test as my wife had failed premature delivery. The test result indicates that we are HSV IgG positive, CMV and rubella positive. Please suggest me.
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Hi. Revert back with the test report to a HIV AIDS specialist online -->
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<s>[INST]
Hi doctor, Myself and my wife got tested for chromosome test as my wife had failed premature delivery. The test result indicates that we are HSV IgG positive, CMV and rubella positive. Please suggest me. [/INST] Hi. Revert back with the test report to a HIV AIDS specialist online -->
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Q. My son vomits while coughing. Please help.
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Hello doctor, My 3 year old son is suffering from cold and has regular cough. His temperature is normal and he did not have fever. But at times, he is throwing up whatever he eat or drink while coughing. Please suggest any medication and test if required. Thank you.
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Hi. I understand your concern. Revert back with the answers to the above questions to a paediatrician online -->
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<s>[INST]
Hello doctor, My 3 year old son is suffering from cold and has regular cough. His temperature is normal and he did not have fever. But at times, he is throwing up whatever he eat or drink while coughing. Please suggest any medication and test if required. Thank you. [/INST] Hi. I understand your concern. Revert back with the answers to the above questions to a paediatrician online -->
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Q. What is the treatment for recurrent anal fissure?
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Hi doctor, I am a 22 year old female. I have been having constipation since a year. I am having anal fissures. The doctor says that the fissure has healed, but I still have a burning sensation and mild itching in and around the anus. There is increased burning after bowel movement. I have had two episodes of fissure in this year, but they were not as severe as this. I am taking Cetirizine, Anobliss cream and Siloderm cream. Earlier, as I had perianal itching along with fissure and worms I took one full course of Mebendazole. My stool microbiology suggests there is no worm infestation.
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Hello. Constipation. Digital rectal examination and proctoscopy. Anal fissure. Continue the same treatment. Try to reduce the use of tablet Cetirizine and consider surgery for fissure. Treatment for constipation. For further information consult a surgical gastroenterologist online.--->
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<s>[INST]
Hi doctor, I am a 22 year old female. I have been having constipation since a year. I am having anal fissures. The doctor says that the fissure has healed, but I still have a burning sensation and mild itching in and around the anus. There is increased burning after bowel movement. I have had two episodes of fissure in this year, but they were not as severe as this. I am taking Cetirizine, Anobliss cream and Siloderm cream. Earlier, as I had perianal itching along with fissure and worms I took one full course of Mebendazole. My stool microbiology suggests there is no worm infestation. [/INST] Hello. Constipation. Digital rectal examination and proctoscopy. Anal fissure. Continue the same treatment. Try to reduce the use of tablet Cetirizine and consider surgery for fissure. Treatment for constipation. For further information consult a surgical gastroenterologist online.--->
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Q. I have severe constipation with anal discharge for the past 10 days. Please help.
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Hello doctor, I am suffering from severe constipation for the past 10 days. There is also discharge and itch from the anus. I am also feeling excessive weakness after passing stools.
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Hello. From your history, it looks like severe constipation. But I would like to know a few more details so that I can confirm the diagnosis. Have you had similar episodes in the past? Do you have any abdominal distension or pain? How is your appetite? If you were to describe the stools, is it hard and dry or loose? When you say weakness, do you mean you feel tired or do you have other symptoms also like numbness over feet or hands? Do you have any fever or vomiting? Please get back with the above answers so that I can confirm the diagnosis and prescribe you the right medicine.
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<s>[INST]
Hello doctor, I am suffering from severe constipation for the past 10 days. There is also discharge and itch from the anus. I am also feeling excessive weakness after passing stools. [/INST] Hello. From your history, it looks like severe constipation. But I would like to know a few more details so that I can confirm the diagnosis. Have you had similar episodes in the past? Do you have any abdominal distension or pain? How is your appetite? If you were to describe the stools, is it hard and dry or loose? When you say weakness, do you mean you feel tired or do you have other symptoms also like numbness over feet or hands? Do you have any fever or vomiting? Please get back with the above answers so that I can confirm the diagnosis and prescribe you the right medicine.
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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 some burn like injury on my inner cheek. What is it?
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Hi doctor, I have a small section of skin starting from the bottom of my inner gum to halfway up the flappy skin piece on the lower part of the tongue. It is not very bad looking. It appears as if it is just a normal burn from some hot food or drink, though I do not recall ever burning myself. It occurred sometime between before two days, which also happens to be a period in which I had diarrhea and no appetite. It is not super red and seems normal in color, has dead white skin on the surface that I can easily rub off with my finger. My primary concern is that there is more pain than I usually have from a burn, especially while chewing. There has been minimal oral sex within the past month, and neither she or I have had any sexual relations with anyone else.
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Hello. Sharp tooth, drinking alcohol and smoking. Biopsy if needed. 1. Chemical burn. 2. Aphthous ulcer. Aphthous ulcer. Smile gel. Quit smoking, drinking, spicy food and chewing from the particular side. Revert after three days to a dentist online.--->
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<s>[INST]
Hi doctor, I have a small section of skin starting from the bottom of my inner gum to halfway up the flappy skin piece on the lower part of the tongue. It is not very bad looking. It appears as if it is just a normal burn from some hot food or drink, though I do not recall ever burning myself. It occurred sometime between before two days, which also happens to be a period in which I had diarrhea and no appetite. It is not super red and seems normal in color, has dead white skin on the surface that I can easily rub off with my finger. My primary concern is that there is more pain than I usually have from a burn, especially while chewing. There has been minimal oral sex within the past month, and neither she or I have had any sexual relations with anyone else. [/INST] Hello. Sharp tooth, drinking alcohol and smoking. Biopsy if needed. 1. Chemical burn. 2. Aphthous ulcer. Aphthous ulcer. Smile gel. Quit smoking, drinking, spicy food and chewing from the particular side. Revert after three days to a dentist online.--->
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Q. Is there any cure for hearing loss?
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Hello doctor, I am 27 years old. My weight is 45 kg. I have lost my hearing ability in both the ears. My problem first started before seven years. I showed this case to some ENT doctors. Finally, my condition is declared as SNHL. However, let me express the actual descriptions or symptoms of my problem here now so that I can get possible help and advice from experts here. There is always a loud sound mixed with ringing in the ears. The pitch of sound does not remain the same. Sometimes, increases (high pitch) or decreases (low pitch). However, it is continuous and that continuous sound hinders me from understanding the speech. Consonants become blurred to me due to such irritating sounding or ringing. I cannot distinguish sounds regularly. It is irritating and disturbing. The right ear is more affected and the problem is increasing gradually. I had observed one fact that on inserting drips through my veins in hand (when I was hospitalized) that continuous sounding had stopped for a while and so I felt normal. What inference can be made from the incident? Please help.
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Hello. You seem to be suffering from sensorineural hearing loss and associated tinnitus. Whereas the SNHL is permanent, if it were addressed itself initially, then it could have been reversed. Now, the issue seems to be of tinnitus that is bothering you the most. For the management of tinnitus, we have some medicines. These treatment options are worth considering. Many patients have obtained variable results and improvements using these measures. A 100% improvement is hard to achieve, though, but reasonable development giving significant relief from tinnitus can be achieved. For further information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, I am 27 years old. My weight is 45 kg. I have lost my hearing ability in both the ears. My problem first started before seven years. I showed this case to some ENT doctors. Finally, my condition is declared as SNHL. However, let me express the actual descriptions or symptoms of my problem here now so that I can get possible help and advice from experts here. There is always a loud sound mixed with ringing in the ears. The pitch of sound does not remain the same. Sometimes, increases (high pitch) or decreases (low pitch). However, it is continuous and that continuous sound hinders me from understanding the speech. Consonants become blurred to me due to such irritating sounding or ringing. I cannot distinguish sounds regularly. It is irritating and disturbing. The right ear is more affected and the problem is increasing gradually. I had observed one fact that on inserting drips through my veins in hand (when I was hospitalized) that continuous sounding had stopped for a while and so I felt normal. What inference can be made from the incident? Please help. [/INST] Hello. You seem to be suffering from sensorineural hearing loss and associated tinnitus. Whereas the SNHL is permanent, if it were addressed itself initially, then it could have been reversed. Now, the issue seems to be of tinnitus that is bothering you the most. For the management of tinnitus, we have some medicines. These treatment options are worth considering. Many patients have obtained variable results and improvements using these measures. A 100% improvement is hard to achieve, though, but reasonable development giving significant relief from tinnitus can be achieved. For further information consult an ENT otolaryngologist online -->
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Q. I have missed my period after unprotected sex. Am I pregnant?
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Hi doctor, I and my fiance had unprotected sex a month back but he did not ejaculate inside me. Due to confusion, I had an Ipill after two hours of intercourse. On the eighth day after taking the pill, I got a light bleeding (enough to use a pad) which lasted for three days. My last period started 40 days back and lasted for five days. I missed my next period which was supposed to be a month later. Now after that I did the urine pregnancy test in the afternoon which came negative. I just want to know is there a chance of me getting pregnant. Am I safe now? Please answer it
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Hi. Yes, if now it turns out to be negative urine pregnancy test after 20 days of intercourse than definitely, you are not pregnant. It is almost a month after intercourse and test are negative. So, you are not pregnant for sure. And yes, periods can be delayed and/or disturbed even after Ipill which is in your case. Do drink more water and wait for a period of 5 to 10 more days. Mostly, it will come. If delayed more than 10 days than do consult nearby gynecologist. You may require hormonal medicines to induce the period. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I and my fiance had unprotected sex a month back but he did not ejaculate inside me. Due to confusion, I had an Ipill after two hours of intercourse. On the eighth day after taking the pill, I got a light bleeding (enough to use a pad) which lasted for three days. My last period started 40 days back and lasted for five days. I missed my next period which was supposed to be a month later. Now after that I did the urine pregnancy test in the afternoon which came negative. I just want to know is there a chance of me getting pregnant. Am I safe now? Please answer it [/INST] Hi. Yes, if now it turns out to be negative urine pregnancy test after 20 days of intercourse than definitely, you are not pregnant. It is almost a month after intercourse and test are negative. So, you are not pregnant for sure. And yes, periods can be delayed and/or disturbed even after Ipill which is in your case. Do drink more water and wait for a period of 5 to 10 more days. Mostly, it will come. If delayed more than 10 days than do consult nearby gynecologist. You may require hormonal medicines to induce the period. For more information consult an obstetrician and gynaecologist online -->
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Q. I feel pain during sex. I tried lubricants. But nothing works.
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Hello doctor, I feel pain during sex. It has been 5 months after my C-section. I tried lubricants during sex, like lube, vaseline and oil. But nothing works.The pain remains the same. Please suggest remedy for this issue of mine.
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Hi. Revert back with the above mentioned details to a sexologist online -->
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<s>[INST]
Hello doctor, I feel pain during sex. It has been 5 months after my C-section. I tried lubricants during sex, like lube, vaseline and oil. But nothing works.The pain remains the same. Please suggest remedy for this issue of mine. [/INST] Hi. Revert back with the above mentioned details to a sexologist online -->
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Q. When can a person have change in voice and breathing difficulty?
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Hi doctor, I am a 36 year old female. I smoke but I have no medical history. I do take medicines for depression. About 2 months ago, I started to lose my voice. Otherwise, I felt fine. I do not have a history of losing my voice, so I assumed I must have picked up a virus. My voice slowly continued to become audibly worse, but still no cold or sore throat. Then about 3 weeks ago, my voice became so hoarse that I had to take a leave of absence from my job because no one was able to understand me anymore; I was audible, but so hoarse and able to speak only at quiet volumes. Now, at this time I started having a hard time in eating. It feels like food is getting stuck in my esophagus and for some reason I cannot breathe. I am drinking water to move the food down. I stopped eating solid food last week due to these choking episodes. If I try to speak now, I get ever so slightly short of breath. I also was developing these noises when I breath in deeply. I thought it as asthma, but I do not have wheezing. And when I got into a situation yesterday, I felt like I was having an attack of some sort that loud sounded and felt like croup. I could barely breath when I inhale and I made a really strange and loud croup noise. It settled out eventually. I think it is probably time to see an ENT to know what is going on. I do not really want to go to the ER because I am not aware if they have an ENT there who they could consult to see what is wrong. Plus, I really do not know what all this could be? And maybe it is not serious and it is just a bad virus too. I am trying to decide if my problem can wait for an ENT visit with a doctor when one becomes available in about two weeks. Should I go to an urgent care or ER? Thank you for your time.
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Hello. For further queries consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, I am a 36 year old female. I smoke but I have no medical history. I do take medicines for depression. About 2 months ago, I started to lose my voice. Otherwise, I felt fine. I do not have a history of losing my voice, so I assumed I must have picked up a virus. My voice slowly continued to become audibly worse, but still no cold or sore throat. Then about 3 weeks ago, my voice became so hoarse that I had to take a leave of absence from my job because no one was able to understand me anymore; I was audible, but so hoarse and able to speak only at quiet volumes. Now, at this time I started having a hard time in eating. It feels like food is getting stuck in my esophagus and for some reason I cannot breathe. I am drinking water to move the food down. I stopped eating solid food last week due to these choking episodes. If I try to speak now, I get ever so slightly short of breath. I also was developing these noises when I breath in deeply. I thought it as asthma, but I do not have wheezing. And when I got into a situation yesterday, I felt like I was having an attack of some sort that loud sounded and felt like croup. I could barely breath when I inhale and I made a really strange and loud croup noise. It settled out eventually. I think it is probably time to see an ENT to know what is going on. I do not really want to go to the ER because I am not aware if they have an ENT there who they could consult to see what is wrong. Plus, I really do not know what all this could be? And maybe it is not serious and it is just a bad virus too. I am trying to decide if my problem can wait for an ENT visit with a doctor when one becomes available in about two weeks. Should I go to an urgent care or ER? Thank you for your time. [/INST] Hello. For further queries consult an ENT otolaryngologist online -->
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Q. My penis is swollen with irritation. Could this be balanitis?
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Helo doctor, My penis is swollen in the front part with itching and irritation from yesterday. I was trying to check online, it says maybe it is balanitis, not sure though. Please guide what needs to be done? I am currently on medications for high BP and uric acid.
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Hi. It is very likely to be balanitis with the background of acute infection and swelling. You can take tablet CISMA DT (Cefpodoxime) 200 mg twice a day, tablet NISE (Nimesulide) 100 mg twice a day, Tube Dermiford (for local application) twice a day. Take all these medicines for seven days. Review in a week if not resolved. Check your HbA1c (glycated hemoglobin) levels and send reports. Are you sexually active? If yes, is your partner having white discharge? If so, your partner also needs treatment to prevent balanitis.
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<s>[INST]
Helo doctor, My penis is swollen in the front part with itching and irritation from yesterday. I was trying to check online, it says maybe it is balanitis, not sure though. Please guide what needs to be done? I am currently on medications for high BP and uric acid. [/INST] Hi. It is very likely to be balanitis with the background of acute infection and swelling. You can take tablet CISMA DT (Cefpodoxime) 200 mg twice a day, tablet NISE (Nimesulide) 100 mg twice a day, Tube Dermiford (for local application) twice a day. Take all these medicines for seven days. Review in a week if not resolved. Check your HbA1c (glycated hemoglobin) levels and send reports. Are you sexually active? If yes, is your partner having white discharge? If so, your partner also needs treatment to prevent balanitis.
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Q. Please suggest a solution for sunburn.
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Hi doctor,Someone suggested me to apply baking soda over the sunburn. So, I have applied baking soda on the face. The skin around my eyes is getting dark, wrinkles and has some pain also. Please suggest me some cream to get rid of this fast. Also, suggest me some medicine to get rid of sunburn.
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Hi. I can understand your concern and I have reviewed your photographs (attachment removed to protect patient identity). Irritant reaction to baking soda. Irritant contact dermatitis. Revert back after 10 days to a dermatologist online.--->
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<s>[INST]
Hi doctor,Someone suggested me to apply baking soda over the sunburn. So, I have applied baking soda on the face. The skin around my eyes is getting dark, wrinkles and has some pain also. Please suggest me some cream to get rid of this fast. Also, suggest me some medicine to get rid of sunburn. [/INST] Hi. I can understand your concern and I have reviewed your photographs (attachment removed to protect patient identity). Irritant reaction to baking soda. Irritant contact dermatitis. Revert back after 10 days to a dermatologist online.--->
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Q. How to gain weight as I am underweight and more vulnerable to climate change?
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Hello doctor, I am 32 years old. I am underweight and my BMI is low (below 18). I do not have any other medical issues. But, I used to get vulnerable cold and cough to climate change.
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Hi. For further information consult a nutritionist online -->
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<s>[INST]
Hello doctor, I am 32 years old. I am underweight and my BMI is low (below 18). I do not have any other medical issues. But, I used to get vulnerable cold and cough to climate change. [/INST] Hi. For further information consult a nutritionist online -->
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Q. How to correct nonretractable Foreskin and Premature ejaculation?
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Hi doctor, I am 28 years old. My height is 5'11'' and weight is 91 kg. I plan to get married this year. I am not on any regular medication. I am currently having following problems for which I desire to seek some solution. It includes premature ejaculation and foreskin of my penis does not go back all the way when erect. There is some kind of problem on the forehead of penis because of which the foreskin does not go back. It even hurts at time when tried to pull back. I request you to provide remedy to the problems that I face. Thank you.
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Hello. I read your query and understood your concern. Revert back with the answers for the above questions to a sexologist online -->
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<s>[INST]
Hi doctor, I am 28 years old. My height is 5'11'' and weight is 91 kg. I plan to get married this year. I am not on any regular medication. I am currently having following problems for which I desire to seek some solution. It includes premature ejaculation and foreskin of my penis does not go back all the way when erect. There is some kind of problem on the forehead of penis because of which the foreskin does not go back. It even hurts at time when tried to pull back. I request you to provide remedy to the problems that I face. Thank you. [/INST] Hello. I read your query and understood your concern. Revert back with the answers for the above questions to a sexologist online -->
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Q. Can noise exposure at a young age lead to delayed onset NIHL later in life?
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Hi doctor, I want you to review a portion of a medical report and put it in layman's term. I am specifically hoping that this report confirms my suspicion that the effects of noise exposure at younger ages can lead to delayed onset of noise-induced hearing loss later in life. The document contains 476 words. Is this something that you can do?
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Hi. Revert with more information to an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, I want you to review a portion of a medical report and put it in layman's term. I am specifically hoping that this report confirms my suspicion that the effects of noise exposure at younger ages can lead to delayed onset of noise-induced hearing loss later in life. The document contains 476 words. Is this something that you can do? [/INST] Hi. Revert with more information to an ENT otolaryngologist online -->
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Q. Is it true that vitamin supplements help with recurrent vaginal infection?
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Hi doctor,I got married seven months back and this is the fourth time she caught bacterial vaginosis (BV). She never had any symptoms before marriage. We have consulted a gynecologist all the four times. She will prescribe antibiotics and other stuff and that successfully treat her for some time. I have done some research on the internet and found vitamin B complex help many women. Is that true?
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor,I got married seven months back and this is the fourth time she caught bacterial vaginosis (BV). She never had any symptoms before marriage. We have consulted a gynecologist all the four times. She will prescribe antibiotics and other stuff and that successfully treat her for some time. I have done some research on the internet and found vitamin B complex help many women. Is that true? [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I get headache and dizziness for the past 5 days. Could this be migraine?
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Hello doctor, I have a headache/migraine for almost five days now and I am feeling dizzy from time to time. I am taking Paracetamol and Mefenamic acid for toothache. I am a 22-year-old, female. My height is 5'5" and weigh around 80 kg.
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Hello. Since you have mentioned migraine, does it come in episodes? How severe is it? Is it limited to a specific region? Is it associated with nausea? Is there any intolerance of light? Is there any neck pain? Do you have a fever? Is there any blurring of vision? How is your balance?
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<s>[INST]
Hello doctor, I have a headache/migraine for almost five days now and I am feeling dizzy from time to time. I am taking Paracetamol and Mefenamic acid for toothache. I am a 22-year-old, female. My height is 5'5" and weigh around 80 kg. [/INST] Hello. Since you have mentioned migraine, does it come in episodes? How severe is it? Is it limited to a specific region? Is it associated with nausea? Is there any intolerance of light? Is there any neck pain? Do you have a fever? Is there any blurring of vision? How is your balance?
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Q. Is GERD(Gastroesophageal reflux disease) curable permanently through medicines?
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Dear Doctor, Is GERD curable through medicines permanently? If yes, kindly prescribe the medicines. I have consulted many doctors and taken tablets, but after a few days it is troubling again. Please prescribe some permanent solution to this.
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Hi. GERD (Gastroesophageal Reflux Disease) can be treated effectively with medications like omeprazole, pantoprazole, and with combination of prokinetic drugs like domperidone. In addition to drugs, the modification of life style is important such as: And also go for investigations such as upper GI endoscopy with the doctor's advise and if any underlying surgical conditions, they should be corrected accordingly. So, I advise you to consult a gastroenterologist for examination and investigations. Hope I have answered your query. Revert back to a surgical gastroenterologist online -->
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<s>[INST]
Dear Doctor, Is GERD curable through medicines permanently? If yes, kindly prescribe the medicines. I have consulted many doctors and taken tablets, but after a few days it is troubling again. Please prescribe some permanent solution to this. [/INST] Hi. GERD (Gastroesophageal Reflux Disease) can be treated effectively with medications like omeprazole, pantoprazole, and with combination of prokinetic drugs like domperidone. In addition to drugs, the modification of life style is important such as: And also go for investigations such as upper GI endoscopy with the doctor's advise and if any underlying surgical conditions, they should be corrected accordingly. So, I advise you to consult a gastroenterologist for examination and investigations. Hope I have answered your query. Revert back to a surgical gastroenterologist online -->
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Q. I have been having episodes of dry cough since 45 days. What might help?
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Hello doctor,I am a 29 year old male. Since the last 45 days, I have been suffering from episodes of dry cough. 10 days back, I had a 102-degree fever for three days for which the doctor prescribed Paracetamol and a five-day course of antibiotics. The fever improved, but not the cough. I went to another doctor and got another three days prescription for antibiotics. I still cough (on and off ) but almost daily. I do not know if it is normal, but I have a whitish hard palette and a slightly reddish throat. I had blood work and chest X-ray which was normal. I am worried because of this cough and throat clearing problem. Please help.
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Hello. I went through your query. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor,I am a 29 year old male. Since the last 45 days, I have been suffering from episodes of dry cough. 10 days back, I had a 102-degree fever for three days for which the doctor prescribed Paracetamol and a five-day course of antibiotics. The fever improved, but not the cough. I went to another doctor and got another three days prescription for antibiotics. I still cough (on and off ) but almost daily. I do not know if it is normal, but I have a whitish hard palette and a slightly reddish throat. I had blood work and chest X-ray which was normal. I am worried because of this cough and throat clearing problem. Please help. [/INST] Hello. I went through your query. For more information consult an internal medicine physician online -->
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Q. Is a platelet count of 455 units dangerous?
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Hello doctor,My mother's platelet count is 455 units. The normal range is 450 units. Her hemoglobin is 8 units. Is this platelet count dangerous? She has pain in the left leg below the knee portion. The nerves below are clearly visible. She took analgesics like Diclofenac, Signoflam, and Zerodol, but no relief. Please help.
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Hello. A platelet count of 4,55,000 /microliter of blood is not dangerous. Your mother is anemic given her hemoglobin level of 8 g/dL. She should be evaluated and her anemia treated accordingly. I do not understand what you mean by visible nerves. Do you mean veins? Please clarify. I would suggest that you consult a doctor for her leg pain and not take analgesics on your own. Self-medication can be harmful especially if overdone. Thank you. For more information consult a hematologist online -->
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<s>[INST]
Hello doctor,My mother's platelet count is 455 units. The normal range is 450 units. Her hemoglobin is 8 units. Is this platelet count dangerous? She has pain in the left leg below the knee portion. The nerves below are clearly visible. She took analgesics like Diclofenac, Signoflam, and Zerodol, but no relief. Please help. [/INST] Hello. A platelet count of 4,55,000 /microliter of blood is not dangerous. Your mother is anemic given her hemoglobin level of 8 g/dL. She should be evaluated and her anemia treated accordingly. I do not understand what you mean by visible nerves. Do you mean veins? Please clarify. I would suggest that you consult a doctor for her leg pain and not take analgesics on your own. Self-medication can be harmful especially if overdone. Thank you. For more information consult a hematologist online -->
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Q. How to avoid early morning erection?
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Hi doctor, I am 20 years old. My penis is 9 inches in erected state. Is it abnormal to have penis of such length? I get my penis hard very easy and fast. I end up masturbating 1 or 2 times a day. Is it normal? At times, I am able to masturbate without my penis being fully erect also. Few mornings I wake up with erect penis which is embarrassing. Please suggest a solution to this. In adult movies, they show when men masturbate a lot of cum comes out of the penis. Whereas in my case not much cum comes out. Please address my queries.
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Hello. For further information consult a sexologist online -->
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<s>[INST]
Hi doctor, I am 20 years old. My penis is 9 inches in erected state. Is it abnormal to have penis of such length? I get my penis hard very easy and fast. I end up masturbating 1 or 2 times a day. Is it normal? At times, I am able to masturbate without my penis being fully erect also. Few mornings I wake up with erect penis which is embarrassing. Please suggest a solution to this. In adult movies, they show when men masturbate a lot of cum comes out of the penis. Whereas in my case not much cum comes out. Please address my queries. [/INST] Hello. For further information consult a sexologist online -->
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Q. Is ASD a dangerous condition?
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Hello doctor, My son is 2 years 4 months old. He weighs 11 kg. When he was 4 months old, his doctor recommended me to take echo test. In echo he found acyanotic congenital heart disease. The report showed a small ASD 6 mm left to right shunt RA RV. Normal biventricular function. Mild PS GMAX 20 mm Hg. Doctor informed me that I should repeat his echo after two years. Please tell me the problem. How danger is the condition? Please explain.
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Hi. For further doubts consult a cardiologist online -->
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<s>[INST]
Hello doctor, My son is 2 years 4 months old. He weighs 11 kg. When he was 4 months old, his doctor recommended me to take echo test. In echo he found acyanotic congenital heart disease. The report showed a small ASD 6 mm left to right shunt RA RV. Normal biventricular function. Mild PS GMAX 20 mm Hg. Doctor informed me that I should repeat his echo after two years. Please tell me the problem. How danger is the condition? Please explain. [/INST] Hi. For further doubts consult a cardiologist online -->
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Q. Does HIV spread through toilet sharing?
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Hi doctor, I have used the toilet in a public area and there were some feces in the commode. I urinated as it was urgent. I fear that there might have been some backsplash to my penis. I am extremely flustered and paranoid with the thought of HIV. Is there any risk from the situation for HIV?
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Hello. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I have used the toilet in a public area and there were some feces in the commode. I urinated as it was urgent. I fear that there might have been some backsplash to my penis. I am extremely flustered and paranoid with the thought of HIV. Is there any risk from the situation for HIV? [/INST] Hello. For further information consult an internal medicine physician online -->
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Q. I cannot resist the temptation of watching porn videos. Please help.
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Hello doctor, I am a 25 year old unmarried male. My problem is since I am 20 years old, I used to watch porn videos. But, during past one year it has become a regular habit of spending thrice a week watching porn. After ejaculation, I would feel guilty. I would like to control the habit, but I cannot resist it. Every second or third day my brain would go out of my control and I cannot resist the temptation. Of late, the number of hours I spend watching is gradually increasing with around 7-8 hours a week. During my college days, I did not have this habit. For the past one year, I am living alone in hostel with internet access preparing for competitive exams. I am afraid that this addiction could become worse in the future. I want to focus on exams and career without diversion. Apart from this, I have no other problem in my life. Please help me to come out of this. Thank you.
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Hello. For further information consult a psychiatrist online -->
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<s>[INST]
Hello doctor, I am a 25 year old unmarried male. My problem is since I am 20 years old, I used to watch porn videos. But, during past one year it has become a regular habit of spending thrice a week watching porn. After ejaculation, I would feel guilty. I would like to control the habit, but I cannot resist it. Every second or third day my brain would go out of my control and I cannot resist the temptation. Of late, the number of hours I spend watching is gradually increasing with around 7-8 hours a week. During my college days, I did not have this habit. For the past one year, I am living alone in hostel with internet access preparing for competitive exams. I am afraid that this addiction could become worse in the future. I want to focus on exams and career without diversion. Apart from this, I have no other problem in my life. Please help me to come out of this. Thank you. [/INST] Hello. For further information consult a psychiatrist online -->
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Q. Blood sugar fasting 97, HbA1c 6. 89 and mean blood glucose 144. Why?
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Hello doctor, I got my blood test results today. My fasting blood sugar is 97 mg/dL. But, my HbA1c is 6.89 with mean blood glucose at 144. I am going through premenopause and I am 49 years old female. Please help.
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Hi. I have read your message. I think I can help you. Revert back after the tests to a diabetologist online -->
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<s>[INST]
Hello doctor, I got my blood test results today. My fasting blood sugar is 97 mg/dL. But, my HbA1c is 6.89 with mean blood glucose at 144. I am going through premenopause and I am 49 years old female. Please help. [/INST] Hi. I have read your message. I think I can help you. Revert back after the tests to a diabetologist online -->
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Q. Uterine fibroid is pushing the endometrial cavity. Can I conceive?
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Hi doctor, Recently, I have been diagnosed with uterine fibroid with submucosal extension. Following are the results: The Uterus is retroverted and measured 10.9 x 8.8 x 8.7 cm. It is bulky. An intramural fibroid of 6.8 x 5.6 x 6.0 cm is also seen in the posterior wall. The fibroid is pushing the endometrial cavity anteriorly in the mid segment. What about my pregnancy?
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Hello. Since the fibroid is comparatively big in size and bulging into endometrial cavity, it should be removed. Laparoscopic myomectomy is a better option. Chances of conception will be more after removal since it is posterior meaning behind uterus. If it enlarge then your uterus will also retrovert more. So, I suggest you to consult a gynecologist and preferably laparoscopic surgery may be done. For further clarifications consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, Recently, I have been diagnosed with uterine fibroid with submucosal extension. Following are the results: The Uterus is retroverted and measured 10.9 x 8.8 x 8.7 cm. It is bulky. An intramural fibroid of 6.8 x 5.6 x 6.0 cm is also seen in the posterior wall. The fibroid is pushing the endometrial cavity anteriorly in the mid segment. What about my pregnancy? [/INST] Hello. Since the fibroid is comparatively big in size and bulging into endometrial cavity, it should be removed. Laparoscopic myomectomy is a better option. Chances of conception will be more after removal since it is posterior meaning behind uterus. If it enlarge then your uterus will also retrovert more. So, I suggest you to consult a gynecologist and preferably laparoscopic surgery may be done. For further clarifications consult an obstetrician and gynaecologist online -->
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Q. After analysis of pleural effusion fluid, diagnosed with Stage 4 Cancer.
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Dear Doctor, After analysis of pleural effusion fluid, my mother has been diagnosed with Stage 4 Cancer - CUP, poorly differentiated carcinoma. She has exhibited lower lobe fibrosis for at least three years, has normal kidney lab work at this time, previous breast carcinoma ductal in situ with removal and radiation; multiple broken bones over the last three years - however no bone density scan or Vitamin D treatment until last few months; mild anemia and leukopenia for over two years, low albumin since June 2013; degenerative arthritis, scoliosis, stenosis, spontaneous fracture of t11, numerous treatments for UTI that were positive for WBC, leukocytes, but not nitrates or positive cultures. She developed c-diff with significant pseudomembranous colitis in July 2012; MRSA infection on skin outside of spine near fracture and under armpit but resolved. CT in last few weeks did not identify mass in lungs, breast or esophagus; doctor failed to order the CT to include abdominal area despite onset of chf, weight loss, and prior squamous cell cancer of the anus. I need a diagnosis - this is unconscionable on so many levels. Could the medical community be trying to cover its failure to diagnose a cancer that has been there for some time. Bone scan revealed nothing despite her significant bone pain, broken bones and arthritis. Unfortunately - my 76 year old mother's quality of life is so poor that she is very accepting of this treatment as long as they keep her out of pain. Other sisters do not want to "upset the doctors" by asking further questions and getting copies of results. Please advise.
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Hi. Thanks for the information given. To get the facts right, patient is a 74 year old female with prior history of Anal canal cancer and Breast cancer (DCIS) treated with surgery and radiation. Her co-morbidity includes osteoporosis / prior UTI / Lung fibrosis / multiple fractures ? metastatic disease ? weak bones. Is it possible to do a PET/CT scan which can give a clear idea on the extent of the disease? Your doctor would be able to give much more clear idea on it based on the need and present health status permitting it. Based on your information, I feel that it is currently a stage 4 disease with pleural effusion. If fluid is too much, she may require a drain to keep her breathing comfortable. After a complete drain, she may undergo pleurodesis to prevent re-collection again. This will help her definitely. But the doctor should decide based on her present health condition. Regarding further treatment (chemotherapy/targeted therapy), it may not be possible for me to comment without physically seeing/examining the patient. Your doctor may guide you better after discussions. She would need pain killers either oral or as replaceable patch based on the intensity of pain and requirement of pain relief. But at one point of time, I am afraid to say that all treatment have to be stopped just to continue hospice care and this is unavoidable. Hope I have answered your queries. I would be available to answer more of your questions, if any. Take care.
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<s>[INST]
Dear Doctor, After analysis of pleural effusion fluid, my mother has been diagnosed with Stage 4 Cancer - CUP, poorly differentiated carcinoma. She has exhibited lower lobe fibrosis for at least three years, has normal kidney lab work at this time, previous breast carcinoma ductal in situ with removal and radiation; multiple broken bones over the last three years - however no bone density scan or Vitamin D treatment until last few months; mild anemia and leukopenia for over two years, low albumin since June 2013; degenerative arthritis, scoliosis, stenosis, spontaneous fracture of t11, numerous treatments for UTI that were positive for WBC, leukocytes, but not nitrates or positive cultures. She developed c-diff with significant pseudomembranous colitis in July 2012; MRSA infection on skin outside of spine near fracture and under armpit but resolved. CT in last few weeks did not identify mass in lungs, breast or esophagus; doctor failed to order the CT to include abdominal area despite onset of chf, weight loss, and prior squamous cell cancer of the anus. I need a diagnosis - this is unconscionable on so many levels. Could the medical community be trying to cover its failure to diagnose a cancer that has been there for some time. Bone scan revealed nothing despite her significant bone pain, broken bones and arthritis. Unfortunately - my 76 year old mother's quality of life is so poor that she is very accepting of this treatment as long as they keep her out of pain. Other sisters do not want to "upset the doctors" by asking further questions and getting copies of results. Please advise. [/INST] Hi. Thanks for the information given. To get the facts right, patient is a 74 year old female with prior history of Anal canal cancer and Breast cancer (DCIS) treated with surgery and radiation. Her co-morbidity includes osteoporosis / prior UTI / Lung fibrosis / multiple fractures ? metastatic disease ? weak bones. Is it possible to do a PET/CT scan which can give a clear idea on the extent of the disease? Your doctor would be able to give much more clear idea on it based on the need and present health status permitting it. Based on your information, I feel that it is currently a stage 4 disease with pleural effusion. If fluid is too much, she may require a drain to keep her breathing comfortable. After a complete drain, she may undergo pleurodesis to prevent re-collection again. This will help her definitely. But the doctor should decide based on her present health condition. Regarding further treatment (chemotherapy/targeted therapy), it may not be possible for me to comment without physically seeing/examining the patient. Your doctor may guide you better after discussions. She would need pain killers either oral or as replaceable patch based on the intensity of pain and requirement of pain relief. But at one point of time, I am afraid to say that all treatment have to be stopped just to continue hospice care and this is unavoidable. Hope I have answered your queries. I would be available to answer more of your questions, if any. Take care.
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Q. I have loose motions and pain in the abdominal area for two days. Please help.
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i have very thin loose motions , and pain in abdominal area, since 2 days and feeling weakness, taken flaygel medicine today, please recommend any medicine and precautions and diet plz
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Dear, Welcome to.icliniq.com With history of 2 days diarrhea with weakness seems that you are on dehydration side. 1st of all most important step for you is to keep yourself well hydrated and replace electrolytes.Use ORS.Mix in 1 litre water and take as maximum as you can. Avoid spices,fried,outside meals .Take liquid or soft food for 2,3 days At least and eat less. Add yogurt and Ispagul and banana in your diet. continue with flagyl 400mg three times a day.Take ciprofloxacin 250mg after breakfast and dinner for 3 days.Also Take Mebeverine 135mg before breakfast and dinner.Also take antibiotics like Enflor sachet once daily for 5 days. I hope you will be fine soon.In case issue persists after 3 days ,please let me know . Take care !Stay healthy
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<s>[INST]
i have very thin loose motions , and pain in abdominal area, since 2 days and feeling weakness, taken flaygel medicine today, please recommend any medicine and precautions and diet plz [/INST] Dear, Welcome to.icliniq.com With history of 2 days diarrhea with weakness seems that you are on dehydration side. 1st of all most important step for you is to keep yourself well hydrated and replace electrolytes.Use ORS.Mix in 1 litre water and take as maximum as you can. Avoid spices,fried,outside meals .Take liquid or soft food for 2,3 days At least and eat less. Add yogurt and Ispagul and banana in your diet. continue with flagyl 400mg three times a day.Take ciprofloxacin 250mg after breakfast and dinner for 3 days.Also Take Mebeverine 135mg before breakfast and dinner.Also take antibiotics like Enflor sachet once daily for 5 days. I hope you will be fine soon.In case issue persists after 3 days ,please let me know . Take care !Stay healthy
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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 pregnancy tests are repeatedly negative. Could I still be pregnant?
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Hello doctor, I had unprotected sex on the 18th of last month. It was the sixth day of my periods. I had an I-pill six hours after having sex. It has been one month and 25 days. I did not get my periods. I am checking for pregnancy every week, and it shows negative. The last date I tested was on the 4th. It was again negative. But, I am worried that I am pregnant.
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Hello. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I had unprotected sex on the 18th of last month. It was the sixth day of my periods. I had an I-pill six hours after having sex. It has been one month and 25 days. I did not get my periods. I am checking for pregnancy every week, and it shows negative. The last date I tested was on the 4th. It was again negative. But, I am worried that I am pregnant. [/INST] Hello. For more information consult an obstetrician and gynaecologist online -->
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Q. Why am I having itching and irritation near genital area?
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Hello doctor,I am suffering from heavy itching and irritation in the area between thighs near genital area and asshole area. Currently, I am using Candid B lotion and Clotrimazole cream.
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Hi. Avoid Candid B (Beclometasone and Clotrimazole) cream. It is a fungal infection. You will need oral antifungal medication. Are you allergic to oral medication? Are you diabetic? For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor,I am suffering from heavy itching and irritation in the area between thighs near genital area and asshole area. Currently, I am using Candid B lotion and Clotrimazole cream. [/INST] Hi. Avoid Candid B (Beclometasone and Clotrimazole) cream. It is a fungal infection. You will need oral antifungal medication. Are you allergic to oral medication? Are you diabetic? For more information consult a dermatologist online -->
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Q. I am suffering from back acne. Kindly suggest remedy.
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Hello doctor, I am suffering from back acne. It is all over my back. It is like red pimple marks and black spots. Kindly suggest me ointment and soap or any medication which will help me get rid of acne completely.
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Hello. I have read your query. I understand your concern. Acne on the back have mainly two differentials: Treatment depends upon the diagnosis. Kindly upload images so that the lesions can be visualized. And do reply whether the rash is itchy or not. Upload the images and revert back to a dermatologist online -->
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<s>[INST]
Hello doctor, I am suffering from back acne. It is all over my back. It is like red pimple marks and black spots. Kindly suggest me ointment and soap or any medication which will help me get rid of acne completely. [/INST] Hello. I have read your query. I understand your concern. Acne on the back have mainly two differentials: Treatment depends upon the diagnosis. Kindly upload images so that the lesions can be visualized. And do reply whether the rash is itchy or not. Upload the images and revert back to a dermatologist online -->
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Q. Feeling dizzy after a ladder fell on my head. What to do further?
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Hi doctor,A heavy ladder fell on my head. Then, dizziness occurred twice and I have some constant chest pain in the middle of the chest. Also, I am feeling chest heaviness. Please help.
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Hi. Fall of heavy object. 1. CT brain plain. 2. Chest x-ray PA view. To rule out intracranial injury and intrathoracic injury. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Tablet Dolonex (Piroxicam), one tablet in the morning and at night 2. Tablet Myospaz (Chlorzoxazone), one tablet in the morning and at night. 3. Tablet Chymoral Forte (trypsin-chymotrypsin combination), one tablet twice a day in the morning and at night. 4. Tablet Pan 40 (Pantoprazole) once in the morning. Revert back with the reports to an internal medicine physician online.--->
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<s>[INST]
Hi doctor,A heavy ladder fell on my head. Then, dizziness occurred twice and I have some constant chest pain in the middle of the chest. Also, I am feeling chest heaviness. Please help. [/INST] Hi. Fall of heavy object. 1. CT brain plain. 2. Chest x-ray PA view. To rule out intracranial injury and intrathoracic injury. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Tablet Dolonex (Piroxicam), one tablet in the morning and at night 2. Tablet Myospaz (Chlorzoxazone), one tablet in the morning and at night. 3. Tablet Chymoral Forte (trypsin-chymotrypsin combination), one tablet twice a day in the morning and at night. 4. Tablet Pan 40 (Pantoprazole) once in the morning. Revert back with the reports to an internal medicine physician online.--->
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Q. Do my echo and stress echo show any heart problem?
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Hi doctor,I had chest pain, dizziness, palpitations and shortness of breath. I got an echo and a stress echo. I am worried about the results. I have attached the results here. I played soccer almost every day for about a year until three months back where I started getting palpitations. I have done vigorous sports since I was 14. My previous health history includes asthma, anxiety, panic attacks, palpitations and chest pain. I barely use the inhaler for asthma.
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Hello. Your cardiac workup is normal (attachment removed to protect patient identity) and it does not look like a cardiac problem. So, currently, the various possibilities are gastritis, reflux disease, anxiety and asthma. In management part, you avoid spicy and fatty foods, smoking and alcohol if any. Also, maintain regular sleep habits and do regular exercises. Have some walk after meals instead of taking rest immediately. I suggest you acid suppressant like tablet Pantoprazole 40 mg before breakfast once a day for two weeks. Do some relaxation techniques like yoga and deep breathing. I guess your hemoglobin was normal. Try using the inhaler if it gives relief and then it points towards asthma. Have you undergone pulmonary function test recently? Get one pulmonary function test done and get back with some more details. At this point, it does not look like a matter of worry. For further information consult a cardiologist online -->
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<s>[INST]
Hi doctor,I had chest pain, dizziness, palpitations and shortness of breath. I got an echo and a stress echo. I am worried about the results. I have attached the results here. I played soccer almost every day for about a year until three months back where I started getting palpitations. I have done vigorous sports since I was 14. My previous health history includes asthma, anxiety, panic attacks, palpitations and chest pain. I barely use the inhaler for asthma. [/INST] Hello. Your cardiac workup is normal (attachment removed to protect patient identity) and it does not look like a cardiac problem. So, currently, the various possibilities are gastritis, reflux disease, anxiety and asthma. In management part, you avoid spicy and fatty foods, smoking and alcohol if any. Also, maintain regular sleep habits and do regular exercises. Have some walk after meals instead of taking rest immediately. I suggest you acid suppressant like tablet Pantoprazole 40 mg before breakfast once a day for two weeks. Do some relaxation techniques like yoga and deep breathing. I guess your hemoglobin was normal. Try using the inhaler if it gives relief and then it points towards asthma. Have you undergone pulmonary function test recently? Get one pulmonary function test done and get back with some more details. At this point, it does not look like a matter of worry. For further information consult a cardiologist online -->
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Q. I am stressed and worried because my vagina lets out air almost like a fart. What to do?
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Hi Doctor, I gave birth normally to a 3.2 kg baby boy however with a small cut that was stitched and healed. Its now coming to four months ever since I gave birth. My problem is that my vagina let's out air almost like a fart though not smelling. It could happen even during day time when I had just produced. But now only comes at night around 3:00AM. Am stressed, worried, and I don't really what to do. Am asking for help on what can really be done. Am tired of this situation in my life. Thank you doctor.
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dear!! welcome to iclinq! saw your concern!! I can understand you completely... first of all make it clear that gas from vagina is ( queefing / vaginal fart) NOT a pathology!!!! it's because the roomy vagina holds air and during the rigorous act of coitus or ant bit strenuous work or excersises it passes out with a sound just similar to fart ( as it's from a hollow organ) as u had mentioned it's not associated with smell it's unlikely to be a fistula.....( rectovaginal fistula) .So just relax!!! nothing can be done to prevent it!! may be some positional changes.. avoid more of butt up in air positions both during work, excersises n sex... if you just understand that it's normal u would laugh it out!!!! regards & best wishes....hope you find it useful!! physiological, due to roomy vagina vaginal fart reassurance revert back, if any queries..
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<s>[INST]
Hi Doctor, I gave birth normally to a 3.2 kg baby boy however with a small cut that was stitched and healed. Its now coming to four months ever since I gave birth. My problem is that my vagina let's out air almost like a fart though not smelling. It could happen even during day time when I had just produced. But now only comes at night around 3:00AM. Am stressed, worried, and I don't really what to do. Am asking for help on what can really be done. Am tired of this situation in my life. Thank you doctor. [/INST] dear!! welcome to iclinq! saw your concern!! I can understand you completely... first of all make it clear that gas from vagina is ( queefing / vaginal fart) NOT a pathology!!!! it's because the roomy vagina holds air and during the rigorous act of coitus or ant bit strenuous work or excersises it passes out with a sound just similar to fart ( as it's from a hollow organ) as u had mentioned it's not associated with smell it's unlikely to be a fistula.....( rectovaginal fistula) .So just relax!!! nothing can be done to prevent it!! may be some positional changes.. avoid more of butt up in air positions both during work, excersises n sex... if you just understand that it's normal u would laugh it out!!!! regards & best wishes....hope you find it useful!! physiological, due to roomy vagina vaginal fart reassurance revert back, if any queries..
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Q. Is my DHT level causing mild hair fall and flaky scalp?
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Hi doctor, I am 19 years old. For the past three months, I have mild hair fall. I lose around 2 to 10 hair after every shower. I have never had hair fall in the past. I also did a background check with my family history; none had any baldness even in the 70s. I fear this would be the result of masturbation habit, which could have boosted DHT. So far I have lost about five percent of my hair. Though there are no visible bald spots, I can say my density has reduced a lot. I also have a flaky scalp, 1 to 2 cm sized flakes and that would cause snowfall like scenario. When I touch my hair, my scalp is shedding like a tree in fall. Would that be the reason for my hair fall or the DHT? I have been using Noskurf lotion and Aminexil shampoo from the past 15 days, which reduced the flaking a bit. It is like my head is flakes-free for a couple of days and again it reappears. But it did nothing to stop my hair fall. I saw that most of the hair that fall are either too thin and smudged irregularly or are tiny new hair. I also feel pain and heat over the scalp which is succeeded by the localized hair loss after a couple of days. Since I joined MBBS course, I am not on a proper diet. Could this hair loss be due to biotin?
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Hello. Flaky scalp not responding to Noskurf (combination of Climbazole, Piroctone Olamine, Aminodermine, and almond oil) lotion may be scalp psoriasis and need steroid plus Salicylic acid 6 % combination lotion. The pain is due to hair root inflammation, which is commonly seen in male pattern baldness. I would suggest you get the following test done. If DHT is high, then we have a specific treatment for that. Both psoriasis and hair fall may increase due to stress. It is good that you are taking preventive steps. Revert with more information to a dermatologist online -->
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<s>[INST]
Hi doctor, I am 19 years old. For the past three months, I have mild hair fall. I lose around 2 to 10 hair after every shower. I have never had hair fall in the past. I also did a background check with my family history; none had any baldness even in the 70s. I fear this would be the result of masturbation habit, which could have boosted DHT. So far I have lost about five percent of my hair. Though there are no visible bald spots, I can say my density has reduced a lot. I also have a flaky scalp, 1 to 2 cm sized flakes and that would cause snowfall like scenario. When I touch my hair, my scalp is shedding like a tree in fall. Would that be the reason for my hair fall or the DHT? I have been using Noskurf lotion and Aminexil shampoo from the past 15 days, which reduced the flaking a bit. It is like my head is flakes-free for a couple of days and again it reappears. But it did nothing to stop my hair fall. I saw that most of the hair that fall are either too thin and smudged irregularly or are tiny new hair. I also feel pain and heat over the scalp which is succeeded by the localized hair loss after a couple of days. Since I joined MBBS course, I am not on a proper diet. Could this hair loss be due to biotin? [/INST] Hello. Flaky scalp not responding to Noskurf (combination of Climbazole, Piroctone Olamine, Aminodermine, and almond oil) lotion may be scalp psoriasis and need steroid plus Salicylic acid 6 % combination lotion. The pain is due to hair root inflammation, which is commonly seen in male pattern baldness. I would suggest you get the following test done. If DHT is high, then we have a specific treatment for that. Both psoriasis and hair fall may increase due to stress. It is good that you are taking preventive steps. Revert with more information to a dermatologist online -->
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Q. Why am I having egg burps and what can I do to get rid of them?
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Hi, Why am I having egg burps and what can I do to get rid of them?
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Hi. Get tested for Fasting Blood Sugar, Liver Function Test (LFT) and revert back to a general medicine physician online -->
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<s>[INST]
Hi, Why am I having egg burps and what can I do to get rid of them? [/INST] Hi. Get tested for Fasting Blood Sugar, Liver Function Test (LFT) and revert back to a general medicine physician online -->
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Q. Baby had loose stools with mucus and pain in abdomen after given Augmentin. What to do?
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Dear Doctor, My 5 year old daughter suffering from fever with running nose since 10 days now. After giving Augmentin, she is having loose stool almost 10 times a day, watery with mucus. What to do?
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Hi, Thanks for posting query on icliniq. Let me explain about pathophysiology about your child's illness: 1) After reading the description of your query, it seems that initially your child had viral illness that is common due to change of season. You do not need to give antibiotic for this; but you have given Augmentin. Anyways that is not the issue right now. 2) Now your baby had loose stool with mucous and pain in abdomen. It indicates infective diarrhea (Not diarrhea due to Augmentin -- that would be painless and no mucous). Now let me discuss about treatment plan of your child: If any time deterioration occurs, contact for admission in nearest hospital. Hope your baby will be fine in next 48 hours. Take care of your daughter and revert back to a paediatrician online -->
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<s>[INST]
Dear Doctor, My 5 year old daughter suffering from fever with running nose since 10 days now. After giving Augmentin, she is having loose stool almost 10 times a day, watery with mucus. What to do? [/INST] Hi, Thanks for posting query on icliniq. Let me explain about pathophysiology about your child's illness: 1) After reading the description of your query, it seems that initially your child had viral illness that is common due to change of season. You do not need to give antibiotic for this; but you have given Augmentin. Anyways that is not the issue right now. 2) Now your baby had loose stool with mucous and pain in abdomen. It indicates infective diarrhea (Not diarrhea due to Augmentin -- that would be painless and no mucous). Now let me discuss about treatment plan of your child: If any time deterioration occurs, contact for admission in nearest hospital. Hope your baby will be fine in next 48 hours. Take care of your daughter and revert back to a paediatrician online -->
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Q. I have a tiny swelling beside the uvula. Should I worry?
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Hello doctor, Last week, I had two specialists check me for throat discomfort. Both suggested antihistamines and proton pump blockers. I also had a wisdom tooth surgery the same week and now my inflammation has subsided after antibiotics and NSAID with serratiopeptidase. I had been anxious and was told to have cancer phobia by doctors. However, yesterday while inspecting my mouth, I discovered a tiny lump-like swelling just beside the uvula. It is almost the same color as the mucosa or maybe very slightly yellowish. It does not pain or bleed on touch, but I can feel it as a grain on touch. I have attached a picture. I am very worked up and I need your help. It is painless and about the same color as the mucous membrane. It is the size of a tiny grain. I am currently taking Pantoprazole and Losartan.
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Hello. For more information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, Last week, I had two specialists check me for throat discomfort. Both suggested antihistamines and proton pump blockers. I also had a wisdom tooth surgery the same week and now my inflammation has subsided after antibiotics and NSAID with serratiopeptidase. I had been anxious and was told to have cancer phobia by doctors. However, yesterday while inspecting my mouth, I discovered a tiny lump-like swelling just beside the uvula. It is almost the same color as the mucosa or maybe very slightly yellowish. It does not pain or bleed on touch, but I can feel it as a grain on touch. I have attached a picture. I am very worked up and I need your help. It is painless and about the same color as the mucous membrane. It is the size of a tiny grain. I am currently taking Pantoprazole and Losartan. [/INST] Hello. For more information consult an ENT otolaryngologist online -->
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Q. How to clear heart block through ayurveda?
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Hi doctor, I had a heart attack before 50 days. I consulted a doctor, and he said that I have 90% and 75% block in arteries. He suggested getting a stent. Please help me if there is an option and treatment to remove artery blockage.
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Hello. In such case of 90% and 75% blockage, the blood supply to heart will not be proper. It may lead to multiple problems, which also includes heart attack. As your doctor advised you, please go for stenting and if you already did that then fine. But if not, then I advice you to go for that first. Because no medicine can open this much of blockage. After stenting, medicine will help in preventing further blockage and will also save your other arteries from blockage. You did not share your blood investigations here like cholesterol level, history of diabetes, BP, or any other disease as it is also very important while prescribing you medicine. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I had a heart attack before 50 days. I consulted a doctor, and he said that I have 90% and 75% block in arteries. He suggested getting a stent. Please help me if there is an option and treatment to remove artery blockage. [/INST] Hello. In such case of 90% and 75% blockage, the blood supply to heart will not be proper. It may lead to multiple problems, which also includes heart attack. As your doctor advised you, please go for stenting and if you already did that then fine. But if not, then I advice you to go for that first. Because no medicine can open this much of blockage. After stenting, medicine will help in preventing further blockage and will also save your other arteries from blockage. You did not share your blood investigations here like cholesterol level, history of diabetes, BP, or any other disease as it is also very important while prescribing you medicine. For further information consult an ayurveda specialist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. My 3-year-old son speaks only few words. Is this due to stubborn nature against his younger brother?
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Hello doctor, My oldest son is 3 years old. He understands everything you say to him, but he refuses to talk. He used to say a variety of words and now he only does animal noises and a handful of words. I would like to know what I could do in order to encourage his vocabulary or if I should be worried about it in the first place. I am also wondering if his decreased vocabulary and stubborn behavior are linked to the arrival of his baby brother a year ago. I am currently trying the apps Speech blubs and ABC mouse. He also likes puzzles and games, but he will not sit for the songs or story telling. Any advice would be appreciated.
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Hi. It seems like a regression of speech is there with normal receptive skills and affected expressive skills. Rather than finding the cause now focus on how to improve the condition. Apps are good but not in the initial stage. Start with some interesting real-life activities to extract some simple utterances first. Do not give anything without his utterances, even if minimal it should be there. Pa ..paa..paa in a musical manner like other phonemes also start extracting. He will surely enjoy. From this go to combining like paa paaa paaa/ taaa taa taaa /tooo toooo tooo. Then potato, then tell see we will cut potato. Cut the real potato and show him. Get a video consultation with me if you want to get the demonstration for a better understanding. Implement these techniques and give feedback on this. Thanks.
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<s>[INST]
Hello doctor, My oldest son is 3 years old. He understands everything you say to him, but he refuses to talk. He used to say a variety of words and now he only does animal noises and a handful of words. I would like to know what I could do in order to encourage his vocabulary or if I should be worried about it in the first place. I am also wondering if his decreased vocabulary and stubborn behavior are linked to the arrival of his baby brother a year ago. I am currently trying the apps Speech blubs and ABC mouse. He also likes puzzles and games, but he will not sit for the songs or story telling. Any advice would be appreciated. [/INST] Hi. It seems like a regression of speech is there with normal receptive skills and affected expressive skills. Rather than finding the cause now focus on how to improve the condition. Apps are good but not in the initial stage. Start with some interesting real-life activities to extract some simple utterances first. Do not give anything without his utterances, even if minimal it should be there. Pa ..paa..paa in a musical manner like other phonemes also start extracting. He will surely enjoy. From this go to combining like paa paaa paaa/ taaa taa taaa /tooo toooo tooo. Then potato, then tell see we will cut potato. Cut the real potato and show him. Get a video consultation with me if you want to get the demonstration for a better understanding. Implement these techniques and give feedback on this. Thanks.
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Q. What is the significance of an elevated CA-19 tumor marker?
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Hello doctor, I have a question regarding the significance of an elevated CA-19 tumor marker. I recently had one and that came back as 43 (per laboratory should have been under 34). I do not have cancer and I am wondering what else could cause this elevation? Please help.
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Hi. CBC (complete blood count), LFT (liver function test) and USG (ultrasonography) of abdomen. Revert back after the tests to a medical gastroenterologist online.--->
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<s>[INST]
Hello doctor, I have a question regarding the significance of an elevated CA-19 tumor marker. I recently had one and that came back as 43 (per laboratory should have been under 34). I do not have cancer and I am wondering what else could cause this elevation? Please help. [/INST] Hi. CBC (complete blood count), LFT (liver function test) and USG (ultrasonography) of abdomen. Revert back after the tests to a medical gastroenterologist online.--->
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Q. Why am I bleeding for the past 16 days?
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Hello doctor, I have been bleeding for 16 days. I have had blood tests done and an ultrasound done which both came back normal. My last PAP test was about 16 months ago which was also normal. I am 26 years old and currently taking Femme-Tab ED 20/100. Kindly advice.
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Hi. You have not mentioned about current and previous menstrual, obstetrics, gynecology, and drug history. Please answer the following questions: Femme-Tab ED 20/100 is Ethinylestradiol and Levonorgestrel containing contraceptive and having few side effects and contraindications as well. Most of the side effects appear but severity and presentation differ person to person. Irregular vaginal bleeding is the side effect of OCP (oral contraceptives) but duration and pattern differ person to person like few get affected after years of use and few respond immediately. I do not know how long you have been on this. Could have chances of stroke, high BP (blood pressure), cardiovascular accidents like VTE (venous thromboembolism), breast cancer, endometrial cancer (post endometrial hyperplasia). Femme-Tab ED 20/100 contraindicated in SLE (systemic lupus erythematosus), migraine with aura, etc. Few drugs like antiepileptic and few antidepressants also reduce the efficacy of contraceptives. Bleeding could be a side effect of hormonal contraceptive and its interactions to disturb cycle. To reduce or stop bleeding you can have Ponstan (Mefenamic acid) for three days eight hourly and Tranexamic acid 500 mg eight hourly for three days. You can change contraceptives to reduce its long-term effects after discussion. Start iron supplements to reduce the risk of anemia. If bleeding does not stop even after above treatment better to have detailed check up with a gynecologist. Any local cause of polyps, trauma, endometrial hyperplasia (need the endometrial biopsy to exclude pathology), adenomyomas, fibroid uterus (although you have done the scan, blood, and smear and all normal). Is thyroid function test done? If not better to have along with serum beta hCG (human chorionic gonadotropin) level (blood pregnancy test) to be on safe side. For more information consult an obstetrician and gynecologist online -->
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<s>[INST]
Hello doctor, I have been bleeding for 16 days. I have had blood tests done and an ultrasound done which both came back normal. My last PAP test was about 16 months ago which was also normal. I am 26 years old and currently taking Femme-Tab ED 20/100. Kindly advice. [/INST] Hi. You have not mentioned about current and previous menstrual, obstetrics, gynecology, and drug history. Please answer the following questions: Femme-Tab ED 20/100 is Ethinylestradiol and Levonorgestrel containing contraceptive and having few side effects and contraindications as well. Most of the side effects appear but severity and presentation differ person to person. Irregular vaginal bleeding is the side effect of OCP (oral contraceptives) but duration and pattern differ person to person like few get affected after years of use and few respond immediately. I do not know how long you have been on this. Could have chances of stroke, high BP (blood pressure), cardiovascular accidents like VTE (venous thromboembolism), breast cancer, endometrial cancer (post endometrial hyperplasia). Femme-Tab ED 20/100 contraindicated in SLE (systemic lupus erythematosus), migraine with aura, etc. Few drugs like antiepileptic and few antidepressants also reduce the efficacy of contraceptives. Bleeding could be a side effect of hormonal contraceptive and its interactions to disturb cycle. To reduce or stop bleeding you can have Ponstan (Mefenamic acid) for three days eight hourly and Tranexamic acid 500 mg eight hourly for three days. You can change contraceptives to reduce its long-term effects after discussion. Start iron supplements to reduce the risk of anemia. If bleeding does not stop even after above treatment better to have detailed check up with a gynecologist. Any local cause of polyps, trauma, endometrial hyperplasia (need the endometrial biopsy to exclude pathology), adenomyomas, fibroid uterus (although you have done the scan, blood, and smear and all normal). Is thyroid function test done? If not better to have along with serum beta hCG (human chorionic gonadotropin) level (blood pregnancy test) to be on safe side. For more information consult an obstetrician and gynecologist online -->
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Q. Will recurrent fever occur in a patient with gastritis?
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Hi doctor, I am a medical student and my query is regarding my father. My father is suffering from fever, chills and rigor every month along with gastric problem. For gastritis, I am treating him with PPI and Sucralfate. He had similar attack 15 days back. Since I had no clue about the cause, I gave him tablet Ofloxacin 200 mg twice a day. He usually develops gastric problem followed by fever with chills and rigor. I also got his ultrasound done, but there was no gallstone or appendix problem present. Now I have started giving him injection Ceftriaxone. His leukocyte count is 8600 and eosinophil count is 13%. Please help me to find the cause. Thank you in advance.
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Hi, Welcome back to icliniq.com. Revert back with investigation reports to an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a medical student and my query is regarding my father. My father is suffering from fever, chills and rigor every month along with gastric problem. For gastritis, I am treating him with PPI and Sucralfate. He had similar attack 15 days back. Since I had no clue about the cause, I gave him tablet Ofloxacin 200 mg twice a day. He usually develops gastric problem followed by fever with chills and rigor. I also got his ultrasound done, but there was no gallstone or appendix problem present. Now I have started giving him injection Ceftriaxone. His leukocyte count is 8600 and eosinophil count is 13%. Please help me to find the cause. Thank you in advance. [/INST] Hi, Welcome back to icliniq.com. Revert back with investigation reports to an internal medicine physician online -->
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Q. Is hair transplant the only option for baldness?
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Hi doctor, I am a 28 year old male. I have been suffering from hair fall for the last 5 years. I had consulted a leading trichologist chain for treatment and to some extent it did help in controlling the hair fall. But, I have lost a great amount of hair from the front and back. I want to know, what can be done to get back the lost hair? Is hair transplant the only option? I have heard that to effectively perform this, the entire hair has to be shaved off once. Request you to guide me the best way. I have a dry scalp and thin hair. I have uploaded pictures of my hair for your reference. Thank you.
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Hello. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I am a 28 year old male. I have been suffering from hair fall for the last 5 years. I had consulted a leading trichologist chain for treatment and to some extent it did help in controlling the hair fall. But, I have lost a great amount of hair from the front and back. I want to know, what can be done to get back the lost hair? Is hair transplant the only option? I have heard that to effectively perform this, the entire hair has to be shaved off once. Request you to guide me the best way. I have a dry scalp and thin hair. I have uploaded pictures of my hair for your reference. Thank you. [/INST] Hello. For further information consult a dermatologist online -->
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Q. Got a TT shot after a fall and having more muscle and body pain. Why?
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Hi doctor, I am a girl of 20. Three days back, I had a fall from my motorbike on the road. I had some superficial bruises on my right leg and muscle pain on the right side of my body. I took a tetanus shot from my physician. I had Paracetamol 500 mg twice a day for two days to get relief from body pain. But, from the minute I got my TT shot in my left hip, it pains a lot. Gradually, the pain increases and my whole lower limb started paining. My muscle pain in the right side was lowering gradually, but the pain due to the shot increased. The injection site shows redness, swelling and a lump like feeling. I feel very tired, feverish and could not sit and work. I thought this is the muscle pain and so continued with Paracetamol. Yesterday, the pain was severe. As I had severe joint pain and tiredness, my family doctor prescribed me to take Avil 25 mg and Paracetamol 650 mg twice a day. After taking that medicine too, my pain still did not get relieved. I gave an ice massage to the swelling. Today, my left lower limb has a few blood clots like feeling, which pains when I press. If I walk a little, then I feel restless, giddy and tired. But, my pain due to the fall is gradually decreasing. Please give me a quality advice on the same. Thank you.
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Hi. For further information consult a general medicine physician online -->
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<s>[INST]
Hi doctor, I am a girl of 20. Three days back, I had a fall from my motorbike on the road. I had some superficial bruises on my right leg and muscle pain on the right side of my body. I took a tetanus shot from my physician. I had Paracetamol 500 mg twice a day for two days to get relief from body pain. But, from the minute I got my TT shot in my left hip, it pains a lot. Gradually, the pain increases and my whole lower limb started paining. My muscle pain in the right side was lowering gradually, but the pain due to the shot increased. The injection site shows redness, swelling and a lump like feeling. I feel very tired, feverish and could not sit and work. I thought this is the muscle pain and so continued with Paracetamol. Yesterday, the pain was severe. As I had severe joint pain and tiredness, my family doctor prescribed me to take Avil 25 mg and Paracetamol 650 mg twice a day. After taking that medicine too, my pain still did not get relieved. I gave an ice massage to the swelling. Today, my left lower limb has a few blood clots like feeling, which pains when I press. If I walk a little, then I feel restless, giddy and tired. But, my pain due to the fall is gradually decreasing. Please give me a quality advice on the same. Thank you. [/INST] Hi. For further information consult a general medicine physician online -->
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Q. Will I recover from vocal cord paralysis eventually?
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Hello doctor,I have had vocal paralysis over four months now from a fist fight from strikes to my throat. One doctor says it will take a year and another told me some people never recover. Will I eventually recover because I cannot speak well and it is making everything harder? Voice is raspy and breathy and takes a great effort for me. Will it eventually heal? I am a type 1 diabetic and taking medications for the same.
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Hi. I understand your concern. You are having unilateral vocal cord palsy. As sufficient time had passed but need not worry. You should consult a good speech therapist and try a full course of speech therapy. You may get relief but if no satisfactory result comes then finally, a phonosurgeon may do thyroplasty. Thyroplasty usually gives a good result. For more information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor,I have had vocal paralysis over four months now from a fist fight from strikes to my throat. One doctor says it will take a year and another told me some people never recover. Will I eventually recover because I cannot speak well and it is making everything harder? Voice is raspy and breathy and takes a great effort for me. Will it eventually heal? I am a type 1 diabetic and taking medications for the same. [/INST] Hi. I understand your concern. You are having unilateral vocal cord palsy. As sufficient time had passed but need not worry. You should consult a good speech therapist and try a full course of speech therapy. You may get relief but if no satisfactory result comes then finally, a phonosurgeon may do thyroplasty. Thyroplasty usually gives a good result. For more information consult an ENT otolaryngologist online -->
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Q. What is the use of PET scan?
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Hi doctor, I would like to get an opinion about my PET scan. I have attached my PET scan report for your reference.
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Hi. Revert back with the detailed medical history to a radiologist online -->
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<s>[INST]
Hi doctor, I would like to get an opinion about my PET scan. I have attached my PET scan report for your reference. [/INST] Hi. Revert back with the detailed medical history to a radiologist online -->
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Q. After a brain tumor removal, I still have some persistent symptoms. Should I be worried?
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Hello doctor,I had a hemangioblastoma tumor removed from the back right cerebellum last year. The operation was successful and the tumor was 100 % removed. Before my surgery, I felt some twitching, night sweats, and headaches. I no longer have headaches, but I am having some night sweats and my twitching is back, but only in the eyes and calves. My recent MRI was three months ago. There were no findings, just hematoma from the surgery. I will have another one soon for follow up. Is there anything to worry about with the twitching and night sweats? They seem to be very persistent.
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Hello. For more information consult a neurologist online -->
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<s>[INST]
Hello doctor,I had a hemangioblastoma tumor removed from the back right cerebellum last year. The operation was successful and the tumor was 100 % removed. Before my surgery, I felt some twitching, night sweats, and headaches. I no longer have headaches, but I am having some night sweats and my twitching is back, but only in the eyes and calves. My recent MRI was three months ago. There were no findings, just hematoma from the surgery. I will have another one soon for follow up. Is there anything to worry about with the twitching and night sweats? They seem to be very persistent. [/INST] Hello. For more information consult a neurologist online -->
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Q. What could cause hand tremor?
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Hello doctor, I am a 23 year old female. Yesterday morning, when I was in the classroom, I picked up my phone from my left hand and my hand started shaking really badly. Then, I kept my hand on the lap and it stopped. When I picked up my phone again, it happened. I moved my hand a little in case any nerve was pinched and eventually within some minutes it got fine. I am really freaked out if it is something like a brain tumor. Sometime, I get a little tremor when I hold something or turn pages in the left hand only. Also, my shoulder and hand are paining a little. I am a medical intern, so I did the heel to shin test and finger to nose test. They were normal. I also made my friend check my power and that was also normal. Please help me.
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Hi. Due to wrong positioning. 1. Anxiety. 2. Thyroid dysfunction. 3. Epilepsy. For further information consult a neurologist online.--->
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<s>[INST]
Hello doctor, I am a 23 year old female. Yesterday morning, when I was in the classroom, I picked up my phone from my left hand and my hand started shaking really badly. Then, I kept my hand on the lap and it stopped. When I picked up my phone again, it happened. I moved my hand a little in case any nerve was pinched and eventually within some minutes it got fine. I am really freaked out if it is something like a brain tumor. Sometime, I get a little tremor when I hold something or turn pages in the left hand only. Also, my shoulder and hand are paining a little. I am a medical intern, so I did the heel to shin test and finger to nose test. They were normal. I also made my friend check my power and that was also normal. Please help me. [/INST] Hi. Due to wrong positioning. 1. Anxiety. 2. Thyroid dysfunction. 3. Epilepsy. For further information consult a neurologist online.--->
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Q. After taking ECP, when should I expect my next periods?
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Hi doctor, I am a 32 year old female. I have a regular menstrual cycle, and I get my periods on the fifth of every month. Last month on the eighth, I had unprotected sex with my fiance. I took Unwanted 72 (ECP) within an hour. As I took an ECP, when should I expect my next bleeding? Is there any chance to get pregnant? Today is the tenth day, and there is no sign of bleeding. Please tell me in detail. What should I do? I am very tensed. Please help me. Thanks.
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Hello. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 32 year old female. I have a regular menstrual cycle, and I get my periods on the fifth of every month. Last month on the eighth, I had unprotected sex with my fiance. I took Unwanted 72 (ECP) within an hour. As I took an ECP, when should I expect my next bleeding? Is there any chance to get pregnant? Today is the tenth day, and there is no sign of bleeding. Please tell me in detail. What should I do? I am very tensed. Please help me. Thanks. [/INST] Hello. For more information consult an obstetrician and gynaecologist online -->
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Q. I have large intestine obstruction with constipation and piles. Please suggest medication.
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Hello doctor, I am 36 years old. I have a problem on the right side of the large intestine. I have four babies with cesarean surgeries. My youngest baby is 13 years old. My uterus was removed five years ago due to rasoli. After this operation, I felt pain in my anus and a year later I was alright but later on my mother suddenly passed away. Due to sorrowness, I felt pain in my stomach and a pull in my belly. Followed by I had constipation and piles (no bleeding). Now whatever I eat or with empty belly I feel heavier on the right side of the large intestine. After eating something I feel that it has blocked due to any hindrance. I thought it may due to eating beef or meat but now doctors say that my large intestine is infected and even using medicines show no improvement. My hunger is normal but I have constipation and little pain in the right intestine with a large amount of urine with crystals in it. Please suggest medication.
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Hello. I have reviewed your situation. For confirmation, what is going on, you need to visit to a gastroenterologist and get booked for upper and lower GI (gastrointestinal) endoscopy. But reading at your situation, it looks you have both acidity problem and constipation. Till you meet some gastroenterologist, you can take capsule Nexium 40 mg (Esomeprazole) once a day before meal, and Isphagol husk two teaspoons in a glass of water, keep it for four hours and then take it. If you still feel symptoms, you can follow us. So we can upgrade the treatment. I hope this helps.
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<s>[INST]
Hello doctor, I am 36 years old. I have a problem on the right side of the large intestine. I have four babies with cesarean surgeries. My youngest baby is 13 years old. My uterus was removed five years ago due to rasoli. After this operation, I felt pain in my anus and a year later I was alright but later on my mother suddenly passed away. Due to sorrowness, I felt pain in my stomach and a pull in my belly. Followed by I had constipation and piles (no bleeding). Now whatever I eat or with empty belly I feel heavier on the right side of the large intestine. After eating something I feel that it has blocked due to any hindrance. I thought it may due to eating beef or meat but now doctors say that my large intestine is infected and even using medicines show no improvement. My hunger is normal but I have constipation and little pain in the right intestine with a large amount of urine with crystals in it. Please suggest medication. [/INST] Hello. I have reviewed your situation. For confirmation, what is going on, you need to visit to a gastroenterologist and get booked for upper and lower GI (gastrointestinal) endoscopy. But reading at your situation, it looks you have both acidity problem and constipation. Till you meet some gastroenterologist, you can take capsule Nexium 40 mg (Esomeprazole) once a day before meal, and Isphagol husk two teaspoons in a glass of water, keep it for four hours and then take it. If you still feel symptoms, you can follow us. So we can upgrade the treatment. I hope this helps.
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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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