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Q. Please check my lipid profile and provide detailed interpretation.
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Hi doctor, Over the last four months, I am on a high fat, high protein and low carbohydrate diet where I am taking 250 g of protein, 200 g of fat (mostly saturated) and very low carbohydrates target is less than 50 g per day. Cholesterol is one of the major problems in my family, so I got a lipid profile test done. I am doing intense workout and focusing on building muscle. Please check my lipid profile and provide me detailed interpretation of it. If my HDL is good and LDL is bad, does this still lower the chance of heart or cholesterol problems? What is the difference between non-HDL and cholesterol ratio. Which is important? What is my case? What do you think of saturated fat and cholesterol? Are they linked or not? Recent studies say that saturated fat increases HDL. I have attached my reports for your reference. Thank you.
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, Over the last four months, I am on a high fat, high protein and low carbohydrate diet where I am taking 250 g of protein, 200 g of fat (mostly saturated) and very low carbohydrates target is less than 50 g per day. Cholesterol is one of the major problems in my family, so I got a lipid profile test done. I am doing intense workout and focusing on building muscle. Please check my lipid profile and provide me detailed interpretation of it. If my HDL is good and LDL is bad, does this still lower the chance of heart or cholesterol problems? What is the difference between non-HDL and cholesterol ratio. Which is important? What is my case? What do you think of saturated fat and cholesterol? Are they linked or not? Recent studies say that saturated fat increases HDL. I have attached my reports for your reference. Thank you. [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. Will I get HIV if I share vibrator?
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Hi doctor, I am a 22 year old female. I am not sexually active. Recently, my friend gave me one of her toy things. I am not sure what it was at first glance until she told me. She said she cleaned it and to be safe; I cleaned it again. But, after a few days, my vagina felt unusually weird like something was in it. It started feeling different and turned red. I was scared and kept wiping and caused it to flare up. I am not sure about the reason. A couple of days later my throat starts to hurt. It is sore, and my nose is runny. I do not have diarrhea, but my poop is a little runny. I am nervous, and I want to know could I have caught something from using her toy. I have been told numerous times while growing up that HIV dies once it makes contact with air. So, I have been freaking myself out looking my symptoms up. Please help me or point me in the right direction. Also, I am not sure the last time she used it. Please give me a hand.
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Hi. For further information consult a HIV AIDS specialist online -->
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<s>[INST]
Hi doctor, I am a 22 year old female. I am not sexually active. Recently, my friend gave me one of her toy things. I am not sure what it was at first glance until she told me. She said she cleaned it and to be safe; I cleaned it again. But, after a few days, my vagina felt unusually weird like something was in it. It started feeling different and turned red. I was scared and kept wiping and caused it to flare up. I am not sure about the reason. A couple of days later my throat starts to hurt. It is sore, and my nose is runny. I do not have diarrhea, but my poop is a little runny. I am nervous, and I want to know could I have caught something from using her toy. I have been told numerous times while growing up that HIV dies once it makes contact with air. So, I have been freaking myself out looking my symptoms up. Please help me or point me in the right direction. Also, I am not sure the last time she used it. Please give me a hand. [/INST] Hi. For further information consult a HIV AIDS specialist online -->
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Q. I have many lumps in breasts that are painful during periods. Are they fibroadenomas?
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Hello doctor, I have many lumps in both breasts for the last few years. All these lumps were diagnosed, and we got to know that these are fibroadenomas. But still, I am tensed. What diet should I take and how to proceed further with the treatment so that it does not turn into something worse? I have pain and tenderness in my breast sometimes.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I have many lumps in both breasts for the last few years. All these lumps were diagnosed, and we got to know that these are fibroadenomas. But still, I am tensed. What diet should I take and how to proceed further with the treatment so that it does not turn into something worse? I have pain and tenderness in my breast sometimes. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. My wife got pregnant after taking Unwanted 72. Is the baby going to be normal?
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Hello doctor, My wife took one Unwanted 72 pill after intercourse. But, it failed and resulted in a pregnancy. However, we decided to go ahead with the pregnancy. Now, please help us with the following questions: Does Unwanted 72 pill cause any problems or defects to the fetus? Unknowingly, She has consumed few pieces of semi-ripened papaya. Does this cause any growth problems to the fetus? She lifted a 20-liter water can for household purpose. Does this cause any impact? She had a chest discomfort. After an ECG, the doctor gave her Ranidom DSR tables and she consumed five of them during the first trimester. Does this impact the growth of the baby in any way? We found her to be pregnant at seven weeks and did not start Folic acid until then. Does this impact the fetus growth? A few days after taking Unwanted 72, bleeding occurred and it stopped. We suspected missed periods. Please provide your views on that. What else can be done to catch up with the missed diet and not taking Folic acid or proper precautions? I request you to give us proper guidance.
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Hello. How are you doing? Hope I have clarified your queries. Do write back. All the best. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My wife took one Unwanted 72 pill after intercourse. But, it failed and resulted in a pregnancy. However, we decided to go ahead with the pregnancy. Now, please help us with the following questions: Does Unwanted 72 pill cause any problems or defects to the fetus? Unknowingly, She has consumed few pieces of semi-ripened papaya. Does this cause any growth problems to the fetus? She lifted a 20-liter water can for household purpose. Does this cause any impact? She had a chest discomfort. After an ECG, the doctor gave her Ranidom DSR tables and she consumed five of them during the first trimester. Does this impact the growth of the baby in any way? We found her to be pregnant at seven weeks and did not start Folic acid until then. Does this impact the fetus growth? A few days after taking Unwanted 72, bleeding occurred and it stopped. We suspected missed periods. Please provide your views on that. What else can be done to catch up with the missed diet and not taking Folic acid or proper precautions? I request you to give us proper guidance. [/INST] Hello. How are you doing? Hope I have clarified your queries. Do write back. All the best. For more information consult an obstetrician and gynaecologist online -->
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Q. I am suffering from cough for the past one month. Can it be cured?
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Hi doctor, I am a 22 year old male. My weight is 50 kg. Around 50 days ago, I had a sore throat, nose itching and cough. I noticed a tiny amount of blood with mucus (only two times). I do not know whether it has come from lung or nose or throat. Then, my doctor told me to get complete blood count test and chest x-ray (PA). Everything was fine. ESR was little high, but after some days when I tested again, the ESR also become normal. Then, my doctor prescribed me an antibiotic tablet and Montek LC. After the complete course, my throat pain was gone, but I still had a cough. So, the doctor told me to continue Montek LC for a month. I completed one month course, but I still have a cough. A cough is sometimes dry and sometimes with mucus. I do not understand the reason for my cough. I am leaving abroad in four days, but my cough is not getting better. What can I do now?
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Hello. Thanks for writing your query to me. For further information consult an allergy specialist online -->
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<s>[INST]
Hi doctor, I am a 22 year old male. My weight is 50 kg. Around 50 days ago, I had a sore throat, nose itching and cough. I noticed a tiny amount of blood with mucus (only two times). I do not know whether it has come from lung or nose or throat. Then, my doctor told me to get complete blood count test and chest x-ray (PA). Everything was fine. ESR was little high, but after some days when I tested again, the ESR also become normal. Then, my doctor prescribed me an antibiotic tablet and Montek LC. After the complete course, my throat pain was gone, but I still had a cough. So, the doctor told me to continue Montek LC for a month. I completed one month course, but I still have a cough. A cough is sometimes dry and sometimes with mucus. I do not understand the reason for my cough. I am leaving abroad in four days, but my cough is not getting better. What can I do now? [/INST] Hello. Thanks for writing your query to me. For further information consult an allergy specialist online -->
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Q. Is scanty period a normal one?
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Hi doctor, I am 18 years old. This time my period lasted for five days, but it came down lighter than usual. My period is always consistent, but normally during my periods I would just skip one day and my period is always heavy. Yesterday and today I have not been bleeding or even spotting. Is that normal? 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 18 years old. This time my period lasted for five days, but it came down lighter than usual. My period is always consistent, but normally during my periods I would just skip one day and my period is always heavy. Yesterday and today I have not been bleeding or even spotting. Is that normal? Please explain me. [/INST] Hello. For further information consult an obstetrician and gynaecologist online -->
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Q. I would like to get a proper diagnosis regarding my high hs-CRP.
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Hi doctor, I am suffering from iron depletion. My iron is low, but ferritin and hemoglobin are normal. My folic acid was 4 about a year ago. I took Folic acid tablets for two months and it is normal now. My vitamin D has improved after taking tablets. My vitamin B12 is also on lower side. I am married for 11 years now. I am taking the diet similar to wife, but her vitamin B12 is almost close to 900. My hs-CRP is high. I also get skin wounds regularly. I want to rule out whether I have celiac disease or dermatitis herpetiformis or any other underlying disease? I would like to get a proper diagnosis of the above conditions before going in for any medication.
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Hi. Based on your query and after going through your reports (attachments removed to protect patient identity), my opinion is as follows: Repeat the lipid profile and revert back to a hematologist online -->
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<s>[INST]
Hi doctor, I am suffering from iron depletion. My iron is low, but ferritin and hemoglobin are normal. My folic acid was 4 about a year ago. I took Folic acid tablets for two months and it is normal now. My vitamin D has improved after taking tablets. My vitamin B12 is also on lower side. I am married for 11 years now. I am taking the diet similar to wife, but her vitamin B12 is almost close to 900. My hs-CRP is high. I also get skin wounds regularly. I want to rule out whether I have celiac disease or dermatitis herpetiformis or any other underlying disease? I would like to get a proper diagnosis of the above conditions before going in for any medication. [/INST] Hi. Based on your query and after going through your reports (attachments removed to protect patient identity), my opinion is as follows: Repeat the lipid profile and revert back to a hematologist online -->
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Q. Kindly suggest a face wash, sunscreen lotion and overnight cream for oily skin.
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Hello doctor, I am a 25 year old boy and my face is very oily during summer while in winters it is quite dry. In summers, a lot of oil pops out with white heads on my face. Even a short-term sun exposure tans my skin. I am also suffering from the problem of dark spots. Kindly suggest a face wash, sunscreen lotion, overnight cream or whatever it takes.
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Hello. Ahaglow (alpha hydroxy acid) face wash can be used to wash the face. La shield sunscreen can be used in the morning as it is non-comedogenic. Please upload an image of your face, so that depending on the skin type, pigmentation, and acne, medications can be suggested.
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<s>[INST]
Hello doctor, I am a 25 year old boy and my face is very oily during summer while in winters it is quite dry. In summers, a lot of oil pops out with white heads on my face. Even a short-term sun exposure tans my skin. I am also suffering from the problem of dark spots. Kindly suggest a face wash, sunscreen lotion, overnight cream or whatever it takes. [/INST] Hello. Ahaglow (alpha hydroxy acid) face wash can be used to wash the face. La shield sunscreen can be used in the morning as it is non-comedogenic. Please upload an image of your face, so that depending on the skin type, pigmentation, and acne, medications can be suggested.
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Q. I am 6 months pregnant. I have beta thalassemia. Please help.
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Hello doctor, I am a 24 year old female. I am 6 months pregnant. My hemoglobin level is 8.3g/dL and I have heterozygous state of beta thalassemia. My doctor has advised for blood transfusion. Please help.
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Hello, Welcome to iciniq.com. Wishing you good health. Consult a gynaecologist online for further follow up -->
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<s>[INST]
Hello doctor, I am a 24 year old female. I am 6 months pregnant. My hemoglobin level is 8.3g/dL and I have heterozygous state of beta thalassemia. My doctor has advised for blood transfusion. Please help. [/INST] Hello, Welcome to iciniq.com. Wishing you good health. Consult a gynaecologist online for further follow up -->
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Q. Can I get Naegleria fowleri infection from washing my nose with tap water?
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Hello doctor, I am in a subtropical state. As I was washing my face a few days ago, I accidentally got some tap water up my nose. Vaguely aware that there might be concerns about the Naegleria fowleri ameba down here, I panicked and then took some bottled mineral water and tried to rinse my nose with it, thinking that that might be more thoroughly purified and wash away anything from the tap water. However, the bottled water ended up going much further up my nose, and it felt the way it used to feel when getting water up my nose in a swimming pool as a kid. That happened a few days ago. I am worried whether either of these water sources (tap and/or bottled water) could have contained the ameba. I have been having some issues with mucus dripping from the back of my nose into my throat, occasionally mild pressure when I swallow, and for the past couple of days I have had a vague headache all day, but nothing intensely painful (it seems to have diminished somewhat today, though perhaps not fully gone away). I am not sure if I should go to an ER for evaluation, or if I should just wait and see if any more characteristic symptoms develop. I have not observed any changes in smelling ability, nor any neck pain; just a mild, vague headache. I know that if one gets the Naegleria fowleri infection time is of the essence, but I do not want to go spend a lot of money and time at the ER just to have them say that they do not see anything yet and to come back if anything changes. Is there a test they could do at this point to determine if an ameba is present, or is that only practicable if an infection reaches a more serious stage? Should I go to an emergency room now or just wait and see what happens?
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Hello. Firstly, do not worry at all. Please let me know exactly how many days have passed after the exposure. Also, know these facts: Revert to me when you feel like. Thanks. Have a great day. For further doubts kindly consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, I am in a subtropical state. As I was washing my face a few days ago, I accidentally got some tap water up my nose. Vaguely aware that there might be concerns about the Naegleria fowleri ameba down here, I panicked and then took some bottled mineral water and tried to rinse my nose with it, thinking that that might be more thoroughly purified and wash away anything from the tap water. However, the bottled water ended up going much further up my nose, and it felt the way it used to feel when getting water up my nose in a swimming pool as a kid. That happened a few days ago. I am worried whether either of these water sources (tap and/or bottled water) could have contained the ameba. I have been having some issues with mucus dripping from the back of my nose into my throat, occasionally mild pressure when I swallow, and for the past couple of days I have had a vague headache all day, but nothing intensely painful (it seems to have diminished somewhat today, though perhaps not fully gone away). I am not sure if I should go to an ER for evaluation, or if I should just wait and see if any more characteristic symptoms develop. I have not observed any changes in smelling ability, nor any neck pain; just a mild, vague headache. I know that if one gets the Naegleria fowleri infection time is of the essence, but I do not want to go spend a lot of money and time at the ER just to have them say that they do not see anything yet and to come back if anything changes. Is there a test they could do at this point to determine if an ameba is present, or is that only practicable if an infection reaches a more serious stage? Should I go to an emergency room now or just wait and see what happens? [/INST] Hello. Firstly, do not worry at all. Please let me know exactly how many days have passed after the exposure. Also, know these facts: Revert to me when you feel like. Thanks. Have a great day. For further doubts kindly consult an ENT otolaryngologist online -->
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Q. Is it necessary to worry about pregnancy even after taking I-pill?
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Hello doctor, I had protected sex with my wife. But, there was little semen outside the condom. To eliminate any chances of pregnancy, she took an I-pill after 36 hours of intercourse. Are there any chances of pregnancy and if not, are there any chances of her periods getting delayed?
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Hello. You have done the right thing. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I had protected sex with my wife. But, there was little semen outside the condom. To eliminate any chances of pregnancy, she took an I-pill after 36 hours of intercourse. Are there any chances of pregnancy and if not, are there any chances of her periods getting delayed? [/INST] Hello. You have done the right thing. For more information consult an obstetrician and gynaecologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. How to correct bedwetting of a 9 year old?
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Hi doctor, My child, who is 9 years old, has bedwetting problem. Please suggest me.
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Hi. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, My child, who is 9 years old, has bedwetting problem. Please suggest me. [/INST] Hi. For further information consult an internal medicine physician online -->
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Q. Can my wife use Serrax-D while breastfeeding?
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Hello doctor, My wife is 27 years old. Her weight is 60 kg and height is 5'4". She developed a wound on her left thigh a few days back. We ignored it at first. Later, the surrounding area started swelling. Now, the swelling has reached till the lymph nodes. We went to a gynecologist here. She told that lot of infection had developed. The doctor prescribed Taxim-O 200 (Cefixime) to be taken in the morning and night along with Metrogyl 400 (Metronidazole) three tablets a day and Serax-D (Serratiopeptidase and Diclofenac potassium) to be taken in the morning and night. My wife is currently breastfeeding our 5 months old baby. So, we asked the doctor whether those medications are safe during lactation. She told that it is fine. However, based on what I read on the internet the first two tablets are moderately safe during lactation and may not pose any significant risk to the baby, whereas the third one is contraindicated during lactation. As per the doctor, the third medicine is required for her cure and is safe to take. Can you let me know whether the medications are safe to take during lactation? Can my wife continue breastfeeding normally? Our baby does not take powder milk and was vomiting when we tried bottled milk in the past. We need your valuable inputs. My wife does not have any other medical conditions. Our baby was born underweight (2.2 kg) and is currently 5.4 kg. Other than the low weight, she is usually active.
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Hi. Your concern is right. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My wife is 27 years old. Her weight is 60 kg and height is 5'4". She developed a wound on her left thigh a few days back. We ignored it at first. Later, the surrounding area started swelling. Now, the swelling has reached till the lymph nodes. We went to a gynecologist here. She told that lot of infection had developed. The doctor prescribed Taxim-O 200 (Cefixime) to be taken in the morning and night along with Metrogyl 400 (Metronidazole) three tablets a day and Serax-D (Serratiopeptidase and Diclofenac potassium) to be taken in the morning and night. My wife is currently breastfeeding our 5 months old baby. So, we asked the doctor whether those medications are safe during lactation. She told that it is fine. However, based on what I read on the internet the first two tablets are moderately safe during lactation and may not pose any significant risk to the baby, whereas the third one is contraindicated during lactation. As per the doctor, the third medicine is required for her cure and is safe to take. Can you let me know whether the medications are safe to take during lactation? Can my wife continue breastfeeding normally? Our baby does not take powder milk and was vomiting when we tried bottled milk in the past. We need your valuable inputs. My wife does not have any other medical conditions. Our baby was born underweight (2.2 kg) and is currently 5.4 kg. Other than the low weight, she is usually active. [/INST] Hi. Your concern is right. For further information consult an obstetrician and gynaecologist online -->
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Q. My hair is thinning where I part it. Am I on my way to balding?
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Hello doctor, I always part my hair to the right and by the left corner of my forehead where I part it from it seems that in that corner the hair is looking thinner and thinner. The rest of my head there is plenty of thick hair and I am only 20 but I want to know if you think I am on my way to balding. I also have been taking Accutane to prevent acne and I heard that can cause balding.
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Hello. I saw your clinical picture (attachment removed to protect patient identity). It is grade 1 progressing to grade 2 androgenetic alopecia (AGA)/male pattern hair loss. Androgenetic alopecia is a progressive condition with hormonal and genetic influence. I would like to know if any of your family members are diagnosed with androgenetic alopecia. Yes, Accutane (Isotretinoin) is known to cause alopecia but not AGA. Accutane causes diffuse hair loss. You will get back that hair after you stop Accutane. Treatment options include: I would like to mention few hair care tips here: Hope this little piece of information is helpful for you. Take care. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I always part my hair to the right and by the left corner of my forehead where I part it from it seems that in that corner the hair is looking thinner and thinner. The rest of my head there is plenty of thick hair and I am only 20 but I want to know if you think I am on my way to balding. I also have been taking Accutane to prevent acne and I heard that can cause balding. [/INST] Hello. I saw your clinical picture (attachment removed to protect patient identity). It is grade 1 progressing to grade 2 androgenetic alopecia (AGA)/male pattern hair loss. Androgenetic alopecia is a progressive condition with hormonal and genetic influence. I would like to know if any of your family members are diagnosed with androgenetic alopecia. Yes, Accutane (Isotretinoin) is known to cause alopecia but not AGA. Accutane causes diffuse hair loss. You will get back that hair after you stop Accutane. Treatment options include: I would like to mention few hair care tips here: Hope this little piece of information is helpful for you. Take care. For more information consult a dermatologist online -->
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Q. When I urinate standing up, I notice foamy bubbles. Does it indicate a high protein content?
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Hi doctor,I am a 29 year old male. When I urinate standing up, I notice foamy bubbles. If I do it sitting, there are no bubbles. I read in the internet sources, that it might be due to a high protein content in the urine, which may be due to a kidney problem. I got really worried and opted for a check up. All the reports came back good, but uric acid levels were high at 8.69. Since I was in doubt, I tested at two different labs. But, the readings were almost the same. From the last few days, I observed frequent urination, due to which I stopped drinking water. Now, it is causing a slight burning sensation after urination. Please tell me if something is wrong with me or is it due to my anxiety? Should I undergo any tests?
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Hello. I hope it helps you. If you have any further query please ask me. For further queries consult a criticalcare physician online -->
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<s>[INST]
Hi doctor,I am a 29 year old male. When I urinate standing up, I notice foamy bubbles. If I do it sitting, there are no bubbles. I read in the internet sources, that it might be due to a high protein content in the urine, which may be due to a kidney problem. I got really worried and opted for a check up. All the reports came back good, but uric acid levels were high at 8.69. Since I was in doubt, I tested at two different labs. But, the readings were almost the same. From the last few days, I observed frequent urination, due to which I stopped drinking water. Now, it is causing a slight burning sensation after urination. Please tell me if something is wrong with me or is it due to my anxiety? Should I undergo any tests? [/INST] Hello. I hope it helps you. If you have any further query please ask me. For further queries consult a criticalcare physician online -->
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Q. Is noisy breathing in newborn an alarming symptom?
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Hi doctor, My daughter is 50 days old now. Her birth weight is 2.9 kg and her current weight is 4.2 kg approximately. At the time of her birth it was noticed that, some type of snoring noise suddenly arose with her breathing. Child specialist suggested me that nothing to worry about as it will go off when she become older. After I discharged from hospital on day 7, I visited another two specialists and heard the same. Last midnight, she suffered with the same. This time we heard the noise for cough like one. According to her doctor, it is the same noise as before. But how can we believe that. Please suggest me what to do to now? Is my baby fine? Main problem is that she suffers even in the midnight in the absence of her doctor. Unfortunately, I was not able to record the situation of last night. I am attaching her previous recordings. She suffered a lot on last night. Please help.
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Hi. I have read your question and listened the recordings (attachment removed to protect patient identity) in detail. Cold. Laryngomalacia. Vitamin D drops D3 Must 1 ml once per day till 9 months of age and keep the child prone during noisy breathing. Revert back with some more audio and chest x-ray to a child health physician online.--->
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<s>[INST]
Hi doctor, My daughter is 50 days old now. Her birth weight is 2.9 kg and her current weight is 4.2 kg approximately. At the time of her birth it was noticed that, some type of snoring noise suddenly arose with her breathing. Child specialist suggested me that nothing to worry about as it will go off when she become older. After I discharged from hospital on day 7, I visited another two specialists and heard the same. Last midnight, she suffered with the same. This time we heard the noise for cough like one. According to her doctor, it is the same noise as before. But how can we believe that. Please suggest me what to do to now? Is my baby fine? Main problem is that she suffers even in the midnight in the absence of her doctor. Unfortunately, I was not able to record the situation of last night. I am attaching her previous recordings. She suffered a lot on last night. Please help. [/INST] Hi. I have read your question and listened the recordings (attachment removed to protect patient identity) in detail. Cold. Laryngomalacia. Vitamin D drops D3 Must 1 ml once per day till 9 months of age and keep the child prone during noisy breathing. Revert back with some more audio and chest x-ray to a child health physician online.--->
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Q. After menopause, endometrial thickness is 10 mm. What to do?
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Hi doctor, I am 63 years old. It has been seven years since my menopause. My endometrial thickness is 10 mm now and the uterus is normal. Two years before, the thickness was 8.6 mm. I have no symptom such as bleeding. Please suggest any guideline for further tests.
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Hi. I have read and understood your problem. One research concludes that in a postmenopausal woman without vaginal bleeding, if the endometrium measures more than 11 mm, then a biopsy should be considered as the risk of cancer is 6.7%. Whereas if the endometrium measures less or equal to 11 mm a biopsy is not needed as the risk of cancer is extremely low. Thickness may vary from time to time. However, if you have a family history of cancer you can go for biopsy. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am 63 years old. It has been seven years since my menopause. My endometrial thickness is 10 mm now and the uterus is normal. Two years before, the thickness was 8.6 mm. I have no symptom such as bleeding. Please suggest any guideline for further tests. [/INST] Hi. I have read and understood your problem. One research concludes that in a postmenopausal woman without vaginal bleeding, if the endometrium measures more than 11 mm, then a biopsy should be considered as the risk of cancer is 6.7%. Whereas if the endometrium measures less or equal to 11 mm a biopsy is not needed as the risk of cancer is extremely low. Thickness may vary from time to time. However, if you have a family history of cancer you can go for biopsy. For further information consult an obstetrician and gynaecologist online -->
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Q. My penile discharge shows Mycoplasma genitalium. Will I be infected forever?
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Hello doctor, I am a 27 year old male, and I had unprotected sex with a woman, four months back. I started having symptoms a couple of months back. The symptoms were penile discharge, it is transparent, and I feel tickling on the penis. This made me take some STI tests, and I was diagnosed with mycoplasma genitalium. PCR was carried out to check for the following STIs, Chlamydia trachomatis, Mycoplasma hominis, Neisseria gonorrhoeae, Trichomonas vaginalis, Treponema pallidum, Ureaplasma urealyticum, Ureaplasma parvum, HSV 1 and 2, proviral HIV DNA, and all results were negative, except Mycoplasma genitalium, which was positive. Additionally, to the above PCR test, I did a blood test as well for VDRL, HBsAg, and anti-HCV, which were also negative. After visiting my doctor, I started taking two antibiotics, that is, Zithromax, only the first day of the treatment, and then Ciproxin 500 mg for three weeks. At the beginning of last month, I got tested by PCR method again and found positive for Mycoplasma genitalium. The doctor after reviewing the results suggested taking another 2 g Zithromax. After getting the last dose of 1 g Zithromax three weeks later, I got tested again by PCR method and found positive for Mycoplasma genitalium. On the same day of the test, I got a urine test, which showed 11000 WBC. So, the doctor suggested getting a urine culture, which showed 1000 CFU. Is this something I have to worry about? Will I be infected forever? If I meet my wife in a couple of years, will she be infected because of me? What is the next treatment? I still have penile discharge. This is something that stresses me a lot. Please advise.
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Hello. Hope it helps. If you have any other question, please do not hesitate to contact me. Regards. For more information consult a sexologist online -->
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<s>[INST]
Hello doctor, I am a 27 year old male, and I had unprotected sex with a woman, four months back. I started having symptoms a couple of months back. The symptoms were penile discharge, it is transparent, and I feel tickling on the penis. This made me take some STI tests, and I was diagnosed with mycoplasma genitalium. PCR was carried out to check for the following STIs, Chlamydia trachomatis, Mycoplasma hominis, Neisseria gonorrhoeae, Trichomonas vaginalis, Treponema pallidum, Ureaplasma urealyticum, Ureaplasma parvum, HSV 1 and 2, proviral HIV DNA, and all results were negative, except Mycoplasma genitalium, which was positive. Additionally, to the above PCR test, I did a blood test as well for VDRL, HBsAg, and anti-HCV, which were also negative. After visiting my doctor, I started taking two antibiotics, that is, Zithromax, only the first day of the treatment, and then Ciproxin 500 mg for three weeks. At the beginning of last month, I got tested by PCR method again and found positive for Mycoplasma genitalium. The doctor after reviewing the results suggested taking another 2 g Zithromax. After getting the last dose of 1 g Zithromax three weeks later, I got tested again by PCR method and found positive for Mycoplasma genitalium. On the same day of the test, I got a urine test, which showed 11000 WBC. So, the doctor suggested getting a urine culture, which showed 1000 CFU. Is this something I have to worry about? Will I be infected forever? If I meet my wife in a couple of years, will she be infected because of me? What is the next treatment? I still have penile discharge. This is something that stresses me a lot. Please advise. [/INST] Hello. Hope it helps. If you have any other question, please do not hesitate to contact me. Regards. For more information consult a sexologist online -->
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Q. Does Troynuron SR tablet have side effects?
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Hello doctor,I am 52 years old, and I am hypertensive for the past 12 years and diabetic for the past seven years. I am using Tozaar 50, one tablet for my hypertension and Amaryl 1 mg, half tablet before break fast and half tablet before dinner, for my diabetes. Of late, during intercourse, I am not able to sustain an erection. But erections during sleep is good. I am unable to enjoy as I used to earlier. My doctor advised using Troynuron SR. I am afraid of using this with an apprehension of side effects. Please suggest me what can I take to enjoy my family life as earlier. I go for walking and do yoga regularly for maintaining my sugar levels, and they are under control. The fasting reading will usually be 125, and rarely if I neglect walking due to any reason, the reading will be 135. Post prandial level is always normal. Blood pressure is always 130/85.
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Hello. Any further queries, I will be happy to help you. For further queries consult an internal medicine physician online -->
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<s>[INST]
Hello doctor,I am 52 years old, and I am hypertensive for the past 12 years and diabetic for the past seven years. I am using Tozaar 50, one tablet for my hypertension and Amaryl 1 mg, half tablet before break fast and half tablet before dinner, for my diabetes. Of late, during intercourse, I am not able to sustain an erection. But erections during sleep is good. I am unable to enjoy as I used to earlier. My doctor advised using Troynuron SR. I am afraid of using this with an apprehension of side effects. Please suggest me what can I take to enjoy my family life as earlier. I go for walking and do yoga regularly for maintaining my sugar levels, and they are under control. The fasting reading will usually be 125, and rarely if I neglect walking due to any reason, the reading will be 135. Post prandial level is always normal. Blood pressure is always 130/85. [/INST] Hello. Any further queries, I will be happy to help you. For further queries consult an internal medicine physician online -->
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Q. Why is my neutrophil number dropping?
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Hi doctor, I recently had my blood tests done for unexplained bruising, mouth sores, muscle pain and headaches. The neutrophil number came back as low of 1.2. I looked back at my past laboratory results and the neutrophil number has been dropping as follows. First it was 3.4, then 3.2, 2.9, 2.7, 2.1 and now 1.2. Could this be a sign of something more serious? I take Enbrel for psoriatic arthritis and also, my immune system is low.
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Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online -->
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<s>[INST]
Hi doctor, I recently had my blood tests done for unexplained bruising, mouth sores, muscle pain and headaches. The neutrophil number came back as low of 1.2. I looked back at my past laboratory results and the neutrophil number has been dropping as follows. First it was 3.4, then 3.2, 2.9, 2.7, 2.1 and now 1.2. Could this be a sign of something more serious? I take Enbrel for psoriatic arthritis and also, my immune system is low. [/INST] Hi. Based on your query, my opinion is as follows: For further information consult a hematologist online -->
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Q. All my reports are normal except for bilirubin levels. Why?
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Hello doctor,Can you go through the test reports and suggest why the bilirubin is high?
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Hello. Take care. Revert with more information to an internal medicine physician online -->
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<s>[INST]
Hello doctor,Can you go through the test reports and suggest why the bilirubin is high? [/INST] Hello. Take care. Revert with more information to an internal medicine physician online -->
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Q. When can pain revoke after bone tuberculosis treatment?
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Hello doctor, My brother is 23 years old. For the last two years he is having some pain in left hip joint area. He is unable to walk, move and feel dizzy. We consulted many doctors, some said he is having bone tuberculosis and he got treated for that. After treatment, it got cured. But, with changing weather it gets revoked and the pain will be more acute. That pain is not constant; it will come and go. We are unable to understand what the problem is. I am attaching all the prescriptions and reports for your reference. Please help.
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Hello. I have gone through your reports (attachments removed to protect patient identity) and read your history and prescription. Revert back with the x-rays to an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, My brother is 23 years old. For the last two years he is having some pain in left hip joint area. He is unable to walk, move and feel dizzy. We consulted many doctors, some said he is having bone tuberculosis and he got treated for that. After treatment, it got cured. But, with changing weather it gets revoked and the pain will be more acute. That pain is not constant; it will come and go. We are unable to understand what the problem is. I am attaching all the prescriptions and reports for your reference. Please help. [/INST] Hello. I have gone through your reports (attachments removed to protect patient identity) and read your history and prescription. Revert back with the x-rays to an orthopaedician and traumatologist online -->
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Q. My husband is getting peculiar symptoms every six months. What is it?
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Hi doctor, My husband had an issue since he was 18 years old. Doctors have brushed him off time and after time. But, I know that his symptoms are very real. He feels hopeless that he will never find an answer. For every four to six months he gets a flare up as we call it. The symptoms are itching (bug crawling sensation), twitching, diarrhea, fatigue, headache, agitation, dry skin, peeling and loss of bladder control. It seems to be inflammation based. We do not believe it as an allergy. He has had Paxil a year before the problem existed. Please suggest me.
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Hi. I am sorry to know that no proper answers were extended by doctors for his condition. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor, My husband had an issue since he was 18 years old. Doctors have brushed him off time and after time. But, I know that his symptoms are very real. He feels hopeless that he will never find an answer. For every four to six months he gets a flare up as we call it. The symptoms are itching (bug crawling sensation), twitching, diarrhea, fatigue, headache, agitation, dry skin, peeling and loss of bladder control. It seems to be inflammation based. We do not believe it as an allergy. He has had Paxil a year before the problem existed. Please suggest me. [/INST] Hi. I am sorry to know that no proper answers were extended by doctors for his condition. For further information consult a neurologist 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. While breastfeeding, which medicine can I take for cold?
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Hi doctor, I am 31 years old. My height is 5'9", and weight is 68 kg. Currently, I am not taking any medication. I am breastfeeding my nine months old on demand during the night and three to four times during the day. My classic symptoms of cold started at the weekend. I had a mild sore throat, blocked and runny nose, headache, cough and tiredness. This morning, I woke up with chest pain on the left-hand side and it lasted for about 15 minutes. It was muscular type cramp-like pain. It has not reoccurred. Although nasal congestion has eased, still feeling weak and have a chesty cough. I am due on a 4-hour flight tomorrow night with my nine months old son. Is it safe for me to make this journey while feeling like this? Is there anything I can take considering I am breastfeeding? The purpose of the trip is to visit my father-in-law, who has stage 4 lung cancer. He has been receiving radiotherapy, which ended last week and is now at home for a week before he starts chemotherapy. We are due to stay in the same house, but I am afraid of passing on any germs. Will I still be contagious? He is very much looking forward to see his grandson for the first time.
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Hi. Upper respiratory tract infection. Revert after five days to a general practitioner online.--->
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<s>[INST]
Hi doctor, I am 31 years old. My height is 5'9", and weight is 68 kg. Currently, I am not taking any medication. I am breastfeeding my nine months old on demand during the night and three to four times during the day. My classic symptoms of cold started at the weekend. I had a mild sore throat, blocked and runny nose, headache, cough and tiredness. This morning, I woke up with chest pain on the left-hand side and it lasted for about 15 minutes. It was muscular type cramp-like pain. It has not reoccurred. Although nasal congestion has eased, still feeling weak and have a chesty cough. I am due on a 4-hour flight tomorrow night with my nine months old son. Is it safe for me to make this journey while feeling like this? Is there anything I can take considering I am breastfeeding? The purpose of the trip is to visit my father-in-law, who has stage 4 lung cancer. He has been receiving radiotherapy, which ended last week and is now at home for a week before he starts chemotherapy. We are due to stay in the same house, but I am afraid of passing on any germs. Will I still be contagious? He is very much looking forward to see his grandson for the first time. [/INST] Hi. Upper respiratory tract infection. Revert after five days to a general practitioner online.--->
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Q. How to cure IBS?
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Hello doctor, I am a 38 year old male. For the past few years, I have been dealing with diarrhea and I am just simply tired of it. Thankfully, I work from home and I do not have to leave the house in the morning hours. I have always been a healthy person and non-smoker. But, I have an average of two drinks a day which I am sure does not help. Otherwise, I eat quite well. I used to eat very little in restaurants and no junk food at all. I thought it was only related to stress, but I have been able to shed a lot of that. This year I am pretty much stress free, but the IBS remains. I usually used to go toilet twice per morning, once right after coffee and again about a couple hours later after breakfast. Both the times, my stool is quite soft or liquid with little solids. It is obvious that the things are going through me really fast as I can often see greens from salad in the toilet. I self-diagnosed that I was lactose intolerant a couple years ago and stay away from all dairy. However, it seems that all natural cheeses are fine, but if anything processed, then my body rejects it violently in the smallest amount. Could I have any other food allergy that my body is rejecting? I went to a doctor locally and explained the issue. He prescribed me medicine to take. I want a cure and not a treatment. I would have expected he would ask me more questions and maybe a blood test, but nothing. So, I never took the medicines. I went to another doctor after and had a blood test and found out that I had H.pylori infection. Only after taking Mastic gum, I was cured and tests after a few months showed that I killed it. So, it is not that anymore unless I got it again. I want this to be cured as if I live with this for years, it could be doing my body serious damage in other ways. If everything is moving too fast through my intestines, they will not be able to absorb the nutrients my body needs to stay healthy. I would hate that I am ignoring this could create a bigger problem down the line. It is like driving a car with only three cylinders running. It can run, but something bad will happen eventually. Really hope you can help. I am so tired of the western paradigm of medicine. As a young, healthy person who grew up on an organic farm and raised all our own food (meat and veggies), I do not think this is an acceptable way to live or to be on medicines for the rest of my life. I am fine getting blood tests, but there are so many. I would like to know which one to take in order to determine the cause. Thanks in advance for your consideration.
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Hi. We are here to help you. For further information consult a medical gastroenterologist online -->
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<s>[INST]
Hello doctor, I am a 38 year old male. For the past few years, I have been dealing with diarrhea and I am just simply tired of it. Thankfully, I work from home and I do not have to leave the house in the morning hours. I have always been a healthy person and non-smoker. But, I have an average of two drinks a day which I am sure does not help. Otherwise, I eat quite well. I used to eat very little in restaurants and no junk food at all. I thought it was only related to stress, but I have been able to shed a lot of that. This year I am pretty much stress free, but the IBS remains. I usually used to go toilet twice per morning, once right after coffee and again about a couple hours later after breakfast. Both the times, my stool is quite soft or liquid with little solids. It is obvious that the things are going through me really fast as I can often see greens from salad in the toilet. I self-diagnosed that I was lactose intolerant a couple years ago and stay away from all dairy. However, it seems that all natural cheeses are fine, but if anything processed, then my body rejects it violently in the smallest amount. Could I have any other food allergy that my body is rejecting? I went to a doctor locally and explained the issue. He prescribed me medicine to take. I want a cure and not a treatment. I would have expected he would ask me more questions and maybe a blood test, but nothing. So, I never took the medicines. I went to another doctor after and had a blood test and found out that I had H.pylori infection. Only after taking Mastic gum, I was cured and tests after a few months showed that I killed it. So, it is not that anymore unless I got it again. I want this to be cured as if I live with this for years, it could be doing my body serious damage in other ways. If everything is moving too fast through my intestines, they will not be able to absorb the nutrients my body needs to stay healthy. I would hate that I am ignoring this could create a bigger problem down the line. It is like driving a car with only three cylinders running. It can run, but something bad will happen eventually. Really hope you can help. I am so tired of the western paradigm of medicine. As a young, healthy person who grew up on an organic farm and raised all our own food (meat and veggies), I do not think this is an acceptable way to live or to be on medicines for the rest of my life. I am fine getting blood tests, but there are so many. I would like to know which one to take in order to determine the cause. Thanks in advance for your consideration. [/INST] Hi. We are here to help you. For further information consult a medical gastroenterologist online -->
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Q. Is headache a symptom of HIV?
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Hi doctor, Before 14 days, I had an encounter with a female escort. We had unprotected oral sex and protected vaginal sex. I am worried about the possibility of HIV as I am experiencing headaches. From day 4 or 5 post exposure, I have had a general malaise feeling in my head, feeling spaced out and slightly dizzy. I have also been having headaches. The headaches come and go and vary in strength. They are always located as a pain between my eyebrows in the procerus muscle. When I massage that part of my head, it goes away for a few seconds and again, last for a couple of hours or so. Most recently, one eye was twitching and was slightly puffy. The headache almost feels like the procerus muscle itself is tight and causing the pain. I have read that the procerus muscle headache is common in sinus infections, but I feel that my sinuses are all fine. I do not have a cold of any sort. I have no other typical HIV symptoms, so I am wondering could these types of headache occur through stress or anxiety? I have a fair bit of that just now.
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Hello. For further information consult a general medicine physician online -->
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<s>[INST]
Hi doctor, Before 14 days, I had an encounter with a female escort. We had unprotected oral sex and protected vaginal sex. I am worried about the possibility of HIV as I am experiencing headaches. From day 4 or 5 post exposure, I have had a general malaise feeling in my head, feeling spaced out and slightly dizzy. I have also been having headaches. The headaches come and go and vary in strength. They are always located as a pain between my eyebrows in the procerus muscle. When I massage that part of my head, it goes away for a few seconds and again, last for a couple of hours or so. Most recently, one eye was twitching and was slightly puffy. The headache almost feels like the procerus muscle itself is tight and causing the pain. I have read that the procerus muscle headache is common in sinus infections, but I feel that my sinuses are all fine. I do not have a cold of any sort. I have no other typical HIV symptoms, so I am wondering could these types of headache occur through stress or anxiety? I have a fair bit of that just now. [/INST] Hello. For further information consult a general medicine physician online -->
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Q. I feel dizzy when I work on computer, smartphone or TV. Kindly help.
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Hello doctor, My problem is that I am really suffering a lot from computer, smartphone, television, etc. They make me feel very dizzy, headache, etc., and these feelings do not disappear until I sleep. After I wake up, I feel like my head is going to explode from headache. But, after some 20 minutes I do will feel better and normal. But, if I use computer, smartphone, etc., then again, I will get the same headache and dizziness. I am using a computer about 8 hours per day. I am a civil engineering student. I searched on the internet and found a case called computer vision syndrome. I think it as my case, but I cannot find a solution to get rid of this. I had LASIK surgery for my eyes and now I have a 6/6 vision. I bought a big computer screen, used Eye fresh eye drops and also used 20-20-20 method. All these reduce the pain, but still I feel so bad that the headache and dizziness ruins my life. I cannot concentrate on my studies. Please give a solution.
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Hi. I have reviewed your query and happy to assist you today. For further doubts consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, My problem is that I am really suffering a lot from computer, smartphone, television, etc. They make me feel very dizzy, headache, etc., and these feelings do not disappear until I sleep. After I wake up, I feel like my head is going to explode from headache. But, after some 20 minutes I do will feel better and normal. But, if I use computer, smartphone, etc., then again, I will get the same headache and dizziness. I am using a computer about 8 hours per day. I am a civil engineering student. I searched on the internet and found a case called computer vision syndrome. I think it as my case, but I cannot find a solution to get rid of this. I had LASIK surgery for my eyes and now I have a 6/6 vision. I bought a big computer screen, used Eye fresh eye drops and also used 20-20-20 method. All these reduce the pain, but still I feel so bad that the headache and dizziness ruins my life. I cannot concentrate on my studies. Please give a solution. [/INST] Hi. I have reviewed your query and happy to assist you today. For further doubts consult an internal medicine physician online -->
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Q. Missed or delayed periods after taking I-Pill? Is it due to pregnancy or amenorrhea?
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Hi doctor, I had unprotected sex with my girlfriend and she took I-pill within two hours. She had bleeding for three to six days after having sex and she missed her periods till now.I have heard about the disease amenorrhea, it might also be the side effect of I-pill in some cases. Is this a pregnancy or a disease amenorrhea? If amenorrhea happens, then can it be easily cured or not? How she can have her regular periods? Is it a matter of fear or a common disease?Please help us.
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Hi. Amenorrhea is not a disease. Amenorrhea is simply absence of the menstrual cycle. A lot of females have missed periods for one or two cycles after taking I-pill and this is normal. In most cases cycle resumes after one or two missed periods. So, no need to worry. Within one to two months her periods will resume. So, no need to do anything. As she bled three to six days after taking I-pill, there is no risk of pregnancy. The amenorrhea is the side effect of I-pill only. It is not a matter of fear. No need to do anything. Just remain relaxed and wait for her periods to resume. For further information consult a Ob/Gynac Doctor Online -->
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<s>[INST]
Hi doctor, I had unprotected sex with my girlfriend and she took I-pill within two hours. She had bleeding for three to six days after having sex and she missed her periods till now.I have heard about the disease amenorrhea, it might also be the side effect of I-pill in some cases. Is this a pregnancy or a disease amenorrhea? If amenorrhea happens, then can it be easily cured or not? How she can have her regular periods? Is it a matter of fear or a common disease?Please help us. [/INST] Hi. Amenorrhea is not a disease. Amenorrhea is simply absence of the menstrual cycle. A lot of females have missed periods for one or two cycles after taking I-pill and this is normal. In most cases cycle resumes after one or two missed periods. So, no need to worry. Within one to two months her periods will resume. So, no need to do anything. As she bled three to six days after taking I-pill, there is no risk of pregnancy. The amenorrhea is the side effect of I-pill only. It is not a matter of fear. No need to do anything. Just remain relaxed and wait for her periods to resume. For further information consult a Ob/Gynac Doctor Online -->
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Q. After a deep filling in upper molar, my husband has got swelling and pain in gums. Please help.
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Hi doctor, My husband had a deep filling in his upper second to last molar (left side). About several hours later, he started having discomfort and taking Tylenol and Ibuprofen interchangeably. Now, it has been the second day with severe pain and his cheek is swollen. And the gum over the tooth is in pain but not swollen, and it is a throbbing type of pain. We have no access to the dentist. Please help.
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Hello. In this condition the tooth should not be filled and instead, root canal should be done. As the filling was near the pulp, pulpal irritation is causing the pain. Take tablet Amoxiclav (Amoxicillin and Clavulanic acid) 625 mg one tablet twice daily for five days, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) one tablet twice daily for five days, capsule Pan D (Pantoprazole) twice daily before meals for five days, Betadine mouthwash gargle in lukewarm water. If nothing is available right now warm saline gargle will also help for the time being. Take the medication, your husband would be relieved. Do not worry, but I will advise to get the filling out by your local dentist. And your husband needs a root canal. Kindly upload an image of the tooth along with the affected area. Treatment was not done properly. Should have gone with a root canal. Removal of filling and root canal procedure. Upload an image and x-ray available. Your husband will be fine once he gets the medication. But as you both are travelling even warm saline gargle two or three times will help.
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<s>[INST]
Hi doctor, My husband had a deep filling in his upper second to last molar (left side). About several hours later, he started having discomfort and taking Tylenol and Ibuprofen interchangeably. Now, it has been the second day with severe pain and his cheek is swollen. And the gum over the tooth is in pain but not swollen, and it is a throbbing type of pain. We have no access to the dentist. Please help. [/INST] Hello. In this condition the tooth should not be filled and instead, root canal should be done. As the filling was near the pulp, pulpal irritation is causing the pain. Take tablet Amoxiclav (Amoxicillin and Clavulanic acid) 625 mg one tablet twice daily for five days, Zerodol SP (Aceclofenac, Paracetamol, and Serratiopeptidase) one tablet twice daily for five days, capsule Pan D (Pantoprazole) twice daily before meals for five days, Betadine mouthwash gargle in lukewarm water. If nothing is available right now warm saline gargle will also help for the time being. Take the medication, your husband would be relieved. Do not worry, but I will advise to get the filling out by your local dentist. And your husband needs a root canal. Kindly upload an image of the tooth along with the affected area. Treatment was not done properly. Should have gone with a root canal. Removal of filling and root canal procedure. Upload an image and x-ray available. Your husband will be fine once he gets the medication. But as you both are travelling even warm saline gargle two or three times will help.
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Q. Got crossbite following ortho treatment, what to do?
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Hi doctor, I have had braces before two years. During that time, I had a jaw expander for my upper teeth as they were too crowded. I was wondering if my dentist is giving me false information because she is scared as she will ruin my teeth. From my picture the lip piercing side is my left side and the front of my teeth, the tooth that is on the right of my bunny tooth is a few mm behind the rest of my teeth. I recently consulted a specialist because the bunny tooth next to that tooth was losing the root and was hurting. They said we needed to stop my brace pressure as soon as possible. So, I asked my dentist if she could fix the tooth that is slightly behind the bunny tooth and the one beside it. After being persistent, she tweaked it a little to help it. Now the real issue I am having is, in image 2100 which is the image on the side showing my lip piercing, it shows that my teeth are good. However the image 2101, which is the side image without my lip piercing, my upper teeth and lower teeth are touching tip to tip. I also noticed that these particular teeth are slanted inwards towards my tongue rather than being straight like the rest of my teeth. The dentist told me that my teeth have worn from all the grinding that I do. However, when I check face front you can clearly see that the upper teeth are slanting inwards and I do remember when doing elastics, it was pulling them down from a lot of pressure. I believe this is a cross bite. The dentist would not admit it and saying there is nothing to be fixed. I have checked past photos before I had braces and from close inspection the cross bite area was never like that, in fact the upper teeth overlapped the bottom teeth and was fine in that area. I am wondering whether my dentist is correct that my teeth are fine and that it cannot be fixed? I am pretty sure if she put a button behind the tooth and then I did elastics, it not be fixed and brought forward and overlap the bottom teeth. My current medication is Doxycycline. Please help me.
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Hi. For further information consult an orthodontist online -->
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<s>[INST]
Hi doctor, I have had braces before two years. During that time, I had a jaw expander for my upper teeth as they were too crowded. I was wondering if my dentist is giving me false information because she is scared as she will ruin my teeth. From my picture the lip piercing side is my left side and the front of my teeth, the tooth that is on the right of my bunny tooth is a few mm behind the rest of my teeth. I recently consulted a specialist because the bunny tooth next to that tooth was losing the root and was hurting. They said we needed to stop my brace pressure as soon as possible. So, I asked my dentist if she could fix the tooth that is slightly behind the bunny tooth and the one beside it. After being persistent, she tweaked it a little to help it. Now the real issue I am having is, in image 2100 which is the image on the side showing my lip piercing, it shows that my teeth are good. However the image 2101, which is the side image without my lip piercing, my upper teeth and lower teeth are touching tip to tip. I also noticed that these particular teeth are slanted inwards towards my tongue rather than being straight like the rest of my teeth. The dentist told me that my teeth have worn from all the grinding that I do. However, when I check face front you can clearly see that the upper teeth are slanting inwards and I do remember when doing elastics, it was pulling them down from a lot of pressure. I believe this is a cross bite. The dentist would not admit it and saying there is nothing to be fixed. I have checked past photos before I had braces and from close inspection the cross bite area was never like that, in fact the upper teeth overlapped the bottom teeth and was fine in that area. I am wondering whether my dentist is correct that my teeth are fine and that it cannot be fixed? I am pretty sure if she put a button behind the tooth and then I did elastics, it not be fixed and brought forward and overlap the bottom teeth. My current medication is Doxycycline. Please help me. [/INST] Hi. For further information consult an orthodontist online -->
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Q. What should I do to make my son grow taller?
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Hello doctor, My son is 10 years old. His height is only 125 cm, and he weighs 27.3 kg. I am worried about his short stature. We recently got an x-ray of his hands taken, to know his bone age. The x-ray revealed that it is 9.4. Does it have any relation with his femur length and humerus length when he was a fetus? Please comment in detail.
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Hello. Hope you find my advice of some benefit. Good luck. For further queries consult an endocrinologist online -->
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<s>[INST]
Hello doctor, My son is 10 years old. His height is only 125 cm, and he weighs 27.3 kg. I am worried about his short stature. We recently got an x-ray of his hands taken, to know his bone age. The x-ray revealed that it is 9.4. Does it have any relation with his femur length and humerus length when he was a fetus? Please comment in detail. [/INST] Hello. Hope you find my advice of some benefit. Good luck. For further queries consult an endocrinologist online -->
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Q. My eye power is -9 on left and -3 on right. Objects double and get dizzy. How to improve?
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Dear Doctor, My eye power is -9 on left and -3 on right. I feel very uncomfortable wearing eyeglasses. When I see, objects double and get dizzy. How to improve? Age - 17 years/ female.
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Hi. Consult an eye care ophthalmologist online for follow up -->
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<s>[INST]
Dear Doctor, My eye power is -9 on left and -3 on right. I feel very uncomfortable wearing eyeglasses. When I see, objects double and get dizzy. How to improve? Age - 17 years/ female. [/INST] Hi. Consult an eye care ophthalmologist online for follow up -->
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Q. I have hard lump under the penis shaft. Is it smegma?
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Hi doctor, I am a 31 year old male. My height is 6 feet and weight is 84 kg. My medical history includes psoriasis, hyperuricemia and essential primary hypertension. I am taking Cilacar 10 mg (Cilnidipine) one tablet daily after dinner at 9 PM for hypertension. For psoriasis I am applying Propygenta NF cream - combination of Clobetasol propionate and Neomycin sulfate cream. For scalp topical 3% lotion - Clobetasol propionate 0.05% and Salicylic acid 3% lotion. My uric acid is under control by drinking 3.5 to 4 liters of water regularly. My current blood pressure is 120/80 mmHg. For the last 14 months, there are flat hard lumps at the base of the penis just under the shaft. For this reason, I had visited a local urologist last year, but he suggested me to clean my penis under the shaft. This is to inform you that I have not cleaned my penis till the age 30. I am an uncircumcised male. As advised by the doctor I have cleaned my penis under the shaft with water. I do not masturbate regularly. But, since eight months the intensity of masturbation increased to four times a week till date. But for the last two weeks, I am feeling mild pain at the side of the lump. The size of the hard flat lump is more or less the same. Even if I press, there is no pain on the lump. My urinary flow is very good. No blood, discharge or foul smell under the shaft. The penile shaft is smooth. There is no burning sensation during urination and ejaculation. I am very much concerned. How to get rid of this occasional mild pain? What is this lump all about? Is this years of smegma deposition? Please help me out.
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Hi. I think the lumps that you able to feel are nothing but smegmoliths. These are nothing but concretions of smegma, if not cleaned for a long time. Are you able to retract your foreskin completely? If you cannot, then you may be having phimosis, which can be managed by circumcision. This will also prevent further accumulation of smegma. For further information consult a urologist online -->
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<s>[INST]
Hi doctor, I am a 31 year old male. My height is 6 feet and weight is 84 kg. My medical history includes psoriasis, hyperuricemia and essential primary hypertension. I am taking Cilacar 10 mg (Cilnidipine) one tablet daily after dinner at 9 PM for hypertension. For psoriasis I am applying Propygenta NF cream - combination of Clobetasol propionate and Neomycin sulfate cream. For scalp topical 3% lotion - Clobetasol propionate 0.05% and Salicylic acid 3% lotion. My uric acid is under control by drinking 3.5 to 4 liters of water regularly. My current blood pressure is 120/80 mmHg. For the last 14 months, there are flat hard lumps at the base of the penis just under the shaft. For this reason, I had visited a local urologist last year, but he suggested me to clean my penis under the shaft. This is to inform you that I have not cleaned my penis till the age 30. I am an uncircumcised male. As advised by the doctor I have cleaned my penis under the shaft with water. I do not masturbate regularly. But, since eight months the intensity of masturbation increased to four times a week till date. But for the last two weeks, I am feeling mild pain at the side of the lump. The size of the hard flat lump is more or less the same. Even if I press, there is no pain on the lump. My urinary flow is very good. No blood, discharge or foul smell under the shaft. The penile shaft is smooth. There is no burning sensation during urination and ejaculation. I am very much concerned. How to get rid of this occasional mild pain? What is this lump all about? Is this years of smegma deposition? Please help me out. [/INST] Hi. I think the lumps that you able to feel are nothing but smegmoliths. These are nothing but concretions of smegma, if not cleaned for a long time. Are you able to retract your foreskin completely? If you cannot, then you may be having phimosis, which can be managed by circumcision. This will also prevent further accumulation of smegma. For further information consult a urologist online -->
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Q. Can hypothyroidism cause joint pain, shivering and fever?
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Hi doctor, I am 30 years old. My weight is 60 kg and height is 5'10". Three months before, I was diagnosed with hypothyroidism. Also, I am suffering from joint pain, shivering and fever. For this condition doctor advised me to take Thyrox 50 mcg, Thyrox 100 mcg for 10 days and Thyrox 125 mcg for next two months. Also, I had serum TSH and the result indicates that I have serum TSH 11.8, but after three months TSH came to 0.02. So, the doctor suspected overdose and reduced it to 100 mcg. But, I thought 100 mcg is also too much to me. So, I am taking 50 mcg for the last three to four days. Please suggest me.
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Hi. Revert back with the test reports to an endocrinologist online -->
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<s>[INST]
Hi doctor, I am 30 years old. My weight is 60 kg and height is 5'10". Three months before, I was diagnosed with hypothyroidism. Also, I am suffering from joint pain, shivering and fever. For this condition doctor advised me to take Thyrox 50 mcg, Thyrox 100 mcg for 10 days and Thyrox 125 mcg for next two months. Also, I had serum TSH and the result indicates that I have serum TSH 11.8, but after three months TSH came to 0.02. So, the doctor suspected overdose and reduced it to 100 mcg. But, I thought 100 mcg is also too much to me. So, I am taking 50 mcg for the last three to four days. Please suggest me. [/INST] Hi. Revert back with the test reports to an endocrinologist online -->
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Q. What is the right method to take abortion pill?
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Hi doctor, I am a 27 year old female. I had my last period 60 days before. I am pregnant and I opted to abort at home. Four days back I have taken one tablet of Mifepristone at 10 AM and then two tablets of Misoprostol 10 AM the next day. I have been bleeding lightly after taking Misoprostol tablets. There are still two tablets of Misoprostol left. Could you please advice when and how to take these two tablets of Misoprostol. I have attached my transvaginal scan reports taken yesterday for your reference. This is my second abortion. I did home abortion eight years ago using a set of two pills, but I did not remember the names. Now, I feel slightly dizzy with headache. Please guide me.
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Hi. The methodology you have adopted for abortion is incorrect. You should have asked this question before taking the medicines. You have already crossed the time for the other two tablets. Ideally, two Misoprostol should have been taken orally and two inserted in vagina. So, I would suggest you to insert the two tablets as soon as possible. You will bleed a little more. As far as the reports are concerned, your pregnancy of 9 weeks is absolutely intact in the ultrasound. So, it does not seem that the pregnancy has been terminated. For further doubts consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 27 year old female. I had my last period 60 days before. I am pregnant and I opted to abort at home. Four days back I have taken one tablet of Mifepristone at 10 AM and then two tablets of Misoprostol 10 AM the next day. I have been bleeding lightly after taking Misoprostol tablets. There are still two tablets of Misoprostol left. Could you please advice when and how to take these two tablets of Misoprostol. I have attached my transvaginal scan reports taken yesterday for your reference. This is my second abortion. I did home abortion eight years ago using a set of two pills, but I did not remember the names. Now, I feel slightly dizzy with headache. Please guide me. [/INST] Hi. The methodology you have adopted for abortion is incorrect. You should have asked this question before taking the medicines. You have already crossed the time for the other two tablets. Ideally, two Misoprostol should have been taken orally and two inserted in vagina. So, I would suggest you to insert the two tablets as soon as possible. You will bleed a little more. As far as the reports are concerned, your pregnancy of 9 weeks is absolutely intact in the ultrasound. So, it does not seem that the pregnancy has been terminated. For further doubts consult an obstetrician and gynaecologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Please suggest some measures to get pregnant?
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Hi doctor, From last two years we are trying to conceive and recently my wife had SM test. The result of the prolactin blood test is 9.89 ng/mL and TSH is 2.84. The FSH result is 6.83 mlU/mL. Also the luteinizing hormone range is 3.83 mlU/ml and right ovary adnexal is 38 mm x 24 mm. Please explain the result to me.
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Hi. Revert back with the reports to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, From last two years we are trying to conceive and recently my wife had SM test. The result of the prolactin blood test is 9.89 ng/mL and TSH is 2.84. The FSH result is 6.83 mlU/mL. Also the luteinizing hormone range is 3.83 mlU/ml and right ovary adnexal is 38 mm x 24 mm. Please explain the result to me. [/INST] Hi. Revert back with the reports to an obstetrician and gynaecologist online -->
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Q. Which medicines are used to treat parasitic infection?
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Hi Doctor, Which anthelmintic medicine would you recommend for a treatment for a possible parasitic infection (worm)? Is it Albendazole? If yes, for how many days? I do have some itchiness around my anus area and cannot get a doctor appointment here.
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Hi, Thanks for writing to us. It is important to find out which type of worm infection you are suffering from. There are hundreds of worms which enter the body and the treatment varies depending on the type of the worm. So, ideally you should get a stool routine/microscopy done. It is a simple test and is available everywhere. If you want a broad spectrum drug which would cure mostly all types, then tablet Albendazole is good to start with. Take tablet Zentel 400mg once in night, then in morning check for worms coming out in stools. Repeat the same dose for 3 nights. Mostly all types of worms will be evacuated by this. For anal itching, please apply Quadriderm ointment to remove the ulceration and inflammation which the worms have caused. If you need any other clarification or if you get the report of the stool test, please feel free to write to us back -->
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<s>[INST]
Hi Doctor, Which anthelmintic medicine would you recommend for a treatment for a possible parasitic infection (worm)? Is it Albendazole? If yes, for how many days? I do have some itchiness around my anus area and cannot get a doctor appointment here. [/INST] Hi, Thanks for writing to us. It is important to find out which type of worm infection you are suffering from. There are hundreds of worms which enter the body and the treatment varies depending on the type of the worm. So, ideally you should get a stool routine/microscopy done. It is a simple test and is available everywhere. If you want a broad spectrum drug which would cure mostly all types, then tablet Albendazole is good to start with. Take tablet Zentel 400mg once in night, then in morning check for worms coming out in stools. Repeat the same dose for 3 nights. Mostly all types of worms will be evacuated by this. For anal itching, please apply Quadriderm ointment to remove the ulceration and inflammation which the worms have caused. If you need any other clarification or if you get the report of the stool test, please feel free to write to us back -->
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Q. Is jerky septum a normal finding on the echocardiogram?
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Hello doctor, I am 50 years old. My echo is normal with LVEF of 50% and dobutamine stress test negative for ischemia (LVEF of 58%). But, it shows a jerky septum? Is jerky septum a normal finding?
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Hello. There are a few causes of jerky septum like bundle branch block, increased pressure in the right side of the heart, and disease in the pericardium. As your echo is normal, because of increased pressure on the right side of the heart, disease in pericardium is less likely. As you have not provided ECG (echocardiogram), I am unable to comment on bundle branch block. Still, a jerky septum in isolation is less likely to be pathological. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I am 50 years old. My echo is normal with LVEF of 50% and dobutamine stress test negative for ischemia (LVEF of 58%). But, it shows a jerky septum? Is jerky septum a normal finding? [/INST] Hello. There are a few causes of jerky septum like bundle branch block, increased pressure in the right side of the heart, and disease in the pericardium. As your echo is normal, because of increased pressure on the right side of the heart, disease in pericardium is less likely. As you have not provided ECG (echocardiogram), I am unable to comment on bundle branch block. Still, a jerky septum in isolation is less likely to be pathological. For more information consult a cardiologist online -->
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Q. Tests for stomach pain revealed a high eosinophil count. What to do?
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Hi doctor, I have a stomach ache from the last two months. It got worsened last week and I was admitted to a hospital. A lot of tests were done. The CBC revealed eosinophilia. The gastroscopy revealed an edematous duodenum. A duodenal biopsy was taken. I have attached my biopsy report. I want to understand the same.
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Hello. For more information consult a medical gastroenterologist online -->
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<s>[INST]
Hi doctor, I have a stomach ache from the last two months. It got worsened last week and I was admitted to a hospital. A lot of tests were done. The CBC revealed eosinophilia. The gastroscopy revealed an edematous duodenum. A duodenal biopsy was taken. I have attached my biopsy report. I want to understand the same. [/INST] Hello. For more information consult a medical gastroenterologist online -->
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Q. I have only one kidney by birth. Can I live a normal life?
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Hi doctor, Recently, I came to know that I got unilateral renal agenesis. My left kidney is absent. Basically, I am a physique model and use to do bodybuilding. I use to take lots of supplements. Also, I was on anabolic cycle for a few months as well. Being with unilateral kidney, will these supplements and anabolic affect my existing kidney? Can I live a normal life without any cautions. I would like to know the precaution of safeguarding my one kidney.
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Hi. We are here to help you. For further information consult a nephrologist online -->
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<s>[INST]
Hi doctor, Recently, I came to know that I got unilateral renal agenesis. My left kidney is absent. Basically, I am a physique model and use to do bodybuilding. I use to take lots of supplements. Also, I was on anabolic cycle for a few months as well. Being with unilateral kidney, will these supplements and anabolic affect my existing kidney? Can I live a normal life without any cautions. I would like to know the precaution of safeguarding my one kidney. [/INST] Hi. We are here to help you. For further information consult a nephrologist online -->
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Q. My daughter is irritable and has rapid mood changes. Are these side effects of Hydrocortisone?
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Hello doctor, My daughter has special needs. She had Cushing's syndrome and an adrenalectomy at the age of 8. She is now 31. She has had some psychiatric problems, and her current medication is 15 mg Hydrocortisone, 1 mcg Fludrocortisone, and 1.5 mg Risperidone daily. We have just taken her on holiday, and we had a terrible time. She was definitely suffering, anxious most of the time and occasionally hysterical, with rapid mood changes and often irritable, sometimes mildly aggressive. She showed poor tolerance to the heat and seemed to find it difficult to adjust her body temperature. She also has a toenail fungus for at least five years. Which of these symptoms could have an endocrinological cause? Could the fungus affect her in this way? Is there an alternative to Hydrocortisone if her symptoms are side effects?
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Hello. I just read your query about your daughter. I must say that your daughter is rightly managed till now. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->
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<s>[INST]
Hello doctor, My daughter has special needs. She had Cushing's syndrome and an adrenalectomy at the age of 8. She is now 31. She has had some psychiatric problems, and her current medication is 15 mg Hydrocortisone, 1 mcg Fludrocortisone, and 1.5 mg Risperidone daily. We have just taken her on holiday, and we had a terrible time. She was definitely suffering, anxious most of the time and occasionally hysterical, with rapid mood changes and often irritable, sometimes mildly aggressive. She showed poor tolerance to the heat and seemed to find it difficult to adjust her body temperature. She also has a toenail fungus for at least five years. Which of these symptoms could have an endocrinological cause? Could the fungus affect her in this way? Is there an alternative to Hydrocortisone if her symptoms are side effects? [/INST] Hello. I just read your query about your daughter. I must say that your daughter is rightly managed till now. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->
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Q. The CSW had some white patches near her vagina. Should I get tested for HIV?
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Hello doctor,I had sex with a prostitute and not sure if she has HIV or not. However, I have used a condom as a protection. Now, do I need to do an HIV test to check?
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Hello. I have noted your concern. Protected sex is safe and there is no risk of HIV (human immunodeficiency virus). Regards. For more information consult an HIV AIDS specialist online -->
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<s>[INST]
Hello doctor,I had sex with a prostitute and not sure if she has HIV or not. However, I have used a condom as a protection. Now, do I need to do an HIV test to check? [/INST] Hello. I have noted your concern. Protected sex is safe and there is no risk of HIV (human immunodeficiency virus). Regards. For more information consult an HIV AIDS specialist online -->
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Q. My TSH is 6. 58. Can I keep my TSH under control without medications?
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Hi doctor,I am a 26 year old female, who is trying to conceive. Previously, I was not diagnosed with hypothyroidism. But recently, my gynecologist prescribed Thyronorm 50 mcg as my TSH is 6.58. I had concerns with taking a long-term medication. I have read that thyroid medication is to be taken lifelong. However, my doctor said she would stop the medication after conception and delivery if my thyroid is normal. Is this true? Can I really stop the medications?
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Hi. I hope it helps you. If you have any further query, please ask me. For more information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor,I am a 26 year old female, who is trying to conceive. Previously, I was not diagnosed with hypothyroidism. But recently, my gynecologist prescribed Thyronorm 50 mcg as my TSH is 6.58. I had concerns with taking a long-term medication. I have read that thyroid medication is to be taken lifelong. However, my doctor said she would stop the medication after conception and delivery if my thyroid is normal. Is this true? Can I really stop the medications? [/INST] Hi. I hope it helps you. If you have any further query, please ask me. For more information consult an internal medicine physician online -->
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Q. What does the presence of starch in the stool indicate?
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Hi doctor, We had a stool test for my 2.5 year old daughter. The result reported presence of starch granules in the stool and the stool pH is acidic 6. What does it mean?
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Hello. For further information consult a paediatrician online -->
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<s>[INST]
Hi doctor, We had a stool test for my 2.5 year old daughter. The result reported presence of starch granules in the stool and the stool pH is acidic 6. What does it mean? [/INST] Hello. For further information consult a paediatrician online -->
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Q. I am having heel pain and inflammation from stepping on a nail head. Is this due to a bone contusion or did I damage any ligaments?
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Hello doctor, I stepped on the head of a nail a week ago. Now, every time I step on that part of my heel, I get this sharp, searing and burning feeling. Is this a bone contusion or did I damage any ligaments? What happened? Thank you for giving me an audience; it's extremely appreciated.
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Hello and welcome to icliniq.com. Thank you for contacting us. Wishing you excellent health. If you have any further questions, consult a general medicine physician online -->
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<s>[INST]
Hello doctor, I stepped on the head of a nail a week ago. Now, every time I step on that part of my heel, I get this sharp, searing and burning feeling. Is this a bone contusion or did I damage any ligaments? What happened? Thank you for giving me an audience; it's extremely appreciated. [/INST] Hello and welcome to icliniq.com. Thank you for contacting us. Wishing you excellent health. If you have any further questions, consult a general medicine physician online -->
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Q. Tip of my foreskin is pinkish white in color. Please suggest a cream.
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Hi doctor, I am a 29 year old unmarried male. I have phimosis from the age of 13. After constant stretching for three months, it cured. Now, I can easily pull back my foreskin in both flaccid and erect condition, but my tip of the foreskin is pinkish white in color. If I pull back my foreskin, that pinkish white color comes to the middle of the shaft. It will not irritate or itch. Please suggest a cream for getting the original color of my penis in that area.
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Hi. I have seen the images sent by you (attachment removed to protect patient identity). The thing you are talking about is actually fibrosis ring, which was causing your phimosis. It is like scar tissue. It will not cause any problem as skin is getting retracted completely. The ointment will not make it like normal skin as it is scar tissue. As it is harmless, there is no need to worry. If you want to remove it for cosmetic purpose, then you need to undergo circumcision, but it is not advisable. For further information consult a urologist online -->
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<s>[INST]
Hi doctor, I am a 29 year old unmarried male. I have phimosis from the age of 13. After constant stretching for three months, it cured. Now, I can easily pull back my foreskin in both flaccid and erect condition, but my tip of the foreskin is pinkish white in color. If I pull back my foreskin, that pinkish white color comes to the middle of the shaft. It will not irritate or itch. Please suggest a cream for getting the original color of my penis in that area. [/INST] Hi. I have seen the images sent by you (attachment removed to protect patient identity). The thing you are talking about is actually fibrosis ring, which was causing your phimosis. It is like scar tissue. It will not cause any problem as skin is getting retracted completely. The ointment will not make it like normal skin as it is scar tissue. As it is harmless, there is no need to worry. If you want to remove it for cosmetic purpose, then you need to undergo circumcision, but it is not advisable. For further information consult a urologist online -->
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Q. What to do for freckles that developed overnight?
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Hi doctor,I have developed some brown patches and freckle like spots on my left hand overnight. I went to bed last night with a new light brown freckle on the palm of my hand and woke up this morning to it being darker and there being more freckles and patches. There are a couple of patches on my ring finger and it looks like a stain. The brown spots seem to have become darker over the day and a couple more have appeared. What do you think this could be? As far as I am aware, I have not been exposed to anything. Thank you.
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Hello. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor,I have developed some brown patches and freckle like spots on my left hand overnight. I went to bed last night with a new light brown freckle on the palm of my hand and woke up this morning to it being darker and there being more freckles and patches. There are a couple of patches on my ring finger and it looks like a stain. The brown spots seem to have become darker over the day and a couple more have appeared. What do you think this could be? As far as I am aware, I have not been exposed to anything. Thank you. [/INST] Hello. For further information consult a dermatologist 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 reason for recurring white spots on my genital area?
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Hello doctor, I have had white spots on my genital area for the past one year. They are not bumps but just spots. They do not itch or smell. They are only just visible. After applying a cream such as Beclomin for prolonged periods, it goes away but once I stop, it starts to appear again.
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Hi. This seems to be related to some atypical skin lesions that respond well to Beclomin (Beclomethasone and Miconazole nitrate) (attachment removed to protect patient identity). These can or cannot be sexually transmitted disease-related symptoms. It depends on proper evaluation and testing to rule out the real cause. In differential diagnosis, lichen sclerosis can be on top. In this disease, we see patchy white lesions on male genitalia. Skin diseases like lichen planus and psoriasis can be other differentials. The best next step is to consult a dermatologist in-person to get yourself tested thoroughly. The dermatologist would rule out all possible causes including fungal infections and aforementioned possibilities. Once diagnosed properly, it can be managed accordingly. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I have had white spots on my genital area for the past one year. They are not bumps but just spots. They do not itch or smell. They are only just visible. After applying a cream such as Beclomin for prolonged periods, it goes away but once I stop, it starts to appear again. [/INST] Hi. This seems to be related to some atypical skin lesions that respond well to Beclomin (Beclomethasone and Miconazole nitrate) (attachment removed to protect patient identity). These can or cannot be sexually transmitted disease-related symptoms. It depends on proper evaluation and testing to rule out the real cause. In differential diagnosis, lichen sclerosis can be on top. In this disease, we see patchy white lesions on male genitalia. Skin diseases like lichen planus and psoriasis can be other differentials. The best next step is to consult a dermatologist in-person to get yourself tested thoroughly. The dermatologist would rule out all possible causes including fungal infections and aforementioned possibilities. Once diagnosed properly, it can be managed accordingly. For more information consult an internal medicine physician online -->
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Q. My wife has PCOS. Will she be able to conceive?
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Hello doctor, My wife has PCOS and is undergoing a treatment for the same. She had irregular periods issue even before marriage. We got married eight months back. My wife has not yet conceived. Our previous doctor said that my wife has a primary infertility problem and she suggested Mychiro tablet for three months. Is there any severe issue for her? They mentioned in the report that E7 was 9.3 mm on the eighth day of the period. We are very confused and we need clarification. My wife is now 24 and she does not have any thyroid issue.
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Hi. For pregnancy to happen, good quality ovum from the female and good quality sperm from the male is very important. Let us assume that you are normal. In a regular 30 day cycle, women normally ovulate around 14th day in the middle of the cycle. When there is an irregular cycle, then there may or may not be an ovulation. If ovulation is occurring, then there is a chance of pregnancy. But, most of the time there is either no ovulation or there is bad quality ovulation happening in an irregular cycle. So, pregnancy fails to occur. In treatment also, they may advise to ovulate in a normal manner and ask you both to have sex near, before and after ovulation to maximize the chances of getting pregnant. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My wife has PCOS and is undergoing a treatment for the same. She had irregular periods issue even before marriage. We got married eight months back. My wife has not yet conceived. Our previous doctor said that my wife has a primary infertility problem and she suggested Mychiro tablet for three months. Is there any severe issue for her? They mentioned in the report that E7 was 9.3 mm on the eighth day of the period. We are very confused and we need clarification. My wife is now 24 and she does not have any thyroid issue. [/INST] Hi. For pregnancy to happen, good quality ovum from the female and good quality sperm from the male is very important. Let us assume that you are normal. In a regular 30 day cycle, women normally ovulate around 14th day in the middle of the cycle. When there is an irregular cycle, then there may or may not be an ovulation. If ovulation is occurring, then there is a chance of pregnancy. But, most of the time there is either no ovulation or there is bad quality ovulation happening in an irregular cycle. So, pregnancy fails to occur. In treatment also, they may advise to ovulate in a normal manner and ask you both to have sex near, before and after ovulation to maximize the chances of getting pregnant. For further information consult an obstetrician and gynaecologist online -->
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Q. Doctor has prescribed tablet ecospirin 75 AV for me. What is the use of this medicine?
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Hello,
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Hi. For further help consult a neurologist online -->
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<s>[INST]
Hello, [/INST] Hi. For further help consult a neurologist online -->
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Q. Can knee and pelvic x-ray help to check, whether human growth hormone(HGH) will work for me?
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Dear Doctor, I have attached images of the latest x-ray imaging (attachment removed to protect user identity). I have taken this x-ray to determine my bone age, reason is that I had planned on using growth hormone therapy to help me grow taller. I was told that these bone age imaging of the wrist is not enough to determine whether a 19 year old will grow any taller, as the maximum age they can predict is up to 19 years, which is my age at present. I was told that a pelvic imaging is best for people above the age of 19 years. My question is on seeing the images, can you please tell if HGH will work for me? If not then, should I consider a pelvic x-ray to help determine whether growth hormone will work for me?
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Hi. Hope it helps.
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<s>[INST]
Dear Doctor, I have attached images of the latest x-ray imaging (attachment removed to protect user identity). I have taken this x-ray to determine my bone age, reason is that I had planned on using growth hormone therapy to help me grow taller. I was told that these bone age imaging of the wrist is not enough to determine whether a 19 year old will grow any taller, as the maximum age they can predict is up to 19 years, which is my age at present. I was told that a pelvic imaging is best for people above the age of 19 years. My question is on seeing the images, can you please tell if HGH will work for me? If not then, should I consider a pelvic x-ray to help determine whether growth hormone will work for me? [/INST] Hi. Hope it helps.
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Q. What are the possible measures to control diabetes?
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Hi doctor, I am taking the following medicines for my diabetes, Amaryl 2 mg 1-0-1, Onglyza 5 mg 0-1-0, Losar A 1-0-0 and Hosit-L 0-0-1 I would like to know if these medicines can control and regulate my diabetes? If not, please advise me some tablet to bring my sugar level down and get better control of my diabetes.
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Hi. I saw your blood reports (attachment removed to protect patient identity) and medications as well. Revert back with the blood sugar report to a diabetologist online -->
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<s>[INST]
Hi doctor, I am taking the following medicines for my diabetes, Amaryl 2 mg 1-0-1, Onglyza 5 mg 0-1-0, Losar A 1-0-0 and Hosit-L 0-0-1 I would like to know if these medicines can control and regulate my diabetes? If not, please advise me some tablet to bring my sugar level down and get better control of my diabetes. [/INST] Hi. I saw your blood reports (attachment removed to protect patient identity) and medications as well. Revert back with the blood sugar report to a diabetologist online -->
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Q. Are aggressive and destroying behavior, symptoms of bipolar disorder?
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Hi doctor, My father abuses me a lot and eats a lot. He is really aggressive. He also has some memory problem due to over consumption of alcohol. Unless we give food he starts destroying things. So, I think he is suffering from bipolar disorder. What should I do?
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Hi. Increase appetite, aggressive behavior and destroying things are symptoms of bipolar mania. But, in bipolar mania there is decrease need for sleep. So, it may be bipolar mania. To make a definite diagnosis, I need to know more details about his behavior. Revert back with the answers to the above questions to a psychologist counsellor online -->
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<s>[INST]
Hi doctor, My father abuses me a lot and eats a lot. He is really aggressive. He also has some memory problem due to over consumption of alcohol. Unless we give food he starts destroying things. So, I think he is suffering from bipolar disorder. What should I do? [/INST] Hi. Increase appetite, aggressive behavior and destroying things are symptoms of bipolar mania. But, in bipolar mania there is decrease need for sleep. So, it may be bipolar mania. To make a definite diagnosis, I need to know more details about his behavior. Revert back with the answers to the above questions to a psychologist counsellor online -->
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Q. Why do I get some weird thoughts and numb feeling?
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Hi doctor, Nine months before, I had to break up with my mom's house. Then, I found that she passed away. Since then, I am really numb without any feelings. I have been crying non-stop for her, because she was my best friend as well. Also, I am not able to explain my feeling. In the past one and a half weeks, I am constantly getting angry, snapping at my children and partner and feeling very on edge. I cannot stand any noise and I have all weird thoughts in my head. One, for instance, I cannot get into the car unless I can see the air bag sign as I am scared that we are going to crash. If my kids or partner goes out, I always think something bad is going to happen to them. Also, I am unable to go out alone. I could not answer the door or eat or sleep. I just do not know what to do anymore. I do not want to go to a general practitioner as they think I look like an idiot for saying all of the above. What can I do now? Please help me.
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Hi. I can understand your feeling. Please do not worry and do not scare about your symptoms. For further information consult a psychologist counsellor online -->
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<s>[INST]
Hi doctor, Nine months before, I had to break up with my mom's house. Then, I found that she passed away. Since then, I am really numb without any feelings. I have been crying non-stop for her, because she was my best friend as well. Also, I am not able to explain my feeling. In the past one and a half weeks, I am constantly getting angry, snapping at my children and partner and feeling very on edge. I cannot stand any noise and I have all weird thoughts in my head. One, for instance, I cannot get into the car unless I can see the air bag sign as I am scared that we are going to crash. If my kids or partner goes out, I always think something bad is going to happen to them. Also, I am unable to go out alone. I could not answer the door or eat or sleep. I just do not know what to do anymore. I do not want to go to a general practitioner as they think I look like an idiot for saying all of the above. What can I do now? Please help me. [/INST] Hi. I can understand your feeling. Please do not worry and do not scare about your symptoms. For further information consult a psychologist counsellor online -->
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Q. I had intercourse on the 5th day after my periods. Can I get pregnant?
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Hello doctor, I stopped the Zoely Pill two months back since I was experiencing heart and respiratory problems. I got my menses last month and the following month. I had sexual intercourse twice on the fifth day once my period had stopped. According to my calculations I am in fertility period. Is there any chance to get pregnant? Thanks.
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Hello. Yes, you are very much in your fertile period (know safe and unsafe days in your period). There are high chances that you may get pregnant if you have not taken the emergency contraceptive already within 72 hours of intercourse. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I stopped the Zoely Pill two months back since I was experiencing heart and respiratory problems. I got my menses last month and the following month. I had sexual intercourse twice on the fifth day once my period had stopped. According to my calculations I am in fertility period. Is there any chance to get pregnant? Thanks. [/INST] Hello. Yes, you are very much in your fertile period (know safe and unsafe days in your period). There are high chances that you may get pregnant if you have not taken the emergency contraceptive already within 72 hours of intercourse. For further information consult an obstetrician and gynaecologist online -->
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Q. My husband watched a strip show and is feeling guilty. How to get him out of this?
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Dear doctor, My husband recently watched a strip show. It affected him a lot. After asking a lot of questions, he revealed that he could not come out of it. He is always straying on other women, and he is thinking of going back and booking a prostitute. Also, he is worried that he could not come out of it. He is fantasizing them while having sex with me. He is feeling guilty and wants to stop thinking like this. Please kindly advise what should I do to get it out of him.
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Hello. For further information consult a sexologist online -->
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<s>[INST]
Dear doctor, My husband recently watched a strip show. It affected him a lot. After asking a lot of questions, he revealed that he could not come out of it. He is always straying on other women, and he is thinking of going back and booking a prostitute. Also, he is worried that he could not come out of it. He is fantasizing them while having sex with me. He is feeling guilty and wants to stop thinking like this. Please kindly advise what should I do to get it out of him. [/INST] Hello. For further information consult a sexologist online -->
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Q. 18-weeks-old baby diagnosed with congenital glaucoma and aniridia. Kindly help.
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Hi doctor,My 18 weeks old second daughter was diagnosed to have congenital glaucoma with aniridia and corneal opacities bilaterally at birth for which she underwent bilateral trabeculectomy within 15 days of birth. She achieved peripheral clearance of cornea in both the eyes within few days of surgery after which there is not much improvement. Her photophobia has reduced now and she is attracted by lights, reflective surfaces, hanging toys in the baby gym, musical toys, etc. Her other milestones are normal except reaching for toys which she does occasionally. Her eye movements seem to be coordinated, at times shake while trying to fix.At 14 weeks of age, EUA was done after which doctors advised to wait for further corneal clearance as she does not require any surgical intervention for glaucoma right now and procedures like PKP has guarded prognosis till two years of age. Her IOP was variable during EUA but the corneal diameter and axial length of the globe were within normal range. She has a tongue tie, anteriorly placed anus, mild redundant periumbilical skin. Echocardiography and USG abdomen done were normal. We are planning to do a genetic test for her. There is no family history of such illness. We parents are E.N.T specialists practicing in India.I was 37 years old during my delivery and obstetric history was uneventful. Amniocentesis done during pregnancy showed normal FISH report. I would like to know about the prognosis of the disease, availability of advanced treatment options and about any early intervention services required for her. Currently, she is taking Timolol and Dorzolamide eye drops BD, Atropine eye drops and steroid eye drops OD.
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Hi. It is a good sign that glaucoma is under control and cornea has started clearing out. But the main problem here is to stop development of amblyopia which is basically a state where due to prolong blurring of vision brain. Basically starts rejecting images after a certain time if the hindrance in vision is not corrected which in this case is corneal opacity. I am of an opinion that if we wait for two years chances of amblyopia are too high. You can consult a specialist for the management. Let me tell you in advance, chances of corneal transplant in infants is low and that too combined with glaucoma makes. Prognosis is poor. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor,My 18 weeks old second daughter was diagnosed to have congenital glaucoma with aniridia and corneal opacities bilaterally at birth for which she underwent bilateral trabeculectomy within 15 days of birth. She achieved peripheral clearance of cornea in both the eyes within few days of surgery after which there is not much improvement. Her photophobia has reduced now and she is attracted by lights, reflective surfaces, hanging toys in the baby gym, musical toys, etc. Her other milestones are normal except reaching for toys which she does occasionally. Her eye movements seem to be coordinated, at times shake while trying to fix.At 14 weeks of age, EUA was done after which doctors advised to wait for further corneal clearance as she does not require any surgical intervention for glaucoma right now and procedures like PKP has guarded prognosis till two years of age. Her IOP was variable during EUA but the corneal diameter and axial length of the globe were within normal range. She has a tongue tie, anteriorly placed anus, mild redundant periumbilical skin. Echocardiography and USG abdomen done were normal. We are planning to do a genetic test for her. There is no family history of such illness. We parents are E.N.T specialists practicing in India.I was 37 years old during my delivery and obstetric history was uneventful. Amniocentesis done during pregnancy showed normal FISH report. I would like to know about the prognosis of the disease, availability of advanced treatment options and about any early intervention services required for her. Currently, she is taking Timolol and Dorzolamide eye drops BD, Atropine eye drops and steroid eye drops OD. [/INST] Hi. It is a good sign that glaucoma is under control and cornea has started clearing out. But the main problem here is to stop development of amblyopia which is basically a state where due to prolong blurring of vision brain. Basically starts rejecting images after a certain time if the hindrance in vision is not corrected which in this case is corneal opacity. I am of an opinion that if we wait for two years chances of amblyopia are too high. You can consult a specialist for the management. Let me tell you in advance, chances of corneal transplant in infants is low and that too combined with glaucoma makes. Prognosis is poor. For more information consult an eye care ophthalmologist online -->
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Q. My 5 months old baby often cries due to gas problem. Please help.
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Hi doctor,My baby has just completed 5 months. We are giving her formula milk since my wife had less milk. She has constant problems with gas. I have given her Colicaid before a feed and burp her 15 to 20 minutes after every feed and gas gets released as well. Even after that, she cries due to gas pain. I then keep on patting her and can hear gas get released after some 30 minutes of feeding. Her doctor has prescribed Anafortan if she cries even after Colicaid is given. At times she spits up milk in curd form after 2 hours feed. Can you please help? I am not sure if this is a problem with the formula milk.
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Hello. Apparently normal phenomenon. Ultrasonography abdomen. Continue Colicaid drops as advised. For further information consult a paediatrician online.--->
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<s>[INST]
Hi doctor,My baby has just completed 5 months. We are giving her formula milk since my wife had less milk. She has constant problems with gas. I have given her Colicaid before a feed and burp her 15 to 20 minutes after every feed and gas gets released as well. Even after that, she cries due to gas pain. I then keep on patting her and can hear gas get released after some 30 minutes of feeding. Her doctor has prescribed Anafortan if she cries even after Colicaid is given. At times she spits up milk in curd form after 2 hours feed. Can you please help? I am not sure if this is a problem with the formula milk. [/INST] Hello. Apparently normal phenomenon. Ultrasonography abdomen. Continue Colicaid drops as advised. For further information consult a paediatrician 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. How to reduce frequent urination?
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Hi doctor, I am a 27 year old unmarried male. Approximately six to seven years back, I had a urinary infection. I was told to take an antibiotic course, which I did not complete at that time. The infection was not fully cured and it used to come and go. During urination, I sometimes used to have one or two drops of blood, only during the period of infection. In addition to the above mentioned problems, I have some other issues related to sexual health. They are premature ejaculation, extremely bad timing, sensitivity of the skin (penis area), lower back pain, lack of confidence, etc. When I have to urinate, I cannot hold it at all. Very often on my way to the toilet some urine drops are leaked. During night time, I have to stand up several times to urinate. Approximately once a week, after urination suddenly sperm drops are released. I have not discussed this part with the urologist. I feel joint pain as well. During winter, I freeze a lot, especially over thighs, hands, ears, neck and chest. I have now recently been to a urologist and I was told that the infection became chronic. The doctor recommended antibiotics again and I have now completed the course. The urinary infection should be cured by now. All the new tests were negative. A few years ago, I used to masturbate frequently, which is still The urologist told me that my prostate size is bigger than people in my age. Please suggest me some good solution for the above mentioned problems. I want to get married soon and live a healthy life. Thanks in advance.
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Hi. For further information consult a urologist online -->
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<s>[INST]
Hi doctor, I am a 27 year old unmarried male. Approximately six to seven years back, I had a urinary infection. I was told to take an antibiotic course, which I did not complete at that time. The infection was not fully cured and it used to come and go. During urination, I sometimes used to have one or two drops of blood, only during the period of infection. In addition to the above mentioned problems, I have some other issues related to sexual health. They are premature ejaculation, extremely bad timing, sensitivity of the skin (penis area), lower back pain, lack of confidence, etc. When I have to urinate, I cannot hold it at all. Very often on my way to the toilet some urine drops are leaked. During night time, I have to stand up several times to urinate. Approximately once a week, after urination suddenly sperm drops are released. I have not discussed this part with the urologist. I feel joint pain as well. During winter, I freeze a lot, especially over thighs, hands, ears, neck and chest. I have now recently been to a urologist and I was told that the infection became chronic. The doctor recommended antibiotics again and I have now completed the course. The urinary infection should be cured by now. All the new tests were negative. A few years ago, I used to masturbate frequently, which is still The urologist told me that my prostate size is bigger than people in my age. Please suggest me some good solution for the above mentioned problems. I want to get married soon and live a healthy life. Thanks in advance. [/INST] Hi. For further information consult a urologist online -->
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Q. Can Unwanted 72 cause early and abnormal periods?
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Hi doctor, My wife took Unwanted 72 eight days back, and she got her periods after five days. The bleeding is not normal, and her period was not due. Please help.
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Hi. Unwanted 72 is a high dose of progesterone hormone, which is the same hormone produced in the body in the second half of period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus, making it unfavorable for a possible pregnancy to implant. Hope I have clarified your query, do write back. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My wife took Unwanted 72 eight days back, and she got her periods after five days. The bleeding is not normal, and her period was not due. Please help. [/INST] Hi. Unwanted 72 is a high dose of progesterone hormone, which is the same hormone produced in the body in the second half of period after ovulation. This pill will suddenly increase the thickness of the inner lining of the uterus, making it unfavorable for a possible pregnancy to implant. Hope I have clarified your query, do write back. For further queries consult an obstetrician and gynaecologist online -->
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Q. When compared to night shift, how is working in daytime better?
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Hi doctor, I am a 38 year old male. I am overweight. For past 10 days, I feel tiresome. I am taking tablet Nurokind-LC 1-0-0 and capsule Adliv Forte 1-0-1 for the past four days. Now, I am feeling better but not 100%. I suspect UTI, but not tested yet. I have asthma from childhood. Initially, I used Foracort 200 inhaler and now I am using nebulizer with Asthalin respirator solution. My wheezing is in control now. My lifestyle over last few years was not good. I missed sleep and slept whenever I had to. Please suggest ways to get better with or without tablets.
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Hi. God created us in manner that we should work for 8 hours, rest for 8 hours and sleep for 8 hours. When we change this pattern it may lead to many diseases like migraine, hypertension, diabetes, obesity, etc. Revert back with the answers for the above questions to a family physician online -->
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<s>[INST]
Hi doctor, I am a 38 year old male. I am overweight. For past 10 days, I feel tiresome. I am taking tablet Nurokind-LC 1-0-0 and capsule Adliv Forte 1-0-1 for the past four days. Now, I am feeling better but not 100%. I suspect UTI, but not tested yet. I have asthma from childhood. Initially, I used Foracort 200 inhaler and now I am using nebulizer with Asthalin respirator solution. My wheezing is in control now. My lifestyle over last few years was not good. I missed sleep and slept whenever I had to. Please suggest ways to get better with or without tablets. [/INST] Hi. God created us in manner that we should work for 8 hours, rest for 8 hours and sleep for 8 hours. When we change this pattern it may lead to many diseases like migraine, hypertension, diabetes, obesity, etc. Revert back with the answers for the above questions to a family physician online -->
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Q. What is a benign mole?
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Hi doctor, I am concerned about a lump or bump that appeared under my mole. One day, I woke up with inflammation around my mole. As there were no changes in my mole, I thought it was a pimple and I applied some skin cream. It stayed inflamed and swollen for around five to six days and then it became a lump under that mole. After two weeks, I went to see my GP and he told me that it is a benign mole. What is it? Also, he said he will get it removed for me and referred me to a clinic to get it done. I doubt whether it is a tumor. Does it have cancerous cells? It is there over a month now. I have also realized that it moved slightly down from my mole and as far as I remember it shrank, but a little. I do not know what it is. When I search on the internet, it always pops up the symptoms of a melanoma. Could you help me with this?
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Hi. With your descriptions, it seems that you are having a mole with secondary infections. If you can send pictures of this, then it will be better for me to suggest diagnosis, treatment and alleviate your anxiety. Mole, so called melanocytic nevus, if you frequently touch your mole it may get infected. They are considered benign melanomas and nothing actively needs to be done for them. If the mole shows sudden changes, such as increase in size, differential pigmentation, bleeding, irregular borders, etc., then you may go for a skin biopsy. But, in your case, it initially requires oral antibiotics like tablet Azithromycin 500 mg once daily for three days and topical cream Fusidic acid local application twice daily for five days. Once infection gets controlled, then you can go for removal. For removal, you may choose any one of the treatment options. Shave excision under local anesthesia by a dermatologist, TCA (trichloroacetic acid) cautery, radiofrequency cautery or laser treatment. Frequent touch of mole with finger. Mole excision biopsy to rule out any malignant changes. 1. Infected melanocytic nevus. 2. Melanoma. Infected melanocytic nevus. My advice is not to touch the mole frequently once infection get controlled. Revert back with the picture to a dermatologist online.--->
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<s>[INST]
Hi doctor, I am concerned about a lump or bump that appeared under my mole. One day, I woke up with inflammation around my mole. As there were no changes in my mole, I thought it was a pimple and I applied some skin cream. It stayed inflamed and swollen for around five to six days and then it became a lump under that mole. After two weeks, I went to see my GP and he told me that it is a benign mole. What is it? Also, he said he will get it removed for me and referred me to a clinic to get it done. I doubt whether it is a tumor. Does it have cancerous cells? It is there over a month now. I have also realized that it moved slightly down from my mole and as far as I remember it shrank, but a little. I do not know what it is. When I search on the internet, it always pops up the symptoms of a melanoma. Could you help me with this? [/INST] Hi. With your descriptions, it seems that you are having a mole with secondary infections. If you can send pictures of this, then it will be better for me to suggest diagnosis, treatment and alleviate your anxiety. Mole, so called melanocytic nevus, if you frequently touch your mole it may get infected. They are considered benign melanomas and nothing actively needs to be done for them. If the mole shows sudden changes, such as increase in size, differential pigmentation, bleeding, irregular borders, etc., then you may go for a skin biopsy. But, in your case, it initially requires oral antibiotics like tablet Azithromycin 500 mg once daily for three days and topical cream Fusidic acid local application twice daily for five days. Once infection gets controlled, then you can go for removal. For removal, you may choose any one of the treatment options. Shave excision under local anesthesia by a dermatologist, TCA (trichloroacetic acid) cautery, radiofrequency cautery or laser treatment. Frequent touch of mole with finger. Mole excision biopsy to rule out any malignant changes. 1. Infected melanocytic nevus. 2. Melanoma. Infected melanocytic nevus. My advice is not to touch the mole frequently once infection get controlled. Revert back with the picture to a dermatologist online.--->
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Q. Why is the opening of my penis not at the tip?
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Hi doctor, I am 27 years old, and I have an embarrassing problem with my penis. The opening of my penis, from where the urine comes out is not at the tip, and it is slightly lower. I am still a virgin. Will it be a problem for my sex life? Is it a major problem?
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Hello. Good that you have come out with your issue. If there is a cosmetic concern, then you may get it corrected. But I can comment on the overall scenario only after looking at the picture. Revert with more information to a urologist online -->
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<s>[INST]
Hi doctor, I am 27 years old, and I have an embarrassing problem with my penis. The opening of my penis, from where the urine comes out is not at the tip, and it is slightly lower. I am still a virgin. Will it be a problem for my sex life? Is it a major problem? [/INST] Hello. Good that you have come out with your issue. If there is a cosmetic concern, then you may get it corrected. But I can comment on the overall scenario only after looking at the picture. Revert with more information to a urologist online -->
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Q. Does varicocele surgery cause any side effects?
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Hello doctor, I am 33 years old. I got a varicocele surgery two years back. Does the surgery cause any side effects? I am facing trouble in erection and premature ejaculation. I am also facing problem with passing urine (to start and empty). We are presently trying for a child through IUI. My present sperm count is 30 mL with good motility and active. Currently, I am having Oligocare and Fertile M. Please suggest me a cure. Thank you.
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Hi. Revert back after the tests to a sexologist online -->
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<s>[INST]
Hello doctor, I am 33 years old. I got a varicocele surgery two years back. Does the surgery cause any side effects? I am facing trouble in erection and premature ejaculation. I am also facing problem with passing urine (to start and empty). We are presently trying for a child through IUI. My present sperm count is 30 mL with good motility and active. Currently, I am having Oligocare and Fertile M. Please suggest me a cure. Thank you. [/INST] Hi. Revert back after the tests to a sexologist online -->
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Q. In thalassemia minor, is HbA1c test a reliable one?
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Hi doctor, I am diabetic since last 9 years and thalassemia minor as well. Recently, the fatigue symptoms have increased, especially when I am not able to sleep properly. I am 45 years old. My height is 167.5 cm and weight is 85 kg. Being thalassemia minor, is my HbA1c test reliable to decide my diabetic medication? If doctor increases the dose of medication, then my sugar levels drop below 70. Rarely, in the last 9 years my blood sugar level has crossed 200 in some two or three occasions. My fasting sugar level is normally between 130 to 140 or less. Postprandial is also surprisingly the same. Owing to HbA1c test, the doctor changed my medicines three days back and prescribed Glycomet GP 2 forte, Zemiglo 50 and Voglibose 0.2. Earlier, I had Glycomet GP 2, Voglibose 0.2 and Janumet 50/500. I have also attached my recent blood test report. I also have BP problem since last four months and on medication too. Can you please elaborate what should I do? I have read HbA1c test in thalassemia minor is not reliable. I am a female and heading towards menopause. I have undergone gallstone surgery 20 years back. The symptoms of fatigue have increased and it has started hampering my physical activity, which is must for diabetes. Please help.
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Hello. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am diabetic since last 9 years and thalassemia minor as well. Recently, the fatigue symptoms have increased, especially when I am not able to sleep properly. I am 45 years old. My height is 167.5 cm and weight is 85 kg. Being thalassemia minor, is my HbA1c test reliable to decide my diabetic medication? If doctor increases the dose of medication, then my sugar levels drop below 70. Rarely, in the last 9 years my blood sugar level has crossed 200 in some two or three occasions. My fasting sugar level is normally between 130 to 140 or less. Postprandial is also surprisingly the same. Owing to HbA1c test, the doctor changed my medicines three days back and prescribed Glycomet GP 2 forte, Zemiglo 50 and Voglibose 0.2. Earlier, I had Glycomet GP 2, Voglibose 0.2 and Janumet 50/500. I have also attached my recent blood test report. I also have BP problem since last four months and on medication too. Can you please elaborate what should I do? I have read HbA1c test in thalassemia minor is not reliable. I am a female and heading towards menopause. I have undergone gallstone surgery 20 years back. The symptoms of fatigue have increased and it has started hampering my physical activity, which is must for diabetes. Please help. [/INST] Hello. For further information consult an internal medicine physician online -->
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Q. My daughter is weak and often falls sick. Please help.
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Hi doctor, My daughter is 6 years old. She is physically weak. She has low immunity and falls ill often. She has a very low appetite. In order to increase her appetite, doctor prescribed us to give her Oxiron syrup. For past few days, she is not active physically and tends to lie down even while watching TV. Most of the time she complains about paresthesia. We got her checked and few of her hemogram values are out of range such as neutrophils, lymphocytes, monocytes, serum creatinine ratio, RBC, BUN test and testosterone. I would like to know, can we give her Calcitas sachet to improve her condition? Kindly help.
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Hi.I went through your daughter's history and reports (attachment removed to protect patient identity). I would like to know few more details in order to give you an accurate treatment plan. 1. Repeat CBC and RFT (renal function test) after six months. 2. Monitor her height every six months. 3. USG (ultrasonography) of abdomen. 1. Vitamin D supplements. 2. Planning and monitoring of the diet. Please revert back with a detailed history to a paediatrician online.--->
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<s>[INST]
Hi doctor, My daughter is 6 years old. She is physically weak. She has low immunity and falls ill often. She has a very low appetite. In order to increase her appetite, doctor prescribed us to give her Oxiron syrup. For past few days, she is not active physically and tends to lie down even while watching TV. Most of the time she complains about paresthesia. We got her checked and few of her hemogram values are out of range such as neutrophils, lymphocytes, monocytes, serum creatinine ratio, RBC, BUN test and testosterone. I would like to know, can we give her Calcitas sachet to improve her condition? Kindly help. [/INST] Hi.I went through your daughter's history and reports (attachment removed to protect patient identity). I would like to know few more details in order to give you an accurate treatment plan. 1. Repeat CBC and RFT (renal function test) after six months. 2. Monitor her height every six months. 3. USG (ultrasonography) of abdomen. 1. Vitamin D supplements. 2. Planning and monitoring of the diet. Please revert back with a detailed history to a paediatrician online.--->
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Q. My father has severe headaches and nausea. I want a second opinion on his MRI of brain.
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Hi doctor, My father is 70 years old, and he had severe headaches and nausea a few weeks ago, so the doctor ordered an MRI brain. Based on the results, he is taking some medications and is doing well. I want a second opinion, just to be sure that there are no other issues. I am attaching his brain scan results. He had an open heart surgery 11 years ago, to remove some blocks.
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Hi. I have gone through your query and the reports (attachment removed to protect patient identity) with diligence and would like you to know, that I am here to help you. Let me know if I can assist you further. Revert with more information to a neuro surgeon online -->
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<s>[INST]
Hi doctor, My father is 70 years old, and he had severe headaches and nausea a few weeks ago, so the doctor ordered an MRI brain. Based on the results, he is taking some medications and is doing well. I want a second opinion, just to be sure that there are no other issues. I am attaching his brain scan results. He had an open heart surgery 11 years ago, to remove some blocks. [/INST] Hi. I have gone through your query and the reports (attachment removed to protect patient identity) with diligence and would like you to know, that I am here to help you. Let me know if I can assist you further. Revert with more information to a neuro surgeon online -->
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Q. What is the Treatment for Abscessed Tooth?
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Hello doctor,I am a 46-year-old female. I have a problem with my tooth. There is an abscess and my dentist is always fully booked. Can you help me?
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Hello. I have gone through your query. For an abscessed tooth, you have two options. One is endodontic treatment, and the other is the removal of the tooth involved in the abscess formation. Now, the treatment plan depends on the condition of the tooth crown. If the crown is in a good condition then you will be treated through a root canal treatment and if the crown portion is decayed or damaged grossly then you will undergo extraction of the same. Before visiting the dentist, you need to take an antibiotic prophylaxis for three days: This drug regimen will decrease the formation of the abscess and will relieve you of the pain. It is necessary before the treatment. Take this medication only if you are not allergic to any of these and only if you are physically fit and not going through any condition like pregnancy, etc. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For more information consult a dentist online -->
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<s>[INST]
Hello doctor,I am a 46-year-old female. I have a problem with my tooth. There is an abscess and my dentist is always fully booked. Can you help me? [/INST] Hello. I have gone through your query. For an abscessed tooth, you have two options. One is endodontic treatment, and the other is the removal of the tooth involved in the abscess formation. Now, the treatment plan depends on the condition of the tooth crown. If the crown is in a good condition then you will be treated through a root canal treatment and if the crown portion is decayed or damaged grossly then you will undergo extraction of the same. Before visiting the dentist, you need to take an antibiotic prophylaxis for three days: This drug regimen will decrease the formation of the abscess and will relieve you of the pain. It is necessary before the treatment. Take this medication only if you are not allergic to any of these and only if you are physically fit and not going through any condition like pregnancy, etc. Consult your specialist doctor, discuss with him or her and start taking the medicine with their consent. For more information consult a dentist online -->
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Q. Is it normal for my epiglottis to appear yellowish and red-veined?
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Hello doctor, I am a 16 year old female, 5 feet in height and weigh around 65 kg. For the past few days, I have been having swollen lymph nodes all over my neck, a severe sore throat and tonsils which I assumed was just tonsilitis as I have had it before. However, I have been experiencing constant headaches, sore muscles, backache, and pain in my tail bone as well but, that might just be from falling over. I was looking at the back of my throat in a mirror and noticed something that I had not seen before right behind my tongue. I had no idea what it was and neither did my mom. So, I searched online and found it was an epiglottis. But, I had never seen it before when looking in my throat which happens quite a bit because I always have sore throats. Is it normal for it to be so visible, yellowish and red-veined? I am attaching a few pictures. Do I have tonsillitis or something more serious? I have been trying to organize a doctor's appointment but have not been able to get one. Please answer.
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Hello. From the photographs (attachment removed to protect patient identity), it seems that you have severe pharyngitis with tonsillitis and epiglottitis. It could be a viral or bacterial epiglottitis. This usually resolves with antibiotics, but could also become very severe. You need to undergo some tests like CBC (complete blood count), and throat swab culture sensitivity. You need not worry unless there is breathlessness or stridor. I suggest you start Amoxicillin and Clavulanate 625 mg twice a day, along with tablet Aceclofenac, Serratiopeptidase, and Paracetamol twice a day along with Pantoprazole 40 mg on an empty stomach. Take all the above for five days, till you get an appointment with an ENT specialist. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a 16 year old female, 5 feet in height and weigh around 65 kg. For the past few days, I have been having swollen lymph nodes all over my neck, a severe sore throat and tonsils which I assumed was just tonsilitis as I have had it before. However, I have been experiencing constant headaches, sore muscles, backache, and pain in my tail bone as well but, that might just be from falling over. I was looking at the back of my throat in a mirror and noticed something that I had not seen before right behind my tongue. I had no idea what it was and neither did my mom. So, I searched online and found it was an epiglottis. But, I had never seen it before when looking in my throat which happens quite a bit because I always have sore throats. Is it normal for it to be so visible, yellowish and red-veined? I am attaching a few pictures. Do I have tonsillitis or something more serious? I have been trying to organize a doctor's appointment but have not been able to get one. Please answer. [/INST] Hello. From the photographs (attachment removed to protect patient identity), it seems that you have severe pharyngitis with tonsillitis and epiglottitis. It could be a viral or bacterial epiglottitis. This usually resolves with antibiotics, but could also become very severe. You need to undergo some tests like CBC (complete blood count), and throat swab culture sensitivity. You need not worry unless there is breathlessness or stridor. I suggest you start Amoxicillin and Clavulanate 625 mg twice a day, along with tablet Aceclofenac, Serratiopeptidase, and Paracetamol twice a day along with Pantoprazole 40 mg on an empty stomach. Take all the above for five days, till you get an appointment with an ENT specialist. For more information consult an internal medicine physician online -->
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Q. Will Clomid help in conceiving?
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Hi doctor, I am 36 years old. I am trying to get conceive, but my periods are irregular. In the past, I was never able to conceive with irregular periods. I do have children, but they were conceived when my cycles were normal. I do not feel like I have time to wait it out though. I have been trying for a year now. I need to know if Clomid would be a good option me. Please explain.
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Hi. I have read your problem. For further information consult an infertility specialist online -->
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<s>[INST]
Hi doctor, I am 36 years old. I am trying to get conceive, but my periods are irregular. In the past, I was never able to conceive with irregular periods. I do have children, but they were conceived when my cycles were normal. I do not feel like I have time to wait it out though. I have been trying for a year now. I need to know if Clomid would be a good option me. Please explain. [/INST] Hi. I have read your problem. For further information consult an infertility 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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