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Q. Is there a chance to get HIV or molluscum from a single unprotected sex?
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Hi doctor, I have a few small bumps or pimples on my penis shaft for the past two weeks. A few bumps are clustered together and two to three around it. They are shiny, round, painless and have a white spot in the center of them. They are not itchy and are skin colored when erected and white when the penis is normal. I have attached an image. I did not have sex in the past 12 months, but prior to that I had sex with multiple partners and once without condom too. Please help me.
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Hello. This is molluscum contagiosum, which is a viral disease and spread by contact (attachment removed to protect patient identity). Contact can be sexual or nonsexual. But, in your case it is sexual as the molluscum is present in the genital area. It is STD (sexually transmitted disease). So, we have to check other diseases also like HIV (human immunodeficiency virus) and hep B (hepatitis B virus) test. Do not touch it as it will spread by touching. Otherwise, it may infect to other parts too. Treatment is very simple. You have to go to a local dermatologist and he will give local anesthesia by injection or by applying cream, which ever suits you. After making that area numb, doctor would puncture the entire lesion one by one and remove the whitish material completely. This whitish material contains virus, so once it removed everything would be healed and you will be cured. I suggest that you must check out HIV and hep B test for further evaluation. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have a few small bumps or pimples on my penis shaft for the past two weeks. A few bumps are clustered together and two to three around it. They are shiny, round, painless and have a white spot in the center of them. They are not itchy and are skin colored when erected and white when the penis is normal. I have attached an image. I did not have sex in the past 12 months, but prior to that I had sex with multiple partners and once without condom too. Please help me. [/INST] Hello. This is molluscum contagiosum, which is a viral disease and spread by contact (attachment removed to protect patient identity). Contact can be sexual or nonsexual. But, in your case it is sexual as the molluscum is present in the genital area. It is STD (sexually transmitted disease). So, we have to check other diseases also like HIV (human immunodeficiency virus) and hep B (hepatitis B virus) test. Do not touch it as it will spread by touching. Otherwise, it may infect to other parts too. Treatment is very simple. You have to go to a local dermatologist and he will give local anesthesia by injection or by applying cream, which ever suits you. After making that area numb, doctor would puncture the entire lesion one by one and remove the whitish material completely. This whitish material contains virus, so once it removed everything would be healed and you will be cured. I suggest that you must check out HIV and hep B test for further evaluation. For further information consult a dermatologist online -->
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Q. Can urine become dark due to smoking?
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Hi doctor, I used to smoke 10 cigarettes daily for the past two years. As of now I do not have any problem, except some pain in my throat in the early morning and it stays sore all the time. I want to know, can I have any test to check whether some harm has happened or not? I am very much afraid of cancer and I have stopped smoking. My urine also has turned deep yellow for the past six months. I have dark circles over a long time, but nowadays it has increased. Is there any connection with cigarettes?
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Hi. For further information consult a pulmonologist online -->
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<s>[INST]
Hi doctor, I used to smoke 10 cigarettes daily for the past two years. As of now I do not have any problem, except some pain in my throat in the early morning and it stays sore all the time. I want to know, can I have any test to check whether some harm has happened or not? I am very much afraid of cancer and I have stopped smoking. My urine also has turned deep yellow for the past six months. I have dark circles over a long time, but nowadays it has increased. Is there any connection with cigarettes? [/INST] Hi. For further information consult a pulmonologist online -->
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Q. Is adenomyosis a cancerous tumor?
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Hi doctor, I have irregular periods with very heavy bleeding, clots, cramps, stabbing pains in my pelvic area with no pattern connecting to bleeding. Some days, I am so fatigue and cannot function. This started five years ago. I had constant bleeding following coil insertion. Then it was removed and had a miscarriage at six weeks. When I was pregnant, there was no bleeding but had spotting throughout. Since delivery I am suffering again with irregular and heavy bleeds. It became worse for the past eight months. I have IBS which is stress related. I am taking Adalat for high blood pressure, which is under control. I was prescribed Mefenamic acid and Tranexamic acid as I refused coil due to previous bleeding with one and refused Esmya due to side effects. My transvaginal ultrasound found two polycystic ovaries and bulky adenomyotic looking anteverted uterus vascular ++ on anterior wall. The size was 2 x 3 x 0.9 cm. There are no fibroids or polyps or other pelvic masses or free fluid. Then what is it?
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Hi. The problem which you are facing is most likely due to the adenomyosis and polycystic ovaries. As you have not mentioned your age and the number of kids, it is really difficult to tell you the exact management. Because, management is totally age related and number of kids you have. We can suggest you some hormonal treatment or surgical treatment based on your age and parity. Revert back with the personal details to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I have irregular periods with very heavy bleeding, clots, cramps, stabbing pains in my pelvic area with no pattern connecting to bleeding. Some days, I am so fatigue and cannot function. This started five years ago. I had constant bleeding following coil insertion. Then it was removed and had a miscarriage at six weeks. When I was pregnant, there was no bleeding but had spotting throughout. Since delivery I am suffering again with irregular and heavy bleeds. It became worse for the past eight months. I have IBS which is stress related. I am taking Adalat for high blood pressure, which is under control. I was prescribed Mefenamic acid and Tranexamic acid as I refused coil due to previous bleeding with one and refused Esmya due to side effects. My transvaginal ultrasound found two polycystic ovaries and bulky adenomyotic looking anteverted uterus vascular ++ on anterior wall. The size was 2 x 3 x 0.9 cm. There are no fibroids or polyps or other pelvic masses or free fluid. Then what is it? [/INST] Hi. The problem which you are facing is most likely due to the adenomyosis and polycystic ovaries. As you have not mentioned your age and the number of kids, it is really difficult to tell you the exact management. Because, management is totally age related and number of kids you have. We can suggest you some hormonal treatment or surgical treatment based on your age and parity. Revert back with the personal details to an obstetrician and gynaecologist online -->
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Q. In what conditions can a person have cyclical Cushing's syndrome?
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Hi doctor, I am 21 years now. I weigh 60 kg and was diagnosed with cyclical Cushing's syndrome at the age of 20. I had an MRI scan for a pituitary tumor in my brain. But, the clinical findings did not match up. I went to a top end endocrinologist who is a professor in endocrinology. I have beard like hair in my chin, upper lip and neck. I have high pulse rate, a moon face, central obesity with sparing of the limbs, stretch marks on my hips and boobs, anxiety and depression, severe PTSD (posttraumatic stress disorder) from 13 years of extreme abuse, acne, hyperhidrosis, fatigue and weakness, severe headaches and cognitive/attention problems that is so severe, because of which I had to quit my job at a cafe. I also have fatty deposits and irregulars periods. Currently, I am on Venlafaxine 300 mg per day following 4 panic attacks and depression. Clonazepam up to 4 mg for panic, Dextroamphetamine, Isotretinoin for extreme acne but nothing has been administered for physical exertion. I get breathless when climbing stairs. I have already been scanned for PCOS, which came as negative. My thyroid function has been erratic, as for the T4 level that I had about 5 years ago was 20. Then, in two years, it dropped to 14. I got it tested two years later after I got sick and it dropped to 7. Now it is hard, because T4 level is back to 20 like what is normal for me. I was not taking my thyroid medication, because at the time I smoked. I have stopped smoking now. I have been chronically ill to the point my muscles are so weak, that whenever I get up I black out, or am shaking uncontrollably. I was a ballet dancer, and I stopped due to the physical demand. Just walking to the letterbox is excruciating my muscles. Though I am young, it makes me feel like a 90 year old. I have done some 24-hour urine samples for cortisol levels, yet they always come back negative. My endocrinologist said that there are chances, but it could take 10 years to find. I cannot wait that long. Are there any pituitaries anywhere else in the body? And if so, and everything comes back fine, how will I get treatment for cyclical Cushing's? Are the pee tests fine? Is there a medication for this illness? It is ruining my life and the ability to act. I know cyclical Cushing's is a clinical challenge as it is not widely documented. Please help.
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Hi. For further queries consult an endocrinologist online -->
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<s>[INST]
Hi doctor, I am 21 years now. I weigh 60 kg and was diagnosed with cyclical Cushing's syndrome at the age of 20. I had an MRI scan for a pituitary tumor in my brain. But, the clinical findings did not match up. I went to a top end endocrinologist who is a professor in endocrinology. I have beard like hair in my chin, upper lip and neck. I have high pulse rate, a moon face, central obesity with sparing of the limbs, stretch marks on my hips and boobs, anxiety and depression, severe PTSD (posttraumatic stress disorder) from 13 years of extreme abuse, acne, hyperhidrosis, fatigue and weakness, severe headaches and cognitive/attention problems that is so severe, because of which I had to quit my job at a cafe. I also have fatty deposits and irregulars periods. Currently, I am on Venlafaxine 300 mg per day following 4 panic attacks and depression. Clonazepam up to 4 mg for panic, Dextroamphetamine, Isotretinoin for extreme acne but nothing has been administered for physical exertion. I get breathless when climbing stairs. I have already been scanned for PCOS, which came as negative. My thyroid function has been erratic, as for the T4 level that I had about 5 years ago was 20. Then, in two years, it dropped to 14. I got it tested two years later after I got sick and it dropped to 7. Now it is hard, because T4 level is back to 20 like what is normal for me. I was not taking my thyroid medication, because at the time I smoked. I have stopped smoking now. I have been chronically ill to the point my muscles are so weak, that whenever I get up I black out, or am shaking uncontrollably. I was a ballet dancer, and I stopped due to the physical demand. Just walking to the letterbox is excruciating my muscles. Though I am young, it makes me feel like a 90 year old. I have done some 24-hour urine samples for cortisol levels, yet they always come back negative. My endocrinologist said that there are chances, but it could take 10 years to find. I cannot wait that long. Are there any pituitaries anywhere else in the body? And if so, and everything comes back fine, how will I get treatment for cyclical Cushing's? Are the pee tests fine? Is there a medication for this illness? It is ruining my life and the ability to act. I know cyclical Cushing's is a clinical challenge as it is not widely documented. Please help. [/INST] Hi. For further queries consult an endocrinologist online -->
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Q. How can I overcome the warming effects of Ashwagandha?
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Hello doctor, I am a 38 year old male. I started taking Ashwagandha 500 mg per day, a few months ago, and it improved my memory, attention, etc. But after a month, I began to have night sweats, agitation, weird sensations in the neck area and protruding eyes. I have read that Ashwagandha is excess pitta, I am new to ayurveda but also converted because Ashwagandha works wonders for me. I have some symptoms of overactive thyroid from it, but I really cannot quit it, because it has made me feel so good. It has improved my life considerably. I suffer from OCD combined with BDD (body dysmorphic disorder) and depression. I am not producing enough serotonin, and my receptors for serotonin are also dysfunctional. In the last ten years, I have tried to keep myself aloft without psychiatric medication. Because it was not successful in my case, and they have some unwanted secondary effects. I take Omega 3, Vitamin E, Vitamin C, Zinc, Vitamin D, Inositol, 5-HTP and lately Ashwagandha, and I cannot have a decent life without these supplements. I will never quit Ashwagandha again; I really cannot live without it. I have tried ghee, but it is not cooling enough. I also tried taking Shatavari and Bacopa, but I have some weird feeling, so it is not working. I also tried Triphala and Amla for a month but was also feeling weird from it so gave it up. Now I take Ashwagandha on alternate days. Please help me adjust the warming effects of Ashwagandha.
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Hello. I can understand your concern. I have carefully read all the details provided by you and here is the solution. Revert with more information to an internal medicine physician online -->
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<s>[INST]
Hello doctor, I am a 38 year old male. I started taking Ashwagandha 500 mg per day, a few months ago, and it improved my memory, attention, etc. But after a month, I began to have night sweats, agitation, weird sensations in the neck area and protruding eyes. I have read that Ashwagandha is excess pitta, I am new to ayurveda but also converted because Ashwagandha works wonders for me. I have some symptoms of overactive thyroid from it, but I really cannot quit it, because it has made me feel so good. It has improved my life considerably. I suffer from OCD combined with BDD (body dysmorphic disorder) and depression. I am not producing enough serotonin, and my receptors for serotonin are also dysfunctional. In the last ten years, I have tried to keep myself aloft without psychiatric medication. Because it was not successful in my case, and they have some unwanted secondary effects. I take Omega 3, Vitamin E, Vitamin C, Zinc, Vitamin D, Inositol, 5-HTP and lately Ashwagandha, and I cannot have a decent life without these supplements. I will never quit Ashwagandha again; I really cannot live without it. I have tried ghee, but it is not cooling enough. I also tried taking Shatavari and Bacopa, but I have some weird feeling, so it is not working. I also tried Triphala and Amla for a month but was also feeling weird from it so gave it up. Now I take Ashwagandha on alternate days. Please help me adjust the warming effects of Ashwagandha. [/INST] Hello. I can understand your concern. I have carefully read all the details provided by you and here is the solution. Revert with more information to an internal medicine physician online -->
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Q. What are those dark lesions I have on my thigh?
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Hi doctor, I have had first larger and dark lesion that is bump behind my left knee, since I do not know when, but it certainly not since birth. I noticed it before two to three year and from that time the lesion is the same and has no pain. Now, there is this another small lesion have appeared on the left leg and thigh. When I lay on my side, It is a kind of makes my left leg ache. Kindly let me know if I should panic.
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have had first larger and dark lesion that is bump behind my left knee, since I do not know when, but it certainly not since birth. I noticed it before two to three year and from that time the lesion is the same and has no pain. Now, there is this another small lesion have appeared on the left leg and thigh. When I lay on my side, It is a kind of makes my left leg ache. Kindly let me know if I should panic. [/INST] Hi. For further information consult a dermatologist online -->
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Q. Does oral or genital herpes show symptoms like bloody blisters in mouth?
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Hello doctor, I have been getting sores and things that look like blood blisters in my mouth for around six months. I had a swab test and blood work was done to rule out HSV. It came back negative. However, there is still a chance it could be HSV as it takes three to six months to show up in your blood. I am concerned. This is completely out of the normal for me. I do not smoke, drink moderately a few times a week, eat healthily and exercise. Any ideas? Would oral or genital herpes look like this in the mouth? Could it be mouth cancer?
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Hi. Your concern may be oral lichen planus which is an autoimmune issue which is treatable. Or this can be aphthous stomatitis which are oral ulcers and they are also treatable. They flare due to low immunity of any reason, low iron in the blood, B12 deficiency, stress, overthinking, etc. Thirdly, it can be oral herpes which will have multiple ulcers rather than your presentation. The lesion might not be any oral cancer by the pictures (attachment removed to protect patient identity). For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have been getting sores and things that look like blood blisters in my mouth for around six months. I had a swab test and blood work was done to rule out HSV. It came back negative. However, there is still a chance it could be HSV as it takes three to six months to show up in your blood. I am concerned. This is completely out of the normal for me. I do not smoke, drink moderately a few times a week, eat healthily and exercise. Any ideas? Would oral or genital herpes look like this in the mouth? Could it be mouth cancer? [/INST] Hi. Your concern may be oral lichen planus which is an autoimmune issue which is treatable. Or this can be aphthous stomatitis which are oral ulcers and they are also treatable. They flare due to low immunity of any reason, low iron in the blood, B12 deficiency, stress, overthinking, etc. Thirdly, it can be oral herpes which will have multiple ulcers rather than your presentation. The lesion might not be any oral cancer by the pictures (attachment removed to protect patient identity). For more information consult a dermatologist online -->
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Q. I had a PCL surgery last month. When can I start walking again?
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Hello doctor, About a month ago, I underwent a posterior cruciate ligament reconstruction surgery, and the doctors fixed two screws in my body. The doctors gave me a knee brace after 15 days. When can I walk with the knee brace? When can I walk without the knee brace? Are the screws to be mandatorily removed in the future or will they be left there? Can I bear some weight on my knee? Can I join work again soon? I am a chartered accountant. After six weeks, can I walk with the help of a knee brace but without a walker? Please answer my queries. I have also attached my MRI reports for your reference.
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Hello. I have seen your MRI reports (attachment removed to protect patient identity). This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with the clinical findings. For more information consult an orthopaedician and traumatologist online -->
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<s>[INST]
Hello doctor, About a month ago, I underwent a posterior cruciate ligament reconstruction surgery, and the doctors fixed two screws in my body. The doctors gave me a knee brace after 15 days. When can I walk with the knee brace? When can I walk without the knee brace? Are the screws to be mandatorily removed in the future or will they be left there? Can I bear some weight on my knee? Can I join work again soon? I am a chartered accountant. After six weeks, can I walk with the help of a knee brace but without a walker? Please answer my queries. I have also attached my MRI reports for your reference. [/INST] Hello. I have seen your MRI reports (attachment removed to protect patient identity). This professional advice provided by me stands subject to the actual examination of report or image and is based entirely on inputs provided to me. It should be correlated with the clinical findings. For more information consult an orthopaedician and traumatologist online -->
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Q. I am being emotionally abused. Please help.
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Hi doctor, I am 20 years old. I am an engineering college student. I have an younger brother. My parents have always been distant for as long as I remember and the beating, fighting and emotional abuse started around five years back. Now they started to fight with us too. My father always try to threaten us to do what he wants. When I was very young, I had a passion for reading and I lost myself in books which made me absent minded to the world around me. As time passed on and a few horrific incidents in my life, I suppressed my memories even more and my emotions too. Now, I have emotions but I cannot recognize them or maybe I am confused with my emotions. I feel like there is something heavy in my heart. I do not know whether it is grief or depression. I became very suicidal and rushed to a doctor. He was not able to help me. My parents found out and I was punished. My father hit me and verbally abused me. I saw another doctor and she diagnosed me as having anxiety disorder and she gave me some medicines. I used them for about a week and felt better. But the moment I stopped using those, I started to feel depressed again. My studies have been badly affected. Right now, I just want a proper diagnosis of my condition. I do not have any friends. All my friends left me because of my bad mood and sadness. When I express my issue they are thinking I am just bluffing. I do not know how to go on. Please help.
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Hi. Review after 21 days to a psychiatrist online -->
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<s>[INST]
Hi doctor, I am 20 years old. I am an engineering college student. I have an younger brother. My parents have always been distant for as long as I remember and the beating, fighting and emotional abuse started around five years back. Now they started to fight with us too. My father always try to threaten us to do what he wants. When I was very young, I had a passion for reading and I lost myself in books which made me absent minded to the world around me. As time passed on and a few horrific incidents in my life, I suppressed my memories even more and my emotions too. Now, I have emotions but I cannot recognize them or maybe I am confused with my emotions. I feel like there is something heavy in my heart. I do not know whether it is grief or depression. I became very suicidal and rushed to a doctor. He was not able to help me. My parents found out and I was punished. My father hit me and verbally abused me. I saw another doctor and she diagnosed me as having anxiety disorder and she gave me some medicines. I used them for about a week and felt better. But the moment I stopped using those, I started to feel depressed again. My studies have been badly affected. Right now, I just want a proper diagnosis of my condition. I do not have any friends. All my friends left me because of my bad mood and sadness. When I express my issue they are thinking I am just bluffing. I do not know how to go on. Please help. [/INST] Hi. Review after 21 days to a psychiatrist online -->
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Q. What medicine should I take for sore throat and stuffy nose?
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Hi doctor, I have a sore throat and stuffy nose for the last three days. But, I do not have fever. I do get sputum in the morning, which is slightly green in color. What medicine should I take?
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Hello. You seem to be suffering from an acute upper respiratory tract infection. Since the sputum is greenish colored, it is better you start on a course of antibiotics. In addition to the antibiotics you would most probably require anti-inflammatory drugs, mucolytics and antihistamines to remove the cough and for the stuffed nose. In my practice, off late due to the recent change in weather there has been an increase in such cases. However, I have found it prudent to put the patient on a symptomatic treatment for a few days and observe. If not feeling better after 3 days, then we institute an antibiotic. In your case, due to the greenish color that is suggestive of bacteria, I would recommend a course of Levofloxacin, Chymoral forte tablets for removing inflammation, Mucinac tablet (Acetylcystine) to help remove the sputum and nasal decongestant nose drops. Consult your doctor, discuss with him or her and take the medicine with consent. For further information consult an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, I have a sore throat and stuffy nose for the last three days. But, I do not have fever. I do get sputum in the morning, which is slightly green in color. What medicine should I take? [/INST] Hello. You seem to be suffering from an acute upper respiratory tract infection. Since the sputum is greenish colored, it is better you start on a course of antibiotics. In addition to the antibiotics you would most probably require anti-inflammatory drugs, mucolytics and antihistamines to remove the cough and for the stuffed nose. In my practice, off late due to the recent change in weather there has been an increase in such cases. However, I have found it prudent to put the patient on a symptomatic treatment for a few days and observe. If not feeling better after 3 days, then we institute an antibiotic. In your case, due to the greenish color that is suggestive of bacteria, I would recommend a course of Levofloxacin, Chymoral forte tablets for removing inflammation, Mucinac tablet (Acetylcystine) to help remove the sputum and nasal decongestant nose drops. Consult your doctor, discuss with him or her and take the medicine with consent. For further information consult an ENT otolaryngologist online -->
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Q. I spilt hot tea on my thighs. What should I apply for rapid healing?
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Hello doctor, Tea spilled on my thighs last night and I can see swelling filled with water now. I have already applied silverex ointment yesterday night. What should I apply for rapid healing?
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Hello. Scald After complete healing, we can think about removal of scar. There are special ointments for that too. For further follow up, consult a general practitioner online.--->
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<s>[INST]
Hello doctor, Tea spilled on my thighs last night and I can see swelling filled with water now. I have already applied silverex ointment yesterday night. What should I apply for rapid healing? [/INST] Hello. Scald After complete healing, we can think about removal of scar. There are special ointments for that too. For further follow up, consult a general practitioner online.--->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. My ears are blocked with pain and discomfort and ear drops did not help. Why?
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Hello doctor, My ear has been blocked for the past three days. There are mild pain and discomfort. This could have been caused because of the earbud. I used Ciplox ear drops and have tried Crocin pain relief, but it does not help. Ear feels extremely uncomfortable, and hearing is muffled. Please suggest some anti-inflammatory antibiotics as I am unable to visit a doctor because of the COVID-19 situation.
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Hello. It does not necessarily have to be due to earbuds causing otitis externa though that could be one possibility. There are others also. Can you tell me if you had a cold recently? Does it feel like there is a fluid inside the ear? Do you feel like you need to pop your ears? Is there any throat irritation? How severe is the earache? It could be secondary to middle ear infection also.
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<s>[INST]
Hello doctor, My ear has been blocked for the past three days. There are mild pain and discomfort. This could have been caused because of the earbud. I used Ciplox ear drops and have tried Crocin pain relief, but it does not help. Ear feels extremely uncomfortable, and hearing is muffled. Please suggest some anti-inflammatory antibiotics as I am unable to visit a doctor because of the COVID-19 situation. [/INST] Hello. It does not necessarily have to be due to earbuds causing otitis externa though that could be one possibility. There are others also. Can you tell me if you had a cold recently? Does it feel like there is a fluid inside the ear? Do you feel like you need to pop your ears? Is there any throat irritation? How severe is the earache? It could be secondary to middle ear infection also.
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Q. Can I undergo surgery for Basal Cell Carcinoma under local anesthesia?
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Hello Doctor, I am 60 year old healthy female with medically controlled hypertension. I have Behcet’s disease, though mostly under control. I have had various tropical diseases. I also had hepatitis A at childhood, and TB meningitis. I also have scoliosis. I have been diagnosed BCC (Basal Cell Carcinoma) half way down and in the middle of my back. It is about 2cm in diameter and raised about 1cm high. Having had many skin cancers removed previously I expected the same procedure i.e, administration of local anesthesia and excision. However, the general surgeon at the local hospital wants me to have general anesthesia for the surgical removal of BCC. I cannot understand the necessity for a general anesthesia for removal of a BCC (I have had many removed previously without any problem). As I have had adverse reactions to anesthesia before,I am very nervous about this. Once I had respiratory depression during moderate sedation. Of five previous surgeries, I have had blood transfusions with two. My recent blood work showed low PTT. Is it necessary that I should undergo surgery under general anesthesia?
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Hi, Welcome to icliniq.com. You should ask your surgeon the reason behind giving general anaesthesia in your case. Basal cell carcinoma is a locally invasive tumour with very rare chances of malignancy. The need for general anesthesia can arise when on clinical examination it was found that the tumour also involves underlying subcutaneous tissue, nerves and surrounding structures. In such cases we cannot rely upon the local anesthesia as we may have to extend the surgery. During surgery we have to remove one extra centimetre of the healthy margin to prevent recurrence of the tumour. This margin will be sent for histopathological examination later, to determine whether margins are free from tumour. If margins are involved resurgery has to be done. The size of your tumour is 2cm and may be your surgeon on examination found it to be a deep tumour. Hence to prevent resurgery, he might have advised surgery under general anesthesia. As in case of local anesthesia, sometimes it is difficult to extend the surgery especially when underlying nerves are involved. Do not worry about the general anesthesia as there are few anesthetic compounds which do not cause respiratory depression. So, inform your surgeon regarding the previous respiratory depression and get treated accordingly. For further follow up, consult a surgical oncologist online -->
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<s>[INST]
Hello Doctor, I am 60 year old healthy female with medically controlled hypertension. I have Behcet’s disease, though mostly under control. I have had various tropical diseases. I also had hepatitis A at childhood, and TB meningitis. I also have scoliosis. I have been diagnosed BCC (Basal Cell Carcinoma) half way down and in the middle of my back. It is about 2cm in diameter and raised about 1cm high. Having had many skin cancers removed previously I expected the same procedure i.e, administration of local anesthesia and excision. However, the general surgeon at the local hospital wants me to have general anesthesia for the surgical removal of BCC. I cannot understand the necessity for a general anesthesia for removal of a BCC (I have had many removed previously without any problem). As I have had adverse reactions to anesthesia before,I am very nervous about this. Once I had respiratory depression during moderate sedation. Of five previous surgeries, I have had blood transfusions with two. My recent blood work showed low PTT. Is it necessary that I should undergo surgery under general anesthesia? [/INST] Hi, Welcome to icliniq.com. You should ask your surgeon the reason behind giving general anaesthesia in your case. Basal cell carcinoma is a locally invasive tumour with very rare chances of malignancy. The need for general anesthesia can arise when on clinical examination it was found that the tumour also involves underlying subcutaneous tissue, nerves and surrounding structures. In such cases we cannot rely upon the local anesthesia as we may have to extend the surgery. During surgery we have to remove one extra centimetre of the healthy margin to prevent recurrence of the tumour. This margin will be sent for histopathological examination later, to determine whether margins are free from tumour. If margins are involved resurgery has to be done. The size of your tumour is 2cm and may be your surgeon on examination found it to be a deep tumour. Hence to prevent resurgery, he might have advised surgery under general anesthesia. As in case of local anesthesia, sometimes it is difficult to extend the surgery especially when underlying nerves are involved. Do not worry about the general anesthesia as there are few anesthetic compounds which do not cause respiratory depression. So, inform your surgeon regarding the previous respiratory depression and get treated accordingly. For further follow up, consult a surgical oncologist online -->
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Q. I am worried about the blood test report of my son. Please guide us.
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Hi doctor, This is regarding the treatment given to my son for viral fever. He is 8 years 3 months old. When we observed my son's fever, I gave his 5 mL of P250 for three days. On the fourth day, I visited hospital due to continuous fever. As the blood report confirmed it as viral fever, he was prescribed with P 250 and antibiotic pills 100 mg (four tablets). Also, he was given Piperacillin and Tazobactam injection (half morning and half evening) for the next three days. My son has become weak, did not eat food and had vomited. After three days of injection, he was little better and had some food. We had another blood test after three days of injection and I have attached the report. Again, the doctor advised us to continue the same injection and he had the same for the next two days. Now, my son feels better and eating all kinds of food. Now, we are yet to meet the doctor for follow up and blood test. I am so worried about his blood test reports. Please guide us doctor.
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Hi. I went through your child's history as you have provided and also saw the blood test reports (attachment removed to protect patient identity). Arbovirus. Total count, platelet and packed cell volume (PCV). 1. Rickettsia. 2. Malaria. 3. Typhoid. Viral fever. Hydration and Paracetamol. Avoid mosquito bites. For further information consult a child health specialist online.--->
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<s>[INST]
Hi doctor, This is regarding the treatment given to my son for viral fever. He is 8 years 3 months old. When we observed my son's fever, I gave his 5 mL of P250 for three days. On the fourth day, I visited hospital due to continuous fever. As the blood report confirmed it as viral fever, he was prescribed with P 250 and antibiotic pills 100 mg (four tablets). Also, he was given Piperacillin and Tazobactam injection (half morning and half evening) for the next three days. My son has become weak, did not eat food and had vomited. After three days of injection, he was little better and had some food. We had another blood test after three days of injection and I have attached the report. Again, the doctor advised us to continue the same injection and he had the same for the next two days. Now, my son feels better and eating all kinds of food. Now, we are yet to meet the doctor for follow up and blood test. I am so worried about his blood test reports. Please guide us doctor. [/INST] Hi. I went through your child's history as you have provided and also saw the blood test reports (attachment removed to protect patient identity). Arbovirus. Total count, platelet and packed cell volume (PCV). 1. Rickettsia. 2. Malaria. 3. Typhoid. Viral fever. Hydration and Paracetamol. Avoid mosquito bites. For further information consult a child health specialist online.--->
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Q. I masturbated soon after D and C. Did I hurt my healing?
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Hello doctor,I had D and C four days ago. On the day of D and C, I was so stressed out and masturbated after (twice without penetration). I got cramp in each orgasm but no bleeding. I had mild discomfort after. Did I hurt my healing? I have had minimal cramping and no bleeding since my D and C. The cramps are a little worse than period cramps. During periods, I usually get back cramps. With D and C, I have had lower back and lower abdominal cramping. There was no bleeding for the most part. I am so scared that I will not be able to have a baby or that I might have caused some scarring. They told me no sex meaning penetration. I did not and did not know if masturbation with no penetration was included in that. I am just scared this will lead to infertility. My doctor said the surgery went well with no issues, but I am so scared that I will not be able to have kids now.
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Hello. How are you doing? Just relax, you are absolutely fine. Let me give you few facts. Just look up the image of the uterus. D and C is done on the interior of the uterus. The contents of the uterus and inner lining of the uterus are scrapped out. Your no bleeding, only means that doctor has efficiently removed all contents and not left anything back. Had she left something back, you would have been having to spot and bleeding on and off, needing another D and C. Minimal bleeding or spotting is normal. So the doctor advised you not to have sex, as following the procedure the inner uterine lining is raw and exposure to semen, an infected fluid, can cause more pain and adhesions. Masturbation is fine. Cramps are expected as the uterus is trying to expel any tiny blood clots or leftovers, as occur during periods. This D and C, and masturbation are not going to affect your pregnancy chances. The only factor that will influence your fertility potential is your weight. Your expected body weight is 52 to 57 kg. More the weight more is the chances for no ovulation and irregular periods. Thereby lesser pregnancy chance. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an infertility specialist online -->
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<s>[INST]
Hello doctor,I had D and C four days ago. On the day of D and C, I was so stressed out and masturbated after (twice without penetration). I got cramp in each orgasm but no bleeding. I had mild discomfort after. Did I hurt my healing? I have had minimal cramping and no bleeding since my D and C. The cramps are a little worse than period cramps. During periods, I usually get back cramps. With D and C, I have had lower back and lower abdominal cramping. There was no bleeding for the most part. I am so scared that I will not be able to have a baby or that I might have caused some scarring. They told me no sex meaning penetration. I did not and did not know if masturbation with no penetration was included in that. I am just scared this will lead to infertility. My doctor said the surgery went well with no issues, but I am so scared that I will not be able to have kids now. [/INST] Hello. How are you doing? Just relax, you are absolutely fine. Let me give you few facts. Just look up the image of the uterus. D and C is done on the interior of the uterus. The contents of the uterus and inner lining of the uterus are scrapped out. Your no bleeding, only means that doctor has efficiently removed all contents and not left anything back. Had she left something back, you would have been having to spot and bleeding on and off, needing another D and C. Minimal bleeding or spotting is normal. So the doctor advised you not to have sex, as following the procedure the inner uterine lining is raw and exposure to semen, an infected fluid, can cause more pain and adhesions. Masturbation is fine. Cramps are expected as the uterus is trying to expel any tiny blood clots or leftovers, as occur during periods. This D and C, and masturbation are not going to affect your pregnancy chances. The only factor that will influence your fertility potential is your weight. Your expected body weight is 52 to 57 kg. More the weight more is the chances for no ovulation and irregular periods. Thereby lesser pregnancy chance. Hope I have clarified your query, do write back if any more queries. All the best. For more information consult an infertility specialist online -->
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Q. After laparoscopy, my tummy has become extremely distended. Is it due to infection?
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Hi doctor, I had a laparoscopy done five weeks ago and also a D and C was done. When I woke up from it, I had an extremely distended abdomen. It was hot to touch and obviously swollen. I was told that this was from the oxygen they used. Since that night, my belly is always gurgling and distended. I am getting worried about it as it has been five weeks now. Is this normal? I am taking stool softeners, so I am not constipated. Is this still a swelling? If so, then how long it will take to resolve? Is there anything I can do to help it along? But, I am active every day.
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had a laparoscopy done five weeks ago and also a D and C was done. When I woke up from it, I had an extremely distended abdomen. It was hot to touch and obviously swollen. I was told that this was from the oxygen they used. Since that night, my belly is always gurgling and distended. I am getting worried about it as it has been five weeks now. Is this normal? I am taking stool softeners, so I am not constipated. Is this still a swelling? If so, then how long it will take to resolve? Is there anything I can do to help it along? But, I am active every day. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. Which medicine should I take for patchy beard?
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Hi doctor, Actually, my skin tone is medium and is very oily. I want to have a white and fair skin tone. I also want to get rid of this oily skin. I have been taking Omega 3 capsules for two months as someone told me that it will help me for my skin, but I did not notice any changes. Now, one of my friends told me about skin whitening injections. When I searched for it on the internet, it is a treatment of 8 to 10 injections. I do not know whether it has some side effects or not. I can now notice the darker skin tone on my hands and face as compared to my body. Please suggest me some solution for this. Also, I am getting a patchy beard. I used to trim my beard always. But, when I noticed this patch, then I shaved it for the first time. But, it is still the same. I have attached a picture with this message. Please have a look. It can be noticed lightly as I have shaved my beard four days back. Please help me out with my problems.
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Hi. The darker skin tone can be attributed to tanning and also ones natural color. I therefore recommend you daily sunscreen, use it 20 minutes prior to going outside. Using a night cream like ISIS Neotone night serum everyday at night for two to three months will help, but you need to be regular. For additional skin whitening, you require skin treatment like skin whitening chemical peels and laser sessions to be honest. Secondly, the problem of loss of hair in the beard area is a common thing that I see in my practice. This requires a close up examination. In all likelihood it would be alopecia areata. We need to give serial injections and also apply a tube by the name of Tacroz Forte 0.1% (Tacrolimus) at night and apply sunscreen during the day. Both the treatments have to be done together for the beard to show the fastest results. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, Actually, my skin tone is medium and is very oily. I want to have a white and fair skin tone. I also want to get rid of this oily skin. I have been taking Omega 3 capsules for two months as someone told me that it will help me for my skin, but I did not notice any changes. Now, one of my friends told me about skin whitening injections. When I searched for it on the internet, it is a treatment of 8 to 10 injections. I do not know whether it has some side effects or not. I can now notice the darker skin tone on my hands and face as compared to my body. Please suggest me some solution for this. Also, I am getting a patchy beard. I used to trim my beard always. But, when I noticed this patch, then I shaved it for the first time. But, it is still the same. I have attached a picture with this message. Please have a look. It can be noticed lightly as I have shaved my beard four days back. Please help me out with my problems. [/INST] Hi. The darker skin tone can be attributed to tanning and also ones natural color. I therefore recommend you daily sunscreen, use it 20 minutes prior to going outside. Using a night cream like ISIS Neotone night serum everyday at night for two to three months will help, but you need to be regular. For additional skin whitening, you require skin treatment like skin whitening chemical peels and laser sessions to be honest. Secondly, the problem of loss of hair in the beard area is a common thing that I see in my practice. This requires a close up examination. In all likelihood it would be alopecia areata. We need to give serial injections and also apply a tube by the name of Tacroz Forte 0.1% (Tacrolimus) at night and apply sunscreen during the day. Both the treatments have to be done together for the beard to show the fastest results. Consult your specialist doctor, discuss with him or her and take the medicine with consent. For further information consult a dermatologist online -->
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Q. Epstein-Barr IgM is positive, but undetectable in PCR. Still, I am sick, could it be chronic fatigue?
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Hi doctor, I have had reactivated Epstein-Barr for a year. I recently got a blood test, which said, faint monoclonal band detected in the gamma region, repeat blood test in six months. There is no immunoparesis, and my levels have risen in the last four months, but still in the normal range. What does this mean? Could this be transient due to an infection? The IgM remains positive, the PCR undetectable, but I am still sick. Could it be chronic fatigue? I have had a similar experience recently with positive IgM for Cytomegalovirus, but undetectable PCR. And even one positive for Lymes and another negative. Could it be cross-reacting antibodies or something more sinister? I am currently taking Cipralex and Risperdal.
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Hello. I have gone through your query, and I can understand your concerns. Hope I have answered your query. Please feel free to contact if you have any further queries. For further queries consult a family physician online -->
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<s>[INST]
Hi doctor, I have had reactivated Epstein-Barr for a year. I recently got a blood test, which said, faint monoclonal band detected in the gamma region, repeat blood test in six months. There is no immunoparesis, and my levels have risen in the last four months, but still in the normal range. What does this mean? Could this be transient due to an infection? The IgM remains positive, the PCR undetectable, but I am still sick. Could it be chronic fatigue? I have had a similar experience recently with positive IgM for Cytomegalovirus, but undetectable PCR. And even one positive for Lymes and another negative. Could it be cross-reacting antibodies or something more sinister? I am currently taking Cipralex and Risperdal. [/INST] Hello. I have gone through your query, and I can understand your concerns. Hope I have answered your query. Please feel free to contact if you have any further queries. For further queries consult a family physician online -->
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Q. I have stomach pain and swollen ankles. What could be the problem?
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Hello Doctor, Since 1 month I have been suffering from stomach problem. Whenever I eat something, I immediately have stomach pain and pass stools. There is swelling in both the ankles. I feel weak. What could be the problem?
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Hi, Welcome to icliniq.com. Revert back with the reports to a family physician online -->
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<s>[INST]
Hello Doctor, Since 1 month I have been suffering from stomach problem. Whenever I eat something, I immediately have stomach pain and pass stools. There is swelling in both the ankles. I feel weak. What could be the problem? [/INST] Hi, Welcome to icliniq.com. Revert back with the reports to a family physician online -->
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Q. Kindly explain me about antirabies vaccine.
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Hello doctor, I was bitten by a dog 10 days ago and got my first antirabies vaccine the next day. Also I got the second and third dose with a gap of three days, respectively. The wound was quite deep and the dog was unknown and untraceable. Everyone guiding me to take complete course of antirabies vaccine. My doctor said that three antirabies vaccine shots are enough. He said that these are different from the antirabies vaccine available in private. Do I need to take another two shots of antirabies vaccine in private? Please suggest Thanks.
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Hi. I am sorry for the dog bite. But, I am glad that you have taken the correct schedule of vaccines till now. For further information consult a neurologist online -->
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<s>[INST]
Hello doctor, I was bitten by a dog 10 days ago and got my first antirabies vaccine the next day. Also I got the second and third dose with a gap of three days, respectively. The wound was quite deep and the dog was unknown and untraceable. Everyone guiding me to take complete course of antirabies vaccine. My doctor said that three antirabies vaccine shots are enough. He said that these are different from the antirabies vaccine available in private. Do I need to take another two shots of antirabies vaccine in private? Please suggest Thanks. [/INST] Hi. I am sorry for the dog bite. But, I am glad that you have taken the correct schedule of vaccines till now. For further information consult a neurologist online -->
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Q. How to get rid of the spots on my penis?
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Hi doctor, I have been getting spots on my penis. I do not remember that I had them as a kid. I know it has been getting more over time, but really slow that I do not realize it. I remember that the doctor messed up my circumcision and my parents were going to sue the doctor for that thus the skin around it looks like that. What are the dark spots? Is there a way to get rid of them and the excess skin on the side of my penis? Please help.
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Hello. I have gone through all your photos (attachment removed to protect patient identity). Basically you have two queries. First the extra skin which you want to remove. That can be possible by surgery but if you do not have any problem with that then you avoid surgical procedure now. Second are the patches. Well, let me tell you that your skin is totally normal but you have white patches. I mean to say your penis skin is little dark and that extra white patch is the main problem. This is type of penile vitiligo. In vitiligo the skin loses its normal dark pigmentation. It is not a dangerous problem and it is not going to impair penile function in future. This problem could be triggered by circumcision or maybe not. Use Tacroze 0.03% cream (Tacrolimus) once at night over white patches. I again want to emphasize it that the white patches are the problem not the dark one. As I have seen many cases, I am able to identify it. Continue this cream for 20 days and let me know the effect. Revert back after 20 days to a dermatologist online -->
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<s>[INST]
Hi doctor, I have been getting spots on my penis. I do not remember that I had them as a kid. I know it has been getting more over time, but really slow that I do not realize it. I remember that the doctor messed up my circumcision and my parents were going to sue the doctor for that thus the skin around it looks like that. What are the dark spots? Is there a way to get rid of them and the excess skin on the side of my penis? Please help. [/INST] Hello. I have gone through all your photos (attachment removed to protect patient identity). Basically you have two queries. First the extra skin which you want to remove. That can be possible by surgery but if you do not have any problem with that then you avoid surgical procedure now. Second are the patches. Well, let me tell you that your skin is totally normal but you have white patches. I mean to say your penis skin is little dark and that extra white patch is the main problem. This is type of penile vitiligo. In vitiligo the skin loses its normal dark pigmentation. It is not a dangerous problem and it is not going to impair penile function in future. This problem could be triggered by circumcision or maybe not. Use Tacroze 0.03% cream (Tacrolimus) once at night over white patches. I again want to emphasize it that the white patches are the problem not the dark one. As I have seen many cases, I am able to identify it. Continue this cream for 20 days and let me know the effect. Revert back after 20 days to a dermatologist online -->
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Q. I injured the head of my penis during masturbation. Will it heal on its own?
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Hello doctor,I injured the head of my penis, during masturbation, with a toilet paper roll. The cut seems to be half a centimeter long and blood came out but the bleeding stopped almost immediately. I used water to clean it (the blood seems to be stuck there) and then Betadine. Should I see a doctor or will it heal on its own?
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Hello. If bleeding has stopped it is not necessary to see a doctor. Just apply Betadine (Povidone-Iodine) as already done by you and clean with Savlon (antiseptic) solution. Avoid masturbation for five to seven days. With this management, it may bleed again. In that case, you need to apply pressure with fingers. You can also put gauze and surround with dressing tape or a band-aid. During masturbation, avoid using things which can cause trauma to the penis. Or wear a condom which can provide a layer of protection. Avoid bending of an erect penis. For more information consult a urologist online -->
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<s>[INST]
Hello doctor,I injured the head of my penis, during masturbation, with a toilet paper roll. The cut seems to be half a centimeter long and blood came out but the bleeding stopped almost immediately. I used water to clean it (the blood seems to be stuck there) and then Betadine. Should I see a doctor or will it heal on its own? [/INST] Hello. If bleeding has stopped it is not necessary to see a doctor. Just apply Betadine (Povidone-Iodine) as already done by you and clean with Savlon (antiseptic) solution. Avoid masturbation for five to seven days. With this management, it may bleed again. In that case, you need to apply pressure with fingers. You can also put gauze and surround with dressing tape or a band-aid. During masturbation, avoid using things which can cause trauma to the penis. Or wear a condom which can provide a layer of protection. Avoid bending of an erect penis. For more information consult a urologist online -->
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Q. I get profuse bleeding during my periods for the past three months. What should I do now?
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Hello doctor, I am a 30-year-old female. I weigh about 87 kg. I am a mother of a 2-year-old kid and still breastfeeding. No history of PCOD and my periods are regular with a cycle of 28 days. I conceived after three years of marriage life. I had a natural delivery in 2018 and got my regular periods back in March 2019. My period PMS symptoms include bloating, mood swings, and temperaments. Now my problem is for the past three months my periods are super heavy. I am using 10-11 pads per day for the first three days and normal to less in the next three days. This makes me drained and weak. I am unable to sleep properly and cannot do anything. It also leads to bad stomach cramping. Today is my second day of menses and yesterday, I fainted as well. What to do?
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Hello, Welcome to iclinq.com. I can understand your concern. The reason for your excess flow could be most probably hormonal, yet if the bleeding continues to be more in subsequent cycles then a pelvic ultrasound should be done to rule out any new pathology in the uterus. Check your Hb (hemoglobin) and thyroid levels (sometimes hyperthyroidism can cause excess flow) because of heavy menses in previous cycles your Hb must have come down, causing this severe weakness and giddiness. Moreover, lactation consumes iron for milk production this would have added up to your anemia. Start iron supplements as soon as possible and take iron-rich food. You can take tablet Tranexamic acid 500 mg twice daily during the cycles to reduce the flow and get a gynecologist's opinion in person if your problem continues. Hormonal, anemia. Hb. TSH (thyroid-stimulating hormone). Pelvic scan. Hormonal, anemia. Hematinics, Tablet. Tranexamic acid 500 mg to decrease the flow, and pelvic scan if bleeding continues.
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<s>[INST]
Hello doctor, I am a 30-year-old female. I weigh about 87 kg. I am a mother of a 2-year-old kid and still breastfeeding. No history of PCOD and my periods are regular with a cycle of 28 days. I conceived after three years of marriage life. I had a natural delivery in 2018 and got my regular periods back in March 2019. My period PMS symptoms include bloating, mood swings, and temperaments. Now my problem is for the past three months my periods are super heavy. I am using 10-11 pads per day for the first three days and normal to less in the next three days. This makes me drained and weak. I am unable to sleep properly and cannot do anything. It also leads to bad stomach cramping. Today is my second day of menses and yesterday, I fainted as well. What to do? [/INST] Hello, Welcome to iclinq.com. I can understand your concern. The reason for your excess flow could be most probably hormonal, yet if the bleeding continues to be more in subsequent cycles then a pelvic ultrasound should be done to rule out any new pathology in the uterus. Check your Hb (hemoglobin) and thyroid levels (sometimes hyperthyroidism can cause excess flow) because of heavy menses in previous cycles your Hb must have come down, causing this severe weakness and giddiness. Moreover, lactation consumes iron for milk production this would have added up to your anemia. Start iron supplements as soon as possible and take iron-rich food. You can take tablet Tranexamic acid 500 mg twice daily during the cycles to reduce the flow and get a gynecologist's opinion in person if your problem continues. Hormonal, anemia. Hb. TSH (thyroid-stimulating hormone). Pelvic scan. Hormonal, anemia. Hematinics, Tablet. Tranexamic acid 500 mg to decrease the flow, and pelvic scan if bleeding continues.
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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. Why do I suffer from cold and runny nose every summer?
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Hi doctor, During every summer season, I suffer from a cold and runny nose. What can be the reasons?
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Hello. For further queries consult a general practitioner online -->
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<s>[INST]
Hi doctor, During every summer season, I suffer from a cold and runny nose. What can be the reasons? [/INST] Hello. For further queries consult a general practitioner online -->
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Q. Why are my uric acid levels always high?
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Hi doctor, I have a bad throat, cold and mild fever. I am taking antibiotic Amoxycillin and Ibugesic plus. Can I get liver function test and kidney function test at this time or should I wait?
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Hi. For further queries consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I have a bad throat, cold and mild fever. I am taking antibiotic Amoxycillin and Ibugesic plus. Can I get liver function test and kidney function test at this time or should I wait? [/INST] Hi. For further queries consult an internal medicine physician online -->
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Q. What is the reason for white coating on the tongue?
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Hi doctor, For the last few days, there is a white or yellow coating in the back of my tongue. It has been hurting. My taste buds in the back are swollen and bleed when I use the tongue scraper, which is on my toothbrush. What could this be?
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Hi. I have read your query. Revert back with the information to a family physician online -->
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<s>[INST]
Hi doctor, For the last few days, there is a white or yellow coating in the back of my tongue. It has been hurting. My taste buds in the back are swollen and bleed when I use the tongue scraper, which is on my toothbrush. What could this be? [/INST] Hi. I have read your query. Revert back with the information to a family physician online -->
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Q. What are the health benefits and nutrition facts of Palmyra (aka Nungu) Fruit?
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Hi doctor, What are the health benefits and nutrition facts of Palmyra fruit Nungu Fruit)?
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Hi. First of all I would like to thank you for asking such a good question. For further information consult a nutritionist online -->
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<s>[INST]
Hi doctor, What are the health benefits and nutrition facts of Palmyra fruit Nungu Fruit)? [/INST] Hi. First of all I would like to thank you for asking such a good question. For further information consult a nutritionist online -->
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Q. Why am I having frequent eye infection with pus and blood discharge?
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Hello doctor, Since last 7 to 8 months I am having an eye infection, like a stye. It is getting frequent almost after every 3 to 4 weeks. I recollect having collided with somebody about one and half years back, hurt on my right eye with somebody's elbow and had a swollen eye, very painful and under the eye, it is red and swollen. After about 4 to 5 days, it started healing, and gradually I forgot about it. Now with this frequent infection in the same eye after every 3 to 4 weeks which lasts 3 to 5 days, sometimes pus and little blood come out and sometimes it heals without any pus coming out. This time it started with an itch and has gradually swollen and is very itchy and painful and red and swollen inside and outside the eye.
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Hello. This is unrelated to that trauma with the elbow. This is suggestive of lid infection. Try warm compresses, apply an antibiotic ointment like Neosporin H (Bacitracin Zinc and Hydrocortisone acetate) ointment twice daily along lid margins. Once this episode is over then we need to evaluate your lids and lashes carefully as sometimes meibomitis or blepharitis cause recurrent lid infection.
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<s>[INST]
Hello doctor, Since last 7 to 8 months I am having an eye infection, like a stye. It is getting frequent almost after every 3 to 4 weeks. I recollect having collided with somebody about one and half years back, hurt on my right eye with somebody's elbow and had a swollen eye, very painful and under the eye, it is red and swollen. After about 4 to 5 days, it started healing, and gradually I forgot about it. Now with this frequent infection in the same eye after every 3 to 4 weeks which lasts 3 to 5 days, sometimes pus and little blood come out and sometimes it heals without any pus coming out. This time it started with an itch and has gradually swollen and is very itchy and painful and red and swollen inside and outside the eye. [/INST] Hello. This is unrelated to that trauma with the elbow. This is suggestive of lid infection. Try warm compresses, apply an antibiotic ointment like Neosporin H (Bacitracin Zinc and Hydrocortisone acetate) ointment twice daily along lid margins. Once this episode is over then we need to evaluate your lids and lashes carefully as sometimes meibomitis or blepharitis cause recurrent lid infection.
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Q. I have mild pain in right shoulder joint and unable to lift weights. Please help.
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Hello doctor, I am having a mild pain at my right shoulder joint or below. I am unable to lift weights and sometimes even cannot lift up my hand also. Kindly suggest.
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Hello. You are having pain in the right shoulder with weakness in the right hand. Please answer my few questions. Can you hold a cup of tea in your right hand or it is dropping from your hand? Can you hold the bathtub while bathing? Is that pain continuous or occasional? Any history of trauma or accident? Are you suffering from diabetes or high blood pressure? Any history of neck pain?
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<s>[INST]
Hello doctor, I am having a mild pain at my right shoulder joint or below. I am unable to lift weights and sometimes even cannot lift up my hand also. Kindly suggest. [/INST] Hello. You are having pain in the right shoulder with weakness in the right hand. Please answer my few questions. Can you hold a cup of tea in your right hand or it is dropping from your hand? Can you hold the bathtub while bathing? Is that pain continuous or occasional? Any history of trauma or accident? Are you suffering from diabetes or high blood pressure? Any history of neck pain?
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Q. A metastasis has been found in the abdominal wall. How can primary cancer be found?
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Hello doctor,My mother-in-law has a small cancer in the epigastric abdominal wall with adenocarcinoma, metastatic. We are carrying out further tests including PET-CT scan, endoscopy, colonoscopy, CBC, and all the CA tests, but no primary cancer was found. Now, what will I do?
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Hello. I have gone through the reports of your mother-in-law (attachment removed to protect patient identity). It looks like they have not yet completed the full work up. Biopsy from the abdominal wall nodule shows metastatic adenocarcinoma. So now, they must do upper GI endoscopy, gynecological per speculum examination, and ultrasound thyroid to find out any suspicious lesion. You have not attached the biopsy report. The biopsy specimen must be stained with immunohistochemical markers. There are different markers and each type of tumor has a specific marker. So, the positive-stained marker will identify the primary tumor in most of the cases. In case everything fails to find the primary tumor, the next step is to check the genomic profile to find the primary cancer. For more information consult a medical oncologist online -->
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<s>[INST]
Hello doctor,My mother-in-law has a small cancer in the epigastric abdominal wall with adenocarcinoma, metastatic. We are carrying out further tests including PET-CT scan, endoscopy, colonoscopy, CBC, and all the CA tests, but no primary cancer was found. Now, what will I do? [/INST] Hello. I have gone through the reports of your mother-in-law (attachment removed to protect patient identity). It looks like they have not yet completed the full work up. Biopsy from the abdominal wall nodule shows metastatic adenocarcinoma. So now, they must do upper GI endoscopy, gynecological per speculum examination, and ultrasound thyroid to find out any suspicious lesion. You have not attached the biopsy report. The biopsy specimen must be stained with immunohistochemical markers. There are different markers and each type of tumor has a specific marker. So, the positive-stained marker will identify the primary tumor in most of the cases. In case everything fails to find the primary tumor, the next step is to check the genomic profile to find the primary cancer. For more information consult a medical oncologist online -->
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Q. The scan says my baby's growth is 10 days behind its age. Please advise.
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Hi doctor, I am a 35 year old female. I am 22 weeks and two days pregnant and was told at my last scan that the baby is about 10 days behind in size. All the other readings were normal, and the growth of the brain was normal for the gestational age. We are not very tall people. My husband is 5 feet and 7 inches, and I am 5 feet and 1 inch. My question is, is it normal to be behind by these many days? We were suggested to go for an amniocentesis and have a look for Down's syndrome. I had a nuchal translucency test at week 13, which was 1.71 and the fetal anatomy was considered normal. We are in two minds whether we should go for an amniocentesis or wait until the next scan which is in another 10 days. I have read somewhere that lack of proper nutrients to the baby can also be a cause. Any advice would be appreciated as this our first baby, and we would like some inputs, please.
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Hello. I can understand your concern. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 35 year old female. I am 22 weeks and two days pregnant and was told at my last scan that the baby is about 10 days behind in size. All the other readings were normal, and the growth of the brain was normal for the gestational age. We are not very tall people. My husband is 5 feet and 7 inches, and I am 5 feet and 1 inch. My question is, is it normal to be behind by these many days? We were suggested to go for an amniocentesis and have a look for Down's syndrome. I had a nuchal translucency test at week 13, which was 1.71 and the fetal anatomy was considered normal. We are in two minds whether we should go for an amniocentesis or wait until the next scan which is in another 10 days. I have read somewhere that lack of proper nutrients to the baby can also be a cause. Any advice would be appreciated as this our first baby, and we would like some inputs, please. [/INST] Hello. I can understand your concern. For more information consult an obstetrician and gynaecologist online -->
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Q. I have dry eyes after a LASIK surgery. Is there some medication I can try?
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Hi doctor,About two years ago, I did LASIK surgery to correct short-sightedness. I recovered from it and have a normal vision now. The trouble note is my eyes gets dry soon. And sometimes when I wake up I cannot even open my eyes as it is too dry and I need to keep it closed until it waters which causes discomfort and pain. I am traveling by bike now to the office every day which causes dryness and ultimately stressful eyes. Is there any medication that I can try to get eyeball lubricated and protect the eyes from dust and irritation?
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Hello. I am sorry, but there is no permanent treatment or cure for dry eyes, but yes with treatment, your life will become comfortable. All these measures together help. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor,About two years ago, I did LASIK surgery to correct short-sightedness. I recovered from it and have a normal vision now. The trouble note is my eyes gets dry soon. And sometimes when I wake up I cannot even open my eyes as it is too dry and I need to keep it closed until it waters which causes discomfort and pain. I am traveling by bike now to the office every day which causes dryness and ultimately stressful eyes. Is there any medication that I can try to get eyeball lubricated and protect the eyes from dust and irritation? [/INST] Hello. I am sorry, but there is no permanent treatment or cure for dry eyes, but yes with treatment, your life will become comfortable. All these measures together help. For more information consult an eye care ophthalmologist online -->
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Q. I am getting hemorrhoids at least twice a month. What to do?
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Hello doctor,I am getting hemorrhoids often. Even this month, I got hemorrhoids twice. I would like to know, why is it so often for me? I do eat fruits every day, and I do not have constipation. I am 20 years old, and my weight is 59 kg. Thank you.
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Hi. Sorry to hear your problem. The first thing is that I need to know a few more details about your problem. Spicy food and stress. Anal examination by a general surgeon. Fissure-in-ano. 1. Sitz bath. 2. Laxatives. For further information consult a general surgeon online.--->
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<s>[INST]
Hello doctor,I am getting hemorrhoids often. Even this month, I got hemorrhoids twice. I would like to know, why is it so often for me? I do eat fruits every day, and I do not have constipation. I am 20 years old, and my weight is 59 kg. Thank you. [/INST] Hi. Sorry to hear your problem. The first thing is that I need to know a few more details about your problem. Spicy food and stress. Anal examination by a general surgeon. Fissure-in-ano. 1. Sitz bath. 2. Laxatives. For further information consult a general surgeon online.--->
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Q. How can my blurred vision be treated?
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Hello doctor, I have been having blurry vision ever since my sore eyes have been going away. It started a week ago when I was diagnosed with sore eyes. My physician told me to use Terramycin four to five times a day and on the sixth day, the swelling in my eyes got better. But once my eye was in a "usable" state, I could open it fully with no pain or itching. I noticed a sudden change in my vision. It is now blurred. I just got my new pair of glasses three weeks ago so I am surprised why my vision got worse immediately. Is this a temporary aftereffect of the sore eyes or am I facing an eye infection which involves permanently reducing vision? The symptoms I have been experiencing last week were as follows: Itchy eyes, swelling eyelids, I cannot open my eyes to its full extent, frequent pain in the eye, sometimes tear droplets rushing down my face, and when I wake up in the morning, it is like the liquid hardens and sticky things prevent my eye from opening but not that hard. Now, all the symptoms have gone except the sudden blurry vision. Please help.
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Hello. This blurred vision could be due to viral keratoconjunctivitis which means there is a possibility of involvement of cornea leading to blurred vision. Treatment usually includes soft steroid eyedrop like fluorometholone in slow tapering doses. It is a provisional diagnosis. Kindly consult an ophthalmologist and get proper eye examination done. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor, I have been having blurry vision ever since my sore eyes have been going away. It started a week ago when I was diagnosed with sore eyes. My physician told me to use Terramycin four to five times a day and on the sixth day, the swelling in my eyes got better. But once my eye was in a "usable" state, I could open it fully with no pain or itching. I noticed a sudden change in my vision. It is now blurred. I just got my new pair of glasses three weeks ago so I am surprised why my vision got worse immediately. Is this a temporary aftereffect of the sore eyes or am I facing an eye infection which involves permanently reducing vision? The symptoms I have been experiencing last week were as follows: Itchy eyes, swelling eyelids, I cannot open my eyes to its full extent, frequent pain in the eye, sometimes tear droplets rushing down my face, and when I wake up in the morning, it is like the liquid hardens and sticky things prevent my eye from opening but not that hard. Now, all the symptoms have gone except the sudden blurry vision. Please help. [/INST] Hello. This blurred vision could be due to viral keratoconjunctivitis which means there is a possibility of involvement of cornea leading to blurred vision. Treatment usually includes soft steroid eyedrop like fluorometholone in slow tapering doses. It is a provisional diagnosis. Kindly consult an ophthalmologist and get proper eye examination done. For more information consult an eye care ophthalmologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. My teeth are wobbling due to gum recession. What to do?
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Hello doctor, I have worn braces for four years and finished my orthodontic treatment before five years. I am 20 years old. Since then my teeth have been healthy but I have been suffering from an eating disorder for three years and I am still in recovery. Two months ago one of my top central incisors started feeling slightly wobbly and after looking at it in the mirror I noticed the gums had receded by 2 mm compared to the pictures I had from last year. I saw my dentist who told me everything was fine but since then my tooth has become even more wobbly and my other top central incisor has started to wobble too. I had a look at all of my teeth today and realized that all of the gums had receded by 2-3 mm. I brush my teeth with a soft toothbrush and floss twice a day, and I use mouthwash every two days. I am very scared that my teeth are going to fall out because I can feel the roots being unstable when I chew food and I cannot bite into a sandwich or any other harder texture without feeling discomfort. Due to COVID-19, I am unable to see a dentist right now unless it is an urgent case causing a lot of pain. What should I do?
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Hi. Nothing to panic as such. Your gums need complete scaling (cleaning) but due to COVID-19, you cannot have now. If the gums are swollen, you will definitely have a wobble feel. Do enforce brushing twice daily with normal paste and medium toothbrush. Use Betadine gargle thrice daily, Take tablet Oflox OZ 10 twice for five days and Becosules capsules once daily for five days. If you have an eating disorder you can try with probiotic sachets for five days preferably in the nights. Visit the dentist once the pandemic is over. Do salt water gargling twice daily.
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<s>[INST]
Hello doctor, I have worn braces for four years and finished my orthodontic treatment before five years. I am 20 years old. Since then my teeth have been healthy but I have been suffering from an eating disorder for three years and I am still in recovery. Two months ago one of my top central incisors started feeling slightly wobbly and after looking at it in the mirror I noticed the gums had receded by 2 mm compared to the pictures I had from last year. I saw my dentist who told me everything was fine but since then my tooth has become even more wobbly and my other top central incisor has started to wobble too. I had a look at all of my teeth today and realized that all of the gums had receded by 2-3 mm. I brush my teeth with a soft toothbrush and floss twice a day, and I use mouthwash every two days. I am very scared that my teeth are going to fall out because I can feel the roots being unstable when I chew food and I cannot bite into a sandwich or any other harder texture without feeling discomfort. Due to COVID-19, I am unable to see a dentist right now unless it is an urgent case causing a lot of pain. What should I do? [/INST] Hi. Nothing to panic as such. Your gums need complete scaling (cleaning) but due to COVID-19, you cannot have now. If the gums are swollen, you will definitely have a wobble feel. Do enforce brushing twice daily with normal paste and medium toothbrush. Use Betadine gargle thrice daily, Take tablet Oflox OZ 10 twice for five days and Becosules capsules once daily for five days. If you have an eating disorder you can try with probiotic sachets for five days preferably in the nights. Visit the dentist once the pandemic is over. Do salt water gargling twice daily.
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Q. Do my wife's NT scan and double marker test results show a high risk for Down's syndrome?
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Hi doctor, My wife had NT scan and double marker test at 12 weeks and 3 days of pregnancy. The report is as follows, CRL is 59.2 mm, NT is 1.45 mm, free beta-hCG is 84.84 IU/L, equivalent to 2.217 MoM and PAPP-A 0.712 IU/L equivalent to 0.282 MoM. Trisomy 21 is 1: 450 1:47 and trisomy 18 is 1: 5315. I wanted to know about if the risk in the first-trimester screening window is positive.
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Hi. I have read your question and understand the concerns. Hope you found the answer helpful. Regards. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My wife had NT scan and double marker test at 12 weeks and 3 days of pregnancy. The report is as follows, CRL is 59.2 mm, NT is 1.45 mm, free beta-hCG is 84.84 IU/L, equivalent to 2.217 MoM and PAPP-A 0.712 IU/L equivalent to 0.282 MoM. Trisomy 21 is 1: 450 1:47 and trisomy 18 is 1: 5315. I wanted to know about if the risk in the first-trimester screening window is positive. [/INST] Hi. I have read your question and understand the concerns. Hope you found the answer helpful. Regards. For more information consult an obstetrician and gynaecologist online -->
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Q. Is there any indication of parasitic infection in my brain MRI?
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Hello doctor, I would like to know if there appears to be any indication of a parasitic infection, specifically, cerebral sparganosis? I am waiting on getting the ELISA antibody test for sparganosis, and have been having worsening headaches and moving/squirming sensations in my head?
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Hello. Cerebral sparganosis is a rare parasitic infection due to a parasite named spirometra mansoni and when there is a parasitic infestation of the brain tissues. There are particular features like small tunnels in the brain tissues, areas of edema, and in some cases the visualization of the worm. These features can be visualized in CT and MRI images of the brain. The moving and squirming movements of the worm in the brain are not exactly felt as sensations but worsening headaches have been recorded in patients with cerebral sparganosis. In medical literature, cerebral sparganosis patients have been known to be suffering from headache, seizure, hemiparesis, or other neurologic deficits. You can try getting an MRI brain scan done and if required then a contrast study if there are any findings on the plain scan. Regards. For more information consult a radiologist online -->
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<s>[INST]
Hello doctor, I would like to know if there appears to be any indication of a parasitic infection, specifically, cerebral sparganosis? I am waiting on getting the ELISA antibody test for sparganosis, and have been having worsening headaches and moving/squirming sensations in my head? [/INST] Hello. Cerebral sparganosis is a rare parasitic infection due to a parasite named spirometra mansoni and when there is a parasitic infestation of the brain tissues. There are particular features like small tunnels in the brain tissues, areas of edema, and in some cases the visualization of the worm. These features can be visualized in CT and MRI images of the brain. The moving and squirming movements of the worm in the brain are not exactly felt as sensations but worsening headaches have been recorded in patients with cerebral sparganosis. In medical literature, cerebral sparganosis patients have been known to be suffering from headache, seizure, hemiparesis, or other neurologic deficits. You can try getting an MRI brain scan done and if required then a contrast study if there are any findings on the plain scan. Regards. For more information consult a radiologist online -->
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Q. Are there any drops that can heal a pterygium?
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Hello doctor,I am suffering from pterygium from last two years. I feel a burning sensation and redness in my eyes the whole day, currently using rose water as suggested by an Ayurvedic doctor. Is there any drops which heal it permanently without surgery? I found one online. Could you please suggest if it works for me? I am sharing the picture below. Kindly go through and advise me.
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Hello. This is a very small pterygium. I would not recommend surgery for this small pterygium. I am sorry but there is no medicine to treat pterygium. One may claim anything, but we usually do not recommend any medicine unless it is approved by FDI. You may use lubricating eyedrop frequently for irritation. I hope this will help you. Regards. For more information consult an eye care ophthalmologist online -->
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<s>[INST]
Hello doctor,I am suffering from pterygium from last two years. I feel a burning sensation and redness in my eyes the whole day, currently using rose water as suggested by an Ayurvedic doctor. Is there any drops which heal it permanently without surgery? I found one online. Could you please suggest if it works for me? I am sharing the picture below. Kindly go through and advise me. [/INST] Hello. This is a very small pterygium. I would not recommend surgery for this small pterygium. I am sorry but there is no medicine to treat pterygium. One may claim anything, but we usually do not recommend any medicine unless it is approved by FDI. You may use lubricating eyedrop frequently for irritation. I hope this will help you. Regards. For more information consult an eye care ophthalmologist online -->
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Q. How long do I have to wait to get pregnant, after a missed abortion?
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Hi doctor, I am trying to conceive from past six years. A year back I had a laparoscopy for tube bend. My reports show the length of the uterus is 82 mm. Gravid uterus reveals one gestational sac with an embryo, CRL is 10 mm, which corresponds to the gestational age of seven weeks and six days in the fundal region of the uterine cavity. No cardiac pulsation could be recorded on M mode, the cervix is normal, uterus measures 9.4x6.9x6.8 cm. No adnexal mass lesion is seen. Both ovaries are normal in size and echotexture. Right ovary is 2.3x2.1 cm, and left ovary is 2.4x1.9 cm. No fluid is seen in the pouch of Douglas. What is the reason for a missed abortion? How long should I have to wait for the next pregnancy?
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Hi. Sorry about the loss, but let me assure you one thing, you will surely get pregnant again. It is not just to console you, but if you got pregnant before, irrespective of the result, you will get pregnant again. Let me explain what and why is missed abortion. A healthy egg has to meet a healthy sperm at the right time, the life of an egg is 24 hours, so it has to meet sperm within that time. But after 24 hours, it forms embryo with few chromosome damage. This fertilized egg comes to the uterus, endometrium should have been properly ripened and nurtured by proper hormones on right time, only then the blood supply to the baby will be normal, and the hormonal milieu should be fine. The best part is, if you have a missed abortion, chances of a healthy pregnancy is 97 %. So, why worry about the 3 %? It is advisable to give a gap of three months. Suppose there are any unseen reasons, they will be gone by that time. After 3 to 4 months get, these tests done, to rule out other possible causes. All these problems can be tested before pregnancy, the last one to be tested once pregnant. How old are you? If you are below 35 years, nothing needs to be done. If you are above 35 years, get serum AMH (anti-mullerian hormone) done within first ten days of your period. This will tell how many eggs are left in the ovaries. As age advances, the healthy eggs get over, and only unhealthy eggs predominate, so that could be a reason for the genetic problem. But there is a solution for each and every problem that I mentioned. Hope I have clarified your doubt. For more information consult an infertility specialist online -->
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<s>[INST]
Hi doctor, I am trying to conceive from past six years. A year back I had a laparoscopy for tube bend. My reports show the length of the uterus is 82 mm. Gravid uterus reveals one gestational sac with an embryo, CRL is 10 mm, which corresponds to the gestational age of seven weeks and six days in the fundal region of the uterine cavity. No cardiac pulsation could be recorded on M mode, the cervix is normal, uterus measures 9.4x6.9x6.8 cm. No adnexal mass lesion is seen. Both ovaries are normal in size and echotexture. Right ovary is 2.3x2.1 cm, and left ovary is 2.4x1.9 cm. No fluid is seen in the pouch of Douglas. What is the reason for a missed abortion? How long should I have to wait for the next pregnancy? [/INST] Hi. Sorry about the loss, but let me assure you one thing, you will surely get pregnant again. It is not just to console you, but if you got pregnant before, irrespective of the result, you will get pregnant again. Let me explain what and why is missed abortion. A healthy egg has to meet a healthy sperm at the right time, the life of an egg is 24 hours, so it has to meet sperm within that time. But after 24 hours, it forms embryo with few chromosome damage. This fertilized egg comes to the uterus, endometrium should have been properly ripened and nurtured by proper hormones on right time, only then the blood supply to the baby will be normal, and the hormonal milieu should be fine. The best part is, if you have a missed abortion, chances of a healthy pregnancy is 97 %. So, why worry about the 3 %? It is advisable to give a gap of three months. Suppose there are any unseen reasons, they will be gone by that time. After 3 to 4 months get, these tests done, to rule out other possible causes. All these problems can be tested before pregnancy, the last one to be tested once pregnant. How old are you? If you are below 35 years, nothing needs to be done. If you are above 35 years, get serum AMH (anti-mullerian hormone) done within first ten days of your period. This will tell how many eggs are left in the ovaries. As age advances, the healthy eggs get over, and only unhealthy eggs predominate, so that could be a reason for the genetic problem. But there is a solution for each and every problem that I mentioned. Hope I have clarified your doubt. For more information consult an infertility specialist online -->
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Q. Can DPT vaccine cause neutropenia?
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Hi doctor, My son is 15 years. He got his DTaP vaccine two weeks ago and had CBC 20 days later. All came well except neutrophil count, which came back as 800 and total WBC 2500. We are going to repeat the test tomorrow. Can the vaccine be the cause for the neutropenia? And if so, how long will it take to recover?
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Hi. Based on your query, my opinion is as follows: If the count continues to be low compared to previous report before vaccination then bone marrow aspiration or biopsy needs to be done. Revert back after the investigations to a hematologist online.--->
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<s>[INST]
Hi doctor, My son is 15 years. He got his DTaP vaccine two weeks ago and had CBC 20 days later. All came well except neutrophil count, which came back as 800 and total WBC 2500. We are going to repeat the test tomorrow. Can the vaccine be the cause for the neutropenia? And if so, how long will it take to recover? [/INST] Hi. Based on your query, my opinion is as follows: If the count continues to be low compared to previous report before vaccination then bone marrow aspiration or biopsy needs to be done. Revert back after the investigations to a hematologist online.--->
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Q. I have few white bumps at the hair root. What is it?
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Hello doctor, I have infection of the scrotal hair. At the hair root, there is some white bump. Please suggest medicine for the problem.
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Hello. Well, I did not get any photos from your side. So I can just assume what it can be. As you said it has white bump it could be folliculitis. It contains pus which can get ruptured. Tablet Droxyl (Cefadroxil) 500 mg twice a day for a week and apply T-bact cream (Mupirocin) over it. Continue the same treatment for seven days and follow up after that. Revert back with the photos after seven days to a dermatologist online -->
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<s>[INST]
Hello doctor, I have infection of the scrotal hair. At the hair root, there is some white bump. Please suggest medicine for the problem. [/INST] Hello. Well, I did not get any photos from your side. So I can just assume what it can be. As you said it has white bump it could be folliculitis. It contains pus which can get ruptured. Tablet Droxyl (Cefadroxil) 500 mg twice a day for a week and apply T-bact cream (Mupirocin) over it. Continue the same treatment for seven days and follow up after that. Revert back with the photos after seven days to a dermatologist online -->
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Q. A swollen bottom jaw is preventing the denture from release. What should I do?
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Hello doctor, I am three days postop from a full mouth extraction with immediate dentures. My upper dentures are wonderful. But my bottom jaw has swollen very badly and I cannot get my bottom denture off. It is stuck due to swelling. I am so afraid of infection. What can I do other than ice and heat to get swelling down so that I can clean my denture and suture? Bottom jaw has swollen and is preventing bottom denture from release. I am currently on Percocet, Ibuprofen, and Amoxicillan. Please help.
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Hello. Generally, after insertion of an immediate denture, the patient feels numb and somewhat swollen from the local anesthetic and not really able to tell much about the comfort of the denture base and the fit of the denture teeth against the opposing jaw and teeth. Expect several appointments with the dentist during the healing period as the swelling goes down and the denture base settles. Your bite will change and need to be readjusted. The more teeth removed at the time the immediate denture is delivered, the longer it will take to heal and the more sore spots you will have. An immediate denture generally helps in the healing of extraction socket uneventfully. Generally, after extraction, some swelling do arise and because of that, you are not able to remove the denture. Just let me know if there any pain in the attempt to remove the denture or is it stuck as you are not able to remove it? If there is pain and if you feel redness and swelling in gums area, there are chances the area is a little infected. You can use over-the-counter surface antiseptics like Dologel (Choline Salicylate and Lidocaine Topical) or Metrogyl (Metronidazole) to apply locally and do warm saline gargles or rinses as frequently. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You can do to get rid of the infection and keep the area clean. If after this also the infection is not coming down, I would recommend you to visit your dentist. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, I am three days postop from a full mouth extraction with immediate dentures. My upper dentures are wonderful. But my bottom jaw has swollen very badly and I cannot get my bottom denture off. It is stuck due to swelling. I am so afraid of infection. What can I do other than ice and heat to get swelling down so that I can clean my denture and suture? Bottom jaw has swollen and is preventing bottom denture from release. I am currently on Percocet, Ibuprofen, and Amoxicillan. Please help. [/INST] Hello. Generally, after insertion of an immediate denture, the patient feels numb and somewhat swollen from the local anesthetic and not really able to tell much about the comfort of the denture base and the fit of the denture teeth against the opposing jaw and teeth. Expect several appointments with the dentist during the healing period as the swelling goes down and the denture base settles. Your bite will change and need to be readjusted. The more teeth removed at the time the immediate denture is delivered, the longer it will take to heal and the more sore spots you will have. An immediate denture generally helps in the healing of extraction socket uneventfully. Generally, after extraction, some swelling do arise and because of that, you are not able to remove the denture. Just let me know if there any pain in the attempt to remove the denture or is it stuck as you are not able to remove it? If there is pain and if you feel redness and swelling in gums area, there are chances the area is a little infected. You can use over-the-counter surface antiseptics like Dologel (Choline Salicylate and Lidocaine Topical) or Metrogyl (Metronidazole) to apply locally and do warm saline gargles or rinses as frequently. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You can do to get rid of the infection and keep the area clean. If after this also the infection is not coming down, I would recommend you to visit your dentist. For more information consult a dentist online -->
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Q. I did not bleed after taking Misoprostol. Why?
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Hi doctor, I started bleeding heavily after taking Mifepristone. It was not regular periods but thick blood clots, which lasted for a day. On the next day, I inserted a Misoprostol in the vagina, as I will be taking one tablet after every 12 hours (in total four tablets). After the first tablet, I got cramps but no bleeding. Now, I am waiting to put one more tablet after 12 hours, but I am worried since I did not bleed after the first tablet.
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Hi. How are you doing? Mifepristone is a hormonal pill which will dislodge the embryo from the uterus, that is the embryo will be will be free from the walls of the uterus after 48 hours. Having four tablets of Misoprostol 200 mcg orally or vaginally at a time is simpler, easier, and can avoid all the confusion of having it at repeated intervals. But remember, if you are using vaginally, just wet it before keeping the tablets, or else they will not dissolve and will have no effect. Hope I have clarified your query, do write back. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I started bleeding heavily after taking Mifepristone. It was not regular periods but thick blood clots, which lasted for a day. On the next day, I inserted a Misoprostol in the vagina, as I will be taking one tablet after every 12 hours (in total four tablets). After the first tablet, I got cramps but no bleeding. Now, I am waiting to put one more tablet after 12 hours, but I am worried since I did not bleed after the first tablet. [/INST] Hi. How are you doing? Mifepristone is a hormonal pill which will dislodge the embryo from the uterus, that is the embryo will be will be free from the walls of the uterus after 48 hours. Having four tablets of Misoprostol 200 mcg orally or vaginally at a time is simpler, easier, and can avoid all the confusion of having it at repeated intervals. But remember, if you are using vaginally, just wet it before keeping the tablets, or else they will not dissolve and will have no effect. Hope I have clarified your query, do write back. For further queries consult an obstetrician and gynaecologist online -->
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Q. What are the moles that keep recurring?
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Hi doctor, I have some moles on my lower face and earlier the moles were operated twice by laser therapy with the advice of a doctor. But, it appears repeatedly. Am I suffering from any illness? What are the causes behind it?
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Hi. For further queries consult a dermatologist online -->
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<s>[INST]
Hi doctor, I have some moles on my lower face and earlier the moles were operated twice by laser therapy with the advice of a doctor. But, it appears repeatedly. Am I suffering from any illness? What are the causes behind it? [/INST] Hi. For further queries consult a dermatologist online -->
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Q. How can hypopigmentation be treated in an infant?
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Hello doctor, My 6-week-old daughter has got white hypopigmented areas on bilateral groins and both inner thighs more in the left groin. Also, they seem to be appearing near the umbilicus and upper chest. We are very worried about it and want to know if there is any treatment available for it. Your opinion will be appreciated. I have attached reports for your reference.
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Hello. I have gone through the attachments (attachment removed to protect patient identity). She seems to have trichrome vitiligo which is an indication of active disease. I would like to know the duration. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, My 6-week-old daughter has got white hypopigmented areas on bilateral groins and both inner thighs more in the left groin. Also, they seem to be appearing near the umbilicus and upper chest. We are very worried about it and want to know if there is any treatment available for it. Your opinion will be appreciated. I have attached reports for your reference. [/INST] Hello. I have gone through the attachments (attachment removed to protect patient identity). She seems to have trichrome vitiligo which is an indication of active disease. I would like to know the duration. For more information consult a dermatologist 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. Is there any emergency observed in this head CT scan report?
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Hi doctor, The patient met with an accident. She is 47 years old. In the accident, she had a collar bone fracture and a hit in the back of the brain. The back of the head is bulging and some spots are observed in the brain CT scan. I have attached the head CT scan report for your reference. Please help.
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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. Revert back with the answer to the above question to a neuro surgeon online -->
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<s>[INST]
Hi doctor, The patient met with an accident. She is 47 years old. In the accident, she had a collar bone fracture and a hit in the back of the brain. The back of the head is bulging and some spots are observed in the brain CT scan. I have attached the head CT scan report for your reference. Please help. [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. Revert back with the answer to the above question to a neuro surgeon online -->
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Q. I have fluctuations in heart rate with chest tightness and fatigue. Please explain my EKG.
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Hello doctor, Can my EKG be overread, please? My general practitioner read mine and I would feel better if a cardiologist looked at it. I have a lot of fluctuations in heart rate, shortness of breath, chest tightness, fatigue, and dizziness. Labs show a positive D Dimer, elevated SED rate, elevated platelets, Vitamin B 12, folate, and vitamin D deficiency. Ruled out clot in lungs with CT scan, no signs of fluid in lungs, no mono, and negative for COVID-19. Waiting for Holter monitor results. I started treatment for vitamin deficiencies.
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Hello. Your ECG (electrocardiography) is normal. (attachment removed to protect patient identity). I think you are talking about a slight variation in heart rate in this ECG strip. Yes, it is there and it is called sinus arrhythmia. Sinus arrhythmia is a perfectly normal arrhythmia. It is one of the only two rhythm problems which are called good arrhythmias. Do not worry about this. This sinus arrhythmia means your heartbeats are perfect. If you are talking about some other type of heart rate variation, Holter will clarify it. If there is any rhythm problem you feel concerned for, you can ask anytime. Positive D dimer is very nonspecific, and diagnosis cannot be made on it alone. Keep taking Folate, vitamin B12, and D supplements. I hope this helps.
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<s>[INST]
Hello doctor, Can my EKG be overread, please? My general practitioner read mine and I would feel better if a cardiologist looked at it. I have a lot of fluctuations in heart rate, shortness of breath, chest tightness, fatigue, and dizziness. Labs show a positive D Dimer, elevated SED rate, elevated platelets, Vitamin B 12, folate, and vitamin D deficiency. Ruled out clot in lungs with CT scan, no signs of fluid in lungs, no mono, and negative for COVID-19. Waiting for Holter monitor results. I started treatment for vitamin deficiencies. [/INST] Hello. Your ECG (electrocardiography) is normal. (attachment removed to protect patient identity). I think you are talking about a slight variation in heart rate in this ECG strip. Yes, it is there and it is called sinus arrhythmia. Sinus arrhythmia is a perfectly normal arrhythmia. It is one of the only two rhythm problems which are called good arrhythmias. Do not worry about this. This sinus arrhythmia means your heartbeats are perfect. If you are talking about some other type of heart rate variation, Holter will clarify it. If there is any rhythm problem you feel concerned for, you can ask anytime. Positive D dimer is very nonspecific, and diagnosis cannot be made on it alone. Keep taking Folate, vitamin B12, and D supplements. I hope this helps.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. Are breast tenderness and vaginal discharge symptoms of pregnancy?
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Hi doctor, My cycle is about 25 days. Me and my husband got intimated on day 18 using a condom. We are worried that the semen had fallen near to me while taking out. Soon, I took a Morning after pill within an hour. Can you please tell me is there any chance to conceive? Also, please let me know the symptoms of pregnancy. Today is my date, but I have not gotten my periods yet. Please help me. I am really worried as we got married just two months before.
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Hi. Pregnancy or just delayed period. Pregnancy test after two days from morning sample of urine. 1. If UPT (urine pregnancy test) is positive, then you need advice of local doctor for MTP pill (medical termination of pregnancy pill). 2. Also, I suggest Depo-Provera (Medroxyprogesterone) for contraception. Revert back after two days to an obstetrician and gynaecologist online.--->
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<s>[INST]
Hi doctor, My cycle is about 25 days. Me and my husband got intimated on day 18 using a condom. We are worried that the semen had fallen near to me while taking out. Soon, I took a Morning after pill within an hour. Can you please tell me is there any chance to conceive? Also, please let me know the symptoms of pregnancy. Today is my date, but I have not gotten my periods yet. Please help me. I am really worried as we got married just two months before. [/INST] Hi. Pregnancy or just delayed period. Pregnancy test after two days from morning sample of urine. 1. If UPT (urine pregnancy test) is positive, then you need advice of local doctor for MTP pill (medical termination of pregnancy pill). 2. Also, I suggest Depo-Provera (Medroxyprogesterone) for contraception. Revert back after two days to an obstetrician and gynaecologist online.--->
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Q. Is it possible to halt or postpone my periods temporarily?
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Hello doctor, I am a 21 year old female, and I have an upcoming event in which I have to perform. Unfortunately, my expected menstruations date is also on the same day. If I get my menstruation on the same day, I will not be able to perform at all. I have heard about temporarily halting your period and postponing it. Is it safe to do so? If yes, what medicine do I need to take to stop my menstruation temporarily?
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Hi. Revert with more information to an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am a 21 year old female, and I have an upcoming event in which I have to perform. Unfortunately, my expected menstruations date is also on the same day. If I get my menstruation on the same day, I will not be able to perform at all. I have heard about temporarily halting your period and postponing it. Is it safe to do so? If yes, what medicine do I need to take to stop my menstruation temporarily? [/INST] Hi. Revert with more information to an obstetrician and gynaecologist online -->
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Q. Please explain the odd in my chest x-ray and liver scan report.
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Hi doctor, I am done with my chest x-ray. But, I am worried and I do not want to wait a week for my doctor's opinion. So, I have attached it. Please convey your opinion. Thanks.
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Hi. I have seen your chest x-ray (attachment removed to protect patient identity). For further information consult a radiologist online -->
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<s>[INST]
Hi doctor, I am done with my chest x-ray. But, I am worried and I do not want to wait a week for my doctor's opinion. So, I have attached it. Please convey your opinion. Thanks. [/INST] Hi. I have seen your chest x-ray (attachment removed to protect patient identity). For further information consult a radiologist online -->
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Q. My bottom teeth have receded. How can I fix this without a gum graft?
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Hello doctor, The dentist said I should get my bottom two front teeth looked at by a periodontal expert but I wanted to get a second opinion first. My bottom teeth have receded due to having a tongue ring previously. How can I fix this without doing a bridge and gum grafting? The doctor also said that the gum grafting not always works. Should I continue to gloss and brush gently? I feel it is getting crooked due to other teeth pushing them in. It has just been getting worse over the past two to five years. Kindly advice.
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Hello. I have gone through your query and here is what I suggest you. Regards. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, The dentist said I should get my bottom two front teeth looked at by a periodontal expert but I wanted to get a second opinion first. My bottom teeth have receded due to having a tongue ring previously. How can I fix this without doing a bridge and gum grafting? The doctor also said that the gum grafting not always works. Should I continue to gloss and brush gently? I feel it is getting crooked due to other teeth pushing them in. It has just been getting worse over the past two to five years. Kindly advice. [/INST] Hello. I have gone through your query and here is what I suggest you. Regards. For more information consult a dentist online -->
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Q. What is the possible treatment for back pain followed by lifting heavy weight?
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Hi doctor, I was sitting half bent while washing the clothes. There were few buckets full of water one over the other. I got my back hurt when I tried to bring one of the buckets down. My body has tilted a bit towards left. I am unable to move and walk. It is paining a lot. Usually after work I do will have a slight pain in my back. But today it has increased so much that I cannot even move. Please tell me a medicine and what precautions should I take ? Today I have taken Flexon-MR but it did not reduce the pain.
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Hi.Actually, you are very young to have persistent back pain and this episode appears to be an acute exaggeration of this pain. Cause of back pain can be due to a muscle strain or a small herniation of an intervertebral disc followed by lifting heavy weight. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations initially for a period of two weeks. We will observe you for the next two to three weeks to see how you respond to this conservative management protocol. Normally, the pain in the back along with the muscle spasm will subside in next five to seven days if you take your medications and observe precautions as advised. If you are not feeling better, then we might have to get some investigations like dynamic x-ray of lower back and few blood tests for evaluation. Injury while attempting to lift a heavy weight. Nothing as of now. Avoid acute forward bending, lifting of any heavy weight, etc., till the time your pain subsides. Revert back after seven days or if necessary to an orthopaedician and traumatologist online.--->
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<s>[INST]
Hi doctor, I was sitting half bent while washing the clothes. There were few buckets full of water one over the other. I got my back hurt when I tried to bring one of the buckets down. My body has tilted a bit towards left. I am unable to move and walk. It is paining a lot. Usually after work I do will have a slight pain in my back. But today it has increased so much that I cannot even move. Please tell me a medicine and what precautions should I take ? Today I have taken Flexon-MR but it did not reduce the pain. [/INST] Hi.Actually, you are very young to have persistent back pain and this episode appears to be an acute exaggeration of this pain. Cause of back pain can be due to a muscle strain or a small herniation of an intervertebral disc followed by lifting heavy weight. If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias, etc., then you can start with following recommendations initially for a period of two weeks. We will observe you for the next two to three weeks to see how you respond to this conservative management protocol. Normally, the pain in the back along with the muscle spasm will subside in next five to seven days if you take your medications and observe precautions as advised. If you are not feeling better, then we might have to get some investigations like dynamic x-ray of lower back and few blood tests for evaluation. Injury while attempting to lift a heavy weight. Nothing as of now. Avoid acute forward bending, lifting of any heavy weight, etc., till the time your pain subsides. Revert back after seven days or if necessary to an orthopaedician and traumatologist online.--->
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Q. What does abutment of the nerve root mean?
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Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?
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Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
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Q. How to avoid recurrence of ectopic pregnancy?
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Hi doctor, My wife had an ectopic pregnancy seven months ago. Through a surgery right side fallopian tube was removed at that time. Now what kind of treatment does she need to avoid ectopic pregnancy again? Please suggest.
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Hi. I understand your concern. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, My wife had an ectopic pregnancy seven months ago. Through a surgery right side fallopian tube was removed at that time. Now what kind of treatment does she need to avoid ectopic pregnancy again? Please suggest. [/INST] Hi. I understand your concern. For further information consult an obstetrician and gynaecologist online -->
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Q. Do high eosinophil count and low Hb level indicate allergic reaction?
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Hi doctor, The patient is a 27 year old female who has been suffered from hay fever for some years. Now, she has now been referred to the Chest Clinic with breathing difficulties. She has commented that her condition appears to worsen when she visits her friend, who is a cat owner. On examination, she has wheezing sounds in her lungs and inflamed sinuses. Her Hb is low, and eosinophil count is high, but other WBC differential counts, platelets and MCV are normal. I was unsure if the hemoglobin being low is seen with allergies or this could be a wholly separate matter. Are the high level of eosinophil and low Hb related to visit of the cat or indicate something else?
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Hi. For further information consult a hematologist online -->
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<s>[INST]
Hi doctor, The patient is a 27 year old female who has been suffered from hay fever for some years. Now, she has now been referred to the Chest Clinic with breathing difficulties. She has commented that her condition appears to worsen when she visits her friend, who is a cat owner. On examination, she has wheezing sounds in her lungs and inflamed sinuses. Her Hb is low, and eosinophil count is high, but other WBC differential counts, platelets and MCV are normal. I was unsure if the hemoglobin being low is seen with allergies or this could be a wholly separate matter. Are the high level of eosinophil and low Hb related to visit of the cat or indicate something else? [/INST] Hi. For further information consult a hematologist online -->
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Q. The inner side of my penis has redness and itching. How do I cure it?
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Hello doctor, I have redness and white creamy substance on the inner side of my penis, which is sometimes itchy. I had taken Fluka 150 mg one time and the redness reduced, but it has not gone completely. What could it be? Please suggest treatment.
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Hello. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have redness and white creamy substance on the inner side of my penis, which is sometimes itchy. I had taken Fluka 150 mg one time and the redness reduced, but it has not gone completely. What could it be? Please suggest treatment. [/INST] Hello. For more information consult a dermatologist online -->
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Q. What ayurveda medicine cures blood in stool?
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Hi doctor, I am a 38 year old male. My weight is 85 kg and height is 5'11". I had the problem of blood in stool before a year and that got cured with medicine. Now again I feel very difficult to go toilet. I think it as constipation. I feel hard to pass stool. I used to wake up around 6.30 AM. After drinking a glass of lukewarm water, I used to walk for 30 minutes and then will have a cup of tea with two biscuits by 7.30 AM. After half an hour again I will have a glass of warm water at 8 AM. Despite all these, I used to pass stool with difficulty. So, please give me some valuable advice to cure my problem. I also have a problem in my legs below the knees. I feel restless in my leg all the time and after doing some work like visit to market and any other thing I feel my leg has been very tired and should take rest. But, when I take rest I feel very uncomfortable. So, I have to move my legs time to time. I have taken many medicines and multivitamin but there has been no benefit. Because of this trouble, I do feel lazy and avoid traveling as I cannot stand for long time. I cannot have both hot and cold food because of the uneasiness in my tongue and teeth. Please help.
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Hello. Revert back after a week to an ayurveda specialist online -->
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<s>[INST]
Hi doctor, I am a 38 year old male. My weight is 85 kg and height is 5'11". I had the problem of blood in stool before a year and that got cured with medicine. Now again I feel very difficult to go toilet. I think it as constipation. I feel hard to pass stool. I used to wake up around 6.30 AM. After drinking a glass of lukewarm water, I used to walk for 30 minutes and then will have a cup of tea with two biscuits by 7.30 AM. After half an hour again I will have a glass of warm water at 8 AM. Despite all these, I used to pass stool with difficulty. So, please give me some valuable advice to cure my problem. I also have a problem in my legs below the knees. I feel restless in my leg all the time and after doing some work like visit to market and any other thing I feel my leg has been very tired and should take rest. But, when I take rest I feel very uncomfortable. So, I have to move my legs time to time. I have taken many medicines and multivitamin but there has been no benefit. Because of this trouble, I do feel lazy and avoid traveling as I cannot stand for long time. I cannot have both hot and cold food because of the uneasiness in my tongue and teeth. Please help. [/INST] Hello. Revert back after a week to an ayurveda specialist online -->
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Q. Can I get pregnant with only one matured follicle?
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Hi doctor, I had PCOD. Please check my scan report and explain it. Thank you.
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Hi. I have read your problem. Revert back with the answers to the above questions to an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had PCOD. Please check my scan report and explain it. Thank you. [/INST] Hi. I have read your problem. Revert back with the answers to the above questions to an obstetrician and gynaecologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. 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. My face has swollen after a gum abscess. Should I be worried?
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Hello doctor, I have an abscess in my gums. I went to the hospital yesterday and they prescribed me 500 mg Penicillin to be taken four times a day. I started the Penicillin at 10 AM yesterday. The abscess has caused my face to swell. Overnight, the swelling has spread to the area around my eye. I do not have any pain unless I poke around at my cheek. I can still see out of the eye, but it is uncomfortable. I am, however, extremely scared by the swelling around my eye and was wondering if I should return to the hospital and possibly inquire about an IV antibiotic or should I just wait it out with the oral antibiotic?
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Hello. You also need to consult a dentist as soon as possible, and the tooth should either undergo a root canal treatment or extraction, depending on the condition of the tooth. Hope this helps. Regards. For more information consult a dentist online -->
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<s>[INST]
Hello doctor, I have an abscess in my gums. I went to the hospital yesterday and they prescribed me 500 mg Penicillin to be taken four times a day. I started the Penicillin at 10 AM yesterday. The abscess has caused my face to swell. Overnight, the swelling has spread to the area around my eye. I do not have any pain unless I poke around at my cheek. I can still see out of the eye, but it is uncomfortable. I am, however, extremely scared by the swelling around my eye and was wondering if I should return to the hospital and possibly inquire about an IV antibiotic or should I just wait it out with the oral antibiotic? [/INST] Hello. You also need to consult a dentist as soon as possible, and the tooth should either undergo a root canal treatment or extraction, depending on the condition of the tooth. Hope this helps. Regards. For more information consult a dentist online -->
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Q. Will sex before the day of semen analysis affect the report?
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Hi doctor, In my semen analysis, the semen count is 66. But, there are 95% dead cells. Ultrasound scan revealed that I have varicocele. Can varicocele operation improve the quality of semen? I made sex the day before the analysis. Did it make the difference?
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Hi. For further information consult an infertility specialist online -->
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<s>[INST]
Hi doctor, In my semen analysis, the semen count is 66. But, there are 95% dead cells. Ultrasound scan revealed that I have varicocele. Can varicocele operation improve the quality of semen? I made sex the day before the analysis. Did it make the difference? [/INST] Hi. For further information consult an infertility specialist online -->
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Q. Can I get pregnant after taking Unwanted 72?
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Hi doctor, I had unprotected sex with my partner. After a month, I had a delay in my periods. I want to know about pregnancy.
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Hi. As you had unprotected sex, there is a chance of pregnancy in your case. It depends upon the day of your menstrual cycle it happened. Delayed menses is due to hormonal imbalance caused by sex. Get your home urine test if you miss your periods by seven days. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had unprotected sex with my partner. After a month, I had a delay in my periods. I want to know about pregnancy. [/INST] Hi. As you had unprotected sex, there is a chance of pregnancy in your case. It depends upon the day of your menstrual cycle it happened. Delayed menses is due to hormonal imbalance caused by sex. Get your home urine test if you miss your periods by seven days. For more information consult an obstetrician and gynaecologist online -->
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Q. I notice a lump in my neck after a throat infection. Could this be from the virus?
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Hello doctor, On Sunday evening, I went to bed with a stuffy nose and in the morning, I woke up with body aches and chills and a sore throat. I look at my throat in the mirror and notice pus starting on my tonsils. The next day, my tonsils are covered in pus, painful to swallow. Body aches and chills continue. So, I went to the doctor and it was negative for strep. Two days later, my symptoms are not getting better. So, I go back and they tested me for mono which was negative. They sent off my culture and it was negative for bacteria. Today, my throat is getting better. Later that day, I noticed a lump on the side of my neck. It is painless and moves slightly when I press on it. It is about the size of my pointer fingertip. Could this be from the virus?
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Hello. I shall try to help you out on this one. The symptoms and signs which you have written are consistent with the diagnosis of acute tonsillitis. However, since tests for bacteria were negative, there is most probably a viral cause for the infection. Mono test is a test to detect infectious mononucleosis, another viral infection. Since mono test is negative, that may be ruled out. The lump in the neck you are talking about seems to be an enlarged lymph node. Tonsil infections are in many cases accompanied by enlarged lymph nodes in the neck. The lymph nodes most often getting enlarged in tonsillitis as they are situated just below the ear. Those may be movable and slightly tender to touch. If the neck lump persists or gets enlarged day by day or loses its mobility, an FNAC may be done to know the underlying cause. In most cases of uncomplicated tonsillitis, however, the swelling gradually reduces, and nothing further needs to be done. So, the possible causes are: But, the most likely cause is acute viral tonsillitis, that too resolving (as the throat is getting better). Be sure to take plenty of fluids. Paracetamol may help to take care of pain and/or fever. For the time being, sharing personal items with others may be avoided. For more information consult an ENT otolaryngologist online -->
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<s>[INST]
Hello doctor, On Sunday evening, I went to bed with a stuffy nose and in the morning, I woke up with body aches and chills and a sore throat. I look at my throat in the mirror and notice pus starting on my tonsils. The next day, my tonsils are covered in pus, painful to swallow. Body aches and chills continue. So, I went to the doctor and it was negative for strep. Two days later, my symptoms are not getting better. So, I go back and they tested me for mono which was negative. They sent off my culture and it was negative for bacteria. Today, my throat is getting better. Later that day, I noticed a lump on the side of my neck. It is painless and moves slightly when I press on it. It is about the size of my pointer fingertip. Could this be from the virus? [/INST] Hello. I shall try to help you out on this one. The symptoms and signs which you have written are consistent with the diagnosis of acute tonsillitis. However, since tests for bacteria were negative, there is most probably a viral cause for the infection. Mono test is a test to detect infectious mononucleosis, another viral infection. Since mono test is negative, that may be ruled out. The lump in the neck you are talking about seems to be an enlarged lymph node. Tonsil infections are in many cases accompanied by enlarged lymph nodes in the neck. The lymph nodes most often getting enlarged in tonsillitis as they are situated just below the ear. Those may be movable and slightly tender to touch. If the neck lump persists or gets enlarged day by day or loses its mobility, an FNAC may be done to know the underlying cause. In most cases of uncomplicated tonsillitis, however, the swelling gradually reduces, and nothing further needs to be done. So, the possible causes are: But, the most likely cause is acute viral tonsillitis, that too resolving (as the throat is getting better). Be sure to take plenty of fluids. Paracetamol may help to take care of pain and/or fever. For the time being, sharing personal items with others may be avoided. For more information consult an ENT otolaryngologist online -->
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Q. Is it true that there is no cure for functional dyspepsia?
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Hi doctor, I am a 20 year old male, I have a constant and mild abdominal pain whole day, especially in the morning. I feel heavy all day long, but still, have an urge to eat. I fart and belch more than usual and have a foul smell. I have a sense of indigestion in my stomach all day long. I defecate less than I used to. The stools are not watery or lose but are thin and weak as compared to when my stomach was healthy. I do not have any vomiting or lose motion. I do not have any loss of appetite or weight loss. I have been having these symptoms since last two months. Currently, I am taking tablet Rebel D in the morning on an empty stomach, tablet Colofac before every meal, tablet Gastro-soothe after every meal. I have been having these medicines since one week, but I have not noticed much change. I do not have any allergies. I have done blood tests, ultrasound, and stool test, all of them were normal. The doctor said I have functional dyspepsia. My state has not improved much in the last two months, what am I doing wrong? What should I do now? I have read other patients testimonies on some websites, and they have written that they are suffering from this disease from the last two years, and it is something that they have to live with for their entire lives. Is this such a serious illness? Do I have to live with it for my whole life? Is it impossible to cure it? Can no medication or surgery cure it? I want to feel normal again, the way I used to before. I used to eat junk food occasionally, and my stomach was able to digest it, but now it seems frail. Kindly help me and if possible give me as much detail as possible. Thank you.
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Hi. Firstly, you are not sick, and you do not have any disease. For more information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a 20 year old male, I have a constant and mild abdominal pain whole day, especially in the morning. I feel heavy all day long, but still, have an urge to eat. I fart and belch more than usual and have a foul smell. I have a sense of indigestion in my stomach all day long. I defecate less than I used to. The stools are not watery or lose but are thin and weak as compared to when my stomach was healthy. I do not have any vomiting or lose motion. I do not have any loss of appetite or weight loss. I have been having these symptoms since last two months. Currently, I am taking tablet Rebel D in the morning on an empty stomach, tablet Colofac before every meal, tablet Gastro-soothe after every meal. I have been having these medicines since one week, but I have not noticed much change. I do not have any allergies. I have done blood tests, ultrasound, and stool test, all of them were normal. The doctor said I have functional dyspepsia. My state has not improved much in the last two months, what am I doing wrong? What should I do now? I have read other patients testimonies on some websites, and they have written that they are suffering from this disease from the last two years, and it is something that they have to live with for their entire lives. Is this such a serious illness? Do I have to live with it for my whole life? Is it impossible to cure it? Can no medication or surgery cure it? I want to feel normal again, the way I used to before. I used to eat junk food occasionally, and my stomach was able to digest it, but now it seems frail. Kindly help me and if possible give me as much detail as possible. Thank you. [/INST] Hi. Firstly, you are not sick, and you do not have any disease. For more information consult an internal medicine physician online -->
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Q. Can anxiety cause foot drop and twitches in the body?
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Hi doctor, I am a 26 year old female, and I developed foot drop five weeks ago, the foot was numb, and I could not dorsiflex it. But, now I can dorsiflex, and the steppage gait has disappeared unless I walk long distances. I have more power in the foot now, but it is still a lot weaker than the other one, I cannot walk on my heels yet. However, I have been extremely anxious about this foot drop, and a couple of weeks ago I started to twitch, first in the legs and then all over my body, I can see the twitches. When I am talking with someone and thinking about something else, the twitches go away and come back when I think about it. I do feel weak in my body, especially in the legs. Can it be due to the anxiety? I am going to a neurologist, but there is a three months waiting period, and I am scared. I do not think we have had any ALS in my family. Please help me ease my mind.
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Hello. It is good that your foot drop is improving in a five weeks period. The twitches that you are feeling may be due to anxiety also. If it was ALS (amyotrophic lateral sclerosis), the foot drop would be unlikely to improve. As it is improving, it is unlikely to be ALS. I suggest you undergo the following investigations. There can be many causes for foot drop. You should meet a neurologist for investigations to find reasons for foot drop and its proper management. For more information consult a neurologist online -->
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<s>[INST]
Hi doctor, I am a 26 year old female, and I developed foot drop five weeks ago, the foot was numb, and I could not dorsiflex it. But, now I can dorsiflex, and the steppage gait has disappeared unless I walk long distances. I have more power in the foot now, but it is still a lot weaker than the other one, I cannot walk on my heels yet. However, I have been extremely anxious about this foot drop, and a couple of weeks ago I started to twitch, first in the legs and then all over my body, I can see the twitches. When I am talking with someone and thinking about something else, the twitches go away and come back when I think about it. I do feel weak in my body, especially in the legs. Can it be due to the anxiety? I am going to a neurologist, but there is a three months waiting period, and I am scared. I do not think we have had any ALS in my family. Please help me ease my mind. [/INST] Hello. It is good that your foot drop is improving in a five weeks period. The twitches that you are feeling may be due to anxiety also. If it was ALS (amyotrophic lateral sclerosis), the foot drop would be unlikely to improve. As it is improving, it is unlikely to be ALS. I suggest you undergo the following investigations. There can be many causes for foot drop. You should meet a neurologist for investigations to find reasons for foot drop and its proper management. For more information consult a neurologist online -->
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Q. We had anal sex and now my wife has a tear in her anus. Please help.
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Hi doctor, I got married recently and tried anal sex. Because of it there is a small tear in her anus. This incident happened 3 weeks back. She does not have any pain while motion and also there is no blood or white mucus in the stool. But, she feels a flesh strand (like thread) at her anus opening. And from two days she is having constipation. Please guide us how to proceed. Thank you.
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Hello. From your description, it looks like your wife had an anal fissure, due to the tear. You should have a look at the strand that is hanging from the anus and locate it and then consult me. Depending on that, we should be able to better help her. However, it is most important right now to avoid constipation. There is no pain, blood, mucus means there is no injury actively. Yet she needs to take a tablet Dulcolax or syrup Duphalac (Lactulose) or Isabgol (psyllium husk) with 1 glass of warm water at bedtime daily to avoid constipation strictly. Take care and get well soon. Revert back for follow up after a week of medication or when necessary to an internal medicine physician online -->
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<s>[INST]
Hi doctor, I got married recently and tried anal sex. Because of it there is a small tear in her anus. This incident happened 3 weeks back. She does not have any pain while motion and also there is no blood or white mucus in the stool. But, she feels a flesh strand (like thread) at her anus opening. And from two days she is having constipation. Please guide us how to proceed. Thank you. [/INST] Hello. From your description, it looks like your wife had an anal fissure, due to the tear. You should have a look at the strand that is hanging from the anus and locate it and then consult me. Depending on that, we should be able to better help her. However, it is most important right now to avoid constipation. There is no pain, blood, mucus means there is no injury actively. Yet she needs to take a tablet Dulcolax or syrup Duphalac (Lactulose) or Isabgol (psyllium husk) with 1 glass of warm water at bedtime daily to avoid constipation strictly. Take care and get well soon. Revert back for follow up after a week of medication or when necessary to an internal medicine physician online -->
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Q. I had bleeding after taking morning-after pill. Does that mean I am not pregnant?
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Hi doctor, If I had unprotected sex on the 29th of last month, took the morning-after pill a few hours later, and today on the 14th, got my regular period which was due today, does that mean I am 100 % not pregnant?
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Hello. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, If I had unprotected sex on the 29th of last month, took the morning-after pill a few hours later, and today on the 14th, got my regular period which was due today, does that mean I am 100 % not pregnant? [/INST] Hello. For more information consult an obstetrician and gynaecologist online -->
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Q. My ECG shows RBBB, but no abnormality was found in echo. What to do?
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Hi doctor, I am 29 years old. I am suffering from acidity problem and hypertension. My SGPT 107, SGOT 112, bilirubin 1.1 and fasting blood sugar 83 mg/dL. All other blood test reports like lipid profile and uric acid are normal. My USG report is normal. My ECG shows RBBB and no abnormality found in the echocardiogram. I am on Atenolol 50 mg and Amlodipine 2.5 mg for the last one year.
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Hi. I have seen your reports (attachment removed to protect patient identity), which are quite acceptable. For further information consult a general medicine physician online -->
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<s>[INST]
Hi doctor, I am 29 years old. I am suffering from acidity problem and hypertension. My SGPT 107, SGOT 112, bilirubin 1.1 and fasting blood sugar 83 mg/dL. All other blood test reports like lipid profile and uric acid are normal. My USG report is normal. My ECG shows RBBB and no abnormality found in the echocardiogram. I am on Atenolol 50 mg and Amlodipine 2.5 mg for the last one year. [/INST] Hi. I have seen your reports (attachment removed to protect patient identity), which are quite acceptable. For further information consult a general medicine physician online -->
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Q. We are undergoing infertility treatment. Will this treatment cause birth defects in our child?
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Hello doctor, My wife is 24 years old and she has PCOD. We have been trying to conceive for the past 2 years, but no result. We went to infertility specialist six months ago. He started the treatment through medicines and one IUI. But, all the treatments failed. Then, he decided to go for IVF. Our doctor said that my semen sample is normal. In this IVF cycle 15 eggs were retrieved. Out of the 15 eggs they decided 8 eggs for IVF and 7 eggs for ICSI. Later, the doctor said that all 8 IVF eggs failed to be fertile because egg layer was very strong and And all the 5 eggs with ICSI are fertile. He transferred two embryos today and said that the embryo quality is good. Is ICSI a safe process? Will it affect the IQ of the baby or cause any birth defect? What about the fertility status during their adulthood? And finally, why is egg layer so thick?
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Hi. I can understand your concerns. Revert back to an infertility specialist online for further follow up -->
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<s>[INST]
Hello doctor, My wife is 24 years old and she has PCOD. We have been trying to conceive for the past 2 years, but no result. We went to infertility specialist six months ago. He started the treatment through medicines and one IUI. But, all the treatments failed. Then, he decided to go for IVF. Our doctor said that my semen sample is normal. In this IVF cycle 15 eggs were retrieved. Out of the 15 eggs they decided 8 eggs for IVF and 7 eggs for ICSI. Later, the doctor said that all 8 IVF eggs failed to be fertile because egg layer was very strong and And all the 5 eggs with ICSI are fertile. He transferred two embryos today and said that the embryo quality is good. Is ICSI a safe process? Will it affect the IQ of the baby or cause any birth defect? What about the fertility status during their adulthood? And finally, why is egg layer so thick? [/INST] Hi. I can understand your concerns. Revert back to an infertility specialist online for further follow up -->
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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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