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Q. I have blurred vision due to blood clot in my right eye. Is it something serious?
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Hi doctor, When I woke up suddenly yesterday, I saw a spiral black cloud in my right eye. I can see through the cloud hazily and there is no pain. When I consulted my doctor, he said that I have a blood clot. Is it something serious?
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Hi. If it is small, it will resolve on its own. You can wait and watch. If it is large and not resolving, it needs to be surgically removed. Revert back with photographs to an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, When I woke up suddenly yesterday, I saw a spiral black cloud in my right eye. I can see through the cloud hazily and there is no pain. When I consulted my doctor, he said that I have a blood clot. Is it something serious? [/INST] Hi. If it is small, it will resolve on its own. You can wait and watch. If it is large and not resolving, it needs to be surgically removed. Revert back with photographs to an eye care ophthalmologist online -->
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Q. Why am I suffering from low libido and erection problems?
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Hello doctor,I am a male, and I am suffering from low libido and erection problem. I am attaching my reports of free testosterone and estradiol for your advice. Kindly guide and advise. Thanks.
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Hello. Your test reports (attachment removed to protect patient identity) appear absolutely normal. 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,I am a male, and I am suffering from low libido and erection problem. I am attaching my reports of free testosterone and estradiol for your advice. Kindly guide and advise. Thanks. [/INST] Hello. Your test reports (attachment removed to protect patient identity) appear absolutely normal. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online -->
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Q. I have hair fall, itching and white flakes on scalp. Why?
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Hi doctor, For four years, I have been suffering from severe hair fall. I have also visited a hair clinic once, but their treatment is too expensive. So, I have not continued the treatment. As my earning is very low, I have never visited any good dermatologist. I have tried various products, but the hair fall never reduced. It also itches a lot and too much white flakes come out of my hairs. I do not think that it as dandruff, because I have used Selsun shampoo with Fluconazole 400 mg once in a week for three to four months. But, the white flakes are still present in my hair. Also, I have some sticky white color thing in my scalp. I do not know what it is. I have attached the photos. Also, I am shampooing my hair daily. If not, then I will end up with unbearable itching. My maternal grandfather had male pattern baldness. Medicines that I have already taken are Fluconazole 400 mg, Selsun shampoo, Candid lotion, Rootz hair oil and some ayurvedic products. Please suggest some medicines for all my problems.
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, For four years, I have been suffering from severe hair fall. I have also visited a hair clinic once, but their treatment is too expensive. So, I have not continued the treatment. As my earning is very low, I have never visited any good dermatologist. I have tried various products, but the hair fall never reduced. It also itches a lot and too much white flakes come out of my hairs. I do not think that it as dandruff, because I have used Selsun shampoo with Fluconazole 400 mg once in a week for three to four months. But, the white flakes are still present in my hair. Also, I have some sticky white color thing in my scalp. I do not know what it is. I have attached the photos. Also, I am shampooing my hair daily. If not, then I will end up with unbearable itching. My maternal grandfather had male pattern baldness. Medicines that I have already taken are Fluconazole 400 mg, Selsun shampoo, Candid lotion, Rootz hair oil and some ayurvedic products. Please suggest some medicines for all my problems. [/INST] Hi. For further information consult a dermatologist online -->
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Q. Is Amitriptyline better for tension-type headaches?
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Hi doctor, I had a mild balance problem while walking, a month and a half back. I did not have vomiting or nausea. I was put on Betahistine and B-Citam for 30 days, which cured 99 % of my balance problem. But, I felt dizzy the whole day. I also have a mild difficulty in swallowing, so I consulted a neurologist. He gave me Stugeron and Betahistine 24 mg, for 20 days. Today after 20 days, 90 % dizziness is gone, and I do not have the balance problem. But I still feel little dizzy, and I have tension-type headaches over my scalp. I am not taking any medicines for this headaches. Please suggest some medicine for TTH. The doctor gave me Flunarizine and Propylamine hydrochloride, but I still have the balance problem. All my other blood reports are normal. My hemoglobin, lipid, troponin, fibrinogen, MRI, and angiography are all normal. What should I do? Should I continue my prescribed medicines? Is Amitriptyline better for TTH? Please help.
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Hi. I read your query with keen interest and understand your concerns. While considering your symptoms in totality and reviewing diagnosis made by other doctors in the past, I feel a fair trial of low dose Amitriptyline should be given. Most of my patients with similar presenting complaints, report good improvement in tension-type headaches and vertigo to 25 mg of Amitriptyline at bedtime. It is not possible to say which medicine is better without personally seeing the patient, but I think Amitriptyline will make a better option. At the same time, I am of the opinion that a single medicine for vertigo should be tried first before trying multiple medications. As I can see in your description, you are taking both Cinnarizine (Stugeron) and Betahistine. In my opinion, removing Stugeron should help you in decreasing the dizziness. I hope this answers you. Feel free to contact me if you have more questions. Thanks and regards. For further queries consult a neurologist online -->
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<s>[INST]
Hi doctor, I had a mild balance problem while walking, a month and a half back. I did not have vomiting or nausea. I was put on Betahistine and B-Citam for 30 days, which cured 99 % of my balance problem. But, I felt dizzy the whole day. I also have a mild difficulty in swallowing, so I consulted a neurologist. He gave me Stugeron and Betahistine 24 mg, for 20 days. Today after 20 days, 90 % dizziness is gone, and I do not have the balance problem. But I still feel little dizzy, and I have tension-type headaches over my scalp. I am not taking any medicines for this headaches. Please suggest some medicine for TTH. The doctor gave me Flunarizine and Propylamine hydrochloride, but I still have the balance problem. All my other blood reports are normal. My hemoglobin, lipid, troponin, fibrinogen, MRI, and angiography are all normal. What should I do? Should I continue my prescribed medicines? Is Amitriptyline better for TTH? Please help. [/INST] Hi. I read your query with keen interest and understand your concerns. While considering your symptoms in totality and reviewing diagnosis made by other doctors in the past, I feel a fair trial of low dose Amitriptyline should be given. Most of my patients with similar presenting complaints, report good improvement in tension-type headaches and vertigo to 25 mg of Amitriptyline at bedtime. It is not possible to say which medicine is better without personally seeing the patient, but I think Amitriptyline will make a better option. At the same time, I am of the opinion that a single medicine for vertigo should be tried first before trying multiple medications. As I can see in your description, you are taking both Cinnarizine (Stugeron) and Betahistine. In my opinion, removing Stugeron should help you in decreasing the dizziness. I hope this answers you. Feel free to contact me if you have more questions. Thanks and regards. For further queries consult a neurologist online -->
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Q. Using betnelan tablet for asthma. What are the side effects of it?
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Dear Doctor, In the last 6 years, I am using Betnelan tablet for asthma. I want to know the side effects of it. Age 28 years, m, height: 170cm, weight 44kg.
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Hi. The side-effects of betnelan tablet are as follows: I strongly suggest that, you can use inhaled steroids, which have much lesser side effects. Revert back to a pulmonologist online for further follow up -->
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<s>[INST]
Dear Doctor, In the last 6 years, I am using Betnelan tablet for asthma. I want to know the side effects of it. Age 28 years, m, height: 170cm, weight 44kg. [/INST] Hi. The side-effects of betnelan tablet are as follows: I strongly suggest that, you can use inhaled steroids, which have much lesser side effects. Revert back to a pulmonologist online for further follow up -->
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Q. What does abutment of the nerve root mean?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Q. The skin of my penis has shrunk and lost elasticity. Is this reversible?
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Hello doctor,A spot appeared on the skin of my penis. Seven months later, this stain spread and my skin began to become more sensitive. Then I used a cream with corticoid (Lotrimin) and it got worse because now my skin has shrunk and lost elasticity. What should I do? Is the corticosteroid effect reversible?
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Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor,A spot appeared on the skin of my penis. Seven months later, this stain spread and my skin began to become more sensitive. Then I used a cream with corticoid (Lotrimin) and it got worse because now my skin has shrunk and lost elasticity. What should I do? Is the corticosteroid effect reversible? [/INST] Hello. I have noted your concern and I have viewed the images (attachment removed to protect patient identity). Regards. For more information consult a dermatologist online -->
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Q. I am suffering from sexual disorder due to excess masturbation. What should I do?
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Hi doctor, I often read health articles and queries related to male sexual disorder on the internet which makes me depressed. The reason behind reading such article is that I have done excess masturbation in the past and I think that I am suffering from a sexual disorder like leakage of precum after urination. We trust the doctor that he can treat our disorder, but I see most people mention in their post that doctor had no clue about their disease. It increases my stress. I understand how people are frustrated with their sexual health like excess precum, overactive Cowper's gland, etc. I think I am one of them. When I think about avoid reading the health article, I feel that I am doing something wrong because the problem is not solved just by ignoring it. What should I do? Please help me.
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Hi. I can understand your concern. For further information consult a psychiatrist online -->
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<s>[INST]
Hi doctor, I often read health articles and queries related to male sexual disorder on the internet which makes me depressed. The reason behind reading such article is that I have done excess masturbation in the past and I think that I am suffering from a sexual disorder like leakage of precum after urination. We trust the doctor that he can treat our disorder, but I see most people mention in their post that doctor had no clue about their disease. It increases my stress. I understand how people are frustrated with their sexual health like excess precum, overactive Cowper's gland, etc. I think I am one of them. When I think about avoid reading the health article, I feel that I am doing something wrong because the problem is not solved just by ignoring it. What should I do? Please help me. [/INST] Hi. I can understand your concern. For further information consult a psychiatrist online -->
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Q. I have high blood sugar in spite of taking Glycomet. Should the dosage be changed?
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Hello doctor, I am 75 year old male. Though I have diabetes since five years, I am still not able to understand the disease. Recently, I have checked my glucose levels with one touch ultra on the same day. They are: Fasting 130. Two hours after breakfast 160. Before lunch 112. Two hours after lunch 160. Two hours thereafter 110. Does this mean that the disease is well-controlled? I take 250 mg Glycomet after breakfast, 500 mg after lunch, and 250 mg after dinner. Is this dosage correct or do I have to change the dosage? My physician is not educating me properly. Kindly advise. I take Thyronorm for my asymptomatic hypothyroidsm. I am attaching my reports for your reference.
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Hello. I just read your query and went through your reports (attachment removed to protect patient identity). From what you have mentioned it appears that you have type 2 diabetes. It appears that your diabetes is slightly uncontrolled as per your HbA1c of 6.7 %. The pre-meal and post-meal blood sugar levels are also slightly high. We do not ask the patient to check the blood sugar every now and then. The best detector of how good your blood sugar is controlled is HbA1c which is to be done every three months. The glucometer is used usually to check fasting, two hours post lunch, and in case of hypoglycemia only. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist online -->
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<s>[INST]
Hello doctor, I am 75 year old male. Though I have diabetes since five years, I am still not able to understand the disease. Recently, I have checked my glucose levels with one touch ultra on the same day. They are: Fasting 130. Two hours after breakfast 160. Before lunch 112. Two hours after lunch 160. Two hours thereafter 110. Does this mean that the disease is well-controlled? I take 250 mg Glycomet after breakfast, 500 mg after lunch, and 250 mg after dinner. Is this dosage correct or do I have to change the dosage? My physician is not educating me properly. Kindly advise. I take Thyronorm for my asymptomatic hypothyroidsm. I am attaching my reports for your reference. [/INST] Hello. I just read your query and went through your reports (attachment removed to protect patient identity). From what you have mentioned it appears that you have type 2 diabetes. It appears that your diabetes is slightly uncontrolled as per your HbA1c of 6.7 %. The pre-meal and post-meal blood sugar levels are also slightly high. We do not ask the patient to check the blood sugar every now and then. The best detector of how good your blood sugar is controlled is HbA1c which is to be done every three months. The glucometer is used usually to check fasting, two hours post lunch, and in case of hypoglycemia only. Hope you find my advice beneficial. Good luck. For more information consult a diabetologist online -->
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Q. What may be the reason for pain on the back side of roof of the mouth?
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Hi doctor, I have very bad pain on the back left roof of my mouth. My left top and bottom teeth, jaw and the left side of my tongue is really sore. I felt that there is a hard lump, which feels like a bone and it is excruciating to touch it. It hurts to swallow, yawn and makes my ear pop. The bump is back of the teeth, like near next to my tonsil. I have had cough, cold and sinus symptoms for a couple weeks and it is almost better now. My current medications include birth control pills, Topamax, Trileptal and Vyvanse.
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Hi. I understand your concern and it appears as you are having, For both the above conditions you have to consult your ENT doctor (ear, nose and throat specialist) for examination and treatment as surgical intervention may be required to treat it. In the meantime, you can take tablet Paracetamol, antibiotics (preferably broad spectrum) and have adequate fluid orally. Do warm saline gargle at least two to three times a day. For further information consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, I have very bad pain on the back left roof of my mouth. My left top and bottom teeth, jaw and the left side of my tongue is really sore. I felt that there is a hard lump, which feels like a bone and it is excruciating to touch it. It hurts to swallow, yawn and makes my ear pop. The bump is back of the teeth, like near next to my tonsil. I have had cough, cold and sinus symptoms for a couple weeks and it is almost better now. My current medications include birth control pills, Topamax, Trileptal and Vyvanse. [/INST] Hi. I understand your concern and it appears as you are having, For both the above conditions you have to consult your ENT doctor (ear, nose and throat specialist) for examination and treatment as surgical intervention may be required to treat it. In the meantime, you can take tablet Paracetamol, antibiotics (preferably broad spectrum) and have adequate fluid orally. Do warm saline gargle at least two to three times a day. For further information consult an ENT otolaryngologist online -->
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Q. Does the CT scan of my brain show a meningioma?
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Hello doctor, I would like your opinion regarding the attached CT scan of my head. I specifically want to know if you see any indication of a meningioma in the left posterior parietal lobe. I would also like your opinion regarding whether or not a CT without contrast would show this particular anomaly. Will a 1 cm meningioma grow so rapidly? It was not there when I took a CT scan three years ago. I am waiting for your evaluation of this CT. Thank you in advance.
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Hello. I have seen the MRI (attachment removed to protect patient identity). For more information consult a neuro surgeon online -->
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<s>[INST]
Hello doctor, I would like your opinion regarding the attached CT scan of my head. I specifically want to know if you see any indication of a meningioma in the left posterior parietal lobe. I would also like your opinion regarding whether or not a CT without contrast would show this particular anomaly. Will a 1 cm meningioma grow so rapidly? It was not there when I took a CT scan three years ago. I am waiting for your evaluation of this CT. Thank you in advance. [/INST] Hello. I have seen the MRI (attachment removed to protect patient identity). For more information consult a neuro surgeon online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Will Nano-Leo give permanent solution for erection problem?
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Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. Due to cervical spondylosis, will I have problem during pregnancy?
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Hi doctor, I am a 31 year old female. For the past one year, I am suffering from heaviness of head and neck stiffness. Even though I am living my normal life, sometimes the heaviness of head becomes extreme. I feel it is spinning even at the slightest movement of neck and it is accompanied by bowel movements. I feel that I may faint and the feeling subsides only after passing the stool. It is only normal stool in most cases. Initially, this incident used to happen on daily basis especially during the office hours. Now, it is happening at the rate of one to two times per week. I did MRI of brain, and cervical spine and also had an echocardiogram. Everything came out to be normal except detection of mild scoliosis of neck. In the morning when I wake up I do not feel so bad, but as the day progresses my stiffness of neck and heavy headedness increases. Orthopedician told me that I am facing cervical vertigo while the neurologist said it as posture problems and GP diagnosed it as phobic disorder. Am I suffering from any gastrointestinal disorder? Sometimes, I have lower abdomen pain and it usually goes away in a day or two, but there is no loss of appetite. Can cervical arthritis cause gas problems? Is it possible for intestinal gas to hit the brain? In such cases when bowel is not passed at right time can patient die? Do I have cervical spondylosis? Cracking sound is heard when I move my head too much and head spins too. Sometimes, it seems balance is losing from ground. Cervical spine MRI shows with convexity to the right a small central posterior disc bulge at C5-C6 indenting the thecal sac. There is no cord compression or central canal stenosis. While at home I do not feel so bad but in confined space of office my head starts to spin, back of head feels tight and I feel my motion is restricted. Please help.
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Hi. According to the history and information given by you, my answers are as follows: It does not look like you have a gastrointestinal disorder. But, better is to get an ultrasonography of your abdomen and rule it out. In cervical spine you have only a small disc. So, it is just the start of arthritis and it does not cause gas problems. Intestinal gas does not hit the brain. If the bowel is not passed for so many days then there is a chance of infection and patient can die. But, two to three days does not matter. You have only early cervical spondylosis and it seems that you have vertigo. So, you need to be treated for vertigo. Also, you will need core, shoulder and neck strengthening exercises to support your head. So that you will not get vertigo due to cervical spine problems. You should just visit doctor and take tablets for vertigo and then start physiotherapy initially for a period of three weeks. Revert back after three weeks to a spine surgeon online -->
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<s>[INST]
Hi doctor, I am a 31 year old female. For the past one year, I am suffering from heaviness of head and neck stiffness. Even though I am living my normal life, sometimes the heaviness of head becomes extreme. I feel it is spinning even at the slightest movement of neck and it is accompanied by bowel movements. I feel that I may faint and the feeling subsides only after passing the stool. It is only normal stool in most cases. Initially, this incident used to happen on daily basis especially during the office hours. Now, it is happening at the rate of one to two times per week. I did MRI of brain, and cervical spine and also had an echocardiogram. Everything came out to be normal except detection of mild scoliosis of neck. In the morning when I wake up I do not feel so bad, but as the day progresses my stiffness of neck and heavy headedness increases. Orthopedician told me that I am facing cervical vertigo while the neurologist said it as posture problems and GP diagnosed it as phobic disorder. Am I suffering from any gastrointestinal disorder? Sometimes, I have lower abdomen pain and it usually goes away in a day or two, but there is no loss of appetite. Can cervical arthritis cause gas problems? Is it possible for intestinal gas to hit the brain? In such cases when bowel is not passed at right time can patient die? Do I have cervical spondylosis? Cracking sound is heard when I move my head too much and head spins too. Sometimes, it seems balance is losing from ground. Cervical spine MRI shows with convexity to the right a small central posterior disc bulge at C5-C6 indenting the thecal sac. There is no cord compression or central canal stenosis. While at home I do not feel so bad but in confined space of office my head starts to spin, back of head feels tight and I feel my motion is restricted. Please help. [/INST] Hi. According to the history and information given by you, my answers are as follows: It does not look like you have a gastrointestinal disorder. But, better is to get an ultrasonography of your abdomen and rule it out. In cervical spine you have only a small disc. So, it is just the start of arthritis and it does not cause gas problems. Intestinal gas does not hit the brain. If the bowel is not passed for so many days then there is a chance of infection and patient can die. But, two to three days does not matter. You have only early cervical spondylosis and it seems that you have vertigo. So, you need to be treated for vertigo. Also, you will need core, shoulder and neck strengthening exercises to support your head. So that you will not get vertigo due to cervical spine problems. You should just visit doctor and take tablets for vertigo and then start physiotherapy initially for a period of three weeks. Revert back after three weeks to a spine surgeon online -->
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Q. Why am I getting cracking sound in my joints?
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Hi doctor, One year back, while sitting on a chair in office I felt as if my back got stuck and was unable to move. I took two painkillers and managed to sit there for a while, but after two to three hours the pain started radiating to leg. I was diagnosed with moderate disc herniation at L4-L5 and L5-S1. I was advised to take bed rest for three months and felt better after five months. Then I got some manipulation done with my lower back and my condition got worse. After that I had slight pain in my tail bone while walking and the pain got worse when I sit for five minutes. It got radiated to hips, thighs and it was worse when I stood up from a sitting position. Then I left with no option except bed rest for another four months that is a total nine months of bed rest. After that I suddenly started walking two to three hours a day in a stretch and started doing some exercises. After few days of getting my body too much into motion I felt my upper back getting stuck and again was unable to move and the pain radiated to my wrist and hand. Then had bed rest for another 10 days and felt a bit better. But, still in pain and resumed with two to three hours of brisk walking and exercises. I noticed that many joints in my body were making cracking sound while I walk or move my body and they were continuous. They are not going away no matter how much I move that joint, the cracking sound will repeat infinite times whenever I move my body. The cracking sound is mostly from lower and upper back, shoulder, ankle, foot fingers, knees also make that cracking sound and it is painful as well. Cracking sound in knees are felt more when I start walking after being in rest state and frequency of cracking sound reduces after walking for two to three minutes. I got my ESR and CRP checked. They are normal, but there is a slight increase in lymphocytes and RBC. Now, I have been suffering from this continuous cracking sounds and pain in almost all my joints for more than a month now. I also suffer from severe pain in tail bone area. Also suffers from some sensation loss (not persistent) in left side of my upper left leg, pain in groin area (but not anymore), pain in lower back and upper back. Also a few days back a physiotherapist did some manipulation, which again increased my problem and after that when I wake up in morning both my hands are badly at asleep. Doctors say that discs are hydrated and it is rather some other thing which is causing me problems but are unable to diagnose. The amount of rest I have taken and all those manipulations have gone through have only done badly rather than doing any good. I am only 27 years old and unable to do simple tasks like sitting for five minutes. Please help me, what could be the possible reason for all this. I had some back pain three years ago. My lifestyle is also not good. I do not used to any exercise or walk earlier, only sitting on a chair in front of a computer for 10-11 hours. I have also gained weight of 15 kg in 10 months. Right now, I am taking only Vitamin D3 supplement. I am attaching all my reports for your reference.
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Hello. I have gone through your reports (attachment removed to protect patient identity), but you need to provide me the following details so that I can help you better. Revert back with the asked information to a family physician online -->
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<s>[INST]
Hi doctor, One year back, while sitting on a chair in office I felt as if my back got stuck and was unable to move. I took two painkillers and managed to sit there for a while, but after two to three hours the pain started radiating to leg. I was diagnosed with moderate disc herniation at L4-L5 and L5-S1. I was advised to take bed rest for three months and felt better after five months. Then I got some manipulation done with my lower back and my condition got worse. After that I had slight pain in my tail bone while walking and the pain got worse when I sit for five minutes. It got radiated to hips, thighs and it was worse when I stood up from a sitting position. Then I left with no option except bed rest for another four months that is a total nine months of bed rest. After that I suddenly started walking two to three hours a day in a stretch and started doing some exercises. After few days of getting my body too much into motion I felt my upper back getting stuck and again was unable to move and the pain radiated to my wrist and hand. Then had bed rest for another 10 days and felt a bit better. But, still in pain and resumed with two to three hours of brisk walking and exercises. I noticed that many joints in my body were making cracking sound while I walk or move my body and they were continuous. They are not going away no matter how much I move that joint, the cracking sound will repeat infinite times whenever I move my body. The cracking sound is mostly from lower and upper back, shoulder, ankle, foot fingers, knees also make that cracking sound and it is painful as well. Cracking sound in knees are felt more when I start walking after being in rest state and frequency of cracking sound reduces after walking for two to three minutes. I got my ESR and CRP checked. They are normal, but there is a slight increase in lymphocytes and RBC. Now, I have been suffering from this continuous cracking sounds and pain in almost all my joints for more than a month now. I also suffer from severe pain in tail bone area. Also suffers from some sensation loss (not persistent) in left side of my upper left leg, pain in groin area (but not anymore), pain in lower back and upper back. Also a few days back a physiotherapist did some manipulation, which again increased my problem and after that when I wake up in morning both my hands are badly at asleep. Doctors say that discs are hydrated and it is rather some other thing which is causing me problems but are unable to diagnose. The amount of rest I have taken and all those manipulations have gone through have only done badly rather than doing any good. I am only 27 years old and unable to do simple tasks like sitting for five minutes. Please help me, what could be the possible reason for all this. I had some back pain three years ago. My lifestyle is also not good. I do not used to any exercise or walk earlier, only sitting on a chair in front of a computer for 10-11 hours. I have also gained weight of 15 kg in 10 months. Right now, I am taking only Vitamin D3 supplement. I am attaching all my reports for your reference. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity), but you need to provide me the following details so that I can help you better. Revert back with the asked information to a family physician online -->
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Q. How to find the reason for my mother-in-law's waist pain?
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Hi doctor, My mother-in-law is having difficulty in walking, climbing stairs and sitting. She is having pain in her waist for the last one month. She feels tired and helpless. She always wants to sleep. On some occasions, she becomes unconscious without any reason. When we checked her blood pressure, it was normal. We consulted many doctors and I have attached her reports here for your reference. She is currently on Myotop, Gudbie DSR, Nurokind More, Parnacal OS and Myolaxin.
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Hello. Revert back with the answers to the above questions to an orthopaedician and traumatologist online -->
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<s>[INST]
Hi doctor, My mother-in-law is having difficulty in walking, climbing stairs and sitting. She is having pain in her waist for the last one month. She feels tired and helpless. She always wants to sleep. On some occasions, she becomes unconscious without any reason. When we checked her blood pressure, it was normal. We consulted many doctors and I have attached her reports here for your reference. She is currently on Myotop, Gudbie DSR, Nurokind More, Parnacal OS and Myolaxin. [/INST] Hello. Revert back with the answers to the above questions to an orthopaedician and traumatologist online -->
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Q. What can cause itch, redness and pain at the tip of penis?
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Hi doctor, I have itchy and reddish private part since last two months. I have pain at the tip of penis and during intercourse. I consulted a doctor, he suggested me AF-Kit. After taking this for one month it was just perfect. The symptoms returned again. I tried AF-Kit, but this time, the symptoms did not go off completely. Hence, after 3 weeks again I took AF-Kit, but symptoms still persist. Please suggest how to overcome this issue. Thank you.
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Hello. Thanks for your query on this platform. You are suffering from fungal infection candidiasis which is notorious for recurrence. The common causes of recurrence are: I will suggest you to apply Clotrimazole cream available as candid cream twice a day on the lesion. Take your AF-Kit (combination of Fluconazole 150 mg, Azithromycin 1 g and Ornidazole 750 mg) also. In case of severe itching, take some antihistamine once a day. Keep the area dry and clean, wear loose fitting cotton undergarments, do not use perfumed soap, eat healthy and balanced diet and drink lots of water. I would also suggest you to check your fasting blood glucose for diabetes. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I have itchy and reddish private part since last two months. I have pain at the tip of penis and during intercourse. I consulted a doctor, he suggested me AF-Kit. After taking this for one month it was just perfect. The symptoms returned again. I tried AF-Kit, but this time, the symptoms did not go off completely. Hence, after 3 weeks again I took AF-Kit, but symptoms still persist. Please suggest how to overcome this issue. Thank you. [/INST] Hello. Thanks for your query on this platform. You are suffering from fungal infection candidiasis which is notorious for recurrence. The common causes of recurrence are: I will suggest you to apply Clotrimazole cream available as candid cream twice a day on the lesion. Take your AF-Kit (combination of Fluconazole 150 mg, Azithromycin 1 g and Ornidazole 750 mg) also. In case of severe itching, take some antihistamine once a day. Keep the area dry and clean, wear loose fitting cotton undergarments, do not use perfumed soap, eat healthy and balanced diet and drink lots of water. I would also suggest you to check your fasting blood glucose for diabetes. For further information consult an internal medicine physician online -->
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Q. How can I reverse fluid retention in my nose and lips?
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Hi doctor, I am a 22 year old, and every morning my nose and lips appear swollen due to fluid retention, but as the day goes, it usually subsides. However recently, it is not going away, which means that every time my nose swells up, it remains that way. Does this mean the drainage system is blocked? How do I get around this? How can I reverse fluid retention in my nose? I am not on any medication and do not have any health issues.
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Hi. For further queries consult a general medicine physician online -->
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<s>[INST]
Hi doctor, I am a 22 year old, and every morning my nose and lips appear swollen due to fluid retention, but as the day goes, it usually subsides. However recently, it is not going away, which means that every time my nose swells up, it remains that way. Does this mean the drainage system is blocked? How do I get around this? How can I reverse fluid retention in my nose? I am not on any medication and do not have any health issues. [/INST] Hi. For further queries consult a general medicine physician online -->
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Q. Is it rare to see sickle cell anemia and beta thalassemia together?
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Hi doctor, My friend is 26 years old. He has sickle cell anemia and thalassemia together. His recent spleen health was good and the proportion of blood and iron was moderate. He does not need to increase the blood. Is it rare to see these two together? What is the average life expectancy of these patients?
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Hello. Revert back with the reports to a hematologist online -->
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<s>[INST]
Hi doctor, My friend is 26 years old. He has sickle cell anemia and thalassemia together. His recent spleen health was good and the proportion of blood and iron was moderate. He does not need to increase the blood. Is it rare to see these two together? What is the average life expectancy of these patients? [/INST] Hello. Revert back with the reports to a hematologist online -->
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Q. Do I need to take medicines for elevated bilirubin?
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Hi doctor, My bilirubin levels are high. I just took an opinion from my general physician and he asked me to contact a gastroenterologist to know the exact reason for high bilirubin. Can you suggest any other tests or medication for this? I have also attached my laboratory reports for your reference.
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Hi. For further information consult a medical gastroenterologist online -->
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<s>[INST]
Hi doctor, My bilirubin levels are high. I just took an opinion from my general physician and he asked me to contact a gastroenterologist to know the exact reason for high bilirubin. Can you suggest any other tests or medication for this? I have also attached my laboratory reports for your reference. [/INST] Hi. For further information consult a medical gastroenterologist online -->
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Q. Do I need surgery for compressed nerve and back pain?
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Hi doctor, I suffered a back injury at work before nine months while lifting an order of 20 batteries weighing 20 kg each. When I lifted the last battery of the order, I felt a sharp pain in my lower back, and my left leg that made me collapse and I was rushed to the hospital. I have seen a number of doctors over the last nine months without any improvement. I was diagnosed with L5/S1 broad annular tear, paracentral disc bulge, compression of the exiting nerve canal and a swollen S1 nerve root. Symptoms that occurred since my injuries are bladder issues (dribbling, cannot stop peeing and leaking during the night in the bed), muscle spasms leaving indents in my lower back, redness in left foot (photo attached), muscle twitching in the left thigh, calf and big toe, left big toe and two other toes stick up with pain, swollen Achilles tendon and swollen foot and lower back pain (radiating to the left leg). The treatment I underwent since the injury are nerve blocking injection in the L5/S1, nine weeks of physiotherapy and hydrotherapy, three months of medication program that included Endone 5 mg two times a day and Gabapentin 100 mg twice a day. My doctor suggested L5/S1 disc replacement surgery. I would like to get your opinion on the treatment. I have attached some MRI scans and photos.
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Hi. For further queries consult a general surgeon online -->
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<s>[INST]
Hi doctor, I suffered a back injury at work before nine months while lifting an order of 20 batteries weighing 20 kg each. When I lifted the last battery of the order, I felt a sharp pain in my lower back, and my left leg that made me collapse and I was rushed to the hospital. I have seen a number of doctors over the last nine months without any improvement. I was diagnosed with L5/S1 broad annular tear, paracentral disc bulge, compression of the exiting nerve canal and a swollen S1 nerve root. Symptoms that occurred since my injuries are bladder issues (dribbling, cannot stop peeing and leaking during the night in the bed), muscle spasms leaving indents in my lower back, redness in left foot (photo attached), muscle twitching in the left thigh, calf and big toe, left big toe and two other toes stick up with pain, swollen Achilles tendon and swollen foot and lower back pain (radiating to the left leg). The treatment I underwent since the injury are nerve blocking injection in the L5/S1, nine weeks of physiotherapy and hydrotherapy, three months of medication program that included Endone 5 mg two times a day and Gabapentin 100 mg twice a day. My doctor suggested L5/S1 disc replacement surgery. I would like to get your opinion on the treatment. I have attached some MRI scans and photos. [/INST] Hi. For further queries consult a general surgeon online -->
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Q. My wife is a diabetic patient. She feels heaviness and numbness in both her feet. Kindly advice.
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Hello doctor, My wife is 62 years old. She is a diabetic patient. She feels heaviness and numbness in both her feet. She is not able to sleep in the night. She is taking tablet Glycomet GM2 - one tablet in the morning, tablet Sitagliptin 50/500 one tablet at night, tablet Pregabalin 75 and active nerve tablets daily. Her fasting sugar level is 120 and post prandial sugar level is 200 and HbA1C is 7.7 to 7.9. She underwent hysterectomy in 1984 and spleenectomy in1990. Nerve conduction tests show that the nerves are slightly affected. Kindly advice.
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Hi. Please do not get worried as your wife's treatment is on the right path but, some changes are required in the prescription. Give her all the above mentioned tablets for 15 days. Also monitor the blood glucose levels thrice a day. Revert back with the following: For further follow up, consult a diabetologist online --> Read this article to know about foot care in diabetics -->
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<s>[INST]
Hello doctor, My wife is 62 years old. She is a diabetic patient. She feels heaviness and numbness in both her feet. She is not able to sleep in the night. She is taking tablet Glycomet GM2 - one tablet in the morning, tablet Sitagliptin 50/500 one tablet at night, tablet Pregabalin 75 and active nerve tablets daily. Her fasting sugar level is 120 and post prandial sugar level is 200 and HbA1C is 7.7 to 7.9. She underwent hysterectomy in 1984 and spleenectomy in1990. Nerve conduction tests show that the nerves are slightly affected. Kindly advice. [/INST] Hi. Please do not get worried as your wife's treatment is on the right path but, some changes are required in the prescription. Give her all the above mentioned tablets for 15 days. Also monitor the blood glucose levels thrice a day. Revert back with the following: For further follow up, consult a diabetologist online --> Read this article to know about foot care in diabetics -->
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Q. I have swollen and discolored penis. What is it?
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Hello doctor, I have been frequently dealing with a red, swollen meatus as well as discoloration on the penis glans. It first began after unprotected oral and vaginal sex with a one night stand three years ago. About two weeks after the original encounter, I began experiencing a burning sensation while urinating along with itching of the penis glans, red swollen meatus and discharge. Believing it was chlamydia, I immediately went in for a full panel STD test. However, the results came back negative. Baffled, I began applying Neosporin to the infected area hoping for the best. While the symptoms remained the same, about two weeks after having the STD test I contracted strep throat and was given the antibiotic Azithromycin. Not only did this clear up the strep but also stopped the itching, burning and discharge. However, my meatus remained red and swollen. I went to my local clinic and the nurse who examined me said everything looked fine. Relieved, I went about my normal life until later noticing a small white spot on my penis glans. The spot was not irritating or painful. It was not raised at all just discolored. About two weeks later another similar spot appeared. I tried to just not think about it and hoped my symptoms would go away on its own. However, they did not go away and pretty soon I noticed that the entire underside of the head of my penis had turned a pale grayish color. I then went and saw urologist who ran multiple urinalyses and did blood work. All test came back negative and he told me I was fine and to just stop thinking about it. I tried my best. Now that brings me here, three years down the road from when the symptoms first arose. My meatus is still red and puffy and my glans still the same sickly gray color. There is no pain or irritation that still persists, but the red meatus and discolored glans are ruining my confidence. I have had sex with another partner about two years ago and after three weeks of the encounter she was treated for UTI. What could this possibly be with all the tests coming back negative?
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Hi. I have reviewed all the attached photographs (attachment removed to protect patient identity). I can appreciate slight color change of the glans. It can be pre-vitiligo, but it is too early to be absolutely sure. I would recommend you to keep a watch on it whether the color changes to more white or it spreads further. Presently, I do not think it needs any treatment, but you keep it under observation. As far as meatus is concerned, it is slightly red. Since, there are no symptoms and all your tests are negative, you do not have to worry. You do not have to be anxious as it is not looking like any sexually transmitted disease. For further information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have been frequently dealing with a red, swollen meatus as well as discoloration on the penis glans. It first began after unprotected oral and vaginal sex with a one night stand three years ago. About two weeks after the original encounter, I began experiencing a burning sensation while urinating along with itching of the penis glans, red swollen meatus and discharge. Believing it was chlamydia, I immediately went in for a full panel STD test. However, the results came back negative. Baffled, I began applying Neosporin to the infected area hoping for the best. While the symptoms remained the same, about two weeks after having the STD test I contracted strep throat and was given the antibiotic Azithromycin. Not only did this clear up the strep but also stopped the itching, burning and discharge. However, my meatus remained red and swollen. I went to my local clinic and the nurse who examined me said everything looked fine. Relieved, I went about my normal life until later noticing a small white spot on my penis glans. The spot was not irritating or painful. It was not raised at all just discolored. About two weeks later another similar spot appeared. I tried to just not think about it and hoped my symptoms would go away on its own. However, they did not go away and pretty soon I noticed that the entire underside of the head of my penis had turned a pale grayish color. I then went and saw urologist who ran multiple urinalyses and did blood work. All test came back negative and he told me I was fine and to just stop thinking about it. I tried my best. Now that brings me here, three years down the road from when the symptoms first arose. My meatus is still red and puffy and my glans still the same sickly gray color. There is no pain or irritation that still persists, but the red meatus and discolored glans are ruining my confidence. I have had sex with another partner about two years ago and after three weeks of the encounter she was treated for UTI. What could this possibly be with all the tests coming back negative? [/INST] Hi. I have reviewed all the attached photographs (attachment removed to protect patient identity). I can appreciate slight color change of the glans. It can be pre-vitiligo, but it is too early to be absolutely sure. I would recommend you to keep a watch on it whether the color changes to more white or it spreads further. Presently, I do not think it needs any treatment, but you keep it under observation. As far as meatus is concerned, it is slightly red. Since, there are no symptoms and all your tests are negative, you do not have to worry. You do not have to be anxious as it is not looking like any sexually transmitted disease. For further information consult a dermatologist online -->
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Q. Every time I eat spicy food, I poop blood. Why?
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Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
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Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I am a meth smoker. I get severe stomach pain, vomiting almost with any food, and feel lumps in stomach.
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Dear Doctor, I am a regular meth smoker. I get really bad stomach pain, vomiting almost with any food, and feel lumps in stomach. What should I do? How does smoking meth affect stomach? Does smoking meth cause gastritis?
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Hi. Methamphetamine is a stimulant. Excessive brain stimulation causes hyperactivity of muscles. Because of this, hyperactive muscles can go into spasms and that is the reason you are getting vomiting and feeling lumps. My advise is stay hydrated, drink plenty of water, take foods rich in potassium like banana, tender coconut water etc., and of course start reducing your meth dose. Hope it helps. Consult a general medicine physician online for further help -->
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<s>[INST]
Dear Doctor, I am a regular meth smoker. I get really bad stomach pain, vomiting almost with any food, and feel lumps in stomach. What should I do? How does smoking meth affect stomach? Does smoking meth cause gastritis? [/INST] Hi. Methamphetamine is a stimulant. Excessive brain stimulation causes hyperactivity of muscles. Because of this, hyperactive muscles can go into spasms and that is the reason you are getting vomiting and feeling lumps. My advise is stay hydrated, drink plenty of water, take foods rich in potassium like banana, tender coconut water etc., and of course start reducing your meth dose. Hope it helps. Consult a general medicine physician online for further help -->
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Q. My father is not eating properly after getting stents. Why?
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Hi doctor, My father is 76 years old. Around 15 days back, he had an endoscopy and the doctors put stents. For two days, he has had some eating disorder. He is just eating either a half apple or a half pomegranate. I have attached the medicine list prescribed by doctor after putting the stents. Please help.
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Hello. I have gone through all the data posted (attachment remove to protect patient identity). For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, My father is 76 years old. Around 15 days back, he had an endoscopy and the doctors put stents. For two days, he has had some eating disorder. He is just eating either a half apple or a half pomegranate. I have attached the medicine list prescribed by doctor after putting the stents. Please help. [/INST] Hello. I have gone through all the data posted (attachment remove to protect patient identity). For further information consult an internal medicine physician online -->
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Q. What should I do if I am bitten by a stray cat?
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Hello doctor, I have just got bitten by a stray cat and accidentally it scratched. It is a very light scratch and a dot-like blood clot has occurred on my palm. I have already washed it and have applied Dettol on it. Is there any kind of risk? What should I do? Have I got any chances of infection?
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Hello. For more information consult a general medicine physician online -->
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<s>[INST]
Hello doctor, I have just got bitten by a stray cat and accidentally it scratched. It is a very light scratch and a dot-like blood clot has occurred on my palm. I have already washed it and have applied Dettol on it. Is there any kind of risk? What should I do? Have I got any chances of infection? [/INST] Hello. For more information consult a general medicine physician online -->
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Q. IgG value is high during pregnancy. What does it indicate?
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Hi doctor, My sister-in-law is in 20 weeks of gestation. She is 29 years old. She has not had any recent mononucleosis like symptoms. She was recently flagged with high IgG titers for toxoplasmosis. We are presently waiting to speak with a high risk obstetrician and gynaecologist. We are looking for a second opinion. Please help.
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Hi. I have read and understood your problem. However I would like you to answer few questions, so that I can help you better. For further information consult a fetal medicine specialist online -->
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<s>[INST]
Hi doctor, My sister-in-law is in 20 weeks of gestation. She is 29 years old. She has not had any recent mononucleosis like symptoms. She was recently flagged with high IgG titers for toxoplasmosis. We are presently waiting to speak with a high risk obstetrician and gynaecologist. We are looking for a second opinion. Please help. [/INST] Hi. I have read and understood your problem. However I would like you to answer few questions, so that I can help you better. For further information consult a fetal medicine specialist online -->
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Q. I have suffered with tuberculosis(Koch's disease)last year. Now I am getting the same disease back.
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Hi, I was suffering from tuberculosis (Koch's disease) a year back which got cured. And now I think, I am getting the same disease back. What should I do?
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Hi. Revert back with the reports to a general medicine physician online -->
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<s>[INST]
Hi, I was suffering from tuberculosis (Koch's disease) a year back which got cured. And now I think, I am getting the same disease back. What should I do? [/INST] Hi. Revert back with the reports to a general medicine physician online -->
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. My baby has got a pimple like spot on his forehead. Please help.
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Hello doctor, My 1.4 year old baby has a pimple like spot on his forehead. Kindly provide me the remedies for the same.
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Hi. I have read through your query in detail. Please find my observations below: Please attach pictures of the affected area for better diagnosis and treatment. Kindly follow up with a paediatrician online -->
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<s>[INST]
Hello doctor, My 1.4 year old baby has a pimple like spot on his forehead. Kindly provide me the remedies for the same. [/INST] Hi. I have read through your query in detail. Please find my observations below: Please attach pictures of the affected area for better diagnosis and treatment. Kindly follow up with a paediatrician online -->
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Q. What does poor sperm progression mean?
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Hello doctor,My semen test came back. The total sperm count is 54 m with motility of 5.5 % and progression of poor. What are my chances on IUI success? Post wash, the total sperm count was 12 m with a motility of 25 % and still poor progression. What does poor progression mean?
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Hello. For more information consult an infertility specialist online -->
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<s>[INST]
Hello doctor,My semen test came back. The total sperm count is 54 m with motility of 5.5 % and progression of poor. What are my chances on IUI success? Post wash, the total sperm count was 12 m with a motility of 25 % and still poor progression. What does poor progression mean? [/INST] Hello. For more information consult an infertility specialist online -->
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Q. My wife has swelling and pain on her toe. Does she require surgery?
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Hello doctor,My wife has swelling and pain on her toe (pictures attached). Sometimes, blood and pus also secrete from it. Can you please suggest what we should do? Can this be healed through medicine? Please advise the medicine we should use. Does she require any surgery? Please advise.
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Hello. I have seen the pictures (attachment removed to protect patient identity). For more information consult a general surgeon online -->
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<s>[INST]
Hello doctor,My wife has swelling and pain on her toe (pictures attached). Sometimes, blood and pus also secrete from it. Can you please suggest what we should do? Can this be healed through medicine? Please advise the medicine we should use. Does she require any surgery? Please advise. [/INST] Hello. I have seen the pictures (attachment removed to protect patient identity). For more information consult a general surgeon online -->
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Q. Should I wear zero power glasses while using laptop?
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Hi doctor, My eyes are 20/20. I am a coder and have to sit 16 hours in front of the laptop. Should I wear glasses of zero number while using laptop? Please suggest.
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Hello. Welcome to icliniq.com. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, My eyes are 20/20. I am a coder and have to sit 16 hours in front of the laptop. Should I wear glasses of zero number while using laptop? Please suggest. [/INST] Hello. Welcome to icliniq.com. For further information consult an eye care ophthalmologist online -->
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Q. Can I die from a tooth infection?
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Hello doctor, I have an abscessed tooth. The tooth is almost gone. I will have to get surgically removed and do not have the money for it right now. I was wondering. Can I die from the infection? I have been on antibiotics from penicillin to amoxicillin to sulfur meth 800-160 mg. At about 1 AM, I felt the same pain I had before. But, it was just the one tooth and not my whole left side. It felt like it was trying to come out on its own again, then felt like a needle touched on what is left of the tooth. I yelled ouch. It tasted funny and weird. I touched the tooth and it was bleeding. I looked in the mirror and saw blood. I got really scared and asked my mom what I could do. She asked me to rinse my mouth with warm water. I did but I still taste that funny stuff. Should I go to the emergency room?
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Hello. We are here to help you. Hopefully, this helps. Regards. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, I have an abscessed tooth. The tooth is almost gone. I will have to get surgically removed and do not have the money for it right now. I was wondering. Can I die from the infection? I have been on antibiotics from penicillin to amoxicillin to sulfur meth 800-160 mg. At about 1 AM, I felt the same pain I had before. But, it was just the one tooth and not my whole left side. It felt like it was trying to come out on its own again, then felt like a needle touched on what is left of the tooth. I yelled ouch. It tasted funny and weird. I touched the tooth and it was bleeding. I looked in the mirror and saw blood. I got really scared and asked my mom what I could do. She asked me to rinse my mouth with warm water. I did but I still taste that funny stuff. Should I go to the emergency room? [/INST] Hello. We are here to help you. Hopefully, this helps. Regards. For more information consult a dentist 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?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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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 causes sudden breathlessness with inconsistent voice?
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Hello doctor, I am a singer and I have a big problem with my voice, I really hope you can help. My voice is fine for the 10 months of the year, but right when summer starts, I completely lose my voice. This started last year, when I started getting uncomfortable when singing. At first just the higher notes (that are not even that high for me) but by the middle of July, my voice was completely gone. I went to many doctors, but nobody could help me. My voice started getting better in September and was completely fine in November. Now it is, again, very uncomfortable to sing. I suddenly have breathiness, where it should not be. My voice is not consistent nor reliable. I am concidering voice therapy but do not want to spend so much money again and not getting help. I also struggle a lot with very bad anxiety but I do not feel it getting so much worse in the summer, maybe just a little.
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Hi. I feel you are having seasonal acute laryngitis. First and foremost acute inflammation of the vocal cords what we call as acute laryngitis requires proper precautionary measures for a certain amount of time with proper treatment failing which the problems will recur again after a short span of relief. My advice to you would be to give "absolute voice rest" during that period. Now absolute voice rest means you should not even be saying yes/no during the day. The vocal cords require time to heal completely and this takes usually 10 to 14 days for things to completely settle down. Make sure you do not strain your voice during that season. You can also follow the advice given and can be considered during the episodes of laryngitis. Tablet Wysolone 20 mg once a day after bfast for 2 days followed by 10 mg for 2 days and finally followed by 5 mg for next 2 days. This is a steroid and to be taken only when is voice is completely gone and not otherwise. Drink lots of boiled warm water every 2 hours. Steam inhalations will also be useful. Salt gargles 4 to 5 times a day will also bring a lot of benefit. Absolute voice rest.
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<s>[INST]
Hello doctor, I am a singer and I have a big problem with my voice, I really hope you can help. My voice is fine for the 10 months of the year, but right when summer starts, I completely lose my voice. This started last year, when I started getting uncomfortable when singing. At first just the higher notes (that are not even that high for me) but by the middle of July, my voice was completely gone. I went to many doctors, but nobody could help me. My voice started getting better in September and was completely fine in November. Now it is, again, very uncomfortable to sing. I suddenly have breathiness, where it should not be. My voice is not consistent nor reliable. I am concidering voice therapy but do not want to spend so much money again and not getting help. I also struggle a lot with very bad anxiety but I do not feel it getting so much worse in the summer, maybe just a little. [/INST] Hi. I feel you are having seasonal acute laryngitis. First and foremost acute inflammation of the vocal cords what we call as acute laryngitis requires proper precautionary measures for a certain amount of time with proper treatment failing which the problems will recur again after a short span of relief. My advice to you would be to give "absolute voice rest" during that period. Now absolute voice rest means you should not even be saying yes/no during the day. The vocal cords require time to heal completely and this takes usually 10 to 14 days for things to completely settle down. Make sure you do not strain your voice during that season. You can also follow the advice given and can be considered during the episodes of laryngitis. Tablet Wysolone 20 mg once a day after bfast for 2 days followed by 10 mg for 2 days and finally followed by 5 mg for next 2 days. This is a steroid and to be taken only when is voice is completely gone and not otherwise. Drink lots of boiled warm water every 2 hours. Steam inhalations will also be useful. Salt gargles 4 to 5 times a day will also bring a lot of benefit. Absolute voice rest.
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Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. What can be the cure for itching in my private parts?
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Hello doctor, I am having problems with itching between buttocks on the backsides. The itching is sometimes below the testicles and around that area. I have many creams like Ring Guard, Itch Gaurd, Sapat lotion, etc. All this gave relief. But, after some weeks I feel itching again below and I have got rashes. The itching is mostly in the evening and night, usually midnight. If I go outside and I start sweating then I feel the itching. I tried many itching creams but none have helped. I have been having this for the last four or five years. I have attached photos of the itching areas. How can I cure this itching problem?
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Hello. I have gone through your pictures (attachment removed to protect patient identity). For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I am having problems with itching between buttocks on the backsides. The itching is sometimes below the testicles and around that area. I have many creams like Ring Guard, Itch Gaurd, Sapat lotion, etc. All this gave relief. But, after some weeks I feel itching again below and I have got rashes. The itching is mostly in the evening and night, usually midnight. If I go outside and I start sweating then I feel the itching. I tried many itching creams but none have helped. I have been having this for the last four or five years. I have attached photos of the itching areas. How can I cure this itching problem? [/INST] Hello. I have gone through your pictures (attachment removed to protect patient identity). For more information consult a dermatologist online -->
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Q. Is there any permanent solution for wheezing and dust allergy?
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Hello Doctor, I am 31 years old. I have a history of eosinophilia and dust allergy since the age of 12 years. The onset of eosinophilia and dust allergy has become more frequent since I moved to Bangalore (5-6 years). Sometimes I suffer wheezing, running nose and watery eyes. Since, last two years, I have become prone to sinusitis also. When I was first treated for eosinophilia, I was prescribed Serobid 50mg (1 rotacap) and Beclate (2 rotacaps) 100mg along with Alerid 5mg twice a day for the first one month and there after Serobid 50mg (1 rotacap) and Beclate 100mg (1 rotacap) along with Alerid 5mg twice a day for another two months. After that if I have an occasional onset of allergies, I would take the prescription (Serobid 50mg (1 rotacap) and Beclate 100mg (1 rotacap) along with Alerid 10mg once a day) and allergies would subside in a week or so. However, for the last 5-6 years, I had to take Serobid 50mg (1 rotacap) and Beclate 100mg (1 rotacap) once a day during night for a period of 3-4 months (mostly in winter season) to avoid wheezing and would take Alerid 10 mg if there are any allergy symptoms (occasionally). Since 4 months I have been taking Glemont-F as an alternative for the rotacaps (Serobid 50 mg and Beclate 100mg) and Alerid tablets, as Glemont-F is working fine to keep both wheezing and dust allergies down. Glemont-F was prescribed by an ENT specialist when I consulted him for sinusitis. I had used homeopathy medicines and they worked fine. However, it is very time consuming and have to use them 3 times a day 30 minutes before food. So, I discontinued them and started using Glemont-F as an alternative prescribed by an ENT. My questions are: 1) Is Glemont-F safe as I have been taking it for a period of 4-5 months continuously? 2) Since Serobid 50 mg and Beclate 100mg are very old (since I am using it for the last 18years during winters to avoid wheezing), are there any current generation alternatives for the rotacaps? I also was told that rotacaps cause weight gain and bone density loss? 3) Is there any permanent solution for wheezing and dust allergies? Please help me find the solutions for the above questions.
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Hello. I am sorry to say that bronchial asthma or allergic bronchitis is just controllable and not completely curable. Following are the answers for your questions: 1. You should avoid Glemont-F. Reserve it only for acute exacerbations. Try to control your problem with inhalers only. 2. Yes, new generation inhalers or rotacaps are Formoterol and Budesonide. You can switch to them. Long term use of inhaled steroids can cause weight gain and calcium deficiency. You can take Calcium and Vitamin D supplements along. 3. No, there is no permanent solution. You just need to avoid dust. 4. You can try homeopathy medicines if you are getting relief. But make sure you take them from a proper homeopathic physician. A lot many people add steroids. For further queries, consult a pulmonologist online -->
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<s>[INST]
Hello Doctor, I am 31 years old. I have a history of eosinophilia and dust allergy since the age of 12 years. The onset of eosinophilia and dust allergy has become more frequent since I moved to Bangalore (5-6 years). Sometimes I suffer wheezing, running nose and watery eyes. Since, last two years, I have become prone to sinusitis also. When I was first treated for eosinophilia, I was prescribed Serobid 50mg (1 rotacap) and Beclate (2 rotacaps) 100mg along with Alerid 5mg twice a day for the first one month and there after Serobid 50mg (1 rotacap) and Beclate 100mg (1 rotacap) along with Alerid 5mg twice a day for another two months. After that if I have an occasional onset of allergies, I would take the prescription (Serobid 50mg (1 rotacap) and Beclate 100mg (1 rotacap) along with Alerid 10mg once a day) and allergies would subside in a week or so. However, for the last 5-6 years, I had to take Serobid 50mg (1 rotacap) and Beclate 100mg (1 rotacap) once a day during night for a period of 3-4 months (mostly in winter season) to avoid wheezing and would take Alerid 10 mg if there are any allergy symptoms (occasionally). Since 4 months I have been taking Glemont-F as an alternative for the rotacaps (Serobid 50 mg and Beclate 100mg) and Alerid tablets, as Glemont-F is working fine to keep both wheezing and dust allergies down. Glemont-F was prescribed by an ENT specialist when I consulted him for sinusitis. I had used homeopathy medicines and they worked fine. However, it is very time consuming and have to use them 3 times a day 30 minutes before food. So, I discontinued them and started using Glemont-F as an alternative prescribed by an ENT. My questions are: 1) Is Glemont-F safe as I have been taking it for a period of 4-5 months continuously? 2) Since Serobid 50 mg and Beclate 100mg are very old (since I am using it for the last 18years during winters to avoid wheezing), are there any current generation alternatives for the rotacaps? I also was told that rotacaps cause weight gain and bone density loss? 3) Is there any permanent solution for wheezing and dust allergies? Please help me find the solutions for the above questions. [/INST] Hello. I am sorry to say that bronchial asthma or allergic bronchitis is just controllable and not completely curable. Following are the answers for your questions: 1. You should avoid Glemont-F. Reserve it only for acute exacerbations. Try to control your problem with inhalers only. 2. Yes, new generation inhalers or rotacaps are Formoterol and Budesonide. You can switch to them. Long term use of inhaled steroids can cause weight gain and calcium deficiency. You can take Calcium and Vitamin D supplements along. 3. No, there is no permanent solution. You just need to avoid dust. 4. You can try homeopathy medicines if you are getting relief. But make sure you take them from a proper homeopathic physician. A lot many people add steroids. For further queries, consult a pulmonologist online -->
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Q. What can be the reason for cramps during pregnancy?
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Hi doctor, I received a couple of faint positive pregnancy tests two weeks ago. Then, I went to my primary physician for another urine test, which came out as negative. Later, I felt some cramping on and off all day on my left side. The cramps were similar to premenstrual cramps along with sore nipples, increased saliva, and sense of taste, absent-mindedness, forgetfulness, very noticeable fatigue, occasional backache and headache, indigestion, burps and frequent urination. I was anxious and read about ectopic pregnancies and decided to test that night. It was a darker line than the previous tests and the result was pretty fast. When I tested the next morning, it was even darker and the result came very quickly. Then, two digital tests a couple of days after being positive. What can be the reason for my pain? Can it occur from a corpus luteum cyst and pregnancy? Is it safe to say that I am pregnant because of the tests becoming darker? Or were they possibly all false positives? I feel like the cramps are a bit more spaced out and less frequent now. Also, there has been no bleeding. I have my first OB/GYN appointment scheduled 15 days from now, but I am hoping for a little insight. I am currently on Vitex capsules 400 mg, GNC prenatal vitamins and Fish oil pills. Thank you.
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Hello. Serum beta hCG and USG early pregnancy to rule out ectopic and confirm cardiac activity. 1. Intrauterine pregnancy. 2. Ectopic pregnancy. Revert back with the reports to an obstetrician and gynaecologist online.--->
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<s>[INST]
Hi doctor, I received a couple of faint positive pregnancy tests two weeks ago. Then, I went to my primary physician for another urine test, which came out as negative. Later, I felt some cramping on and off all day on my left side. The cramps were similar to premenstrual cramps along with sore nipples, increased saliva, and sense of taste, absent-mindedness, forgetfulness, very noticeable fatigue, occasional backache and headache, indigestion, burps and frequent urination. I was anxious and read about ectopic pregnancies and decided to test that night. It was a darker line than the previous tests and the result was pretty fast. When I tested the next morning, it was even darker and the result came very quickly. Then, two digital tests a couple of days after being positive. What can be the reason for my pain? Can it occur from a corpus luteum cyst and pregnancy? Is it safe to say that I am pregnant because of the tests becoming darker? Or were they possibly all false positives? I feel like the cramps are a bit more spaced out and less frequent now. Also, there has been no bleeding. I have my first OB/GYN appointment scheduled 15 days from now, but I am hoping for a little insight. I am currently on Vitex capsules 400 mg, GNC prenatal vitamins and Fish oil pills. Thank you. [/INST] Hello. Serum beta hCG and USG early pregnancy to rule out ectopic and confirm cardiac activity. 1. Intrauterine pregnancy. 2. Ectopic pregnancy. Revert back with the reports to an obstetrician and gynaecologist online.--->
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Q. I hit my elbow and now have swelling and pain. How to make it better?
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Hello doctor, I am 20 years old, female. I hit my elbow at work the night before last, and it hurts to straighten my arm. I can do it, but it is painful. And randomly, I suddenly have shooting pain in my arm. It is swollen, and there is a small lump where I hit it. I also fractured my elbow in the same place when I was a child. I do not know what to do to make it better. But I am having trouble sleeping and I have to go to work tomorrow, and I need to be able to work without pain.
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Hello. From your history, it looks like a blunt injury with a hematoma at the site of injury. I suggest getting an X-ray of the elbow to rule out a fresh fracture. If there is no fracture, then use an arm pouch and keep the elbow at 90 degrees flexion in the arm pouch for three weeks. I also suggest taking Chymoral forte (Chymotrypsin and Trypsin - enzymes to breakdown hematoma and swelling) and analgesics like Tramadol-Paracetamol combination for acute pain. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Give cold compression at the site of injury and swelling. For more information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, I am 20 years old, female. I hit my elbow at work the night before last, and it hurts to straighten my arm. I can do it, but it is painful. And randomly, I suddenly have shooting pain in my arm. It is swollen, and there is a small lump where I hit it. I also fractured my elbow in the same place when I was a child. I do not know what to do to make it better. But I am having trouble sleeping and I have to go to work tomorrow, and I need to be able to work without pain. [/INST] Hello. From your history, it looks like a blunt injury with a hematoma at the site of injury. I suggest getting an X-ray of the elbow to rule out a fresh fracture. If there is no fracture, then use an arm pouch and keep the elbow at 90 degrees flexion in the arm pouch for three weeks. I also suggest taking Chymoral forte (Chymotrypsin and Trypsin - enzymes to breakdown hematoma and swelling) and analgesics like Tramadol-Paracetamol combination for acute pain. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent. Give cold compression at the site of injury and swelling. For more information consult an orthopaedician and traumatologist online -->
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Q. How long will it take for my mother to recover from chikungunya and MG?
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Hi doctor, My mother is 80 years old. She has been having myasthenia gravis for the last 10 years and it has been under good control. She took only Distinon tablet three times a day till last month. One month ago, she had a viral fever. She was admitted in hospital for 10 days and the doctors treated her for precrisis MG and chikungunya. She was discharged after treatment. Since last three weeks, she has been in bed with continuing physiotherapy, but the recovery is taking time. At the time of discharge, she was advised with the following medicines, which we have continued till date. Distinon increased to four times a day, Azoran once daily and Tilstigmin (Neostigmine) thrice daily. Do we need to continue with the medicine? Or should we reduce the dosage? Till when she needs to continue it? Would she come back to her old dosage soon? Lastly, how much is the recovery time for a chikungunya along with MG in an old patient?
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Hi. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor, My mother is 80 years old. She has been having myasthenia gravis for the last 10 years and it has been under good control. She took only Distinon tablet three times a day till last month. One month ago, she had a viral fever. She was admitted in hospital for 10 days and the doctors treated her for precrisis MG and chikungunya. She was discharged after treatment. Since last three weeks, she has been in bed with continuing physiotherapy, but the recovery is taking time. At the time of discharge, she was advised with the following medicines, which we have continued till date. Distinon increased to four times a day, Azoran once daily and Tilstigmin (Neostigmine) thrice daily. Do we need to continue with the medicine? Or should we reduce the dosage? Till when she needs to continue it? Would she come back to her old dosage soon? Lastly, how much is the recovery time for a chikungunya along with MG in an old patient? [/INST] Hi. For further information consult a neurologist online -->
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Q. My resting heart rate is increased. Am I at the risk for a heart attack?
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Hello doctor, I am a 23 year old male, who is fit and active. I do not drink alcohol or take illegal drugs. I smoke about 15 cigarettes a day and drink some coffee and tea, about two or three cups a day. I do not like energy drinks, so I never take them. I am not on any medication. About three weeks ago, I started a new job. As one of the requirements of the job is to get a medical test done, I failed in it as my heart rate was 140 bpm at rest. My doctor checked it thrice to ensure it was right. He checked my heart rate again over the next week and looked at my blood test results too. The lowest my heart went to was 85 bpm but mostly it stayed at 100 to 95 bpm. He said he could hear a heart murmur. I did not have this previously. I do not know if this is related, but I was told I sometimes wake up at night gasping for air, in a sudden manner. I do not have any nightmares as much as I can remember. Other than that I feel sick often. I do get stomach cramps about two to three times a week. My doctor sent a letter to the hospital for more tests. He does not know the reason for high heart rate. I might have to wait for a long time to get the tests done. Is there anything I could do while I wait? Also, my father had a heart attack when he was 45. Could this be a sign that a heart attack is waiting in later years? Should I even be worried or is this just normal routine checks? Would love to hear from you. Thank you for reading this.
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Hello. Your main concern seems to be an increase in resting heart rate and the presence of heart murmurs. Tea, tobacco, and caffeine together increase the heart rate. The fact that your father suffered a heart attack seems to be troubling your mind, causing persistent stress and anxiety. What I do suggest as a precautionary measure is, to stop all the four risk factors. This will bring your heart rate to normal. You can get the following tests done: It is also important to make some lifestyle modifications such as: For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I am a 23 year old male, who is fit and active. I do not drink alcohol or take illegal drugs. I smoke about 15 cigarettes a day and drink some coffee and tea, about two or three cups a day. I do not like energy drinks, so I never take them. I am not on any medication. About three weeks ago, I started a new job. As one of the requirements of the job is to get a medical test done, I failed in it as my heart rate was 140 bpm at rest. My doctor checked it thrice to ensure it was right. He checked my heart rate again over the next week and looked at my blood test results too. The lowest my heart went to was 85 bpm but mostly it stayed at 100 to 95 bpm. He said he could hear a heart murmur. I did not have this previously. I do not know if this is related, but I was told I sometimes wake up at night gasping for air, in a sudden manner. I do not have any nightmares as much as I can remember. Other than that I feel sick often. I do get stomach cramps about two to three times a week. My doctor sent a letter to the hospital for more tests. He does not know the reason for high heart rate. I might have to wait for a long time to get the tests done. Is there anything I could do while I wait? Also, my father had a heart attack when he was 45. Could this be a sign that a heart attack is waiting in later years? Should I even be worried or is this just normal routine checks? Would love to hear from you. Thank you for reading this. [/INST] Hello. Your main concern seems to be an increase in resting heart rate and the presence of heart murmurs. Tea, tobacco, and caffeine together increase the heart rate. The fact that your father suffered a heart attack seems to be troubling your mind, causing persistent stress and anxiety. What I do suggest as a precautionary measure is, to stop all the four risk factors. This will bring your heart rate to normal. You can get the following tests done: It is also important to make some lifestyle modifications such as: For more information consult a cardiologist online -->
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Q. A stitch after a normal delivery has not healed after five months. Is it a fistula?
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Hello doctor, I had a normal delivery five months back, but I can still see one stitch, which has not healed properly. The skin is still raw near the vagina. It does not hurt, but only when I pee or when water touches there, it stings. Please help. I do not want to get restitched, as it has been a long time. I am applying T bact and Drez S ointment.
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Hi. How are you doing? 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, I had a normal delivery five months back, but I can still see one stitch, which has not healed properly. The skin is still raw near the vagina. It does not hurt, but only when I pee or when water touches there, it stings. Please help. I do not want to get restitched, as it has been a long time. I am applying T bact and Drez S ointment. [/INST] Hi. How are you doing? 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. Are ASD (atrial septal defect) and PFO (patent foramen ovale), two separate problems?
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Hello doctor, My 11 year old daughter has been experiencing intermittent chest pains and fast pulse for about 18 to 24 months. She has had a normal ECG and physical examination, but echocardiogram has shown a mobile interatrial septum with a left to right flow. It was identified with color flow across a small atrial septal defect, of an approximate diameter of 2.1 mm. No chamber enlargement or increased flow is seen through RVOT/PV. I have taken these details from my copy of the letter sent from the pediatrician to the pediatric cardiologist. I do not know how long we will be waiting for an appointment, and over the phone, I was just told they had found a small hole in her heart. While I understand the basic problem, I would like to know the following, are the mobile interatrial septum and the ASD or PFO two separate problems? So, does she have an aneurysm as well as a hole? Does the 2.1 mm mean the actual size or diameter of the hole or something else? Is she safe to do normal things like exercise? And we have a holiday booked, is she safe to fly?
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Hello. Sorry to hear about your daughter's health issues. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, My 11 year old daughter has been experiencing intermittent chest pains and fast pulse for about 18 to 24 months. She has had a normal ECG and physical examination, but echocardiogram has shown a mobile interatrial septum with a left to right flow. It was identified with color flow across a small atrial septal defect, of an approximate diameter of 2.1 mm. No chamber enlargement or increased flow is seen through RVOT/PV. I have taken these details from my copy of the letter sent from the pediatrician to the pediatric cardiologist. I do not know how long we will be waiting for an appointment, and over the phone, I was just told they had found a small hole in her heart. While I understand the basic problem, I would like to know the following, are the mobile interatrial septum and the ASD or PFO two separate problems? So, does she have an aneurysm as well as a hole? Does the 2.1 mm mean the actual size or diameter of the hole or something else? Is she safe to do normal things like exercise? And we have a holiday booked, is she safe to fly? [/INST] Hello. Sorry to hear about your daughter's health issues. For more information consult a cardiologist online -->
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Q. I masturbate a lot. But I do not feel any sexual attraction towards my wife.
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Hi, I am a 30 year old male, married for the last one year. We got married in February 2014 and because of job, we used to stay in different locations for the first 6 months. From last September we have been staying together. My wife is a good looking, well educated, smart girl and I adore my wife a lot and take care of her really well. Unfortunately I do not feel any sexual attraction towards my wife. Frequency of sexual intercourse is as low as once in a month and in any of those sessions I had, I was never able ejaculate. Below are few facts which may help you understand my problem: I used to masturbate once/twice every day before we started staying together. Now also, I continue doing the same, but not that frequently. I am able to ejaculate whenever I masturbate. My style of masturbation is quite different than the too and fro action that happens in normal sexual intercourse. I used to watch a lot of porn earlier which I have almost stopped in recent past. I have paid for sex in the past before marriage. I feel sexually attracted towards other girls. And sometimes I feel like having sex outside, though I have not done that. I do not have any extramarital affair. My testosterone level is normal. I used to be underweight 2 years back. I have gained almost 25 Kg in the past 1.5 years. Currently I weigh 75Kg and my height in 167cm. Almost every day I wake up sleepy and unfresh. I work in branding job and my wife is a banker. Everything is great in our relationship apart from this. This issue is putting a lot of stress on us (mainly on her). She is going into depression which is hurting me a lot. I want this married life to continue really well. Please Help.
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Hello, Welcome to icliniq.com. I understand your concern, both of you need to do a few things, especially you. Try these methods and I am sure you will be able to improve. Revert back to a sexologist online after a month for follow up -->
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<s>[INST]
Hi, I am a 30 year old male, married for the last one year. We got married in February 2014 and because of job, we used to stay in different locations for the first 6 months. From last September we have been staying together. My wife is a good looking, well educated, smart girl and I adore my wife a lot and take care of her really well. Unfortunately I do not feel any sexual attraction towards my wife. Frequency of sexual intercourse is as low as once in a month and in any of those sessions I had, I was never able ejaculate. Below are few facts which may help you understand my problem: I used to masturbate once/twice every day before we started staying together. Now also, I continue doing the same, but not that frequently. I am able to ejaculate whenever I masturbate. My style of masturbation is quite different than the too and fro action that happens in normal sexual intercourse. I used to watch a lot of porn earlier which I have almost stopped in recent past. I have paid for sex in the past before marriage. I feel sexually attracted towards other girls. And sometimes I feel like having sex outside, though I have not done that. I do not have any extramarital affair. My testosterone level is normal. I used to be underweight 2 years back. I have gained almost 25 Kg in the past 1.5 years. Currently I weigh 75Kg and my height in 167cm. Almost every day I wake up sleepy and unfresh. I work in branding job and my wife is a banker. Everything is great in our relationship apart from this. This issue is putting a lot of stress on us (mainly on her). She is going into depression which is hurting me a lot. I want this married life to continue really well. Please Help. [/INST] Hello, Welcome to icliniq.com. I understand your concern, both of you need to do a few things, especially you. Try these methods and I am sure you will be able to improve. Revert back to a sexologist online after a month for follow up -->
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Q. Does stress affect my menstrual bleeding?
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Hello doctor, I consulted with you the last time whether I can be pregnant as I had sex with my partner on the eighth day of my period and we used condoms as protection. You told that I would not get pregnant. Today I am on the fifth day of my period. On the first two days, the bleeding was normal. But, on the third day, it was very light and little brown in color. Usually, I have a bit less bleeding on the third day, but I was also very much stressed during this time related to my situation. Please tell me if I can get pregnant in this situation? And does stress affects my period bleeding? I am very much worried.
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Hello. Be relaxed. Once you have your periods, it is enough evidence that there is no pregnancy. Yes, the mind controls the periods' dates, amount of bleeding and ovulation too. With so much stress, your period will show changes. I am 100% sure that there is no pregnancy. I was sure in the beginning itself. If u still want a proof, you can have a serum beta hCG blood test. This will diagnose the smallest of pregnancy anywhere in the body. I would suggest to relax and forget everything. You are fine. Hope I have clarified your query. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I consulted with you the last time whether I can be pregnant as I had sex with my partner on the eighth day of my period and we used condoms as protection. You told that I would not get pregnant. Today I am on the fifth day of my period. On the first two days, the bleeding was normal. But, on the third day, it was very light and little brown in color. Usually, I have a bit less bleeding on the third day, but I was also very much stressed during this time related to my situation. Please tell me if I can get pregnant in this situation? And does stress affects my period bleeding? I am very much worried. [/INST] Hello. Be relaxed. Once you have your periods, it is enough evidence that there is no pregnancy. Yes, the mind controls the periods' dates, amount of bleeding and ovulation too. With so much stress, your period will show changes. I am 100% sure that there is no pregnancy. I was sure in the beginning itself. If u still want a proof, you can have a serum beta hCG blood test. This will diagnose the smallest of pregnancy anywhere in the body. I would suggest to relax and forget everything. You are fine. Hope I have clarified your query. For more information consult an obstetrician and gynaecologist online -->
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Q. Why am I getting some irritation around anus?
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Hi doctor, It has been two days that I am feeling some irritation around anus. Today, I noticed some small lumps that are tender to touch and causing mild irritation regularly. Apart from that I have upset stomach and I am getting semi-solid motion. A month back, I had a stone in the urinary tract, which came out of its own and I have been taking Cystone two or one tablet twice a day. In the past, I had balanitis, which happened due to taking Ofloxin and Ornidazole. I am 6 feet height and 86 kg weight.
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Hello. 1. Use 0.2% to 0.4% Nitroglycerin cream twice daily for six weeks. 2. If you are having soft stools then you are good. Since you are having semi solid stools; please add fiber to your diet. 3. You can try Isabgol husk one teaspoon every morning in warm water. 4. You should not be straining for the poop to come out since it will cause further tears. Revert back with the answers to the above questions to an internal medicine physician online.--->
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<s>[INST]
Hi doctor, It has been two days that I am feeling some irritation around anus. Today, I noticed some small lumps that are tender to touch and causing mild irritation regularly. Apart from that I have upset stomach and I am getting semi-solid motion. A month back, I had a stone in the urinary tract, which came out of its own and I have been taking Cystone two or one tablet twice a day. In the past, I had balanitis, which happened due to taking Ofloxin and Ornidazole. I am 6 feet height and 86 kg weight. [/INST] Hello. 1. Use 0.2% to 0.4% Nitroglycerin cream twice daily for six weeks. 2. If you are having soft stools then you are good. Since you are having semi solid stools; please add fiber to your diet. 3. You can try Isabgol husk one teaspoon every morning in warm water. 4. You should not be straining for the poop to come out since it will cause further tears. Revert back with the answers to the above questions to an internal medicine physician online.--->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Can I start bodybuilding at the age of 18? Will this stop me from growing tall?
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Hi doctor, Can I start bodybuilding at the age of 18? Will this stop me from growing tall?
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Hi. I advise you to start sports first and after a year or so, you can start going to the gym. This is because men grow in height till 20 years and after that, the growth stops. Until then, be inclined towards sports like basketball, jogging, running, bar pull-ups till 20 years of age. All the above-mentioned sports will help you increase your height. They also give you a muscular body.
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<s>[INST]
Hi doctor, Can I start bodybuilding at the age of 18? Will this stop me from growing tall? [/INST] Hi. I advise you to start sports first and after a year or so, you can start going to the gym. This is because men grow in height till 20 years and after that, the growth stops. Until then, be inclined towards sports like basketball, jogging, running, bar pull-ups till 20 years of age. All the above-mentioned sports will help you increase your height. They also give you a muscular body.
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Q. I have irregular periods and vaginal dryness. Can IUD be the cause?
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Hello doctor, I have irregular periods and vaginal dryness. I also have premenstrual spotting, followed by three days of profuse bleeding. I got an IUCD placed ten years back. I use Minoxidil 5 % for topical application, since three months, but I stopped it 15 days back. I have a history of vitamin B12 deficiency, which was treated. I did a test on the third day of my period, and the reports said progesterone is 3.73, FSH is 1.52, and LH is 1.89.
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Hello. I need more details to understand what is going on. Revert with more information to a diabetologist online -->
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<s>[INST]
Hello doctor, I have irregular periods and vaginal dryness. I also have premenstrual spotting, followed by three days of profuse bleeding. I got an IUCD placed ten years back. I use Minoxidil 5 % for topical application, since three months, but I stopped it 15 days back. I have a history of vitamin B12 deficiency, which was treated. I did a test on the third day of my period, and the reports said progesterone is 3.73, FSH is 1.52, and LH is 1.89. [/INST] Hello. I need more details to understand what is going on. Revert with more information to a diabetologist online -->
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Q. Can I take Madhulai manapagu as I plan to conceive?
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Hi doctor, I am newly married. Can I take madhulai manapagu if I am trying to convince? Regarding supplements, what can be taken?
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Hello. I just read your query. For further information consult an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am newly married. Can I take madhulai manapagu if I am trying to convince? Regarding supplements, what can be taken? [/INST] Hello. I just read your query. For further information consult an ayurveda specialist online -->
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Q. Is it possible to have low erythropoietin count and high RBC count together?
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Hello doctor, I am 27 years old male, 6 feet, and 180 lbs. I started a new job and the life insurance company wanted me to take a blood test. The results are attached. My blood test shows a low erythropoietin of 4.4 U/L (normal range 4.3 to 29) and high red blood cell count of 5.6x10^12/L (normal range 3.7-6). The insurance company now wants me to see a hematologist for polycythemia. What are the odds that my result is actually related to that? I was also just diagnosed with moderate sleep apnea.
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Hello. All the best and do well in your new job. For further queries consult a hematologist online -->
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<s>[INST]
Hello doctor, I am 27 years old male, 6 feet, and 180 lbs. I started a new job and the life insurance company wanted me to take a blood test. The results are attached. My blood test shows a low erythropoietin of 4.4 U/L (normal range 4.3 to 29) and high red blood cell count of 5.6x10^12/L (normal range 3.7-6). The insurance company now wants me to see a hematologist for polycythemia. What are the odds that my result is actually related to that? I was also just diagnosed with moderate sleep apnea. [/INST] Hello. All the best and do well in your new job. For further queries consult a hematologist online -->
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Q. My BUN and creatinine ratio is 20. Is it high?
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Hello doctor, I have got my normal KFT and LFT reports. My BUN is 18. Creatinine is 0.9. Both are in normal range but my BUN and creatinine ratio is 20 which is high. What does this mean? I started taking Metformin for the last 20 days for prediabetic control.
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Hello. Normal BUN (blood urea and nitrogen) to creatinine ratio is anywhere between the range of 10:1 to 20:1. So your values are within the upper normal limits. The causes may be anything ranging from dehydration or lowered blood supply to kidneys due to any reason like heart disease. In this situation, I would recommend taking more and more fluids and go for another test to see the ratio after two weeks. We would see how it responds and if there is a need to do something else. You should also consult your local physician for the same. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I have got my normal KFT and LFT reports. My BUN is 18. Creatinine is 0.9. Both are in normal range but my BUN and creatinine ratio is 20 which is high. What does this mean? I started taking Metformin for the last 20 days for prediabetic control. [/INST] Hello. Normal BUN (blood urea and nitrogen) to creatinine ratio is anywhere between the range of 10:1 to 20:1. So your values are within the upper normal limits. The causes may be anything ranging from dehydration or lowered blood supply to kidneys due to any reason like heart disease. In this situation, I would recommend taking more and more fluids and go for another test to see the ratio after two weeks. We would see how it responds and if there is a need to do something else. You should also consult your local physician for the same. For more information consult an internal medicine physician online -->
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Q. What are these red, non-itchy bumps, which started after a mosquito bite?
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Hi doctor, I have red bumps, which are non-itchy and keep on spreading. Also, I am attaching the picture for your reference. Please explain me.
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Hi. I have read your query and examined your picture (attachment removed to protect patient identity). With that much of the descriptions I can say it may be allergic contact dermatitis or insect bite hypersensitivity or urticarial vasculitis. I suggest you to use Lacto Calamine lotion local application twice daily and one tablet Levocetirizine once daily for five days. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Revert back with the answers to the above questions to a dermatologist online -->
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<s>[INST]
Hi doctor, I have red bumps, which are non-itchy and keep on spreading. Also, I am attaching the picture for your reference. Please explain me. [/INST] Hi. I have read your query and examined your picture (attachment removed to protect patient identity). With that much of the descriptions I can say it may be allergic contact dermatitis or insect bite hypersensitivity or urticarial vasculitis. I suggest you to use Lacto Calamine lotion local application twice daily and one tablet Levocetirizine once daily for five days. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. Revert back with the answers to the above questions to a dermatologist online -->
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Q. My HIV tests are negative 145 days after exposure. Do I need any more tests?
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Hello doctor, My query is regarding HIV and AIDS. I had unsafe sex with a girl. After 40 days of exposure, I did anti-HIV CMIA test which was non-reactive and the value was 0.24 (non-reactive). Then, after 145 days of exposure, I did HIV 1 and 2 screening test which was also non-reactive having result 0.17 (non-reactive). Now, it is almost 250 days of my exposure. I feel my body is becoming thin. I am worried about HIV because I am losing weight which is a symptom of HIV. Do I need more tests? Is there a chance of HIV later as I did the test after 145 days of exposure and it was non-reactive. No other symptom is present in my body. Only that I lost 3 to 4 kg weight after the exposure. And, also tell what is the accuracy level of the above tests I had.
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Hello. I have noted your concern. Regards. For more information consult an HIV AIDS specialist online -->
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<s>[INST]
Hello doctor, My query is regarding HIV and AIDS. I had unsafe sex with a girl. After 40 days of exposure, I did anti-HIV CMIA test which was non-reactive and the value was 0.24 (non-reactive). Then, after 145 days of exposure, I did HIV 1 and 2 screening test which was also non-reactive having result 0.17 (non-reactive). Now, it is almost 250 days of my exposure. I feel my body is becoming thin. I am worried about HIV because I am losing weight which is a symptom of HIV. Do I need more tests? Is there a chance of HIV later as I did the test after 145 days of exposure and it was non-reactive. No other symptom is present in my body. Only that I lost 3 to 4 kg weight after the exposure. And, also tell what is the accuracy level of the above tests I had. [/INST] Hello. I have noted your concern. Regards. For more information consult an HIV AIDS specialist online -->
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Q. What is the cause of a bruise after a fall?
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Hello doctor, I am a 26 year old male and I fell down three months ago. I had a severe pain in the hand for which I went to an orthopedic doctor who confirmed that there is no bone breakage and he gave me Naprosyn for three times a day after food. Until then, there was no patch on my skin. But now, I have a big blue patch in that area. Please let me know what to do.
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Hello. From the photo you have uploaded (attachment removed to protect patient identity), all I can see is a large bruise (blood clot). Blood clot takes time to appear like a day or two. It is completely harmless and disappears soon on anti-clot agents. Please take Thrombophob (Benzyl Nicotinate topical 2 mg, Heparin Topical 50 IU) ointment and apply it three times a day over this area. The color will slowly come back to normal. From the photo, I can see that there is no swelling or deformity, implying that there is no fracture at present. So nothing to worry. Naproxen is a mild tablet. It will not help much. A better tablet is Chymoral Forte (Trypsin Chymotrypsin) tablet three times a day after food for the next three days. Also, I suggest you take an antibiotic like capsule Mox (Amoxicillin) 500 mg two times a day after food to prevent any infection settling in. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you have much pain, you can take Aceclo plus (Aceclofenac 100 mg plus Paracetamol 500 mg) tablet twice a day or whenever needed after food. If the swelling/pain/bruise increases in the next few days, please contact me. If the symptoms reduce, then it is healing. For further queries consult a general medicine physician online -->
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<s>[INST]
Hello doctor, I am a 26 year old male and I fell down three months ago. I had a severe pain in the hand for which I went to an orthopedic doctor who confirmed that there is no bone breakage and he gave me Naprosyn for three times a day after food. Until then, there was no patch on my skin. But now, I have a big blue patch in that area. Please let me know what to do. [/INST] Hello. From the photo you have uploaded (attachment removed to protect patient identity), all I can see is a large bruise (blood clot). Blood clot takes time to appear like a day or two. It is completely harmless and disappears soon on anti-clot agents. Please take Thrombophob (Benzyl Nicotinate topical 2 mg, Heparin Topical 50 IU) ointment and apply it three times a day over this area. The color will slowly come back to normal. From the photo, I can see that there is no swelling or deformity, implying that there is no fracture at present. So nothing to worry. Naproxen is a mild tablet. It will not help much. A better tablet is Chymoral Forte (Trypsin Chymotrypsin) tablet three times a day after food for the next three days. Also, I suggest you take an antibiotic like capsule Mox (Amoxicillin) 500 mg two times a day after food to prevent any infection settling in. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. If you have much pain, you can take Aceclo plus (Aceclofenac 100 mg plus Paracetamol 500 mg) tablet twice a day or whenever needed after food. If the swelling/pain/bruise increases in the next few days, please contact me. If the symptoms reduce, then it is healing. For further queries consult a general medicine physician online -->
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Q. I have thalassemia minor. How to increase hemoglobin and decrease ferritin levels?
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Hi doctor, I am a 76 year old male, who is 170 cm tall and weigh 68 kg. Presently I have anemia, and my hemoglobin is 9.6 g/dL. I also have high serum ferritin level of 1900 ng/mL. I have this problem for some time. Many years ago, I was diagnosed with thalassemia minor. I was feeling tired, and I had a headache in the right temple area more frequently for the past two years. At that time, I had high blood pressure of 160/80 mmHg and low testosterone of 4.6 ng/dL. My blood pressure was controlled by Losartan 50 mg and Hydrochlorothiazide 25 mg. I am also taking Viagra. A year back, I also had platelets clumping. My doctor is considering iron chelating tablets. Will chelating tablets lower hemoglobin? I used to take iron supplements, but due to iron overload, I stopped taking them. What can be done to increase hemoglobin and lower serum ferritin? I am attaching all my blood reports.
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Hi. I have seen all your reports (attachment removed to protect patient identity). Thalassemia is an inherited blood disorder characterized by abnormal hemoglobin production. I do not have to explain you much about thalassemia as your doctor might have told you the details and consequences about it. Few symptoms and complications that you need to be aware of due to thalassemia are as follows: Major complications that you need to consider is iron overload, which could either be due to recurrent blood transfusion or due to excess cell break down. Comming to the weakness, it is generally due to low hemoglobin. Symptoms of anemia can result in feeling tired and pale skin. A decrease in the hemoglobin level was mainly due to blood transfusion. The patient can be on iron supplements, and it requires about two months on an average to improve hemoglobin level. Ferritin is a protein that stores iron and releases it when the body needs it. It usually lives in the body’s cells, with very little circulating in the blood. Treatment will be based on patient's response, how the patient responds to the chelating agent, etc. For more information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a 76 year old male, who is 170 cm tall and weigh 68 kg. Presently I have anemia, and my hemoglobin is 9.6 g/dL. I also have high serum ferritin level of 1900 ng/mL. I have this problem for some time. Many years ago, I was diagnosed with thalassemia minor. I was feeling tired, and I had a headache in the right temple area more frequently for the past two years. At that time, I had high blood pressure of 160/80 mmHg and low testosterone of 4.6 ng/dL. My blood pressure was controlled by Losartan 50 mg and Hydrochlorothiazide 25 mg. I am also taking Viagra. A year back, I also had platelets clumping. My doctor is considering iron chelating tablets. Will chelating tablets lower hemoglobin? I used to take iron supplements, but due to iron overload, I stopped taking them. What can be done to increase hemoglobin and lower serum ferritin? I am attaching all my blood reports. [/INST] Hi. I have seen all your reports (attachment removed to protect patient identity). Thalassemia is an inherited blood disorder characterized by abnormal hemoglobin production. I do not have to explain you much about thalassemia as your doctor might have told you the details and consequences about it. Few symptoms and complications that you need to be aware of due to thalassemia are as follows: Major complications that you need to consider is iron overload, which could either be due to recurrent blood transfusion or due to excess cell break down. Comming to the weakness, it is generally due to low hemoglobin. Symptoms of anemia can result in feeling tired and pale skin. A decrease in the hemoglobin level was mainly due to blood transfusion. The patient can be on iron supplements, and it requires about two months on an average to improve hemoglobin level. Ferritin is a protein that stores iron and releases it when the body needs it. It usually lives in the body’s cells, with very little circulating in the blood. Treatment will be based on patient's response, how the patient responds to the chelating agent, etc. For more information consult an internal medicine physician online -->
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Q. I have hypothyroidism after taking medicines for hyperthyroidism. What is going on?
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Hello doctor, I am a 26 year old female. Seven years ago, I was diagnosed with hyperthyroidism. I took medicines and my thyroid hormones got normal. After that, I stopped taking medicines. Everything was fine for two to three years. But after some time, I came across symptoms like weight loss, anxiety, and tiredness. So, I got my thyroid checked. To my surprise, I had hypothyroidism this time. My values are as follows: T3 - 105 ng/dl. T4 - 7.7 ug/dl. TSH - 6.51 uIU/ml. I am taking 32 mg Thyronorm now. My height is 5 feet 2 inches and weight is 44 kg. So, I am underweight but in hypothyroidism, a person gains weight but I am losing it. I also checked my anti-TPO value and its value is more than 1000 IU/mL. I am really tensed whats going on. My hyperthyroidism has been converted to hypothyroidism with time and I am unable to gain weight instead of diagnosed with hypothyroidism. By observing anti-TPO level, I have Hashimoto diseases. I am really tensed. Please help me out. I want to gain weight and cure this disease.
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Hello. I just read your query and from what you have mentioned, it appears that you have Hashimoto’s thyroiditis. I would suggest that you have a wait and watch approach. I would recommend that you just keep checking your thyroid function test results every six weeks as of now. Then, once your TSH (thyroid-stimulating hormone) stabilizes, you can check every three months. Also, your TSH is not so high that you must take any treatment for it. So, my advice would be better to wait and watch. Since this is a phase of thyroid dysfunction, please be patient about your weight. Once your thyroid stabilizes, your weight gain will improve. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online -->
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<s>[INST]
Hello doctor, I am a 26 year old female. Seven years ago, I was diagnosed with hyperthyroidism. I took medicines and my thyroid hormones got normal. After that, I stopped taking medicines. Everything was fine for two to three years. But after some time, I came across symptoms like weight loss, anxiety, and tiredness. So, I got my thyroid checked. To my surprise, I had hypothyroidism this time. My values are as follows: T3 - 105 ng/dl. T4 - 7.7 ug/dl. TSH - 6.51 uIU/ml. I am taking 32 mg Thyronorm now. My height is 5 feet 2 inches and weight is 44 kg. So, I am underweight but in hypothyroidism, a person gains weight but I am losing it. I also checked my anti-TPO value and its value is more than 1000 IU/mL. I am really tensed whats going on. My hyperthyroidism has been converted to hypothyroidism with time and I am unable to gain weight instead of diagnosed with hypothyroidism. By observing anti-TPO level, I have Hashimoto diseases. I am really tensed. Please help me out. I want to gain weight and cure this disease. [/INST] Hello. I just read your query and from what you have mentioned, it appears that you have Hashimoto’s thyroiditis. I would suggest that you have a wait and watch approach. I would recommend that you just keep checking your thyroid function test results every six weeks as of now. Then, once your TSH (thyroid-stimulating hormone) stabilizes, you can check every three months. Also, your TSH is not so high that you must take any treatment for it. So, my advice would be better to wait and watch. Since this is a phase of thyroid dysfunction, please be patient about your weight. Once your thyroid stabilizes, your weight gain will improve. Hope you find my advice beneficial. Good luck. For more information consult an endocrinologist online -->
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Q. I have read that tooth infection can spread to the brain. Is it true?
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Hi doctor, I have had some pain and sensitivity in the upper right back tooth for a while now. I am not sure when it started. I did not think much of it until a few days ago when my gums right around those teeth got very inflamed and tender. It looked like there were two black spots on the gums, which went away the next day. The gums are still a bit tender, but not painful like a few days ago. I noticed the lymph node under my chin was swollen, that went away, and now the lymph node on the right back of my head is swollen and causing me some pain, like a headache. I am scared it is an abscessed tooth, and I was reading online that tooth infections can quickly spread to the brain, making them potentially fatal. I have a dentist appointment at 9 AM tomorrow morning, but I am scared. Should I go to the ER now? Will not I have a fever if it was really bad? Any help you can give is appreciated.
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Hi. Thanks for the query. Hope this helps. Regards. For further queries consult a dentist online -->
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<s>[INST]
Hi doctor, I have had some pain and sensitivity in the upper right back tooth for a while now. I am not sure when it started. I did not think much of it until a few days ago when my gums right around those teeth got very inflamed and tender. It looked like there were two black spots on the gums, which went away the next day. The gums are still a bit tender, but not painful like a few days ago. I noticed the lymph node under my chin was swollen, that went away, and now the lymph node on the right back of my head is swollen and causing me some pain, like a headache. I am scared it is an abscessed tooth, and I was reading online that tooth infections can quickly spread to the brain, making them potentially fatal. I have a dentist appointment at 9 AM tomorrow morning, but I am scared. Should I go to the ER now? Will not I have a fever if it was really bad? Any help you can give is appreciated. [/INST] Hi. Thanks for the query. Hope this helps. Regards. For further queries consult a dentist 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 clear kidney stones?
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Hi doctor, I have a kidney stone in my right kidney and I have abdominal pain. Is there any medicine to clear out the stone or is the operation the only way? Please help me.
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Hi. Revert back with full detail and test report to a urologist online -->
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<s>[INST]
Hi doctor, I have a kidney stone in my right kidney and I have abdominal pain. Is there any medicine to clear out the stone or is the operation the only way? Please help me. [/INST] Hi. Revert back with full detail and test report to a urologist online -->
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Q. Is my hymen intact?
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Hi doctor, I am 26 years old. I am going to get married. My query is regarding my virginity. I do like to know whether my hymen is intact. Will I bleed during my wedding night? Through hymen, how to know my virginity? Your opinion is of great concern for me.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am 26 years old. I am going to get married. My query is regarding my virginity. I do like to know whether my hymen is intact. Will I bleed during my wedding night? Through hymen, how to know my virginity? Your opinion is of great concern for me. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. There is swelling even a week after a ligament tear. Should I go to the ER?
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Hello doctor, I tore my MCL last week and the ER doctor told me to stay off of it for at least three days. I did so, starting to use it three days later for about three hours. The swelling my foot has encountered since then has been extreme. If I elevate and do not use it for four to six hours, the swelling recedes, but if I use it at all, my foot and ankle puff back up. I have been elevating it, icing it, and trying to stay off of it. What should I do? Should I go back to the ER?
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Hello. For more information consult an internal medicine physician online -->
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<s>[INST]
Hello doctor, I tore my MCL last week and the ER doctor told me to stay off of it for at least three days. I did so, starting to use it three days later for about three hours. The swelling my foot has encountered since then has been extreme. If I elevate and do not use it for four to six hours, the swelling recedes, but if I use it at all, my foot and ankle puff back up. I have been elevating it, icing it, and trying to stay off of it. What should I do? Should I go back to the ER? [/INST] Hello. For more information consult an internal medicine physician online -->
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Q. What is the effect of tympanotomy and tympanoplasty in hearing loss?
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Hello doctor, My mother has more than 70% hearing loss in the left ear. The doctor has recommended tympanotomy or tympanoplasty. Is it effective? My mother is 55 years old. Would she get any benefit from this surgery? Is there any complication associated with it? Is there any non-surgical procedure to treat it? However, her x-ray shows fluid accumulation around ear and nose. Her audiography shows more than 60% to 70% hearing loss. Please help.
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Hi. I would recommend you to undergo a test called tympanometry in which we will come to know if there is any collection of fluid in the middle ear or if there is any damage to the bone of the middle ear. Also, let me know what kind of hearing loss she has. Is it conductive or sensorineural? It will be mentioned in the report of the hearing test. Tympanotomy is a procedure in which we make a small incision in tympanic membrane and drain out the fluid. If she has only fluid in the ear, then it can be dried with medicines. In tympanoplasty, we repair tympanic membrane if it has holes and also see the status of the middle ear. I would suggest you to get a tympanometry test done and also let me know the details of the audiometry report. Also, let me know if doctor commented anything on your mother's tympanic membrane. Revert back with the report to an audiologist online -->
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<s>[INST]
Hello doctor, My mother has more than 70% hearing loss in the left ear. The doctor has recommended tympanotomy or tympanoplasty. Is it effective? My mother is 55 years old. Would she get any benefit from this surgery? Is there any complication associated with it? Is there any non-surgical procedure to treat it? However, her x-ray shows fluid accumulation around ear and nose. Her audiography shows more than 60% to 70% hearing loss. Please help. [/INST] Hi. I would recommend you to undergo a test called tympanometry in which we will come to know if there is any collection of fluid in the middle ear or if there is any damage to the bone of the middle ear. Also, let me know what kind of hearing loss she has. Is it conductive or sensorineural? It will be mentioned in the report of the hearing test. Tympanotomy is a procedure in which we make a small incision in tympanic membrane and drain out the fluid. If she has only fluid in the ear, then it can be dried with medicines. In tympanoplasty, we repair tympanic membrane if it has holes and also see the status of the middle ear. I would suggest you to get a tympanometry test done and also let me know the details of the audiometry report. Also, let me know if doctor commented anything on your mother's tympanic membrane. Revert back with the report to an audiologist online -->
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Q. Please suggest medicine for anal fissure.
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Hi doctor,I am a 26 year old female. I am having anal fissure and some crack in the anus. I am bleeding when I go to the toilet. It is very much painful. Please help me and suggest some medicine for this. Thank you.
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Hello. I suggest you the following medicines for anal fissure. Consult your doctor, discuss with him or her and take the medicine with consent: 1) Intra-anal 0.2% Nitroglycerin twice daily for six weeks. 2) Use Ispaghol husk in warm water. Add one tablespoon in 1-1/2 glass of water and drink in the morning. This will allow your stools to be soft. Remember that constipation can make it worse. 3) Take warm water in a small tub or pan and sit in it for 10-15 minutes daily. 4) Take Paracetamol 500 mg two tablets twice daily for two weeks. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor,I am a 26 year old female. I am having anal fissure and some crack in the anus. I am bleeding when I go to the toilet. It is very much painful. Please help me and suggest some medicine for this. Thank you. [/INST] Hello. I suggest you the following medicines for anal fissure. Consult your doctor, discuss with him or her and take the medicine with consent: 1) Intra-anal 0.2% Nitroglycerin twice daily for six weeks. 2) Use Ispaghol husk in warm water. Add one tablespoon in 1-1/2 glass of water and drink in the morning. This will allow your stools to be soft. Remember that constipation can make it worse. 3) Take warm water in a small tub or pan and sit in it for 10-15 minutes daily. 4) Take Paracetamol 500 mg two tablets twice daily for two weeks. For further information consult an internal medicine physician online -->
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Q. What does intact septal defect mean?
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Hi doctor, My wife is 23 years old. She is 22 weeks pregnant. She has a previous history of complete CHB - congenital heart block diagnosed at the 20th week of her first pregnancy and it was terminated. In her present pregnancy, two weeks back that is around the 20th week cardiologist did fetal echo and told everything is fine. But, he said that there are some holes and they will close automatically after birth. I need some valuable information about my baby. What are they and how it will close automatically? What does septal defect intact mean? Is there any suggestible medication? Both cardiologist and obstetrician said that babies will have holes while in the uterus and they will close after birth. Is that true? Please advise and tell me the actual fact. I heard that some holes will not close and need surgery. Since her third month, my wife has been taking Wysolone 5 mg one tablet in the morning and a half tablet in the evening. Also, HCQ 200 once daily at night for precaution of CHB. Recently, Wysolone 5 mg dosage was changed to daily one tablet. She is also on Sandocal daily two tablets, Livogen, Folvite, Ecosprin 75 daily one. She had Progesterone SR 200 mg daily two from her second month to 21 weeks and stopped. I am providing fetal echo report for reference. Thank you.
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Hi. Thank you for sharing your wife's history, diagnosis and pertinent reports (attachment removed to protect patient identity). For further information consult a paediatrician online -->
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<s>[INST]
Hi doctor, My wife is 23 years old. She is 22 weeks pregnant. She has a previous history of complete CHB - congenital heart block diagnosed at the 20th week of her first pregnancy and it was terminated. In her present pregnancy, two weeks back that is around the 20th week cardiologist did fetal echo and told everything is fine. But, he said that there are some holes and they will close automatically after birth. I need some valuable information about my baby. What are they and how it will close automatically? What does septal defect intact mean? Is there any suggestible medication? Both cardiologist and obstetrician said that babies will have holes while in the uterus and they will close after birth. Is that true? Please advise and tell me the actual fact. I heard that some holes will not close and need surgery. Since her third month, my wife has been taking Wysolone 5 mg one tablet in the morning and a half tablet in the evening. Also, HCQ 200 once daily at night for precaution of CHB. Recently, Wysolone 5 mg dosage was changed to daily one tablet. She is also on Sandocal daily two tablets, Livogen, Folvite, Ecosprin 75 daily one. She had Progesterone SR 200 mg daily two from her second month to 21 weeks and stopped. I am providing fetal echo report for reference. Thank you. [/INST] Hi. Thank you for sharing your wife's history, diagnosis and pertinent reports (attachment removed to protect patient identity). For further information consult a paediatrician online -->
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Q. What drugs can help in healing avascular necrosis?
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Hello doctor, I am a 24-year-old male and I have pain in hip joints for more than three months. Reports indicate avascular necrosis stage 2. Pain is mostly in the right hip joint. Pain will appear only when I put extra stress on muscles. The doctor has recommended me core decompression and he cannot guarantee whether it will heal or not. I am really scared of this. What if I somehow avoid the surgery? Is there any chance of natural healing? I have attached photos for your reference.
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Hello. I have gone through the attachments (attachment removed to protect patient identity) You have avascular necrosis of the femoral head. Most of the surgeons will ask you to get operated for a core decompression or total hip replacement for this but studies have shown that medicines have high possibility to avoid surgeries. You still are stage 2 with edema so there are good chances you will get better with medicines. I suggest you the following: Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. You should use a walking stick. You can walk but do not exercise or do physiotherapy. Follow up with X-rays and MRI (magnetic resonance imaging) images. This is only a second opinion platform. This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, I am a 24-year-old male and I have pain in hip joints for more than three months. Reports indicate avascular necrosis stage 2. Pain is mostly in the right hip joint. Pain will appear only when I put extra stress on muscles. The doctor has recommended me core decompression and he cannot guarantee whether it will heal or not. I am really scared of this. What if I somehow avoid the surgery? Is there any chance of natural healing? I have attached photos for your reference. [/INST] Hello. I have gone through the attachments (attachment removed to protect patient identity) You have avascular necrosis of the femoral head. Most of the surgeons will ask you to get operated for a core decompression or total hip replacement for this but studies have shown that medicines have high possibility to avoid surgeries. You still are stage 2 with edema so there are good chances you will get better with medicines. I suggest you the following: Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. You should use a walking stick. You can walk but do not exercise or do physiotherapy. Follow up with X-rays and MRI (magnetic resonance imaging) images. This is only a second opinion platform. This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings. For more information consult an orthopaedician and traumatologist online -->
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Q. Can the lower abdomen pain be due to ovulation?
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Hello doctor, For the past two days, I am feeling a mild pain on my lower abdomen and having a feeling that my bowels are not getting cleared. I had my last period about two months back. My periods have become irregular since then. Last month, I got examined and was detected having a uterine fibroid. Can the above pain be due to ovulation?
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Hi. The best way to check for an ovulation pain or mittelschmerz is to check for LH (luteinizing hormone) surge with an ovulation kit. If the test is positive, then you are likely to ovulate or have ovulated already. The pain can also be due to submucosal fibroid. I suggest you use tablet Meftal Spas 500 mg (combination of Dicycloverine and Mefenamic acid) twice a day for pain relief. Consult your specialized doctor, discuss with him or her, and take medicine with consent. Hot fomentation to the lower abdomen and lower back can be helpful as well. For further information consult an obstetrician and gynaecologist and online -->
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<s>[INST]
Hello doctor, For the past two days, I am feeling a mild pain on my lower abdomen and having a feeling that my bowels are not getting cleared. I had my last period about two months back. My periods have become irregular since then. Last month, I got examined and was detected having a uterine fibroid. Can the above pain be due to ovulation? [/INST] Hi. The best way to check for an ovulation pain or mittelschmerz is to check for LH (luteinizing hormone) surge with an ovulation kit. If the test is positive, then you are likely to ovulate or have ovulated already. The pain can also be due to submucosal fibroid. I suggest you use tablet Meftal Spas 500 mg (combination of Dicycloverine and Mefenamic acid) twice a day for pain relief. Consult your specialized doctor, discuss with him or her, and take medicine with consent. Hot fomentation to the lower abdomen and lower back can be helpful as well. For further information consult an obstetrician and gynaecologist and online -->
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Q. I need help for my rebound nasal congestion.
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Hi doctor, I am here to get help for rebound nasal congestion. Two years ago, I started using Oxymetazoline nasal spray for mild allergy. I continued using it because I thought my allergy is persistent. Recently, I realized that my problem is not an allergy but addiction to nasal spray. My symptoms are severe nasal congestion which requires using nasal spray four to five times. I have no typical symptoms of an allergy, like a runny nose, watery eyes, or irritation. Above all, I become very upset and anxious if I do not use the nasal spray. I tried to stop the usage of nasal spray, and somewhat successful. But at times my congestion is severe and it seriously affects my activities including sleeping. It would be great if you can suggest some alternative for nasal decongestants. I am a 29 year old male, who is under treatment for mild hyperuricemia.
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Hello. You suffer from a condition called as rhinitis medicamentosa. As you have rightly understood, it is due to the prolonged uninhibited use of nasal decongestants. Repeated use of the same causes decongestion temporarily followed by rebound congestion inside the nose. The action of these decongestants is by vasodilation, which lasts for a short duration, followed by reflex constriction of vessels which causes congestion again. This problem causes nose block. It is totally different from an allergy, which has specific symptoms as rightly pointed out by you. You should avoid all decongestants like Xylometazoline, Oxymetazoline, and Ephedrine drops. Do not worry about steroid side effects as the intranasal preparation does not get absorbed into the blood stream. It acts locally on the nasal mucosa which is exhibiting the rebound congestion and rhinitis medicamentosa problem. Do read the leaflet of the spray very carefully and then start using it. Do not inhale deeply after spraying as the spray then gets deposited in the throat, remember it has to act on the nasal mucosa and not anywhere other than that. These medicines will not affect the hyperuricemia problem or interact with the medicines you are taking for that. You may avoid decongestant tablets like Phenylephrine during these medicines. However, if you feel the need for those, you may let me know, and I can assess. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. I would also suggest you avoid exposing yourself to dust, spicy foods, cold foods, and smoke. You may wear a mask while traveling or walking outside. You are advised to take plenty of green leafy vegetables and healthy nutritious diet to help with the healing process. Do revert if you need any further support. For further queries consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, I am here to get help for rebound nasal congestion. Two years ago, I started using Oxymetazoline nasal spray for mild allergy. I continued using it because I thought my allergy is persistent. Recently, I realized that my problem is not an allergy but addiction to nasal spray. My symptoms are severe nasal congestion which requires using nasal spray four to five times. I have no typical symptoms of an allergy, like a runny nose, watery eyes, or irritation. Above all, I become very upset and anxious if I do not use the nasal spray. I tried to stop the usage of nasal spray, and somewhat successful. But at times my congestion is severe and it seriously affects my activities including sleeping. It would be great if you can suggest some alternative for nasal decongestants. I am a 29 year old male, who is under treatment for mild hyperuricemia. [/INST] Hello. You suffer from a condition called as rhinitis medicamentosa. As you have rightly understood, it is due to the prolonged uninhibited use of nasal decongestants. Repeated use of the same causes decongestion temporarily followed by rebound congestion inside the nose. The action of these decongestants is by vasodilation, which lasts for a short duration, followed by reflex constriction of vessels which causes congestion again. This problem causes nose block. It is totally different from an allergy, which has specific symptoms as rightly pointed out by you. You should avoid all decongestants like Xylometazoline, Oxymetazoline, and Ephedrine drops. Do not worry about steroid side effects as the intranasal preparation does not get absorbed into the blood stream. It acts locally on the nasal mucosa which is exhibiting the rebound congestion and rhinitis medicamentosa problem. Do read the leaflet of the spray very carefully and then start using it. Do not inhale deeply after spraying as the spray then gets deposited in the throat, remember it has to act on the nasal mucosa and not anywhere other than that. These medicines will not affect the hyperuricemia problem or interact with the medicines you are taking for that. You may avoid decongestant tablets like Phenylephrine during these medicines. However, if you feel the need for those, you may let me know, and I can assess. Consult your specialist doctor, discuss with him or her and start using the medicines after their consent. I would also suggest you avoid exposing yourself to dust, spicy foods, cold foods, and smoke. You may wear a mask while traveling or walking outside. You are advised to take plenty of green leafy vegetables and healthy nutritious diet to help with the healing process. Do revert if you need any further support. For further queries consult an ENT otolaryngologist online -->
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Q. Does high CA-125 confirm that I have cancer?
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Hello doctor, I have a history of inflammatory myofibroblastic tumor detected at the age of 11 years, which was around 12 years back and had undergone an operation for the same. Currently, my CA-125 in serum is 125.37 U/ml. The ultrasound scan revealed large multiloculated well-defined bilateral adnexal lesions with enhancing solid component. Lesions measured about 10.0 x 9.1x 10.1 cm on the right side and 5 x 4 x 5.2 cm on the left. There was thick enhancing septae noted within the lesion. Bilateral cystic lesions abutting the iliac vessels and the ureters noted. However, there is no direct evidence of any invasion. The right ureter is displaced posteromedially by a right adnexal lesion and left ureter is displaced posteriorly by the left adnexal lesion. The CT scan revealed bilateral multiloculated well-defined adnexal complex cyst with thick enhancing septae likely of an ovarian neoplasm. There was bilateral hydroureteronephrosis, likely due to the pressure effect by the adnexal cysts with no obvious infiltration of the ureteric wall. What shall I do at this moment? Is it an ovarian tumor or a relapse of inflammatory myofibroblastic tumor? As CA-125 is very high, does it confirm that I have a cancer? Some doctors told me to operate the tumors and if after the operation malignancy is confirmed, and then they would take necessary steps. Should I take any additional precautions or test before the operation? I need your suggestion for a treatment plan and also about open cystectomy or Wertheim's operation. Also I wanted to know, whether my CA-125 will decrease after the removal of ovaries and uterus. I have attached the necessary documents for your reference. Currently, I am taking Megestone and Ferium XT daily.
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Hi. Based on your reports, there seem to be ovarian tumors on both sides. The type of tumor, either benign or malignant, can be revealed only after removal. It may be unrelated to your previous tumor. The value of CA-125 though raised does not indicate malignancy. It is marginally elevated and it is highly unlikely that you will have epithelial cancer of the ovaries at this age, for which it is an ideal marker. A Wertheim's hysterectomy is done for cervix cancer and you would not require it. For your age, if possible fertility preserving surgery is ideal. The best line of management would be to get a CT scan or an MRI to clearly define the type of ovarian tumor as there are suspicions of dermoid and chocolate cysts. After that, a fertility preserving surgery in the form of ovarian cystectomy preserving the ovary can be planned at least on one side. It is very likely that your cysts turn out benign. Kindly get evaluated and operated with a surgical oncologist as the management should be proper especially if you require a staging procedure in case the cyst is malignant. For more information consult a surgical oncologist online -->
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<s>[INST]
Hello doctor, I have a history of inflammatory myofibroblastic tumor detected at the age of 11 years, which was around 12 years back and had undergone an operation for the same. Currently, my CA-125 in serum is 125.37 U/ml. The ultrasound scan revealed large multiloculated well-defined bilateral adnexal lesions with enhancing solid component. Lesions measured about 10.0 x 9.1x 10.1 cm on the right side and 5 x 4 x 5.2 cm on the left. There was thick enhancing septae noted within the lesion. Bilateral cystic lesions abutting the iliac vessels and the ureters noted. However, there is no direct evidence of any invasion. The right ureter is displaced posteromedially by a right adnexal lesion and left ureter is displaced posteriorly by the left adnexal lesion. The CT scan revealed bilateral multiloculated well-defined adnexal complex cyst with thick enhancing septae likely of an ovarian neoplasm. There was bilateral hydroureteronephrosis, likely due to the pressure effect by the adnexal cysts with no obvious infiltration of the ureteric wall. What shall I do at this moment? Is it an ovarian tumor or a relapse of inflammatory myofibroblastic tumor? As CA-125 is very high, does it confirm that I have a cancer? Some doctors told me to operate the tumors and if after the operation malignancy is confirmed, and then they would take necessary steps. Should I take any additional precautions or test before the operation? I need your suggestion for a treatment plan and also about open cystectomy or Wertheim's operation. Also I wanted to know, whether my CA-125 will decrease after the removal of ovaries and uterus. I have attached the necessary documents for your reference. Currently, I am taking Megestone and Ferium XT daily. [/INST] Hi. Based on your reports, there seem to be ovarian tumors on both sides. The type of tumor, either benign or malignant, can be revealed only after removal. It may be unrelated to your previous tumor. The value of CA-125 though raised does not indicate malignancy. It is marginally elevated and it is highly unlikely that you will have epithelial cancer of the ovaries at this age, for which it is an ideal marker. A Wertheim's hysterectomy is done for cervix cancer and you would not require it. For your age, if possible fertility preserving surgery is ideal. The best line of management would be to get a CT scan or an MRI to clearly define the type of ovarian tumor as there are suspicions of dermoid and chocolate cysts. After that, a fertility preserving surgery in the form of ovarian cystectomy preserving the ovary can be planned at least on one side. It is very likely that your cysts turn out benign. Kindly get evaluated and operated with a surgical oncologist as the management should be proper especially if you require a staging procedure in case the cyst is malignant. For more information consult a surgical oncologist online -->
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Q. How to choose contact lenses for my power?
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Hello doctor, I want to buy contact lenses. I have a spectacle power on both my eyes. The power in my right eye is -2.75, cylinder - 0.50, and axis 20. In the left eye - 2.75, cylinder - 0.75, and axis 20. Please recommend what lens I should opt for. I need a recommendation for both regular wear and daily disposables. I am unable to find anything, especially for my right eye.
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Hello. Hope I have answered your question and the information is helpful to you. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, I want to buy contact lenses. I have a spectacle power on both my eyes. The power in my right eye is -2.75, cylinder - 0.50, and axis 20. In the left eye - 2.75, cylinder - 0.75, and axis 20. Please recommend what lens I should opt for. I need a recommendation for both regular wear and daily disposables. I am unable to find anything, especially for my right eye. [/INST] Hello. Hope I have answered your question and the information is helpful to you. For more information consult an eye care ophthalmologist online -->
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Q. Please give a second opinion regarding my knee surgery.
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Hi doctor, I am a 31 year old female. When I met with an accident before six years my left leg below knee got injured and the doctors has done wrong surgery. Please help me.
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Hello. Revert back with reports and more detailed history to an orthopaedician and traumatologist online.---->
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<s>[INST]
Hi doctor, I am a 31 year old female. When I met with an accident before six years my left leg below knee got injured and the doctors has done wrong surgery. Please help me. [/INST] Hello. Revert back with reports and more detailed history to an orthopaedician and traumatologist 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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