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Q. My cough is persisting in spite of antibiotics. What do you suggest?
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Hello doctor, I have been suffering from a cough since 15 days. There is phlegm as well. I tried using so many syrups, antibiotics and Levocetirizine with Montelukast. The X-ray and CBP (complete blood picture) are normal. But, the cough is still persisting and troubling me. What do you suggest?
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Hello. I went through your post. You have a cough from two weeks along with expectoration. You have taken antibiotics and antiallergic medicines, but you have not mentioned the name of the antibiotic which you have taken. I would suggest a few things: Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I have been suffering from a cough since 15 days. There is phlegm as well. I tried using so many syrups, antibiotics and Levocetirizine with Montelukast. The X-ray and CBP (complete blood picture) are normal. But, the cough is still persisting and troubling me. What do you suggest? [/INST] Hello. I went through your post. You have a cough from two weeks along with expectoration. You have taken antibiotics and antiallergic medicines, but you have not mentioned the name of the antibiotic which you have taken. I would suggest a few things: Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. Regards. For more information consult an internal medicine physician online -->
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Q. I found bumps on my pubic area, are they molluscum?
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Hi doctor, I have had molluscum on my pubic area and my doctor said that was cleared a month ago. Today, I found two small bumps, which are 1 mm or lesser than that. One is yellowish brown in color and another one is pink in color. It might have a hair coming out of the side, but I am not sure. I am attaching the photo. Could either of them be molluscum? Please explain me.
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Hi. One of the lesions looks like milia, obstruction of sweat duct, which is very close differential of molluscum contagiosum (attachment removed to protect patient identity). Another lesion just looks like pseudofolliculitis. Both of them have very less chance of spreading. Do not worry about them. You can get the milia removed at any day. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have had molluscum on my pubic area and my doctor said that was cleared a month ago. Today, I found two small bumps, which are 1 mm or lesser than that. One is yellowish brown in color and another one is pink in color. It might have a hair coming out of the side, but I am not sure. I am attaching the photo. Could either of them be molluscum? Please explain me. [/INST] Hi. One of the lesions looks like milia, obstruction of sweat duct, which is very close differential of molluscum contagiosum (attachment removed to protect patient identity). Another lesion just looks like pseudofolliculitis. Both of them have very less chance of spreading. Do not worry about them. You can get the milia removed at any day. For further information consult a dermatologist online -->
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Q. I have dry mouth and coating on tongue after oral sex. Do I have HIV?
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Hello doctor, I have been stressing for six months about the oral sex that I received from a CSW. About a month later, I got a lump sensation in my throat, and then a white coated tongue. I had a full STD panel at 10 weeks, and then again last week. Both were negative. And no STI's. My tongue is still coated and I have dry mouth. I was worried that maybe the HIV tests missed a strain. Can this dry mouth be from constant anxiety? Can I take my two tests as conclusive and move on? Scared to infect my wife and newborn.
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Hello. I have no reason to suspect the accuracy of these tests. Yes, dry mouth can be due to anxiety. Your tests (attachment removed to protect patient identity) are conclusively negative and you can definitely move on. For more information consult an HIV AIDS specialist online -->
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<s>[INST]
Hello doctor, I have been stressing for six months about the oral sex that I received from a CSW. About a month later, I got a lump sensation in my throat, and then a white coated tongue. I had a full STD panel at 10 weeks, and then again last week. Both were negative. And no STI's. My tongue is still coated and I have dry mouth. I was worried that maybe the HIV tests missed a strain. Can this dry mouth be from constant anxiety? Can I take my two tests as conclusive and move on? Scared to infect my wife and newborn. [/INST] Hello. I have no reason to suspect the accuracy of these tests. Yes, dry mouth can be due to anxiety. Your tests (attachment removed to protect patient identity) are conclusively negative and you can definitely move on. For more information consult an HIV AIDS specialist online -->
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Q. What does equivocal herpes test mean?
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Hi doctor, In my test report it is mentioned as equivocal herpes test. What does it mean? Should I be worried?
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Hi. For further doubts consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, In my test report it is mentioned as equivocal herpes test. What does it mean? Should I be worried? [/INST] Hi. For further doubts consult an internal medicine physician online -->
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Q. Can I get HIV via oral sex if I do not have any cuts or wounds on my penis?
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Hello doctor, Can HIV be transmitted through oral sex?
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Hello. Revert with more information to an HIV/AIDS specialist online -->
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<s>[INST]
Hello doctor, Can HIV be transmitted through oral sex? [/INST] Hello. Revert with more information to an HIV/AIDS specialist online -->
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Q. My sister has delayed growth for her 15 years of age. What should be done to improve her growth?
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Hi doctor, My sister is 15 years old. She is having a problem with growth. She is not growing even a single cm from 1 year. I am too scared about her future. She is only 150 cm now. Many advised her to do skipping, swimming, cycling, etc. Though she is doing skipping, it does not help much. I just need some scientific help. Please help me out. I am scared of her growth.
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Hi. Good day. Thanks for your query. I am afraid that I do not have good news for you. In your sister's age, it is not possible to increase height of about 2 or 3 inches with any medications. The growth plates in the bones close after 13 - 15 years of age in females and no increase in height possible. Growth plates are the areas of new bone growth in children and teens. They are made up of cartilage cartilage, a rubbery, and flexible material. For instance, the nose is made of cartilage. As kids grow, the growth plates harden into solid bone. A growth plate that has completely hardened into solid bone is a closed growth plate. After a growth plate closes, the bones are no longer growing. Growth plates usually close near the end of puberty. For girls, this usually is when they are around 13 - 15 years old and for boys, it is when they are about 15 - 17 years old. What is the height of your father and mother? Your sister may have an average height of both of them. Another option is limb lengthening surgery. Thanks.
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<s>[INST]
Hi doctor, My sister is 15 years old. She is having a problem with growth. She is not growing even a single cm from 1 year. I am too scared about her future. She is only 150 cm now. Many advised her to do skipping, swimming, cycling, etc. Though she is doing skipping, it does not help much. I just need some scientific help. Please help me out. I am scared of her growth. [/INST] Hi. Good day. Thanks for your query. I am afraid that I do not have good news for you. In your sister's age, it is not possible to increase height of about 2 or 3 inches with any medications. The growth plates in the bones close after 13 - 15 years of age in females and no increase in height possible. Growth plates are the areas of new bone growth in children and teens. They are made up of cartilage cartilage, a rubbery, and flexible material. For instance, the nose is made of cartilage. As kids grow, the growth plates harden into solid bone. A growth plate that has completely hardened into solid bone is a closed growth plate. After a growth plate closes, the bones are no longer growing. Growth plates usually close near the end of puberty. For girls, this usually is when they are around 13 - 15 years old and for boys, it is when they are about 15 - 17 years old. What is the height of your father and mother? Your sister may have an average height of both of them. Another option is limb lengthening surgery. Thanks.
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Q. Why has there been no bleeding after taking Unwanted 72?
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Hello doctor, I had a protected sex with my wife 10 days ago. In order to delay her periods, she consumed one tablet of Primolut N the same day before having sex. By mistake, I touched her vagina after touching my penis. To avoid any risk of pregnancy, she consumed Unwanted 72 within eight hours of having sex. It has been more than 10 days she has neither bled after consuming Unwanted 72 nor has she had her periods until now. What are the chances of pregnancy? It has already been 12 days. Is it possible to test for pregnancy now? If yes, kindly mention the name of the test and any precautionary measures to be taken before going through the test.
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Hello. It is not necessary that there should be withdrawal bleeding after taking Unwanted 72 (Levonorgestrel). They are high dose hormonal pills which may cause delayed periods too. If your spouse has skipped her expected periods, she can check her urine pregnancy test with early morning urine sample to be sure if she is pregnant or not. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I had a protected sex with my wife 10 days ago. In order to delay her periods, she consumed one tablet of Primolut N the same day before having sex. By mistake, I touched her vagina after touching my penis. To avoid any risk of pregnancy, she consumed Unwanted 72 within eight hours of having sex. It has been more than 10 days she has neither bled after consuming Unwanted 72 nor has she had her periods until now. What are the chances of pregnancy? It has already been 12 days. Is it possible to test for pregnancy now? If yes, kindly mention the name of the test and any precautionary measures to be taken before going through the test. [/INST] Hello. It is not necessary that there should be withdrawal bleeding after taking Unwanted 72 (Levonorgestrel). They are high dose hormonal pills which may cause delayed periods too. If your spouse has skipped her expected periods, she can check her urine pregnancy test with early morning urine sample to be sure if she is pregnant or not. For more information consult an obstetrician and gynaecologist online -->
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Q. I have small red dots around the vaginal area. Please help.
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Hi doctor, My problem is I have irritation and small red dots all around the vaginal area. It is like razor burn. This happened a year ago when I used an electronic hair removal device in the pubic area. I got some sensitivity and redness, and I ignored it thinking it to be an irritation that gets to the skin after shaving. But it did not disappear. I used some disinfectants, creams, exfoliating and peeling, and continuous moisturizing, but no development whatsoever. There is no itching or anything, but I only have redness and irritation. Sometimes, I feel a burning sensation when I exfoliate or moisturize. I have attached a photo of the same issue.
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Hi. You should not use any exfoliating agent in the pubic area when there is already contact dermatitis. It leads to more inflammation, erythema, and burning sensation. Please send good quality clinical photograph and revert. Please mention what creams you have applied. Revert with more information to a dermatologist online -->
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<s>[INST]
Hi doctor, My problem is I have irritation and small red dots all around the vaginal area. It is like razor burn. This happened a year ago when I used an electronic hair removal device in the pubic area. I got some sensitivity and redness, and I ignored it thinking it to be an irritation that gets to the skin after shaving. But it did not disappear. I used some disinfectants, creams, exfoliating and peeling, and continuous moisturizing, but no development whatsoever. There is no itching or anything, but I only have redness and irritation. Sometimes, I feel a burning sensation when I exfoliate or moisturize. I have attached a photo of the same issue. [/INST] Hi. You should not use any exfoliating agent in the pubic area when there is already contact dermatitis. It leads to more inflammation, erythema, and burning sensation. Please send good quality clinical photograph and revert. Please mention what creams you have applied. Revert with more information to a dermatologist online -->
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Q. What is the appropriate Diet for Diarrhea?
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Hi doctor, I am suffering from loose motions for last 2 days . Now loose motions are under control but too much of body pain and I am very weak. I am just eating curd rice for lunch and dinner and idly in the morning. Please give me some guidance for food. Thank you.
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Hi. I have read through your query in detail. Please find my observations below. For further queries consult a general practitioner online -->
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<s>[INST]
Hi doctor, I am suffering from loose motions for last 2 days . Now loose motions are under control but too much of body pain and I am very weak. I am just eating curd rice for lunch and dinner and idly in the morning. Please give me some guidance for food. Thank you. [/INST] Hi. I have read through your query in detail. Please find my observations below. For further queries consult a general practitioner online -->
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Q. Please help me approach my husband for reunion.
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Hi doctor, I have lots of stress and I want to curtail my stress. I got married and lived happily. After four months of love life, I got pregnant. Since that day my mother-in-law changed her behavior with me as well as due to family members instruction my husband started giving space to me. He started watching porn clips at the night time. I almost felt like suffocation to spend my whole day in all household work and the rest of my time in temple with my mother-in-law as per her wish. One day in frustration he told me that he is neither interested in me nor my baby. His words hurt me a lot. But, still I tried to convince myself. But within a few days, when his mother told me that I have to get up early in the morning at 5 to wash the clothes; I did not cooperate. Then, my husband told me that I have to find the solution and they were unable to cope with me. I felt like no one is thinking about my pregnancy as well as my health. So, I decided to go to my parent’s home and left my husband without any information.When I reached my home, I realized that my mother is unwell. Within just two or three days when we visited a doctor we came to know that it was cancer. I was unable to discuss my feelings with her. Meanwhile my husband and mother-in-law tried a lot for my come back. But, I never gave response to them, not even a phone call. After one month, we met a cancer specialist and he told us he could only pray about results as it was third stage. We were in huge tension. My husband came there and told me to come back. However, the next day after a long phone conversation he said either come back or give divorce. This hurt me a lot as I was 5 months pregnant. Then, till my delivery no one from my husband’s family contacted me. I gave birth to a baby boy, but due to some complications doctor made it a Cesarean operation. Immediately they shifted my baby to NICU. I was not able to breastfeed him, but sent my milk to him for five days. On the seventh day he got serious as he had suffocation problem and done ECG. Then I informed the issue to my husband, but unfortunately we lost our baby the same day. Since that day he messaged me to come back, but I was not in a state to reply. Nearly after seven months, I met and got to know he too frustrated, weak and thought he is also suffering from emotional turmoil. Since that day I am trying to convince him for reunion, but he is denying.Then we met in court for mutual divorce. As he did not clarify the reason for divorce we were advised to meet counselor. Counselor said we have only communication problem and suffering from baby’s thoughts. Due to my mom’s health, I did not meet him again. Sadly, I lost my mom before six months. Now, I came to know that my mother-in-law too passed away before five months. Now, his father asked me for divorce as he wishes to see his son’s second marriage, but my husband denied this. I want to continue this relationship as I love my husband. He always submits me the same answer that whenever he sees me he remembers all the painful memories and so he is unable to live with me. Recently, he said that he does not wish to have our baby back and do not want any relationship with me. Since that day I am suffering a lot through emotional turmoil. I am missing my baby, my mother and my husband. It is very hard for me to handle my mood swing. I never had any quarrel with my in-laws or with husband. Though I am facing this situation and it hurts. Today, I am suffering so much and I had some milk like nipple discharge. Please guide me.
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Hi. I am really sorry for what happened in your life. I sympathize with you. But at the same time, I also feel you do not want my sympathies. Sympathy is easy to give, but seldom solves the problem. You were in such turmoil. You faced problems with your husband, at his home, mother, child, bereavement, etc., within a short span. Even the most courageous person will not be able to solve these issues, but here you are. In spite of all those turmoil, standing tall. I bow my head. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I have lots of stress and I want to curtail my stress. I got married and lived happily. After four months of love life, I got pregnant. Since that day my mother-in-law changed her behavior with me as well as due to family members instruction my husband started giving space to me. He started watching porn clips at the night time. I almost felt like suffocation to spend my whole day in all household work and the rest of my time in temple with my mother-in-law as per her wish. One day in frustration he told me that he is neither interested in me nor my baby. His words hurt me a lot. But, still I tried to convince myself. But within a few days, when his mother told me that I have to get up early in the morning at 5 to wash the clothes; I did not cooperate. Then, my husband told me that I have to find the solution and they were unable to cope with me. I felt like no one is thinking about my pregnancy as well as my health. So, I decided to go to my parent’s home and left my husband without any information.When I reached my home, I realized that my mother is unwell. Within just two or three days when we visited a doctor we came to know that it was cancer. I was unable to discuss my feelings with her. Meanwhile my husband and mother-in-law tried a lot for my come back. But, I never gave response to them, not even a phone call. After one month, we met a cancer specialist and he told us he could only pray about results as it was third stage. We were in huge tension. My husband came there and told me to come back. However, the next day after a long phone conversation he said either come back or give divorce. This hurt me a lot as I was 5 months pregnant. Then, till my delivery no one from my husband’s family contacted me. I gave birth to a baby boy, but due to some complications doctor made it a Cesarean operation. Immediately they shifted my baby to NICU. I was not able to breastfeed him, but sent my milk to him for five days. On the seventh day he got serious as he had suffocation problem and done ECG. Then I informed the issue to my husband, but unfortunately we lost our baby the same day. Since that day he messaged me to come back, but I was not in a state to reply. Nearly after seven months, I met and got to know he too frustrated, weak and thought he is also suffering from emotional turmoil. Since that day I am trying to convince him for reunion, but he is denying.Then we met in court for mutual divorce. As he did not clarify the reason for divorce we were advised to meet counselor. Counselor said we have only communication problem and suffering from baby’s thoughts. Due to my mom’s health, I did not meet him again. Sadly, I lost my mom before six months. Now, I came to know that my mother-in-law too passed away before five months. Now, his father asked me for divorce as he wishes to see his son’s second marriage, but my husband denied this. I want to continue this relationship as I love my husband. He always submits me the same answer that whenever he sees me he remembers all the painful memories and so he is unable to live with me. Recently, he said that he does not wish to have our baby back and do not want any relationship with me. Since that day I am suffering a lot through emotional turmoil. I am missing my baby, my mother and my husband. It is very hard for me to handle my mood swing. I never had any quarrel with my in-laws or with husband. Though I am facing this situation and it hurts. Today, I am suffering so much and I had some milk like nipple discharge. Please guide me. [/INST] Hi. I am really sorry for what happened in your life. I sympathize with you. But at the same time, I also feel you do not want my sympathies. Sympathy is easy to give, but seldom solves the problem. You were in such turmoil. You faced problems with your husband, at his home, mother, child, bereavement, etc., within a short span. Even the most courageous person will not be able to solve these issues, but here you are. In spite of all those turmoil, standing tall. I bow my head. For further information consult a psychiatrist online -->
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Q. I am losing weight due to diabetes. How to control this?
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Hello doctor,I am a 69 year old male. I am a diabetic patient using Cetapin XR 500 tablets since the last two years. My bloodsugar is almost in control, but I am losing weight. Can you help me?
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Hello. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist online -->
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<s>[INST]
Hello doctor,I am a 69 year old male. I am a diabetic patient using Cetapin XR 500 tablets since the last two years. My bloodsugar is almost in control, but I am losing weight. Can you help me? [/INST] Hello. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist 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. What is the treatment for vaginal fungal infection?
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Hi doctor, I am 20 years old. I am sexually inactive for a year now. I am having some issues with my body parts. I had a film around my clitoris that came back often after washing it. In the past few days, I have been experiencing yeast infection symptoms. So today I got an over-the-counter medication for it. I inserted the tablet and it is being only for 12 hours. When I went to the washroom white fluid came pouring out. I have never got treated for yeast infection before. So, I was just wondering if that was normal. My current medication is only birth control pill. Please explain me.
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Hello. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am 20 years old. I am sexually inactive for a year now. I am having some issues with my body parts. I had a film around my clitoris that came back often after washing it. In the past few days, I have been experiencing yeast infection symptoms. So today I got an over-the-counter medication for it. I inserted the tablet and it is being only for 12 hours. When I went to the washroom white fluid came pouring out. I have never got treated for yeast infection before. So, I was just wondering if that was normal. My current medication is only birth control pill. Please explain me. [/INST] Hello. For further information consult an obstetrician and gynaecologist online -->
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Q. Do you think low serotonin can cause fatigue, loss of energy and appetite?
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Hi doctor, I am a 21 year old male. For the past three weeks, I have been feeling sick. My symptoms are a feeling of general fatigue of my entire body with loss of energy and appetite. Before I got sick, I spent over a week working hard. I just had food once or twice a day, drank little water and did not sleep enough hours. Also, for more than a month I am suffering from stress and anxiety in my work. I went to visit a neurologist and he said that I had a low level of serotonin. Do you think this diagnostic is accurate? I have had several blood examinations and they all come out good and I also have a tube in my stomach to check for any issues and it was all good. If it is a low level of serotonin, what do you suggest is the best way to recuperate? What should I eat? What should I avoid? The neurologist wanted me to take Lexapro, which is a pill to treat people suffering depression. I heard it has very bad side effects and I have not started taking it, as I am trying to eat healthy and rest as much as possible. Is this something that people normally get better from? Let me know, if you want to see my blood reports as I can attach it. Any of your advice or suggestion is greatly appreciated.
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Hi. I read your query and understand your concern. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor, I am a 21 year old male. For the past three weeks, I have been feeling sick. My symptoms are a feeling of general fatigue of my entire body with loss of energy and appetite. Before I got sick, I spent over a week working hard. I just had food once or twice a day, drank little water and did not sleep enough hours. Also, for more than a month I am suffering from stress and anxiety in my work. I went to visit a neurologist and he said that I had a low level of serotonin. Do you think this diagnostic is accurate? I have had several blood examinations and they all come out good and I also have a tube in my stomach to check for any issues and it was all good. If it is a low level of serotonin, what do you suggest is the best way to recuperate? What should I eat? What should I avoid? The neurologist wanted me to take Lexapro, which is a pill to treat people suffering depression. I heard it has very bad side effects and I have not started taking it, as I am trying to eat healthy and rest as much as possible. Is this something that people normally get better from? Let me know, if you want to see my blood reports as I can attach it. Any of your advice or suggestion is greatly appreciated. [/INST] Hi. I read your query and understand your concern. For further information consult a neurologist online -->
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Q. I have some problem on my penis skin. Please help.
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Hi doctor, I have some problem on my penis skin. My age is 23 and I do not have any other problem. Today, I got my blood test done. I have attached the photos of penis for your reference. Kindly help me.
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Hi. I have seen the pictures (attachment removed to protect patient identity) and need some details about the problem. Revert back with the answers to a sexologist online -->
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<s>[INST]
Hi doctor, I have some problem on my penis skin. My age is 23 and I do not have any other problem. Today, I got my blood test done. I have attached the photos of penis for your reference. Kindly help me. [/INST] Hi. I have seen the pictures (attachment removed to protect patient identity) and need some details about the problem. Revert back with the answers to a sexologist online -->
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Q. Please have a look at my MRI and explain the treatment for back pain.
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Hi doctor, Previously, I contacted you with the following issue. I got a back muscle spasm with lumbosacral spondylosis. Posterior central disc bulge at L4-L5 and L5-S1 causing thecal sac indentation. Also, bilateral neural foraminal narrowing. I am having groin, LBA and leg pain for the past two months. More details about the presenting complaint are as follows. I have groin, hips, coccygeal and lower back pain. The pain started after starting yoga two months back. The pain has been there even after discontinuation of the same. I am also having pain and stiffness in the neck as well. I am doing desk job and walking for around 150 minutes every week. My USG and MRI pelvis show small multiple fibroids. They are not likely to cause LBA as per gynecologist consultation. I am on SOS anti-inflammatory, calcium and vitamin D3. For the above posted query, the answer given by you was the following. What is the intensity of back pain on a scale of 1-10? Apart from pain in the back region, is there also associated pain radiating down into the legs? If yes, which leg and what is the intensity? Is there any associated numbness or weakness in legs? How much distance can you walk on a daily basis and what are your analgesic requirements on a daily basis? Ideally, before prescribing you any medications, I would like to know your neurological examination in the form of assessment of motor power, sensory examination and evaluation of deep tendon reflexes of your lower limb. Also, I would like to see your MRI images and one x-ray (LS spine lateral - flexion and extension views) to look for any bony instability, if present. Once I have all this information, I can then make an idea and prescribe you on what needs to be done.Also, you said that a lot of patients have a degenerative disc, but that may not be very symptomatic. So, we prescribe gentle anti-inflammatory medications, intensive physical therapy and adequate calcium and vitamin D intake to keep bone metabolism healthy. Anyways also briefly let me know about your medication history and any associated history allergy, etc. Now, my complaint is lower back pain and pain in the coccyx, buttocks and groins radiating to the legs for the last two months. I have attached the MRI spine and pelvis here for your reference.
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Hello. 1. Early disc degeneration. 2. Improper posture at work. 1. X-ray lumbosacral spine (anteroposterior and lateral - flexion and extension views). 2. Blood investigation includes CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), serum electrolytes, serum vitamin D and B12 levels. Revert back with the reports to an orthopaedician and traumatologist online.--->
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<s>[INST]
Hi doctor, Previously, I contacted you with the following issue. I got a back muscle spasm with lumbosacral spondylosis. Posterior central disc bulge at L4-L5 and L5-S1 causing thecal sac indentation. Also, bilateral neural foraminal narrowing. I am having groin, LBA and leg pain for the past two months. More details about the presenting complaint are as follows. I have groin, hips, coccygeal and lower back pain. The pain started after starting yoga two months back. The pain has been there even after discontinuation of the same. I am also having pain and stiffness in the neck as well. I am doing desk job and walking for around 150 minutes every week. My USG and MRI pelvis show small multiple fibroids. They are not likely to cause LBA as per gynecologist consultation. I am on SOS anti-inflammatory, calcium and vitamin D3. For the above posted query, the answer given by you was the following. What is the intensity of back pain on a scale of 1-10? Apart from pain in the back region, is there also associated pain radiating down into the legs? If yes, which leg and what is the intensity? Is there any associated numbness or weakness in legs? How much distance can you walk on a daily basis and what are your analgesic requirements on a daily basis? Ideally, before prescribing you any medications, I would like to know your neurological examination in the form of assessment of motor power, sensory examination and evaluation of deep tendon reflexes of your lower limb. Also, I would like to see your MRI images and one x-ray (LS spine lateral - flexion and extension views) to look for any bony instability, if present. Once I have all this information, I can then make an idea and prescribe you on what needs to be done.Also, you said that a lot of patients have a degenerative disc, but that may not be very symptomatic. So, we prescribe gentle anti-inflammatory medications, intensive physical therapy and adequate calcium and vitamin D intake to keep bone metabolism healthy. Anyways also briefly let me know about your medication history and any associated history allergy, etc. Now, my complaint is lower back pain and pain in the coccyx, buttocks and groins radiating to the legs for the last two months. I have attached the MRI spine and pelvis here for your reference. [/INST] Hello. 1. Early disc degeneration. 2. Improper posture at work. 1. X-ray lumbosacral spine (anteroposterior and lateral - flexion and extension views). 2. Blood investigation includes CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), serum electrolytes, serum vitamin D and B12 levels. Revert back with the reports to an orthopaedician and traumatologist online.--->
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Q. Kindly suggest a medicine for my sleep issue.
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Hi doctor, I have been suffering from depression and anxiety since 10 years. I went to a psychiatrist and he prescribed too many medicines, which made matters worse. My family doctor has put me on Mirtaz 7.5 and due to severe problems of falling asleep I am on Zolfresh 10. My depression is a little better as it has been 15 days, but still I am not being able to fall asleep. We have tried having the medicine earlier in the night so I sleep on time, but it does not help. I face erections problems too. Kindly suggest a medicine that works well with Mirtaz for falling asleep.
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Hi. A number of issues need to be addressed here. Serum TSH (thyroid-stimulating hormone) and hemogram. Depression with insomnia. Mirtazapine and Zolpidem 10 mg with careful instructions. Sleep hygiene. Revert back after a week to a psychiatrist online.--->
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<s>[INST]
Hi doctor, I have been suffering from depression and anxiety since 10 years. I went to a psychiatrist and he prescribed too many medicines, which made matters worse. My family doctor has put me on Mirtaz 7.5 and due to severe problems of falling asleep I am on Zolfresh 10. My depression is a little better as it has been 15 days, but still I am not being able to fall asleep. We have tried having the medicine earlier in the night so I sleep on time, but it does not help. I face erections problems too. Kindly suggest a medicine that works well with Mirtaz for falling asleep. [/INST] Hi. A number of issues need to be addressed here. Serum TSH (thyroid-stimulating hormone) and hemogram. Depression with insomnia. Mirtazapine and Zolpidem 10 mg with careful instructions. Sleep hygiene. Revert back after a week to a psychiatrist online.--->
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Q. Is it fine to practice swimming after my night shift?
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Hi doctor,I am a 28 year old female. I am a nurse and frequently works in night shifts. I am trying hard to include sports in my life. I usually swim, and I need to work harder to swim to lose the extra weight. I gained weight because of my sedentary lifestyle. Will it be fine to swim after 12 hours shift?
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Hello. For further information consult a cardiologist online -->
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<s>[INST]
Hi doctor,I am a 28 year old female. I am a nurse and frequently works in night shifts. I am trying hard to include sports in my life. I usually swim, and I need to work harder to swim to lose the extra weight. I gained weight because of my sedentary lifestyle. Will it be fine to swim after 12 hours shift? [/INST] Hello. For further information consult a cardiologist online -->
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Q. My baby has a white spot on his back. Is it vitiligo?
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Hi doctor, My 4 week old baby has a white spot on his back. Is it vitiligo?
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Hi. I have seen your query and concern. Revert back with the picture to a dermatologist online -->
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<s>[INST]
Hi doctor, My 4 week old baby has a white spot on his back. Is it vitiligo? [/INST] Hi. I have seen your query and concern. Revert back with the picture to a dermatologist online -->
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Q. After 7 years of knock knee surgery, I am getting pain again. Why?
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Hi doctor, Before seven years, I got surgery for knock knees. Now, for the past one year, I have been suffering from knee pain. Also, I have pain in the foot, ankle, chest and back. I am not on any regular medication. I am only doing some exercise to get relieved from the pain.
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Hi. Knock knees under investigation. Revert with the reports to an orthopaedician and traumatologist online.--->
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<s>[INST]
Hi doctor, Before seven years, I got surgery for knock knees. Now, for the past one year, I have been suffering from knee pain. Also, I have pain in the foot, ankle, chest and back. I am not on any regular medication. I am only doing some exercise to get relieved from the pain. [/INST] Hi. Knock knees under investigation. Revert with the reports to an orthopaedician and traumatologist online.--->
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Q. How to cure infection after ear piercing?
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Hi doctor, My daughter is 4 years old. After piercing her ear, she is suffering from piercing infection. Her weight is 20 kg. I have also attached the pictures of her ears.
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Hello. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, My daughter is 4 years old. After piercing her ear, she is suffering from piercing infection. Her weight is 20 kg. I have also attached the pictures of her ears. [/INST] Hello. For further information consult an internal medicine physician online -->
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Q. Why do I have severe pain in left corner of my eye?
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Hello doctor, I have severe pain in the left corner of left eye since three months. I am a 33 year old female. I am using Ocurest, Cyclo tear and Systane. Please help.
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Hi. Revert back with the pictures to an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, I have severe pain in the left corner of left eye since three months. I am a 33 year old female. I am using Ocurest, Cyclo tear and Systane. Please help. [/INST] Hi. Revert back with the pictures to an eye care ophthalmologist online -->
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Q. What to do for prominent vein on the top of penis?
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Hi doctor. I am 24 years old. I am really scared when I saw a vein more prominent on the top of the penis. It does not cause any pain or irritation, but looks ugly. Is there any issue? What to do for this?
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Hi. For further doubts consult an andrologist online -->
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<s>[INST]
Hi doctor. I am 24 years old. I am really scared when I saw a vein more prominent on the top of the penis. It does not cause any pain or irritation, but looks ugly. Is there any issue? What to do for this? [/INST] Hi. For further doubts consult an andrologist online -->
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Q. I am tested positive for COVID-19 with raised bilirubin levels, nausea, and fatigue. Please help.
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Hello doctor, I am a 28-year-old male. I am tested COVID positive on 13th May. After 20 days, I go through all blood tests in which I found serum bilirubin total is 2.8, direct-0.8 and indirect-2.0 are elevated. I am always getting a fever around 99.0 and pulse rate around 95 on resting. I also have nausea, dizziness, fatigue, and weakness. I am currently on Ursocol 300 twice daily, Pantocid 40, and Dolo 650 sos. No relief yet. Please guide me.
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Hello. I went through your records (attachment removed to protect patient identity). I see that you were tested COVID positive on 13th May and your investigation was done on 30th May. It has been a month from the COVID test and two weeks passed after your LFT (liver function test). This result could be per se because of COVID itself as any viral infection is more likely to involve the liver during the course of illness and take some time for it to recover. Second possibility, all viral infections will suppress your immune system that makes you more prone for secondary infections which may lead to persistence of low-grade fever. I will suggest you to get investigated for other organ involvement also especially the kidneys and also to repeat the LFT to see what is the current status as two weeks are already passed by. CBC (complete blood count) with peripheral smear. LFT. RFT (renal function test). Malaria antigen test. ? Viral fever induced hepatitis. Continue the current medications at present.
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<s>[INST]
Hello doctor, I am a 28-year-old male. I am tested COVID positive on 13th May. After 20 days, I go through all blood tests in which I found serum bilirubin total is 2.8, direct-0.8 and indirect-2.0 are elevated. I am always getting a fever around 99.0 and pulse rate around 95 on resting. I also have nausea, dizziness, fatigue, and weakness. I am currently on Ursocol 300 twice daily, Pantocid 40, and Dolo 650 sos. No relief yet. Please guide me. [/INST] Hello. I went through your records (attachment removed to protect patient identity). I see that you were tested COVID positive on 13th May and your investigation was done on 30th May. It has been a month from the COVID test and two weeks passed after your LFT (liver function test). This result could be per se because of COVID itself as any viral infection is more likely to involve the liver during the course of illness and take some time for it to recover. Second possibility, all viral infections will suppress your immune system that makes you more prone for secondary infections which may lead to persistence of low-grade fever. I will suggest you to get investigated for other organ involvement also especially the kidneys and also to repeat the LFT to see what is the current status as two weeks are already passed by. CBC (complete blood count) with peripheral smear. LFT. RFT (renal function test). Malaria antigen test. ? Viral fever induced hepatitis. Continue the current medications at present.
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Q. Is this fetal ultrasound report of my wife a normal one?
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Hello doctor, My wife is 25 weeks pregnant. She is 27 years old. Her weight is 64 kg and height is 5'2". This is our first pregnancy. Now, doctor found one problem in level two ultrasound report. Fetal head mildly dilated lateral ventricle 9.6 mm. I consulted with doctors. They are saying that it will be fine in the next four weeks automatically without any medicine. But, I am not satisfied. Please explain.
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Hi. I read your query and understand your concern. For further doubts consult a fetal medicine physician online -->
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<s>[INST]
Hello doctor, My wife is 25 weeks pregnant. She is 27 years old. Her weight is 64 kg and height is 5'2". This is our first pregnancy. Now, doctor found one problem in level two ultrasound report. Fetal head mildly dilated lateral ventricle 9.6 mm. I consulted with doctors. They are saying that it will be fine in the next four weeks automatically without any medicine. But, I am not satisfied. Please explain. [/INST] Hi. I read your query and understand your concern. For further doubts consult a fetal medicine physician 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. Eye test reports are normal, but have some vision problem in left eye. Why ?
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Hi doctor, My wife could not be able to see through her left eye. She has some pain near her eye like a headache, but there is no numbness or vomiting scenario. Now, her vision is at CF. We had our first visit before 10 days. The doctor did not find anything except the pressure is 29 and he suggested Tobramycin and Dexamethasone ophthalmic suspension for every six hours for a week. In the follow-up visit, the doctor found that her vision came down than earlier and the pressure raised to 40. He suggested an emergency MRI scan of the head, and it was normal. Then he suggested Travatan and Combigan and no cause identified. All these reports shared with our primary care doctor, and he advised to make another visit to the eye doctor and a neurologist checkup. As per his suggestion, we had another follow-up visit, and nothing found abnormal. They wanted to wait for a neurologist check, and until then my wife was asked to continue Travatan and Combigan. The report says everything is normal, but nothing is improved on her vision side. Can you please suggest us what we should do now?
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Hello. I understand your concern. Please do not worry. In my opinion, there are two issues. It can be a POAG, primary open angle glaucoma and the treatment is antiglaucoma medicine. If the pressure is normal and optic disc is normal, then glaucoma is under control, and it is not the cause of low vision. There is a very low vision in the left eye with RAPD (relative afferent pupillary defect) in left eye along and temporal pallor of the optic disc. It is suggestive of optic disc pathology and most likely optic neuritis (retrobulbar neuritis). The treatment plan is as follows. MRI with contrast is the ideal investigation to look for demyelinating lesions in the brain as well as on optic nerve. Once the diagnosis is confirmed, we start high dose Methylprednisolone intravenously. Here, the prognosis is good, but some patients do not improve. Revert with the reports to an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, My wife could not be able to see through her left eye. She has some pain near her eye like a headache, but there is no numbness or vomiting scenario. Now, her vision is at CF. We had our first visit before 10 days. The doctor did not find anything except the pressure is 29 and he suggested Tobramycin and Dexamethasone ophthalmic suspension for every six hours for a week. In the follow-up visit, the doctor found that her vision came down than earlier and the pressure raised to 40. He suggested an emergency MRI scan of the head, and it was normal. Then he suggested Travatan and Combigan and no cause identified. All these reports shared with our primary care doctor, and he advised to make another visit to the eye doctor and a neurologist checkup. As per his suggestion, we had another follow-up visit, and nothing found abnormal. They wanted to wait for a neurologist check, and until then my wife was asked to continue Travatan and Combigan. The report says everything is normal, but nothing is improved on her vision side. Can you please suggest us what we should do now? [/INST] Hello. I understand your concern. Please do not worry. In my opinion, there are two issues. It can be a POAG, primary open angle glaucoma and the treatment is antiglaucoma medicine. If the pressure is normal and optic disc is normal, then glaucoma is under control, and it is not the cause of low vision. There is a very low vision in the left eye with RAPD (relative afferent pupillary defect) in left eye along and temporal pallor of the optic disc. It is suggestive of optic disc pathology and most likely optic neuritis (retrobulbar neuritis). The treatment plan is as follows. MRI with contrast is the ideal investigation to look for demyelinating lesions in the brain as well as on optic nerve. Once the diagnosis is confirmed, we start high dose Methylprednisolone intravenously. Here, the prognosis is good, but some patients do not improve. Revert with the reports to an eye care ophthalmologist online -->
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Q. What can cause recurrent fever and chills?
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Hi doctor, I am a 49 year old male. I have been suffering from fever and chills for the one week. I started on antibiotics Novoclox. I had two tablets and the next day had rashes on the body. Hence, I started taking Cetirizine once daily. The fever and rash has subsided now. Today morning, I had alcohol and non-vegetarian food. From afternoon, again, I started developing a fever and chill. My last recorded body temperature was 102. Please help.
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Hi. For further information consult a general practitioner online -->
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<s>[INST]
Hi doctor, I am a 49 year old male. I have been suffering from fever and chills for the one week. I started on antibiotics Novoclox. I had two tablets and the next day had rashes on the body. Hence, I started taking Cetirizine once daily. The fever and rash has subsided now. Today morning, I had alcohol and non-vegetarian food. From afternoon, again, I started developing a fever and chill. My last recorded body temperature was 102. Please help. [/INST] Hi. For further information consult a general practitioner online -->
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Q. I am suffering from on and off wheezing. How to get cured?
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Hi doctor, I am 31 years old. My height is 5'5" and weight 68 kg. I am suffering from wheezing and finding difficulty with physical activities such as walking as well. I just moved to a new place recently. This onset of wheezing is sudden and I did not observe any trigger. But, dust, pollution and vehicle smoke are in higher level in my new place. I am mostly getting an audible wheezing and sometimes, a mild one. Many years ago, I used some inhalers and I am not using anything currently. Could you please do something earlier?
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Hi. We are here to help you. For further information consult a pulmonologist online -->
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<s>[INST]
Hi doctor, I am 31 years old. My height is 5'5" and weight 68 kg. I am suffering from wheezing and finding difficulty with physical activities such as walking as well. I just moved to a new place recently. This onset of wheezing is sudden and I did not observe any trigger. But, dust, pollution and vehicle smoke are in higher level in my new place. I am mostly getting an audible wheezing and sometimes, a mild one. Many years ago, I used some inhalers and I am not using anything currently. Could you please do something earlier? [/INST] Hi. We are here to help you. For further information consult a pulmonologist online -->
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Q. I get abdominal pain while urinating, and my urine shows RBC. Please help.
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Hello doctor, From the last two years, I have some problems. At an interval of 2 to 3 months, I sometimes get lower abdominal pain while urinating. A few months back, the pain was terrible for two days. I consulted my doctor, and he advised me some medications. He told that it is a case of cystitis. My KUB ultrasound was found normal. But during a health checkup a few days back, RBC was detected in my urine. So, the doctor told me that I have a chance of having a kidney stone. I am uploading my urine report for further details.
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Hello. I have seen your reports (attachment removed to protect patient identity). For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, From the last two years, I have some problems. At an interval of 2 to 3 months, I sometimes get lower abdominal pain while urinating. A few months back, the pain was terrible for two days. I consulted my doctor, and he advised me some medications. He told that it is a case of cystitis. My KUB ultrasound was found normal. But during a health checkup a few days back, RBC was detected in my urine. So, the doctor told me that I have a chance of having a kidney stone. I am uploading my urine report for further details. [/INST] Hello. I have seen your reports (attachment removed to protect patient identity). For more information consult an internal medicine physician online -->
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Q. I have fever-like symptoms and body pain. What should I do?
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Hi doctor, For the last four to five days, I have a fever-like symptoms and body pain. I am a diabetic and Insulin dependent. What should I do? I am currently taking Lantus Insulin 20 units, NovoRapid 10 units, Olmin 40 and Lnbloc 20.
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Hi. I read your query and understand your concerns. For further information consult a general practitioner online -->
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<s>[INST]
Hi doctor, For the last four to five days, I have a fever-like symptoms and body pain. I am a diabetic and Insulin dependent. What should I do? I am currently taking Lantus Insulin 20 units, NovoRapid 10 units, Olmin 40 and Lnbloc 20. [/INST] Hi. I read your query and understand your concerns. For further information consult a general practitioner online -->
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Q. What does abutment of the nerve root mean?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Q. Kindly clarify if I am suffering from any cancer or liver disease.
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Hi doctor, I am an 18 year old male. For the last three weeks, I have been having the urge to poop. But, only mucus would come out. I have had blood tests and stool samples taken and everything was normal except the following. I had a high lymphocyte count of 3.3, high bilirubin count of 1.6 and low vitamin D of 18.7. I am just scared that I have a type of colorectal cancer or something wrong with my liver. Please clarify my condition.
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Hi. Infection. Stool routine and culture examination. Inflammatory bowel disease. For further information consult a medical gastroenterologist online.--->
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<s>[INST]
Hi doctor, I am an 18 year old male. For the last three weeks, I have been having the urge to poop. But, only mucus would come out. I have had blood tests and stool samples taken and everything was normal except the following. I had a high lymphocyte count of 3.3, high bilirubin count of 1.6 and low vitamin D of 18.7. I am just scared that I have a type of colorectal cancer or something wrong with my liver. Please clarify my condition. [/INST] Hi. Infection. Stool routine and culture examination. Inflammatory bowel disease. For further information consult a medical gastroenterologist online.--->
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Q. After using MTP kit, how long will the bleeding continue?
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Hi doctor, My LMP test came positive and so I used MTP kit. Over last six days, I am using lever. I was bleeding for around six days and now again with a gap of five days I am bleeding with blood lumps. Please help.
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Hi. I have gone through your medical history and understand your concern. Revert back with the answers for the above questions to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My LMP test came positive and so I used MTP kit. Over last six days, I am using lever. I was bleeding for around six days and now again with a gap of five days I am bleeding with blood lumps. Please help. [/INST] Hi. I have gone through your medical history and understand your concern. Revert back with the answers for the above questions to an obstetrician and gynaecologist online -->
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Q. I missed my pills on two consecutive days. Should I stop or continue the pack?
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Hello doctor, I am being treated for PCOS. My gynecologist prescribed me Irozorb syrup, ovacare tablets, and Sysron-N. I started taking them on the fifth day of my last period. I missed my Sysron pill on the 22nd and 23rd. I took my usual dosage now today. I got my period. Should I continue the tablets or stop the dosage and consult my doctor? My period cycle is 25 days.
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Hello. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am being treated for PCOS. My gynecologist prescribed me Irozorb syrup, ovacare tablets, and Sysron-N. I started taking them on the fifth day of my last period. I missed my Sysron pill on the 22nd and 23rd. I took my usual dosage now today. I got my period. Should I continue the tablets or stop the dosage and consult my doctor? My period cycle is 25 days. [/INST] Hello. For more information consult an obstetrician and gynaecologist online -->
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Q. The doctor has a hard time explaining these tumor marker test results. Can you?
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Hello doctor, I was just curious what your translation of this might be. I am copying this information directly from a printout of medical records which I can upload if necessary. This is the tumor marker test results of a 70 year old white male. Reports from three years ago: CEA 1.4 ng/mL AFP-tumor marker 26164.3 ng/mL Reports from yesterday: BUN 13 mg/dL. Creat 0.90 mg/dL. CA 9.3 mg/dL. TP 7.9 g/dL. Alb 3.4 g/dL - Low Alk Phos 66 U/L AST (SGOT) 39 U/L ALT (SGPT) 33 U/L Total Bili 0.5 mg/dL Gap 5 --- LOW Est GFR >60 mL/min AA-GFR >60 mL/min BUN/Creat Ratio 14.4 Osmo,Calc 274 mOsm/kg Glob 4.5 g/dL AFP Tumor Marker 18.9 ng/mL - high HCV RNA IU/mL Pending HCV RNA log IU/mL Pending Thank you.
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Hello. I went through your post and investigations. Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I was just curious what your translation of this might be. I am copying this information directly from a printout of medical records which I can upload if necessary. This is the tumor marker test results of a 70 year old white male. Reports from three years ago: CEA 1.4 ng/mL AFP-tumor marker 26164.3 ng/mL Reports from yesterday: BUN 13 mg/dL. Creat 0.90 mg/dL. CA 9.3 mg/dL. TP 7.9 g/dL. Alb 3.4 g/dL - Low Alk Phos 66 U/L AST (SGOT) 39 U/L ALT (SGPT) 33 U/L Total Bili 0.5 mg/dL Gap 5 --- LOW Est GFR >60 mL/min AA-GFR >60 mL/min BUN/Creat Ratio 14.4 Osmo,Calc 274 mOsm/kg Glob 4.5 g/dL AFP Tumor Marker 18.9 ng/mL - high HCV RNA IU/mL Pending HCV RNA log IU/mL Pending Thank you. [/INST] Hello. I went through your post and investigations. Regards. For more information consult an internal medicine physician online -->
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Q. Without medicine or gel, how to get a permanent solution for acne?
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Hello doctor, I am a 23 year old male. My problem is acne. I am getting red whitehead with pus. I was taking Isotretinoin 20 mg for 1.6 years. When I was on Isotretinoin, I did not get even a single acne. After two weeks of stopping Isotretinoin, I had a sudden breakout. My skin is very oily, and I do not apply any moisturizer or any makeup. I am using Neutrogena face wash and taking healthy diet. I do not eat any junk food too. I am also applying Zinderm BPO gel for acne. I want a permanent solution for my acne without medicine or gel. Please help me.
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Hello. Revert after a month to a cosmetologist online -->
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<s>[INST]
Hello doctor, I am a 23 year old male. My problem is acne. I am getting red whitehead with pus. I was taking Isotretinoin 20 mg for 1.6 years. When I was on Isotretinoin, I did not get even a single acne. After two weeks of stopping Isotretinoin, I had a sudden breakout. My skin is very oily, and I do not apply any moisturizer or any makeup. I am using Neutrogena face wash and taking healthy diet. I do not eat any junk food too. I am also applying Zinderm BPO gel for acne. I want a permanent solution for my acne without medicine or gel. Please help me. [/INST] Hello. Revert after a month to a cosmetologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Will Nano-Leo give permanent solution for erection problem?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. What is the reason for fever along with skin rash and lip swelling?
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Hi doctor, My 2 year old baby is suffering from fever, skin rashes, cough and vomiting after meal. What is the problem? What shall I do now? Her lips have got swollen. Please help.
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Hi. I can understand your concerns. Revert back with the investigation reports to a paediatrician online -->
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<s>[INST]
Hi doctor, My 2 year old baby is suffering from fever, skin rashes, cough and vomiting after meal. What is the problem? What shall I do now? Her lips have got swollen. Please help. [/INST] Hi. I can understand your concerns. Revert back with the investigation reports to a paediatrician online -->
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Q. Which type of vaccination is good, painless or painful?
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Hello doctor,My son's tongue comes out while sleeping and most of the time. He is six weeks old. While breastfeeding, he uses his tongue to suck the milk. Is this normal? Please advice.
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Hello. For further information consult a child health specialist online -->
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<s>[INST]
Hello doctor,My son's tongue comes out while sleeping and most of the time. He is six weeks old. While breastfeeding, he uses his tongue to suck the milk. Is this normal? Please advice. [/INST] Hello. For further information consult a child health specialist online -->
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Q. How can loose stools and a lot of gas released from the anus be treated?
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Hello doctor, Since last one year, I am having loose stools with a lot of gas released from the anus. Motion is not cleared fully. There is a burning sensation in stomach and somewhere in the intestines. There is a huge rambling in the stomach, especially in the evening hours. The doctor has advised taking Normaxin RT, Enbios, Rabicip D SR for two weeks. The condition improves but recurs as the course is over. Eight years ago, I was diagnosed via a colonoscopy to have terminal ileum erosion with chronic non-specific inflammatory substances. I was suspected to have IBD, IBS, Crohn's. I had the course of Mesacol, Budez CR intermittently for nearly three years. The condition significantly improved and I consumed Bifilac capsule for some time. Is my current problem connected to the old problem?. Please suggest a suitable course of treatment.
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Hello. The present symptoms look more likely due to constipation. I suggest you follow these measures: Regarding the previous issue, it is always better to get an imaging of the abdomen. An ultrasound or a CECT (high-dose contrast-enhanced computed tomography) to be done. Moreover, considering your age and previous issue, a follow-up colonoscopy is warranted. Follow up as needed. For more information consult a medical gastroenterologist online -->
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<s>[INST]
Hello doctor, Since last one year, I am having loose stools with a lot of gas released from the anus. Motion is not cleared fully. There is a burning sensation in stomach and somewhere in the intestines. There is a huge rambling in the stomach, especially in the evening hours. The doctor has advised taking Normaxin RT, Enbios, Rabicip D SR for two weeks. The condition improves but recurs as the course is over. Eight years ago, I was diagnosed via a colonoscopy to have terminal ileum erosion with chronic non-specific inflammatory substances. I was suspected to have IBD, IBS, Crohn's. I had the course of Mesacol, Budez CR intermittently for nearly three years. The condition significantly improved and I consumed Bifilac capsule for some time. Is my current problem connected to the old problem?. Please suggest a suitable course of treatment. [/INST] Hello. The present symptoms look more likely due to constipation. I suggest you follow these measures: Regarding the previous issue, it is always better to get an imaging of the abdomen. An ultrasound or a CECT (high-dose contrast-enhanced computed tomography) to be done. Moreover, considering your age and previous issue, a follow-up colonoscopy is warranted. Follow up as needed. For more information consult a medical gastroenterologist online -->
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Q. Is it advisable to take Omnacortil for acne?
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Hi doctor, I have been on Isotretinoin for over a year. My acne is getting worse. Now, I am taking Omnacortil 20 mg. Is it safe to take? Please let me know.
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have been on Isotretinoin for over a year. My acne is getting worse. Now, I am taking Omnacortil 20 mg. Is it safe to take? Please let me know. [/INST] Hi. For further information consult a dermatologist online -->
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Q. Why is there no withdrawal bleeding after taking I-pill the second time?
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Hi doctor,I am a 20-year-old female, height 166 cm, and weight 65 kg. I had two I-pills in one month. After the first I-pill, I got withdrawal bleeding after five days. It lasted for four days and the flow was normal. After 14 days of this incident, I again had protected sexual intercourse and took another I-pill after 36 hours. But this time even after 11 days, there is no withdrawal bleeding. Is this because of hormonal imbalance or pregnancy?
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Hi. Since you have taken an emergency pill within 72 hours of intercourse there is no chance of pregnancy. This could be because of hormonal changes due to the pill you have taken. So relax and do not worry. But please do not use the pill so frequently, as it is a hormonal pill and can cause hormonal changes in the body. Take care. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor,I am a 20-year-old female, height 166 cm, and weight 65 kg. I had two I-pills in one month. After the first I-pill, I got withdrawal bleeding after five days. It lasted for four days and the flow was normal. After 14 days of this incident, I again had protected sexual intercourse and took another I-pill after 36 hours. But this time even after 11 days, there is no withdrawal bleeding. Is this because of hormonal imbalance or pregnancy? [/INST] Hi. Since you have taken an emergency pill within 72 hours of intercourse there is no chance of pregnancy. This could be because of hormonal changes due to the pill you have taken. So relax and do not worry. But please do not use the pill so frequently, as it is a hormonal pill and can cause hormonal changes in the body. Take care. For more information consult an obstetrician and gynaecologist online -->
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Q. Is erosive pan gastritis permanently curable?
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Hello doctor, I was diagnosed with erosive pan gastritis through an endoscope in the stomach. I was an IBS patient as well. The medication given was Happi 20 mg morning and Lafaxid D, at bedtime for one month. Is it permanently curable? I was undergoing stress and depression and I went to a psychiatrist and he prescribed two medicines Sizodon MD 0.5 mg and Clonil 50 mg at bedtime. Kindly let me know whether these medicines increase my erosions and irritate my stomach. Is it safe to take these medicines with my problems? Kindly suggest.
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Hi. For more information consult a medical gastroenterologist online -->
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<s>[INST]
Hello doctor, I was diagnosed with erosive pan gastritis through an endoscope in the stomach. I was an IBS patient as well. The medication given was Happi 20 mg morning and Lafaxid D, at bedtime for one month. Is it permanently curable? I was undergoing stress and depression and I went to a psychiatrist and he prescribed two medicines Sizodon MD 0.5 mg and Clonil 50 mg at bedtime. Kindly let me know whether these medicines increase my erosions and irritate my stomach. Is it safe to take these medicines with my problems? Kindly suggest. [/INST] Hi. For more information consult a medical gastroenterologist online -->
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Q. What are the causes of high amylase levels?
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Hi doctor, My 50 years old mother's blood report showed the amylase levels to be high. The amylase level is 126, rheumatoid factor is 16, and TSH is 6.275. What do these values indicate? What are the causes for this? What is the treatment?
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Hello. I just read your query. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->
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<s>[INST]
Hi doctor, My 50 years old mother's blood report showed the amylase levels to be high. The amylase level is 126, rheumatoid factor is 16, and TSH is 6.275. What do these values indicate? What are the causes for this? What is the treatment? [/INST] Hello. I just read your query. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->
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Q. I have a bad habit of exhibitionism. Please help me stop this behavior.
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Hello doctor, I am a 26 year old male. My problem is exhibitionism. I try to flash my penis to women. I know it is a bad habit. But I am not able to stop it. Please help me stop this bad behavior.
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Hi. It is good that you have taken the very first step required for resolution of your problem and you accomplished that by seeking help. This is not recognized as a problem by a major part of the population due to ignorance or other reasons best known to them. There are various methods of treatment available for exhibitionism:
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<s>[INST]
Hello doctor, I am a 26 year old male. My problem is exhibitionism. I try to flash my penis to women. I know it is a bad habit. But I am not able to stop it. Please help me stop this bad behavior. [/INST] Hi. It is good that you have taken the very first step required for resolution of your problem and you accomplished that by seeking help. This is not recognized as a problem by a major part of the population due to ignorance or other reasons best known to them. There are various methods of treatment available for exhibitionism:
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Q. Can an HIV positive person marry an HIV negative?
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Hello doctor, Can an HIV positive person marry an HIV negative?
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Hello. For more information consult an HIV AIDS specialist online -->
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<s>[INST]
Hello doctor, Can an HIV positive person marry an HIV negative? [/INST] Hello. For more information consult an HIV AIDS specialist online -->
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Q. What shall I do to get relief from cough and heartburn?
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Hi doctor, I am a 26 year old female. I am suffering from the following symptoms: Cough, blocked itchy throat, which is slightly red, burps, farts, little gassy and acidity. This has increased in the past 24 hours. Because of sore throat, I cannot have cold substances to resolve acidity. Also, I cannot have hot water due to heartburn. I have taken Azithromycin and cough syrup. What should I do for relief?
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Hi. Revert back with the answers to the above questions to a general medicine physician online -->
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<s>[INST]
Hi doctor, I am a 26 year old female. I am suffering from the following symptoms: Cough, blocked itchy throat, which is slightly red, burps, farts, little gassy and acidity. This has increased in the past 24 hours. Because of sore throat, I cannot have cold substances to resolve acidity. Also, I cannot have hot water due to heartburn. I have taken Azithromycin and cough syrup. What should I do for relief? [/INST] Hi. Revert back with the answers to the above questions to a general medicine physician online -->
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Q. Every time I eat spicy food, I poop blood. Why?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Can hypothyroidism be cured with only ayurvedic medicines?
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Hello doctor, I would like to know if my hypothyroidism can be cured without taking the synthetic hormones, through Ayurveda only. In the allopathic approach, the hormone needs to be taken for the rest of one's life and I am a bit scared of it. It is possible I may also be diabetic and will need to treat this as well. Can these conditions be successfully dealt with through ayurvedic treatments alone?
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Hello. I just read your query and saw all your reports (attachment removed to protect patient identity). I hope you are satisfied with my answer. For more queries, you can consult me at icliniq. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I would like to know if my hypothyroidism can be cured without taking the synthetic hormones, through Ayurveda only. In the allopathic approach, the hormone needs to be taken for the rest of one's life and I am a bit scared of it. It is possible I may also be diabetic and will need to treat this as well. Can these conditions be successfully dealt with through ayurvedic treatments alone? [/INST] Hello. I just read your query and saw all your reports (attachment removed to protect patient identity). I hope you are satisfied with my answer. For more queries, you can consult me at icliniq. For more information consult an ayurveda specialist online -->
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Q. Kindly let me know some medicine for itchy throat?
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Hi doctor, I am a 28 year old male. For the past month, I have been having some symptoms of asthmatic bronchitis such as wheezing, cough, etc. The symptoms have reduced now as I have been taking some medications. Right now, I have some itching sensation in my throat below my Adam's apple, causing occasional cough and also post nasal drip, which is irritating a lot. Please let me know some medication for this problem.
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Hi. Welcome to icliniq.com. We are here to help you. Revert back after 10 days to a pulmonologist online -->
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<s>[INST]
Hi doctor, I am a 28 year old male. For the past month, I have been having some symptoms of asthmatic bronchitis such as wheezing, cough, etc. The symptoms have reduced now as I have been taking some medications. Right now, I have some itching sensation in my throat below my Adam's apple, causing occasional cough and also post nasal drip, which is irritating a lot. Please let me know some medication for this problem. [/INST] Hi. Welcome to icliniq.com. We are here to help you. Revert back after 10 days to a pulmonologist online -->
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Q. What could be the cause of crescent-shaped front teeth?
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Hello Doctor, My son is 2 and a half years old and has very jagged (crescent-shaped) front teeth. I have brought him to two dentists. One said it appeared to be an enamel deficiency and the other said it was due to him grinding his teeth. I have never seen or heard him grind.
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Hello. I have read through your complaint and the relevant details. I also saw the picture attached (attachment removed to protect patient identity). This is definitely not because of teeth grinding because the features of the tooth say it all. This could be something called as Hutchinson's incisors with the clear crescent shape of the teeth. There is a high possibility of his back teeth (molars) having a similar shape. If that is so, please check with a general physician if the child has any other abnormalities in the internal organs including rhinitis and rashes. Because Hutchinson's incisors is a sign of congenital syphilis (birth defect). Mostly, in syphilitic infections, permanent teeth will be affected. But here, considering your son's age it is the milk teeth that are affected. Hence, it could be as simple as enamel deficiencies which were already diagnosed. If infections are ruled out, then you need not worry about the enamel malformation because once the permanent teeth erupt, it will be resolved automatically. After a consultation with the general physician, you might choose to get the teeth filled by a dentist for cosmetic reasons. Thank you. For more information consult a dentist online -->
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<s>[INST]
Hello Doctor, My son is 2 and a half years old and has very jagged (crescent-shaped) front teeth. I have brought him to two dentists. One said it appeared to be an enamel deficiency and the other said it was due to him grinding his teeth. I have never seen or heard him grind. [/INST] Hello. I have read through your complaint and the relevant details. I also saw the picture attached (attachment removed to protect patient identity). This is definitely not because of teeth grinding because the features of the tooth say it all. This could be something called as Hutchinson's incisors with the clear crescent shape of the teeth. There is a high possibility of his back teeth (molars) having a similar shape. If that is so, please check with a general physician if the child has any other abnormalities in the internal organs including rhinitis and rashes. Because Hutchinson's incisors is a sign of congenital syphilis (birth defect). Mostly, in syphilitic infections, permanent teeth will be affected. But here, considering your son's age it is the milk teeth that are affected. Hence, it could be as simple as enamel deficiencies which were already diagnosed. If infections are ruled out, then you need not worry about the enamel malformation because once the permanent teeth erupt, it will be resolved automatically. After a consultation with the general physician, you might choose to get the teeth filled by a dentist for cosmetic reasons. Thank you. For more information consult a dentist online -->
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Q. Is it safe to pair Gabapentin with Metoclopramide?
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Hello doctor, I suffer from chronic migraines, and I take Gabapentin, 1800 mg daily for prevention. Recently, a GP recommended Metoclopramide, 30 mg daily to help with nausea, but I have yet to take it, as I am concerned about the combination. Is this a safe pair of drugs to use together? Thank you.
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Hi. I read your query and understand your concerns. I hope this answers you. If you have more questions feel free to write back to me. Thanks and regards. For more information consult a neurologist online -->
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<s>[INST]
Hello doctor, I suffer from chronic migraines, and I take Gabapentin, 1800 mg daily for prevention. Recently, a GP recommended Metoclopramide, 30 mg daily to help with nausea, but I have yet to take it, as I am concerned about the combination. Is this a safe pair of drugs to use together? Thank you. [/INST] Hi. I read your query and understand your concerns. I hope this answers you. If you have more questions feel free to write back to me. Thanks and regards. For more information consult a neurologist online -->
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Q. Why am I not losing weight in spite of exercise and diet?
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Hi doctor, I could not lose weight no matter what I do. I have acne on my chin and cheeks, increased facial hair and my hips, thighs and stomach will not lean out both with exercise and diet. I was told to take Nature-Thyroid for low T3, but felt like my throat swollen up when I take it. It would make me feel short of breath. So, I have to get off that and I just feel like this is hopeless. I am honestly tired of killing myself in the gym and eating ridiculously healthy and only seeing the scale go up. Please help.
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Hello. Thank you for providing a good history. First of all I want you to take a deep breath and relax. If you could please answer these questions it would be very helpful. Revert back with the answers to the above questions to an internal medicine physician online -->
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<s>[INST]
Hi doctor, I could not lose weight no matter what I do. I have acne on my chin and cheeks, increased facial hair and my hips, thighs and stomach will not lean out both with exercise and diet. I was told to take Nature-Thyroid for low T3, but felt like my throat swollen up when I take it. It would make me feel short of breath. So, I have to get off that and I just feel like this is hopeless. I am honestly tired of killing myself in the gym and eating ridiculously healthy and only seeing the scale go up. Please help. [/INST] Hello. Thank you for providing a good history. First of all I want you to take a deep breath and relax. If you could please answer these questions it would be very helpful. Revert back with the answers to the above questions to an internal medicine physician online -->
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. Should I continue FML more than a week for viral conjunctivitis?
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Hi doctor, I had viral conjunctivitis a month ago. I was on FML for one week and after which, my eye got normal. I was asked to taper the dose and stop FML in three weeks by my doctor. I did so, but as soon as I stopped it my eyes started to redden again. My doctor said it was an allergy. I am on an antihistamine now, but the allergy alternates in flaring up and waning rapidly with an antihistamine. Is it all because I stopped FML? Should I continue FML?
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Hi. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, I had viral conjunctivitis a month ago. I was on FML for one week and after which, my eye got normal. I was asked to taper the dose and stop FML in three weeks by my doctor. I did so, but as soon as I stopped it my eyes started to redden again. My doctor said it was an allergy. I am on an antihistamine now, but the allergy alternates in flaring up and waning rapidly with an antihistamine. Is it all because I stopped FML? Should I continue FML? [/INST] Hi. For further information consult an eye care ophthalmologist online -->
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Q. I noticed a hole in my new crown. What should I do?
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Hello doctor, After an RCT, a crown was fitted today. In the evening I saw a hole in the crown. What should I do? Will it remain as it is or can it be filled? There is no pain at all.
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Hello. Hope this helps you. Regards. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, After an RCT, a crown was fitted today. In the evening I saw a hole in the crown. What should I do? Will it remain as it is or can it be filled? There is no pain at all. [/INST] Hello. Hope this helps you. Regards. For more information consult a dentist online -->
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Q. I received oral sex for only two minutes. Am I at risk of HIV?
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Hello doctor, I am a 26 year old male. I only received unprotected oral sex for roughly two minutes around 46 days ago from a commercial sex worker. I did not have any intercourse. I do not know her HIV status. I had an episode of diarrhea immediately after within the next five days and it resolved after taking Levofloxacin and Lomotil (which I guess was food poisoning as it occurred the very next day). I tested for all STI’s (chlamydia, gonorrhea, hepatitis, and HIV) in 14 days after exposure and all came back as negative. It is an early test for HIV. I traveled abroad for vacation in the meantime and I took Azithromycin 500 g for three days as I had throat ache and mild fever in 20 days after my potential low-risk exposure. I developed a sore on my upper gum and it has been there for 16 days. It is painless now. Also applied Orasore ointment. Recently after 40 days after exposure, I developed small red bumps only in my hand and behind the ear with a sore throat and mild fever. The doctor has prescribed me Amoxicillin antibiotic for five days and Vizylac once for five days. My throat is feeling better now. My questions are: Am I at risk of HIV? Are these recurring mild fever and sore throat acute HIV symptoms? Is the sore in my mouth a concern? As I have had an eye transplant and my immune system is weak would I have contracted HIV from my exposure?
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Hello. I have noted your concern. Unprotected insertive oral sex with an HIV positive woman has a negligible/non-existent risk of transmission of HIV for the male partner unless she had oral sores or blood mixed saliva or bleeding gums which might increase the risk. You have had two episodes of a sore throat after this sexual encounter which can be because of seasonal flu and change in weather. I have a few questions. The sore on your gum could be more of a dental problem rather than an STD. I suggest you take oral Metronidazole 400 mg, thrice daily in addition to the Amoxicillin that you are already taking. Also apply Metrogyl DG gel (Metronidazole), twice daily. Regards. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I am a 26 year old male. I only received unprotected oral sex for roughly two minutes around 46 days ago from a commercial sex worker. I did not have any intercourse. I do not know her HIV status. I had an episode of diarrhea immediately after within the next five days and it resolved after taking Levofloxacin and Lomotil (which I guess was food poisoning as it occurred the very next day). I tested for all STI’s (chlamydia, gonorrhea, hepatitis, and HIV) in 14 days after exposure and all came back as negative. It is an early test for HIV. I traveled abroad for vacation in the meantime and I took Azithromycin 500 g for three days as I had throat ache and mild fever in 20 days after my potential low-risk exposure. I developed a sore on my upper gum and it has been there for 16 days. It is painless now. Also applied Orasore ointment. Recently after 40 days after exposure, I developed small red bumps only in my hand and behind the ear with a sore throat and mild fever. The doctor has prescribed me Amoxicillin antibiotic for five days and Vizylac once for five days. My throat is feeling better now. My questions are: Am I at risk of HIV? Are these recurring mild fever and sore throat acute HIV symptoms? Is the sore in my mouth a concern? As I have had an eye transplant and my immune system is weak would I have contracted HIV from my exposure? [/INST] Hello. I have noted your concern. Unprotected insertive oral sex with an HIV positive woman has a negligible/non-existent risk of transmission of HIV for the male partner unless she had oral sores or blood mixed saliva or bleeding gums which might increase the risk. You have had two episodes of a sore throat after this sexual encounter which can be because of seasonal flu and change in weather. I have a few questions. The sore on your gum could be more of a dental problem rather than an STD. I suggest you take oral Metronidazole 400 mg, thrice daily in addition to the Amoxicillin that you are already taking. Also apply Metrogyl DG gel (Metronidazole), twice daily. Regards. For more information consult a dermatologist online -->
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Q. What happens to the dust that enters the eye? Will it affect the eyesight in the future?
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Hi, What happens to the dust that enters the eye? Does it go into the eyeballs? Will it affect the eyesight in the future?
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Hello. Consult an ophthalmologist online for further details -->
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<s>[INST]
Hi, What happens to the dust that enters the eye? Does it go into the eyeballs? Will it affect the eyesight in the future? [/INST] Hello. Consult an ophthalmologist online for further details -->
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Q. What are the causes of black colored stool after taking ayurvedic medicines?
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Hello doctor, I started taking ayurvedic medicines yesterday, and I have noticed that my stool has turned dark or black in color. I am suffering from severe belching and headache. I am taking Somu syrup and Shankh Vati. Last month I had the same problem, for which I took allopathic medicines.
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Hello. The problem of black colored stool is called melena. For further queries consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I started taking ayurvedic medicines yesterday, and I have noticed that my stool has turned dark or black in color. I am suffering from severe belching and headache. I am taking Somu syrup and Shankh Vati. Last month I had the same problem, for which I took allopathic medicines. [/INST] Hello. The problem of black colored stool is called melena. For further queries 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. 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. After removing the spectacles, the eyes look crossed. How to correct them?
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Hello doctor, My 1-1/2 year old daughter is diagnosed with accommodative esotropia (crossed eye) and is recommended to wear glasses. And she has been wearing them for a month now. But, when I remove the glasses, the eyes still look crossed. But, looks fine when she wears the glasses. Is there a surgery for correcting the alignment? I understand that she has to wear glasses for long sight. Please suggest.
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Hello. Revert back with old records and photographs of eyes to an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, My 1-1/2 year old daughter is diagnosed with accommodative esotropia (crossed eye) and is recommended to wear glasses. And she has been wearing them for a month now. But, when I remove the glasses, the eyes still look crossed. But, looks fine when she wears the glasses. Is there a surgery for correcting the alignment? I understand that she has to wear glasses for long sight. Please suggest. [/INST] Hello. Revert back with old records and photographs of eyes to an eye care ophthalmologist online -->
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Q. What can be done for stomach cancer metastases to six lymph nodes?
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Hello doctor, My father had surgery a month back for stomach cancer bleeding tumor and in the histopathological report after surgery showed that metastatic deposits of the tumor have been found in six lymph nodes. I request you to kindly advice what would be the best possible treatment in this scenario.
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Hello. As seen in your reports, your father had stomach cancer, which is stage III. He will definitely need further treatment to avoid recurrence of the tumor. Usually, treatment should be started within 6 to 8 weeks. He has two options: Only chemotherapy or Chemotherapy and radiotherapy. Before that, I would advise you for CT scan and tumor markers like CEA and CA 19.9 to look for any evidence of residual disease at four weeks after surgery as residual disease after surgery will be taken as high risk. If you are able to get a PET CT then it is better. There are certain poor markers in his tumor (attachment removed to protect patient identity) like signet ring histology, lymphovascular and perineural invasion, node positivity, and a bit close margin. These all factors make him a high risk for recurrence. Though there is no definite advantage of chemo and radio vs chemo only, those who are at high risk for recurrence benefit from chemo and radio. So in his case, I would opt for chemo and radiotherapy. But before going ahead with this, I will definitely need to assess the patient's general condition and how he is taking his nutrition. Whether he is fit to receive this treatment. Otherwise, I would opt for chemotherapy only. Therefore, I would advise you to take further treatment at the center which has both facilities. Depending on what type of chemo regime is followed the duration of treatment will be around six months. On an average, around 50 % patient with stage III stomach cancer will be alive at the end for three years if they receive adequate treatment.
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<s>[INST]
Hello doctor, My father had surgery a month back for stomach cancer bleeding tumor and in the histopathological report after surgery showed that metastatic deposits of the tumor have been found in six lymph nodes. I request you to kindly advice what would be the best possible treatment in this scenario. [/INST] Hello. As seen in your reports, your father had stomach cancer, which is stage III. He will definitely need further treatment to avoid recurrence of the tumor. Usually, treatment should be started within 6 to 8 weeks. He has two options: Only chemotherapy or Chemotherapy and radiotherapy. Before that, I would advise you for CT scan and tumor markers like CEA and CA 19.9 to look for any evidence of residual disease at four weeks after surgery as residual disease after surgery will be taken as high risk. If you are able to get a PET CT then it is better. There are certain poor markers in his tumor (attachment removed to protect patient identity) like signet ring histology, lymphovascular and perineural invasion, node positivity, and a bit close margin. These all factors make him a high risk for recurrence. Though there is no definite advantage of chemo and radio vs chemo only, those who are at high risk for recurrence benefit from chemo and radio. So in his case, I would opt for chemo and radiotherapy. But before going ahead with this, I will definitely need to assess the patient's general condition and how he is taking his nutrition. Whether he is fit to receive this treatment. Otherwise, I would opt for chemotherapy only. Therefore, I would advise you to take further treatment at the center which has both facilities. Depending on what type of chemo regime is followed the duration of treatment will be around six months. On an average, around 50 % patient with stage III stomach cancer will be alive at the end for three years if they receive adequate treatment.
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Q. Can scrub or gram flour pack cause wrinkles on face?
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Hello doctor, I am a 38 year old female. Yesterday, I washed my face with face wash and then used scrub. Then, I applied homemade toner of honey, lemon and vegetable oil followed by moisturizer and ice cube. At last applied face pack of turmeric, gram flour and milk. Today my face is red in some area. Why is it so? Can this scrub or gram flour pack cause wrinkles on the face?
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Hi. I saw your written description. Revert back after five days to a dermatologist online -->
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<s>[INST]
Hello doctor, I am a 38 year old female. Yesterday, I washed my face with face wash and then used scrub. Then, I applied homemade toner of honey, lemon and vegetable oil followed by moisturizer and ice cube. At last applied face pack of turmeric, gram flour and milk. Today my face is red in some area. Why is it so? Can this scrub or gram flour pack cause wrinkles on the face? [/INST] Hi. I saw your written description. Revert back after five days to a dermatologist online -->
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Q. I am having chest pain with low BP. Do I need any heart checkup?
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Hi doctor, I am 70 years old. I have intermittent chest pain. For the past three months, I could not walk fast and climb stairs. But, I was doing it before normally. I suffer from shortness of breath with palpation and when the chest pain persist the breathing problem is severe. I underwent ECG and echo test last month, in which the results are normal. In the CBC test, it showed an elevated WBC (21800). I was asked to take an x-ray chest PA view. The result was normal. I have low BP (80/60 mmHg) due to which I got numbness in hands and legs. I was unable to respond back due to dry mouth or tongue with severe chest pain and giddiness last month. I was also asked to take brain MRI and EEG test. The results were normal. The only thing it showed was that I have sinus in MRI report. My general physician prescribed me Inderal 10 mg for palpation, Razo 20 mg, Bifilac, Mont and C-tax O 200 mg. Now, the chest pain started again, and it lasts three days. The pain is like stabbing and as such a rock is kept. Kindly advise me what can I do further. Do I need to take any further checkup for the heart? I was advised for Holter monitoring, which is yet to be done. I am waiting for your reply. Many thanks in advance.
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Hi. I have noted all your details. Your symptoms can be most likely because of congestive cardiac failure. Cardiac failure is not an indicative of a defect in the heart, but it is a situation when the heart pumps weaker than what is deemed as natural. Therefore, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. In an attempt to hold more blood, the heart stretches the chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body. These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This condition in medical terminology is referred to as congestive heart failure. The most common cause of CHF at the age of 70 is coronary artery disease. I would suggest you some of the baseline tests of cardiology to rule out any element of coronary artery disease apart from 2D echocardiography. Stress test as any ischemia to cardiac muscles will be reflected in the stress test. Along with 2D echo, they have a sensitivity rate of more than 85% to rule out coronary artery disease. Other tests advised are as follows: As per your query, the medicines you are on have nothing to do with your symptoms. For further information consult a cardiologist online -->
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<s>[INST]
Hi doctor, I am 70 years old. I have intermittent chest pain. For the past three months, I could not walk fast and climb stairs. But, I was doing it before normally. I suffer from shortness of breath with palpation and when the chest pain persist the breathing problem is severe. I underwent ECG and echo test last month, in which the results are normal. In the CBC test, it showed an elevated WBC (21800). I was asked to take an x-ray chest PA view. The result was normal. I have low BP (80/60 mmHg) due to which I got numbness in hands and legs. I was unable to respond back due to dry mouth or tongue with severe chest pain and giddiness last month. I was also asked to take brain MRI and EEG test. The results were normal. The only thing it showed was that I have sinus in MRI report. My general physician prescribed me Inderal 10 mg for palpation, Razo 20 mg, Bifilac, Mont and C-tax O 200 mg. Now, the chest pain started again, and it lasts three days. The pain is like stabbing and as such a rock is kept. Kindly advise me what can I do further. Do I need to take any further checkup for the heart? I was advised for Holter monitoring, which is yet to be done. I am waiting for your reply. Many thanks in advance. [/INST] Hi. I have noted all your details. Your symptoms can be most likely because of congestive cardiac failure. Cardiac failure is not an indicative of a defect in the heart, but it is a situation when the heart pumps weaker than what is deemed as natural. Therefore, the blood flows at a slower rate to the heart and the body that in turn increases pressure in the heart. In an attempt to hold more blood, the heart stretches the chambers. Though this strenuous effort may keep the blood moving, it would gradually and inevitably weary the heart with all the effort. Subsequently, the kidney responds by retaining more salt and fluid in the body. These fluids may accumulate in different parts of the body, mainly in the legs, feet, ankles leading to congestion in the body. This condition in medical terminology is referred to as congestive heart failure. The most common cause of CHF at the age of 70 is coronary artery disease. I would suggest you some of the baseline tests of cardiology to rule out any element of coronary artery disease apart from 2D echocardiography. Stress test as any ischemia to cardiac muscles will be reflected in the stress test. Along with 2D echo, they have a sensitivity rate of more than 85% to rule out coronary artery disease. Other tests advised are as follows: As per your query, the medicines you are on have nothing to do with your symptoms. For further information consult a cardiologist online -->
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Q. Should I worry about sudden drop in neutrophil and WBC count?
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Hi doctor, I am a 30 year old woman. I have recently lost a pregnancy at 19 weeks due to membrane rupture. I had induced abortion with Misoprostol two weeks back and there is no complication since. I have had a CBC done almost every week from the starting of my pregnancy and they were all absolutely normal. A month back I had normal complete blood count with WBC 7.5 and neutrophils 5.2. After abortion, I had some trouble with being quite tired and sleepy, hence I have repeated the CBC yesterday. Everything came out the same except for the WBC which is now 4.7 and the neutrophils are 2.28. I have been very stressed out with the abortion experience and I am very much disturbed, depressed, tired and sleepy both during and after the procedure. The OB/GYN did not seem concerned, but I was surprised by the drop. I am worried that this drop in neutrophils might be something more worrisome like leukemia. I do not have any fever, flu or cold for many months. I took Propylthiouracil for a few months recently but stopped right before the abortion. I had a urine culture yesterday which is also clear. I have no other symptoms but some pain in the lower abdomen which the doctor said was normal after the abortion. I had a similar neutrophil count three years ago. At that time it was 2.15, so it is not unheard for me. But I am more concerned about the quick drop. Is it something I should be worried about? I feel so tired and overwhelmed by all that happened with the pregnancy. Kindly help me.
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Hi. Based on your query, my opinion is as follows: No treatment necessary. Continue with regular schedule. Relaxation. For further information consult a hematologist online.--->
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<s>[INST]
Hi doctor, I am a 30 year old woman. I have recently lost a pregnancy at 19 weeks due to membrane rupture. I had induced abortion with Misoprostol two weeks back and there is no complication since. I have had a CBC done almost every week from the starting of my pregnancy and they were all absolutely normal. A month back I had normal complete blood count with WBC 7.5 and neutrophils 5.2. After abortion, I had some trouble with being quite tired and sleepy, hence I have repeated the CBC yesterday. Everything came out the same except for the WBC which is now 4.7 and the neutrophils are 2.28. I have been very stressed out with the abortion experience and I am very much disturbed, depressed, tired and sleepy both during and after the procedure. The OB/GYN did not seem concerned, but I was surprised by the drop. I am worried that this drop in neutrophils might be something more worrisome like leukemia. I do not have any fever, flu or cold for many months. I took Propylthiouracil for a few months recently but stopped right before the abortion. I had a urine culture yesterday which is also clear. I have no other symptoms but some pain in the lower abdomen which the doctor said was normal after the abortion. I had a similar neutrophil count three years ago. At that time it was 2.15, so it is not unheard for me. But I am more concerned about the quick drop. Is it something I should be worried about? I feel so tired and overwhelmed by all that happened with the pregnancy. Kindly help me. [/INST] Hi. Based on your query, my opinion is as follows: No treatment necessary. Continue with regular schedule. Relaxation. For further information consult a hematologist online.--->
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Q. I am 35 weeks pregnant, can cholestasis be causing an itch on my stretch marks, arms, and thighs?
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Hi doctor, I am 35 weeks pregnant. By last week my stretch marks were started to itch. So, my OG advised applying Calamine lotion (which does not contain antihistamine). It seemed to soothe the itching, but slowly the itching started spreading to my upper arms and thighs. Then she prescribed Avil tablet for two days and told to apply Caladryl lotion (which contains antihistamine) only on the itchy areas of my arms and thighs. It seemed to relieve the itch temporarily only. Once the effect of the lotion and tablet is off, I became itchy again. Finally, the OG prescribed Udihep 150 mg to be taken twice daily in the morning and night, suspecting it to be obstetric cholestasis. She also advised to take Avil tablet at night and to apply Calamine and Caladryl to soothe the itchy areas. I am on this regimen for the past four days, and the itch seems to have subsided a bit, but not completely. I am also taking calcium supplements (Ostonate 250 mg twice a day), Astymin forte (vitamin supplement once a day), Fol 123 (at night) and Iron supplements (Orofer XT 100 mg two tablets at night). I have been on increased Iron supplements from the last four weeks because my hemoglobin dropped to 9 last month. Now it has improved to 10.5, but my doctor told to continue taking the prescribed two Iron supplements as only one month is left for delivery. My concern is will there be an interaction between the Udihep and the supplements I am taking? Or is there a possible chance that increased iron intake during the last month would have caused an additional stress on my liver leading to cholestasis? Kindly advise. I am attaching my hemoglobin blood test and urine routine reports.
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Hi. I have gone through your reports (attachment removed to protect patient identity). Let me start by putting you at ease by saying that you are normal and your doctor has been doing a great job. As you are near delivery, the skin stretches to its maximum and the tissue under the skin will start giving way. You will have stretch marks, but they will be further increasing, getting pinkish or redness. This itch will subside only after delivery when the stretch of the baby is relieved. Another possibility is due to obstetric cholestasis. But this has been ruled out by the blood tests, so just relax and the danger has been eliminated. This cholestasis is due to the effect of progesterone hormone on the liver, leading to high levels of the liver byproducts. To relieve itching the medications are right, and they do not have any significant interaction. You can further reduce the itching by applying some local irritants like balms or onions juice. These will cause burning sensation, which will mask the itching. About iron and hemoglobin, during the second trimester, every lady's hemoglobin will drop a bit as this is the time baby's blood volume suddenly expands. So, all iron and vitamins will be taken from your body. By last trimester the hemoglobin will improve on its own, as baby's blood is already ready. These iron tablets will be absorbed from intestine and excess will not be taken in at all. As a result, your stools will be blacker. To improve your hemoglobin, health and baby's health in the last trimester, have a lot of water, proteins, vitamins and sugar. These will also give you the energy needed for delivery. The right amount of sugar (unless you already have diabetes) will make baby chubbier and healthier. Somehow hold that itching till the 37th week, then delivery is the solution. There is no other solution. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am 35 weeks pregnant. By last week my stretch marks were started to itch. So, my OG advised applying Calamine lotion (which does not contain antihistamine). It seemed to soothe the itching, but slowly the itching started spreading to my upper arms and thighs. Then she prescribed Avil tablet for two days and told to apply Caladryl lotion (which contains antihistamine) only on the itchy areas of my arms and thighs. It seemed to relieve the itch temporarily only. Once the effect of the lotion and tablet is off, I became itchy again. Finally, the OG prescribed Udihep 150 mg to be taken twice daily in the morning and night, suspecting it to be obstetric cholestasis. She also advised to take Avil tablet at night and to apply Calamine and Caladryl to soothe the itchy areas. I am on this regimen for the past four days, and the itch seems to have subsided a bit, but not completely. I am also taking calcium supplements (Ostonate 250 mg twice a day), Astymin forte (vitamin supplement once a day), Fol 123 (at night) and Iron supplements (Orofer XT 100 mg two tablets at night). I have been on increased Iron supplements from the last four weeks because my hemoglobin dropped to 9 last month. Now it has improved to 10.5, but my doctor told to continue taking the prescribed two Iron supplements as only one month is left for delivery. My concern is will there be an interaction between the Udihep and the supplements I am taking? Or is there a possible chance that increased iron intake during the last month would have caused an additional stress on my liver leading to cholestasis? Kindly advise. I am attaching my hemoglobin blood test and urine routine reports. [/INST] Hi. I have gone through your reports (attachment removed to protect patient identity). Let me start by putting you at ease by saying that you are normal and your doctor has been doing a great job. As you are near delivery, the skin stretches to its maximum and the tissue under the skin will start giving way. You will have stretch marks, but they will be further increasing, getting pinkish or redness. This itch will subside only after delivery when the stretch of the baby is relieved. Another possibility is due to obstetric cholestasis. But this has been ruled out by the blood tests, so just relax and the danger has been eliminated. This cholestasis is due to the effect of progesterone hormone on the liver, leading to high levels of the liver byproducts. To relieve itching the medications are right, and they do not have any significant interaction. You can further reduce the itching by applying some local irritants like balms or onions juice. These will cause burning sensation, which will mask the itching. About iron and hemoglobin, during the second trimester, every lady's hemoglobin will drop a bit as this is the time baby's blood volume suddenly expands. So, all iron and vitamins will be taken from your body. By last trimester the hemoglobin will improve on its own, as baby's blood is already ready. These iron tablets will be absorbed from intestine and excess will not be taken in at all. As a result, your stools will be blacker. To improve your hemoglobin, health and baby's health in the last trimester, have a lot of water, proteins, vitamins and sugar. These will also give you the energy needed for delivery. The right amount of sugar (unless you already have diabetes) will make baby chubbier and healthier. Somehow hold that itching till the 37th week, then delivery is the solution. There is no other solution. For more information consult an obstetrician and gynaecologist online -->
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Q. Why is Chlorhexidine mouthwash used only twice daily?
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Hello doctor, Why is Chlorhexidine mouthwash used only twice and not thrice daily?
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Hello. Chlorhexidine mouthwash is only used twice daily because of the following reasons: Wish you good health and happiness. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, Why is Chlorhexidine mouthwash used only twice and not thrice daily? [/INST] Hello. Chlorhexidine mouthwash is only used twice daily because of the following reasons: Wish you good health and happiness. For more information consult a dentist online -->
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Q. I have less dense hair and thinning of hair. Will there be any problem while taking Finasteride along with Cyclosporine?
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Hello Doctor, I have less dense packed hair with slight thinning in the hairline and on the vertex. I have this condition since 2003. I am applying Minoxidil 5% since 10 years and from 2005 for every single day. My concern is I was diagnosed for Pure Red Cell Aplasia (PRCA), an autoimmune disorder and have been under immunosuppressive drug Cyclosporine 300mg/day for 2 years, since February 2013. Surprisingly, the Cyclosporine has helped controlling further thinning. But now I would like to take at least 0.25mg of Finasteride per day (1/4 of 1mg tablet) for improvement on already thinned areas. When I discussed with my dermatologist whether I could take the 0.25mg Finasteride while I am on 150mg Cyclosporine twice a day, she told that I can take it and there will not be any problem if I take lower dosage of 0.25mg Finateride.Brief note on my PRCA disease history: Actually I was first diagnosed with PRCA in January 2008 with hemoglobin 6.4 g/dL. I was put forth on one and a half years of immunosuppression - Cyclosporine tablets 150mg twice a day till September 2009. When my hemoglobin reached 12 g/dL in September 2009 I was advised by my hematologist to stop the Cyclosporine intake. So, from September 2009 till December 2012 I was doing good with my hemoglobin level 12 g/dL without any immunosuppressants. Suddenly after December 2012 the "relapse" of PRCA occurred and as of now I have been advised to be on some amount of immunosuppression dosage with the Cyclosporine throughout life to prevent the relapse again. Right now my hemoglobin level is 12 g/dL. I have attached my latest Complete Blood Count (CBC) report. Cyclosporine intake has been reduced to 100mg twice a day at present. So, I am just continuing to apply the 5% Minoxidil right from 2004 till date without fail. And during the period between September 2009 to December 2012 while I was doing good without any immunosuppressive Cyclosporine medication, I took Finasteride 1mg for a period of 5 months under supervision of my dermotologist. I did not have any sexual side effects except for my semen become more liquid, but my hair thinning improved a lot. Even I had a good amount of new hair growing out on the hairlines, temple and on the vertex. But I stopped Finasteride with fear of possibly having side effects after a long term usage. Could you please advise whether it is safe to start taking 0.25mg of Finasteride now. As I am on immunosuppressant Cyclosporine and have to continue at least minimal dosage throughout life, will 0.25mg of Finasteride have interactions with Cyclosporine or any other adverse effects? Also I had discussion with one of my dermatologists. He advised that I can safely take Finasteride 1mg and Minoxidil-Finasteride are US FDA approved for androgenic alopecia. He also clarified that there is no interaction between Cyclosporine or Finasteride. And when I asked him about Saw Palmetto instead of Finasteride, he replied that though they are claimed to block DHT, there are no clinically proven results. Could you please advise me on this?
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Hi, Welcome to icliniq.com. Thanks for sending such an excellent description of your medical history and reports. (attachment removed to protect patient identity) Revert back to a dermatologist online if you have any further questions -->
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<s>[INST]
Hello Doctor, I have less dense packed hair with slight thinning in the hairline and on the vertex. I have this condition since 2003. I am applying Minoxidil 5% since 10 years and from 2005 for every single day. My concern is I was diagnosed for Pure Red Cell Aplasia (PRCA), an autoimmune disorder and have been under immunosuppressive drug Cyclosporine 300mg/day for 2 years, since February 2013. Surprisingly, the Cyclosporine has helped controlling further thinning. But now I would like to take at least 0.25mg of Finasteride per day (1/4 of 1mg tablet) for improvement on already thinned areas. When I discussed with my dermatologist whether I could take the 0.25mg Finasteride while I am on 150mg Cyclosporine twice a day, she told that I can take it and there will not be any problem if I take lower dosage of 0.25mg Finateride.Brief note on my PRCA disease history: Actually I was first diagnosed with PRCA in January 2008 with hemoglobin 6.4 g/dL. I was put forth on one and a half years of immunosuppression - Cyclosporine tablets 150mg twice a day till September 2009. When my hemoglobin reached 12 g/dL in September 2009 I was advised by my hematologist to stop the Cyclosporine intake. So, from September 2009 till December 2012 I was doing good with my hemoglobin level 12 g/dL without any immunosuppressants. Suddenly after December 2012 the "relapse" of PRCA occurred and as of now I have been advised to be on some amount of immunosuppression dosage with the Cyclosporine throughout life to prevent the relapse again. Right now my hemoglobin level is 12 g/dL. I have attached my latest Complete Blood Count (CBC) report. Cyclosporine intake has been reduced to 100mg twice a day at present. So, I am just continuing to apply the 5% Minoxidil right from 2004 till date without fail. And during the period between September 2009 to December 2012 while I was doing good without any immunosuppressive Cyclosporine medication, I took Finasteride 1mg for a period of 5 months under supervision of my dermotologist. I did not have any sexual side effects except for my semen become more liquid, but my hair thinning improved a lot. Even I had a good amount of new hair growing out on the hairlines, temple and on the vertex. But I stopped Finasteride with fear of possibly having side effects after a long term usage. Could you please advise whether it is safe to start taking 0.25mg of Finasteride now. As I am on immunosuppressant Cyclosporine and have to continue at least minimal dosage throughout life, will 0.25mg of Finasteride have interactions with Cyclosporine or any other adverse effects? Also I had discussion with one of my dermatologists. He advised that I can safely take Finasteride 1mg and Minoxidil-Finasteride are US FDA approved for androgenic alopecia. He also clarified that there is no interaction between Cyclosporine or Finasteride. And when I asked him about Saw Palmetto instead of Finasteride, he replied that though they are claimed to block DHT, there are no clinically proven results. Could you please advise me on this? [/INST] Hi, Welcome to icliniq.com. Thanks for sending such an excellent description of your medical history and reports. (attachment removed to protect patient identity) Revert back to a dermatologist online if you have any further questions -->
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Q. My son occasionally complains of burning sensation during urination. What to do?
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Hi doctor,My son is 5 years old. He occasionally complains of burning sensation in urine. Before five months, he complained of burning sensation, and we did a urine test which showed pus cells 2 to 3 and albumin haziness. The doctor said that as fine and just advise to give more fluids. We did two more urine tests in the following three months, and they were normal. He occasionally complains about burning and sometimes, has puffy eyes in the mornings. I searched on the internet and got scared. Please advise if there is any need of worrying.
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Hi. I understand your concerns. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor,My son is 5 years old. He occasionally complains of burning sensation in urine. Before five months, he complained of burning sensation, and we did a urine test which showed pus cells 2 to 3 and albumin haziness. The doctor said that as fine and just advise to give more fluids. We did two more urine tests in the following three months, and they were normal. He occasionally complains about burning and sometimes, has puffy eyes in the mornings. I searched on the internet and got scared. Please advise if there is any need of worrying. [/INST] Hi. I understand your concerns. For further information consult an internal medicine physician online -->
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Q. Taking Pantoprazole for GERD. Is any drug interactions between Pantoprazole and Voltaren?
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Hello doctor, I am on 40 mg Pantoprazole twice a day for GERD. I just took 50 mg Voltaren for a bad back and I am worried sick. I checked online and it said no drug interactions. I have not yet taken my nightly dose of Pantoprazole, should I not take it?
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Hello. I went through your query. There are no drug interactions between Pantoprozole and Diclofenac (Voltaren). In fact, anyone who takes painkillers like Diclofenac has to take Pantoprazole to prevent Diclofenac-induced gastritis. So, relax and take the regular dose of Pantoprazole. Regards. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am on 40 mg Pantoprazole twice a day for GERD. I just took 50 mg Voltaren for a bad back and I am worried sick. I checked online and it said no drug interactions. I have not yet taken my nightly dose of Pantoprazole, should I not take it? [/INST] Hello. I went through your query. There are no drug interactions between Pantoprozole and Diclofenac (Voltaren). In fact, anyone who takes painkillers like Diclofenac has to take Pantoprazole to prevent Diclofenac-induced gastritis. So, relax and take the regular dose of Pantoprazole. Regards. For more information consult an internal medicine physician online -->
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Q. How to improve WBC count following chemotherapy?
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Hi doctor, I am a 23 year old male. I am suffering from acute lymphoblastic lymphoma and I am going to finish my last chemotherapy. My WBC count has reduced due to discontinuation of GCSF. After the completion of chemotherapy session, how to recover WBC count? Please suggest me.
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Hi. For further information consult a hematologist online -->
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<s>[INST]
Hi doctor, I am a 23 year old male. I am suffering from acute lymphoblastic lymphoma and I am going to finish my last chemotherapy. My WBC count has reduced due to discontinuation of GCSF. After the completion of chemotherapy session, how to recover WBC count? Please suggest me. [/INST] Hi. For further information consult a hematologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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