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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. Is it normal to have yellowish discharge after Clingen insertion?
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Hi doctor, I was diagnosed with candidiasis and my doctor gave me Clingen 3 for insertion. I used to get this candidiasis infection every month and it will get well on its own. For the first time I have consulted a doctor. At present, I am not having any symptoms and decided to take the medication course, which also included Fluconazole 150, for the first time. I inserted the tablet and slept. The next morning, I found slightly yellow discharge running down quite fluid. There is no burning or itching. Is it normal after inserting this tablet? I had such a discharge for the first time now. What caused this?
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Hi. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I was diagnosed with candidiasis and my doctor gave me Clingen 3 for insertion. I used to get this candidiasis infection every month and it will get well on its own. For the first time I have consulted a doctor. At present, I am not having any symptoms and decided to take the medication course, which also included Fluconazole 150, for the first time. I inserted the tablet and slept. The next morning, I found slightly yellow discharge running down quite fluid. There is no burning or itching. Is it normal after inserting this tablet? I had such a discharge for the first time now. What caused this? [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->
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Q. Other than masturbation, how to collect sperm for semen analysis?
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Hi doctor, I am in a need to provide a sample for sperm analysis. I could ejaculate during sex. But, when I try to provide sperm for analysis by masturbation, I failed. Can I provide home sample? Is there any other way available for this like vibrator? Please suggest.
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Hi. For further information consult a sexologist online -->
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<s>[INST]
Hi doctor, I am in a need to provide a sample for sperm analysis. I could ejaculate during sex. But, when I try to provide sperm for analysis by masturbation, I failed. Can I provide home sample? Is there any other way available for this like vibrator? Please suggest. [/INST] Hi. For further information consult a sexologist online -->
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Q. How can cherry angiomas be treated?
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Hello doctor, I have cherry angiomas all over my stomach. Is there a natural way to get rid of them? I am on Lisinopril. I am currently working as a contractor and cannot see a dermatologist. Do you have any suggestions or recommendations?
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Hello. For more information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I have cherry angiomas all over my stomach. Is there a natural way to get rid of them? I am on Lisinopril. I am currently working as a contractor and cannot see a dermatologist. Do you have any suggestions or recommendations? [/INST] Hello. For more information consult a dermatologist online -->
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Q. How to cure the tiny red spots in the throat?
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Hi doctor, I am getting a throat infection for one or two times a year. As shown in the photo, I have tiny red painless spots in the upper part of the throat. When I get throat infection, mostly upper respiratory infection from nose to throat, these tiny spots become mild painful and sensitive to breathing air. Also, my throat area will become more reddish than usual. Once the throat infection gets cured, these tiny spots again become painless and less sensitive. But, they remain dormant over there. Some doctors said that it may be pin head ulcer or some allergic spots. My blood test HSV 1 and 2 shows no recent or past infection. And, other blood tests are normal. Please suggest what it can be. How to cure those spots?
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Hello. I looked through the photographs you have sent (attachment removed to protect patient identity). I must appreciate the care and patience you have taken in capturing a clear photograph of the throat and labeling it for easy understanding. Revert back with the answers to the above questions to an ENT otolaryngologist online -->
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<s>[INST]
Hi doctor, I am getting a throat infection for one or two times a year. As shown in the photo, I have tiny red painless spots in the upper part of the throat. When I get throat infection, mostly upper respiratory infection from nose to throat, these tiny spots become mild painful and sensitive to breathing air. Also, my throat area will become more reddish than usual. Once the throat infection gets cured, these tiny spots again become painless and less sensitive. But, they remain dormant over there. Some doctors said that it may be pin head ulcer or some allergic spots. My blood test HSV 1 and 2 shows no recent or past infection. And, other blood tests are normal. Please suggest what it can be. How to cure those spots? [/INST] Hello. I looked through the photographs you have sent (attachment removed to protect patient identity). I must appreciate the care and patience you have taken in capturing a clear photograph of the throat and labeling it for easy understanding. Revert back with the answers to the above questions to an ENT otolaryngologist online -->
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Q. My thyroids are enlarged and asymmetrical. Should I visit an endocrinologist?
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Hello doctor, I am a 32 year old woman, who in the last six months began to experience thyroid symptoms. I am in the process of looking for a new physician, but I live in a very remote area with a significant shortage of medical professionals, so I am in a lot of ways on my own here. My mother had her thyroid removed at 10, due to a goiter that was large enough to impede breathing and swallowing. My symptoms include extreme fatigue and insomnia. Now I sleep as much as 12 hours at night and still need an afternoon nap to be functional, and have cold intolerance, brain fog, very emotional, and change in my menstrual cycle (get periods every 2 to 3 weeks, with cramps). I also lost about 15 pounds within a month without a change in the diet. The weight loss has slowed since, but I am down around 22 lbs. At the initial visit, my doctor could determine that my thyroid was enlarged and asymmetric, and ordered an ultrasound and TSH. I never saw the values for the initial TSH test but was told it was within normal limits. The ultrasound showed both lobes to be significantly enlarged, with the left being half as big as the right. Both were full of nodules, but three stood out enough to warrant a biopsy, including one of 4.7 cm that contained a calcification. My biopsy is later this week. These results were enough to convince my doctor to run more blood tests. I picked up the reports from the lab today and discovered that she did a TSH, T3, T4, and TPO. I will attach the reports. TSH was 1.72 IU/mL, T3 was 118 ng/dL, T4 was 0.87 ng/dL, and TPO was 4 IU/mL. Should I request any other tests? Does being within range mean these values are all normal values? An internet search of ranges for each of these shows a disagreement on good and optimal values. Should I see an endocrinologist for further examination? My doctor had to be convinced by me to run these tests, and she is convinced that I am just depressed. I am on waitlists for every doctor in the county. I even tried a naturopath, who would be amenable to running more bloodwork. The nearest endocrinologist is about a four-hour drive, more when the roads are bad. So I am lost in the woods here, literally and figuratively. Any insight or direction is welcome. I am so tired of feeling awful.
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Hi. Thanks a lot for such a detailed history, it makes my job easier. Revert with more information to an endocrinologist online -->
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<s>[INST]
Hello doctor, I am a 32 year old woman, who in the last six months began to experience thyroid symptoms. I am in the process of looking for a new physician, but I live in a very remote area with a significant shortage of medical professionals, so I am in a lot of ways on my own here. My mother had her thyroid removed at 10, due to a goiter that was large enough to impede breathing and swallowing. My symptoms include extreme fatigue and insomnia. Now I sleep as much as 12 hours at night and still need an afternoon nap to be functional, and have cold intolerance, brain fog, very emotional, and change in my menstrual cycle (get periods every 2 to 3 weeks, with cramps). I also lost about 15 pounds within a month without a change in the diet. The weight loss has slowed since, but I am down around 22 lbs. At the initial visit, my doctor could determine that my thyroid was enlarged and asymmetric, and ordered an ultrasound and TSH. I never saw the values for the initial TSH test but was told it was within normal limits. The ultrasound showed both lobes to be significantly enlarged, with the left being half as big as the right. Both were full of nodules, but three stood out enough to warrant a biopsy, including one of 4.7 cm that contained a calcification. My biopsy is later this week. These results were enough to convince my doctor to run more blood tests. I picked up the reports from the lab today and discovered that she did a TSH, T3, T4, and TPO. I will attach the reports. TSH was 1.72 IU/mL, T3 was 118 ng/dL, T4 was 0.87 ng/dL, and TPO was 4 IU/mL. Should I request any other tests? Does being within range mean these values are all normal values? An internet search of ranges for each of these shows a disagreement on good and optimal values. Should I see an endocrinologist for further examination? My doctor had to be convinced by me to run these tests, and she is convinced that I am just depressed. I am on waitlists for every doctor in the county. I even tried a naturopath, who would be amenable to running more bloodwork. The nearest endocrinologist is about a four-hour drive, more when the roads are bad. So I am lost in the woods here, literally and figuratively. Any insight or direction is welcome. I am so tired of feeling awful. [/INST] Hi. Thanks a lot for such a detailed history, it makes my job easier. Revert with more information to an endocrinologist online -->
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Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
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Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.
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Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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<s>[INST]
Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well. [/INST] Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.
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Q. For how long do I have to take Sporlac for IBS?
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Hi doctor, I am suffering from IBS for past one month. I have been taking Sporlac tablet from last 10 days. If I stop taking Sporlac I am suffering from heavy constipation. For how long I have to take Sporlac?
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Hello. Sporlac contains lactobacillus and can be prescribed for 10 to 14 days. But duration is decided according to the need of it. Irritable bowel syndrome is functional bowel problem and stress is related to it. So, try to avoid stress if you are taking. Yoga, meditation are beneficial for that. Lubiprostone is a specific drug that is sometime used in irritable bowel syndrome. If you have constipation more, then fiber diet is recommended. Take high fiber diet like whole grain, wheat bran, green leafy vegetables, fruits, etc. Take care. For more information consult a general practitioner online -->
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<s>[INST]
Hi doctor, I am suffering from IBS for past one month. I have been taking Sporlac tablet from last 10 days. If I stop taking Sporlac I am suffering from heavy constipation. For how long I have to take Sporlac? [/INST] Hello. Sporlac contains lactobacillus and can be prescribed for 10 to 14 days. But duration is decided according to the need of it. Irritable bowel syndrome is functional bowel problem and stress is related to it. So, try to avoid stress if you are taking. Yoga, meditation are beneficial for that. Lubiprostone is a specific drug that is sometime used in irritable bowel syndrome. If you have constipation more, then fiber diet is recommended. Take high fiber diet like whole grain, wheat bran, green leafy vegetables, fruits, etc. Take care. For more information consult a general practitioner online -->
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Q. Can I plan a pregnancy if I am rubella IgG positive?
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Hello doctor,I am rubella IgG positive 118.90 IU/mL and cytomegalovirus positive 8.87 IU/mL. What does it mean? Can I plan to get pregnant now?
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Hello. I have read your query and understand your concern. Hope this helps. Feel free to ask for more information. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am rubella IgG positive 118.90 IU/mL and cytomegalovirus positive 8.87 IU/mL. What does it mean? Can I plan to get pregnant now? [/INST] Hello. I have read your query and understand your concern. Hope this helps. Feel free to ask for more information. For more information consult an obstetrician and gynaecologist online -->
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Q. I have a short penis. Should I take any medicines to increase the size?
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Hello doctor, I am a 16 year old boy. I have a short penis. Should I take any medicines?
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Hello, Welcome to icliniq.com. If you are a perfectly healthy adult male, then there is no reason for your penis size to be small. Mostly all men go through this phase where they feel their penis size is smaller. This thought will hamper their sexual life. If on an erect state, your penis size is anywhere between 10 to 15 cm, then there is nothing to be worried about. You will have a great sex life in the future. Try to get rid of this anxiety as soon as possible. Also, I advise a very healthy diet with lots of vegetables and protein. Work out regularly. There is no recommended treatment for increasing the size of the penis. I suggest the following nutritional supplements: For further follow up consult a family physician online -->
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<s>[INST]
Hello doctor, I am a 16 year old boy. I have a short penis. Should I take any medicines? [/INST] Hello, Welcome to icliniq.com. If you are a perfectly healthy adult male, then there is no reason for your penis size to be small. Mostly all men go through this phase where they feel their penis size is smaller. This thought will hamper their sexual life. If on an erect state, your penis size is anywhere between 10 to 15 cm, then there is nothing to be worried about. You will have a great sex life in the future. Try to get rid of this anxiety as soon as possible. Also, I advise a very healthy diet with lots of vegetables and protein. Work out regularly. There is no recommended treatment for increasing the size of the penis. I suggest the following nutritional supplements: For further follow up consult a family physician online -->
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Q. How to maintain sperm count through treatment?
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Hi doctor, I am suffering from hypogonadotropic hypogonadism. I am taking HCG 5000 and HMG 150 injection twice a week. My sperm production has started from azoospermia. We have done IVF and it was successful. My doctor asked to take testosterone injection, but if I take this my sperm production will be stopped. I want to know how to keep sperm production active. Please let me know the available option to maintain the sperm. I heard about Clomiphene citrate 50 mg or Enclomiphene citrate 25 mg treatment. Please help me with that.
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Hi. HCG (human chorionic gonadotropin) and HMG (human menopausal gonadotropin) are excellent choices to ensure a good sperm production, which is needed for fertility that you have achieved. However, this treatment combination rarely leads to normal testosterone levels, which is needed for good muscle mass and general well being. Testosterone injections will be ideal for the same, cheaper and easier to take. Yes, it will reduce your sperm count, which is reversible once it is stopped. Hence, unless you want to have a second child soon, there is no rationale to continue the difficult regimen of HCG and HMG injections. You can conveniently switch to testosterone injection now. Then a few years later, we can stop the testosterone injection and go back to HMG with HCG if you plan a second child. Clomiphene citrate will not help in hypogonadotropic hypogonadism. For further information consult an endocrinologist online -->
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<s>[INST]
Hi doctor, I am suffering from hypogonadotropic hypogonadism. I am taking HCG 5000 and HMG 150 injection twice a week. My sperm production has started from azoospermia. We have done IVF and it was successful. My doctor asked to take testosterone injection, but if I take this my sperm production will be stopped. I want to know how to keep sperm production active. Please let me know the available option to maintain the sperm. I heard about Clomiphene citrate 50 mg or Enclomiphene citrate 25 mg treatment. Please help me with that. [/INST] Hi. HCG (human chorionic gonadotropin) and HMG (human menopausal gonadotropin) are excellent choices to ensure a good sperm production, which is needed for fertility that you have achieved. However, this treatment combination rarely leads to normal testosterone levels, which is needed for good muscle mass and general well being. Testosterone injections will be ideal for the same, cheaper and easier to take. Yes, it will reduce your sperm count, which is reversible once it is stopped. Hence, unless you want to have a second child soon, there is no rationale to continue the difficult regimen of HCG and HMG injections. You can conveniently switch to testosterone injection now. Then a few years later, we can stop the testosterone injection and go back to HMG with HCG if you plan a second child. Clomiphene citrate will not help in hypogonadotropic hypogonadism. For further information consult an endocrinologist online -->
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Q. I still have painful bruises a year after iron injections. What needs to be done?
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Hello doctor, I am a 55 year old female. 12 months ago, I was given four iron injections in my buttocks alternating over four weeks. There is staining area of about six inches on each side which is fading. However, on the top and bottom edges of the stained area is a blue bruise which is as painful as if the injection were done a week ago. The bruises are painful to touch and ache without touch and hurt when I sit. I have asked three doctors and have been told they have no idea. The bruises are not getting any better and I was wondering why they are there and is it something that needs further investigation. I have no health issues other than managed hypertension.
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Hello. The staining is due to the iron itself which leaked into the skin while it was being injected. The technique of giving the iron injections was not correct since neither discoloration nor bruising should have occurred. Nothing can be done to resolve this but they are usually seen to go away on their own. The complete resolution takes time, sometimes up to few years. Regular massage has been shown to hasten recovery in few cases. You could try hot fomentation to get some relief from the pain. For more information consult a hematologist online -->
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<s>[INST]
Hello doctor, I am a 55 year old female. 12 months ago, I was given four iron injections in my buttocks alternating over four weeks. There is staining area of about six inches on each side which is fading. However, on the top and bottom edges of the stained area is a blue bruise which is as painful as if the injection were done a week ago. The bruises are painful to touch and ache without touch and hurt when I sit. I have asked three doctors and have been told they have no idea. The bruises are not getting any better and I was wondering why they are there and is it something that needs further investigation. I have no health issues other than managed hypertension. [/INST] Hello. The staining is due to the iron itself which leaked into the skin while it was being injected. The technique of giving the iron injections was not correct since neither discoloration nor bruising should have occurred. Nothing can be done to resolve this but they are usually seen to go away on their own. The complete resolution takes time, sometimes up to few years. Regular massage has been shown to hasten recovery in few cases. You could try hot fomentation to get some relief from the pain. For more information consult a hematologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
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Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.
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Hi. For further doubts consult a sexologist online -->
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<s>[INST]
Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help. [/INST] Hi. For further doubts consult a sexologist online -->
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Q. I am suffering from hypothyroidism and taking eltroxin and thyronorm. But cholesterol is raising. What to do?
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Hello, I am suffering from hypothyroidism and taking eltroxin and thyronorm. But cholesterol level is raising. What to do? Age - 46 years, female. Height-160cm. Weight - 58kg
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Hi. Will provide more insight if you can come up with the actual lipid profile and thyroid status to an endocrinologist online -->
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<s>[INST]
Hello, I am suffering from hypothyroidism and taking eltroxin and thyronorm. But cholesterol level is raising. What to do? Age - 46 years, female. Height-160cm. Weight - 58kg [/INST] Hi. Will provide more insight if you can come up with the actual lipid profile and thyroid status to an endocrinologist online -->
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Q. Can I take Paroxetine for premature ejaculation and erectile dysfunction?
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Hi doctor, I am a 28 year old unmarried male, who is suffering from premature ejaculation and erectile dysfunction. I do not get a hard erection during masturbation. And I ejaculate in less than 50 seconds. I once tried having sex, but I ejaculated during the foreplay itself, so I did not penetrate. My doctor advised me to take Aroxat CR 12.5 mg for 30 days. I want a second opinion, as I am going to get married in the next 15 days.
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Hi. For more information consult a sexologist online -->
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<s>[INST]
Hi doctor, I am a 28 year old unmarried male, who is suffering from premature ejaculation and erectile dysfunction. I do not get a hard erection during masturbation. And I ejaculate in less than 50 seconds. I once tried having sex, but I ejaculated during the foreplay itself, so I did not penetrate. My doctor advised me to take Aroxat CR 12.5 mg for 30 days. I want a second opinion, as I am going to get married in the next 15 days. [/INST] Hi. For more information consult a sexologist online -->
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Q. I am 18 weeks pregnant. I am tensed about low lying placenta. Kindly help.
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Hello,I am 28 years old and 18 weeks pregnant. Recently I have done Gravid Uterus - Obstetric Sonography and found the below result. Placenta is posterior, grade I, low lying - lower end is about 25 to 35 mm from internal OS. Left uterine artery shows high resistance flow. So, I wanted to know if there is any issue. What precautions should I take as I am doing routine work as housewife. I have also attached my sonography report. Please have a look and let me know what need to be done and what should be taken care of, as I am tensed.
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Hello. I have gone through your reports (attachment removed to protect patient identity). This level 2 anomaly scan is absolutely normal for the foetus pertaining to its growth and absence of any congenital anomalies. The concern regarding the low lying placenta at 18-19 weeks of gestation is not alarming as by 32 -36 weeks the placenta tends to go up once the lower segment formation takes place over uterus. Low lying or placenta previa shall be considered then at 32-36 weeks if the distance is less than 25 mm from internal os. High resistance flow in left uterine artery alone indicates a possible compression or hindrance in blood supply. There may be a subserosal fibroid or enlarged ovary probably which can cause external compression , but it is unlikely to affect the baby's growth as the other arterial flow is normal. At present this just needs to be followed up by a repeat uterine artery doppler after a month to check the same or increase in resistance flow. Revert back to an obstetrician and gynaecologist online after a month -->
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<s>[INST]
Hello,I am 28 years old and 18 weeks pregnant. Recently I have done Gravid Uterus - Obstetric Sonography and found the below result. Placenta is posterior, grade I, low lying - lower end is about 25 to 35 mm from internal OS. Left uterine artery shows high resistance flow. So, I wanted to know if there is any issue. What precautions should I take as I am doing routine work as housewife. I have also attached my sonography report. Please have a look and let me know what need to be done and what should be taken care of, as I am tensed. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). This level 2 anomaly scan is absolutely normal for the foetus pertaining to its growth and absence of any congenital anomalies. The concern regarding the low lying placenta at 18-19 weeks of gestation is not alarming as by 32 -36 weeks the placenta tends to go up once the lower segment formation takes place over uterus. Low lying or placenta previa shall be considered then at 32-36 weeks if the distance is less than 25 mm from internal os. High resistance flow in left uterine artery alone indicates a possible compression or hindrance in blood supply. There may be a subserosal fibroid or enlarged ovary probably which can cause external compression , but it is unlikely to affect the baby's growth as the other arterial flow is normal. At present this just needs to be followed up by a repeat uterine artery doppler after a month to check the same or increase in resistance flow. Revert back to an obstetrician and gynaecologist online after a month -->
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Q. What does my TMT report suggest?
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Hi doctor, During a routine medical checkup, I had something wrong with my ECG (resting) and was recommended to go with echo 2D and TMT. I do not have any chest pain. My 2D echo report is fine. However, TMT was done and the report is as follows. Significant ST depression of 0.1 mm in leads V4 - V6 at peak exercise not persisting in recovery. TMT mildly positive for RMI. Bruce test parameters were Bruce stage 3, exercise time 8.09 minutes, METS-10.2 and THR attained -173 bpm. BP 120/80 mmHg during resting and recovery. Maximum BP during exercise was 140/80 mmHg. I did not have any problems during my TMT. I went to a doctor to understand the implications. He told me that TMT result is incorrect and it should not be mildly positive as it does not match with the parameters given above with the report. Rather, it should be negative for TMT. As a result, I was advised to undergo TMT again for my satisfaction which I took after six days of the first test. I am enclosing the copy of the report. As per analysis of this report, the doctor has said that it is negative for RMI. However, one more doctor has told me that this analysis is incorrect and even this report reflects mildly positive for RMI. As a result, I am confused about the authenticity of the report and its interpretation by doctors. I would request you to go through the 11 pages of report which I am enclosing and please let me know whether the report can be declared as negative for TMT. Please let me know if I need to provide any other information. Also, please advise further action that I should take. Thanks. Is there any test which can confirm or deny the possibilities of a heart related problem?
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Hi. Thanks for providing a detailed case history. I have reviewed every bit of the case aids provided here (attachment removed to protect patient identity) and can realize your issues. Based on these reports, we cannot say you have a coronary artery disease that may have been occlusion 75% or more of the heart's arteries. As you do not have chest pain, neither at rest nor at exertion, I do not think you need an angiography at the moment. You do not need an angiography right away. If ever in future, you feel pain in chest that is confirmed to be the cardiac pain in origin, then your cardiologist may need straight to go for an angiography to see the cause of this pain. For further information consult a cardiologist online -->
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<s>[INST]
Hi doctor, During a routine medical checkup, I had something wrong with my ECG (resting) and was recommended to go with echo 2D and TMT. I do not have any chest pain. My 2D echo report is fine. However, TMT was done and the report is as follows. Significant ST depression of 0.1 mm in leads V4 - V6 at peak exercise not persisting in recovery. TMT mildly positive for RMI. Bruce test parameters were Bruce stage 3, exercise time 8.09 minutes, METS-10.2 and THR attained -173 bpm. BP 120/80 mmHg during resting and recovery. Maximum BP during exercise was 140/80 mmHg. I did not have any problems during my TMT. I went to a doctor to understand the implications. He told me that TMT result is incorrect and it should not be mildly positive as it does not match with the parameters given above with the report. Rather, it should be negative for TMT. As a result, I was advised to undergo TMT again for my satisfaction which I took after six days of the first test. I am enclosing the copy of the report. As per analysis of this report, the doctor has said that it is negative for RMI. However, one more doctor has told me that this analysis is incorrect and even this report reflects mildly positive for RMI. As a result, I am confused about the authenticity of the report and its interpretation by doctors. I would request you to go through the 11 pages of report which I am enclosing and please let me know whether the report can be declared as negative for TMT. Please let me know if I need to provide any other information. Also, please advise further action that I should take. Thanks. Is there any test which can confirm or deny the possibilities of a heart related problem? [/INST] Hi. Thanks for providing a detailed case history. I have reviewed every bit of the case aids provided here (attachment removed to protect patient identity) and can realize your issues. Based on these reports, we cannot say you have a coronary artery disease that may have been occlusion 75% or more of the heart's arteries. As you do not have chest pain, neither at rest nor at exertion, I do not think you need an angiography at the moment. You do not need an angiography right away. If ever in future, you feel pain in chest that is confirmed to be the cardiac pain in origin, then your cardiologist may need straight to go for an angiography to see the cause of this pain. For further information consult a cardiologist online -->
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Q. Should I avoid coffee while taking ayurveda medicines?
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Hello doctor, I am taking Manasamitravadakam and Ashwagandharishta along with Indukantham kashayam and Pancatipakkinic chooranam for depression and insomnia. Should I avoid coffee when I am under ayurveda medications? How are Indukantham kashayam and Pancatipakkinic chooranam beneficial?
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Hi. I just read your query. Lifestyle related or hereditary. Revert back after four weeks to an ayurveda specialist online.--->
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<s>[INST]
Hello doctor, I am taking Manasamitravadakam and Ashwagandharishta along with Indukantham kashayam and Pancatipakkinic chooranam for depression and insomnia. Should I avoid coffee when I am under ayurveda medications? How are Indukantham kashayam and Pancatipakkinic chooranam beneficial? [/INST] Hi. I just read your query. Lifestyle related or hereditary. Revert back after four weeks to an ayurveda specialist online.--->
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Q. Please suggest treatment for granulomatous mastitis.
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Hi doctor, I had an excisional biopsy of a lump just below my left breast last week. My biopsy report states that I have granulomatous mastitis. My surgeon has put me on an antibiotic called Claribid for three weeks. Please advice on the course of treatment.
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Hi. Revert with more information to a general surgeon online -->
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<s>[INST]
Hi doctor, I had an excisional biopsy of a lump just below my left breast last week. My biopsy report states that I have granulomatous mastitis. My surgeon has put me on an antibiotic called Claribid for three weeks. Please advice on the course of treatment. [/INST] Hi. Revert with more information to a general surgeon online -->
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Q. Why am I not able to maintain my erection during penetration?
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Hi doctor, I am a 26 year old male who got married a year back. I am not able to maintain my erection while penetration, as a result, cannot have sexual intercourse. I do not face this problem when I masturbate.
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Hi. Revert with more information to a sexologist online -->
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<s>[INST]
Hi doctor, I am a 26 year old male who got married a year back. I am not able to maintain my erection while penetration, as a result, cannot have sexual intercourse. I do not face this problem when I masturbate. [/INST] Hi. Revert with more information to a sexologist online -->
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Q. What is a jerky septum? Is it normal to have it?
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Hello doctor, I had a pain in the left shoulder blade as well as in the chest. After taking medicines, the left chest pain is gone but, the left shoulder blade pain has increased a lot. My ECG is normal. My echo is normal as well but, shows a jerky septum. The doctor told me that a jerky septum is a normal finding. Should I consult another doctor or go by his word? I am attaching my reports. Kindly have a look.
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Hello. I have gone through your reports (attachment removed to protect patient identity). Best regards. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, I had a pain in the left shoulder blade as well as in the chest. After taking medicines, the left chest pain is gone but, the left shoulder blade pain has increased a lot. My ECG is normal. My echo is normal as well but, shows a jerky septum. The doctor told me that a jerky septum is a normal finding. Should I consult another doctor or go by his word? I am attaching my reports. Kindly have a look. [/INST] Hello. I have gone through your reports (attachment removed to protect patient identity). Best regards. For more information consult a cardiologist online -->
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Q. Should we get D and C as a part of treatment to get baby?
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Hello doctor, We both are 30 year old couple and we have been planning for a baby for more than a year. My wife has normal period and as per the medical report my semen is fine. We have visited a doctor in our locality and he advised cleaning of the uterus (D and C - dilation and curettage). Could you please advise if our treatment is going in the right direction? Should we go for cleaning of the uterus (D and C)? My wife's current medications are JP Tone, Femitone, D3 Must, Norflox 400, Zentor 500 (Levofloxacin) and Tido (Tinidazole). Her past medication includes Ovares SR and Krimson. Please also check the medical reports and prescription attached. We have also undergone the following tests. Syphilis urine test, E.coli culture and sensitivity test, HIV transvaginal sonography, hormone tests - LH, FT4, TSH, prolactin, FSH, AMH and semen analysis. What should we do?
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Hello. Please send me the complete reports to get better knowledge about your problem. A few suggestions based on the other information mentioned in the description are as follows. HSG. Primary infertility. Revert back with the reports to an obstetrician and gynaecologist online.--->
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<s>[INST]
Hello doctor, We both are 30 year old couple and we have been planning for a baby for more than a year. My wife has normal period and as per the medical report my semen is fine. We have visited a doctor in our locality and he advised cleaning of the uterus (D and C - dilation and curettage). Could you please advise if our treatment is going in the right direction? Should we go for cleaning of the uterus (D and C)? My wife's current medications are JP Tone, Femitone, D3 Must, Norflox 400, Zentor 500 (Levofloxacin) and Tido (Tinidazole). Her past medication includes Ovares SR and Krimson. Please also check the medical reports and prescription attached. We have also undergone the following tests. Syphilis urine test, E.coli culture and sensitivity test, HIV transvaginal sonography, hormone tests - LH, FT4, TSH, prolactin, FSH, AMH and semen analysis. What should we do? [/INST] Hello. Please send me the complete reports to get better knowledge about your problem. A few suggestions based on the other information mentioned in the description are as follows. HSG. Primary infertility. Revert back with the reports to an obstetrician and gynaecologist online.--->
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Q. My brother is 91 kg. Suggest a diet to reduce his weight.
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Hello doctor, My query is regarding my brother who is 24 years old. His height is 5'5" and weight is 91 kg. How can he reduce his weight fast? He does not go to gym because of his right leg ligament problem. Kindly help us. Thank you in advance.
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Hi. Lifestyle modification. Diet plans. Keep a control in having fast and junk foods. Follow the given diet and revert back after 15 days to a nutritionist online.--->
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<s>[INST]
Hello doctor, My query is regarding my brother who is 24 years old. His height is 5'5" and weight is 91 kg. How can he reduce his weight fast? He does not go to gym because of his right leg ligament problem. Kindly help us. Thank you in advance. [/INST] Hi. Lifestyle modification. Diet plans. Keep a control in having fast and junk foods. Follow the given diet and revert back after 15 days to a nutritionist online.--->
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Q. How to get rid of redness and facial flushing due to retinol usage?
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Hello doctor, I have facial flushing in my cheeks for about one month and have not gone away. It varies from mild to bright red day today. It began after I tried using Retinol and experienced peeling so I stopped after one week. I saw a doctor who said it was contact dermatitis because I used other harsh products during the Retinol treatment. However, I can see broken capillaries on my cheeks. Is this rosacea? How can I make the redness go away?
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Hello. Flushing, persistent redness and telangiectasia could be signs of rosacea. Moreover, retinoids can flare up rosacea. A common cause of rosacea in some individuals is the usage of potent topical steroids on the face. Is there such a history? However, they are not implicated in a large number of cases. I suggest you to use a broad spectrum sunscreen and avoid the sun. Do you also have acne? Why were you using retinoid? What other products you have been using? I request you to kindly upload an image of the skin so that I am able to have a look and guide you accordingly.
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<s>[INST]
Hello doctor, I have facial flushing in my cheeks for about one month and have not gone away. It varies from mild to bright red day today. It began after I tried using Retinol and experienced peeling so I stopped after one week. I saw a doctor who said it was contact dermatitis because I used other harsh products during the Retinol treatment. However, I can see broken capillaries on my cheeks. Is this rosacea? How can I make the redness go away? [/INST] Hello. Flushing, persistent redness and telangiectasia could be signs of rosacea. Moreover, retinoids can flare up rosacea. A common cause of rosacea in some individuals is the usage of potent topical steroids on the face. Is there such a history? However, they are not implicated in a large number of cases. I suggest you to use a broad spectrum sunscreen and avoid the sun. Do you also have acne? Why were you using retinoid? What other products you have been using? I request you to kindly upload an image of the skin so that I am able to have a look and guide you accordingly.
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I bled 8 days after taking Unwanted 72. Was that my normal period or withdrawal bleeding?
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Hi doctor, I have been using birth control pill (Crisanta LS) from last 2.5 years.This month I started on 13, and I doubt I missed 1 or 2. After 13 days of starting the pill, had safe sex with a condom, but we doubt that it broke. To be safe, I took two dosages of Unwanted 72 the next day and stopped regular birth control. After eight days, I got bleeding, and it lasted for five days (same number of days as my regular period after stopping pills every month). What was that bleeding? Was that my normal bleeding or withdrawal? I am confused as this was near to expected period. Then, I did HPT, and it came to be negative. What are my chances of pregnancy? Does this bleeding confirm that I am not pregnant? Somebody suggested that I can start my regular birth control pills and I started. After 10 days, I got my full abdomen ultrasound done. It indicates that no focal lesion was seen and endometrial thickness is 4 mm. Uterus size is 88 mm - 43 mm - 42 mm. Do the thickness and report confirm that I am not pregnant? What is the normal thickness at this stage if I am pregnant? Also, the doctor suggested me to stop birth control pill until I get my regular period. Is that correct? When should I expect my next period? As I had regular birth control pill for 10 days, will it affect my next period?
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Hello. What you experienced was a withdrawal bleed following Unwanted 72 (emergency contraceptive pill), which occurs in 7 to 10 days post emergency pill intake. So, it is normal. There is no pregnancy at all, as is confirmed in the ultrasound pelvis with ET being 4 mm. ET would have been more than 16 mm with decidual reaction if you had been pregnant. Latest bleeding becomes your LMP now (last menstrual period). For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I have been using birth control pill (Crisanta LS) from last 2.5 years.This month I started on 13, and I doubt I missed 1 or 2. After 13 days of starting the pill, had safe sex with a condom, but we doubt that it broke. To be safe, I took two dosages of Unwanted 72 the next day and stopped regular birth control. After eight days, I got bleeding, and it lasted for five days (same number of days as my regular period after stopping pills every month). What was that bleeding? Was that my normal bleeding or withdrawal? I am confused as this was near to expected period. Then, I did HPT, and it came to be negative. What are my chances of pregnancy? Does this bleeding confirm that I am not pregnant? Somebody suggested that I can start my regular birth control pills and I started. After 10 days, I got my full abdomen ultrasound done. It indicates that no focal lesion was seen and endometrial thickness is 4 mm. Uterus size is 88 mm - 43 mm - 42 mm. Do the thickness and report confirm that I am not pregnant? What is the normal thickness at this stage if I am pregnant? Also, the doctor suggested me to stop birth control pill until I get my regular period. Is that correct? When should I expect my next period? As I had regular birth control pill for 10 days, will it affect my next period? [/INST] Hello. What you experienced was a withdrawal bleed following Unwanted 72 (emergency contraceptive pill), which occurs in 7 to 10 days post emergency pill intake. So, it is normal. There is no pregnancy at all, as is confirmed in the ultrasound pelvis with ET being 4 mm. ET would have been more than 16 mm with decidual reaction if you had been pregnant. Latest bleeding becomes your LMP now (last menstrual period). For further information consult an obstetrician and gynaecologist online -->
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Q. Had sex 12 days after my periods and had an I-pill. Will I get pregnant?
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Hi doctor, I am a 26 year old female. I had my period on 21st and had unprotected sex 12 days later. The next day I took an I-pill. Then, I have had unprotected sex three to four times in the last four days. What are the chances of me getting pregnant? What can I do to prevent pregnancy now? Should I take another I-pill or some other I-pill? I understand that I should be more careful about this from now on.
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Hi. If you have regular monthly menses, then mostly you will not have any problem. The second thing is that after four days you cannot do much more. If you have intercourse three to four times in the last four days, then you should have taken precautions or tablets before and not after four days. Now, you have to wait for your period to come. One positive thing is that, if you have regular monthly period, then your expected period is around the next two days. The last 10 days before menses are coming in safe period and you do not have chance of pregnancy if you have unprotected sex during this time. You can go to the doctor and ask for copper-T as emergency contraception today only. It can be placed up to five days after sex. It inhibits implantation of pregnancy. Also, there is no study if you take I-pill for two times in one cycle will be effective or not. So, it is not that easy and also, it can disturb your cycle for at least one or two cycles. Either go for the copper-T or wait for your period for more than four to five days. If you did not get period, then do a urine pregnancy test. If that is negative, then wait for sometime. If that is positive, then you will need early termination. Have protected sex and stay safe. I-pill is emergency contraception and it is not like you can take whenever you like. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I am a 26 year old female. I had my period on 21st and had unprotected sex 12 days later. The next day I took an I-pill. Then, I have had unprotected sex three to four times in the last four days. What are the chances of me getting pregnant? What can I do to prevent pregnancy now? Should I take another I-pill or some other I-pill? I understand that I should be more careful about this from now on. [/INST] Hi. If you have regular monthly menses, then mostly you will not have any problem. The second thing is that after four days you cannot do much more. If you have intercourse three to four times in the last four days, then you should have taken precautions or tablets before and not after four days. Now, you have to wait for your period to come. One positive thing is that, if you have regular monthly period, then your expected period is around the next two days. The last 10 days before menses are coming in safe period and you do not have chance of pregnancy if you have unprotected sex during this time. You can go to the doctor and ask for copper-T as emergency contraception today only. It can be placed up to five days after sex. It inhibits implantation of pregnancy. Also, there is no study if you take I-pill for two times in one cycle will be effective or not. So, it is not that easy and also, it can disturb your cycle for at least one or two cycles. Either go for the copper-T or wait for your period for more than four to five days. If you did not get period, then do a urine pregnancy test. If that is negative, then wait for sometime. If that is positive, then you will need early termination. Have protected sex and stay safe. I-pill is emergency contraception and it is not like you can take whenever you like. For further information consult an obstetrician and gynaecologist online -->
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Q. Is it possible to have a tunica albuginea rupture and be unaware of it?
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Hello doctor, If I were to strain or have a small superficial rupture to the tunica albuginea during erection, would I notice this in any way? Will there be any pain or bruising? I have read somewhere that the tunica has no pain nerves. That is why I wonder. There is no pain or abnormality noticed. I am only asking to be 100 % sure. Best regards.
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Hello. For more information consult a urologist online -->
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<s>[INST]
Hello doctor, If I were to strain or have a small superficial rupture to the tunica albuginea during erection, would I notice this in any way? Will there be any pain or bruising? I have read somewhere that the tunica has no pain nerves. That is why I wonder. There is no pain or abnormality noticed. I am only asking to be 100 % sure. Best regards. [/INST] Hello. For more information consult a urologist online -->
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Q. Can physiotherapy heal diastasis recti?
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Hello doctor, I am a 31 year old woman in good health. 11 weeks ago, I gave birth through C-section, after a tough pregnancy with complete bed rest for seven months. Walk to the bathroom were the only exercise I got. After birth, I noticed that I was left with diastasis recti of about 2.5 cm width. It is mainly around the belly button around 5 to 6 cm in length. I also get that ridge-like protrusion when I contract the abdominals. I started a kinesiotherapy program to strengthen the core and back muscles, specifically for diastasis. I will go three times a week for a 45 minutes session each time. Can physiotherapy heal (close) my diastasis? And if so, then how long does it usually take to see the results? I am willing to keep with the program for as long as it takes, but I also want to know if I should be optimistic about regaining my pre-pregnancy shape. Thank you.
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Hi. First of all, congratulations for delivering a beautiful baby. I have gone through your medical history in detail. For further information consult a physiotherapist online -->
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<s>[INST]
Hello doctor, I am a 31 year old woman in good health. 11 weeks ago, I gave birth through C-section, after a tough pregnancy with complete bed rest for seven months. Walk to the bathroom were the only exercise I got. After birth, I noticed that I was left with diastasis recti of about 2.5 cm width. It is mainly around the belly button around 5 to 6 cm in length. I also get that ridge-like protrusion when I contract the abdominals. I started a kinesiotherapy program to strengthen the core and back muscles, specifically for diastasis. I will go three times a week for a 45 minutes session each time. Can physiotherapy heal (close) my diastasis? And if so, then how long does it usually take to see the results? I am willing to keep with the program for as long as it takes, but I also want to know if I should be optimistic about regaining my pre-pregnancy shape. Thank you. [/INST] Hi. First of all, congratulations for delivering a beautiful baby. I have gone through your medical history in detail. For further information consult a physiotherapist online -->
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Q. What can be done for low vitamin D levels?
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Hello doctor, My Vitamin D is very low. Should be between 30 to 100 but it is 5+. What is your recommendation to get it to normal?
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Hello. I just read your query. Your Vitamin D level is very low and you should definitely start supplements under supervision. Along with oral supplements, you require supplements through injection too. Also take diet which improves Vitamin D level like fortified dairy products, fortified orange juice, fortified cereals, fatty fish as tuna and salmon, egg yolks, etc. Spend some time early in the morning in sunlight. All these things will help you in improving Vitamin D level. Poor eating habits and improper lifestyle. Blood test for vitamin D.
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<s>[INST]
Hello doctor, My Vitamin D is very low. Should be between 30 to 100 but it is 5+. What is your recommendation to get it to normal? [/INST] Hello. I just read your query. Your Vitamin D level is very low and you should definitely start supplements under supervision. Along with oral supplements, you require supplements through injection too. Also take diet which improves Vitamin D level like fortified dairy products, fortified orange juice, fortified cereals, fatty fish as tuna and salmon, egg yolks, etc. Spend some time early in the morning in sunlight. All these things will help you in improving Vitamin D level. Poor eating habits and improper lifestyle. Blood test for vitamin D.
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Q. I have a large bruise at the back of left thigh along with some smaller bruises. Please help.
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Hello doctor, I woke up a few days ago with a large bruise on the back of my left thigh. Unsure of how this happened, as I do not remember or have knowledge of hitting this area. I was drinking heavily the night before but do not believe this is a reason for the bruise. I have been working out a lot last week and possibly thought it could be a muscle bruise. I am more concerned with the shape and placement of the bruise and effective area of smaller bruises around the larger one. I have never got random bruises. I do suffer from anxiety and this is making it factor right about now. I am currently on Prozac.
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Hello, Welcome to icliniq.com. I have seen the attachment. (attachment removed to protect patient identity). Your bruise is clearly due to hematoma. You should get a USG (ultrasound) of your thigh. Take some rest and bruise will disappear gradually. Also, if there is severe pain at that location, then x-ray should also be done to rule out any fracture. Muscle tear. USG of left thigh. X-ray of left femur AP (anteroposterior) and lateral. Muscle tear. Femur fracture. Take rest. Review after the USG report.
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<s>[INST]
Hello doctor, I woke up a few days ago with a large bruise on the back of my left thigh. Unsure of how this happened, as I do not remember or have knowledge of hitting this area. I was drinking heavily the night before but do not believe this is a reason for the bruise. I have been working out a lot last week and possibly thought it could be a muscle bruise. I am more concerned with the shape and placement of the bruise and effective area of smaller bruises around the larger one. I have never got random bruises. I do suffer from anxiety and this is making it factor right about now. I am currently on Prozac. [/INST] Hello, Welcome to icliniq.com. I have seen the attachment. (attachment removed to protect patient identity). Your bruise is clearly due to hematoma. You should get a USG (ultrasound) of your thigh. Take some rest and bruise will disappear gradually. Also, if there is severe pain at that location, then x-ray should also be done to rule out any fracture. Muscle tear. USG of left thigh. X-ray of left femur AP (anteroposterior) and lateral. Muscle tear. Femur fracture. Take rest. Review after the USG report.
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Q. Could sinus infection cause autophony?
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Hi doctor, I had a sinus problem and got cleared before two months. Now, I have been suffering from autophony in one ear for the past two months after the sinus surgery. I used to clench my jaw a lot during sinus issue and there is some jaw pain. All my audiometry and pressure tests are normal. Also, there is no problem in my MRI. Please help.
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Hi. For further information consult an audiologist online -->
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<s>[INST]
Hi doctor, I had a sinus problem and got cleared before two months. Now, I have been suffering from autophony in one ear for the past two months after the sinus surgery. I used to clench my jaw a lot during sinus issue and there is some jaw pain. All my audiometry and pressure tests are normal. Also, there is no problem in my MRI. Please help. [/INST] Hi. For further information consult an audiologist online -->
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Q. Is my chest pain due to vitamin D3 deficiency?
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Hello doctor,Four months ago, I consulted you on this platform for premature complexes which I was having without any other symptoms. Below is my query and your answer - I am a male of 48 years of age. I have a lean build and do regular exercise. Since childhood, I had a tendency for heart palpitations and premature beats. After a few tests, anxiety was found to be the main cause. You had said that most probably these premature complexes are originating from ventricles which are leading to the symptoms. These are usually benign and not life threatening. The only concern remains is that of coronary artery disease, which is also less likely as these are occurring from a long time and you are not having any other symptoms. Lack of sleep, stress, alcohol, smoking, caffeinated beverages are known triggering factors for these due to sympathetic overactivity. You should also get thyroid test done. I think, just be on a safer side, you should get one treadmill test done to rule out coronary artery disease and echo should be repeated. Afterwards, I met a cardiologist and got an ECG and echo tests done. The tests were normal. The cardiologist said that there is no need for TMT test since I do running and other exercises daily and there is no known risk factor for CAD. But the VPCs continued for a month.Then, I realized that I was taking a weight gainer supplement from the last one year which contained creatinine. Two months back, I was not doing any exercise due to a small fracture in my elbow but continued to take this supplement. The doctor advised me to stop the supplement immediately since this could be the cause of missed beats. Then I read in the internet and found out that there have been cases of irregular heart beats due to creatinine supplementation. I stopped taking the supplement although it was from a reputed firm and did not contain any steroids. The missed beats reduced after stopping the supplement and from the last two months, it has come to a normal level of one or two in a day. But somehow my mind started getting preoccupied with the thoughts of heart disease and I started reading about it from the internet and even textbooks.I have been thin and slim since my childhood, have been quite active physically, no family history of heart disease, no diabetes, no hypertension, non-smoker, rarely eat fried foods. My lipid profile is normal with HDL being about 55 whenever tested, CRP is around 0.5. But in spite of this, I was not able to free my mind from worries of CAD. A month back, I did quite a lot of pushups after a gap of four to five months. After three to four days, I started having pain in my chest here and there mostly at rest. After a week I got an ECG done which was normal. The pain subsided slowly but whenever I did some exercise which put a strain on the chest muscle I started having pain and with pain, more worries.Then I met a psychiatrist. He said that I have got into an obsessive loop, which is part of health anxiety disorder which is causing these psychosomatic symptoms of chest pain. He advised me to take some antidepressants for three months, do Yoga and meditation and take some sessions of cognitive behavior therapy. I am reluctant to take antidepressants but have already started doing some meditation and Yoga. He also prescribed Alprazolam .25 mg on SOS basis. Now the pain is subsiding slowly and obsessive thoughts are also reducing. I have stopped doing any exercise that would put a strain on the chest. I do not know how long it will take to resume it. In a recent blood test, two months back my vitamin D3 was at 28. Could it be the cause of the chest pain? Secondly, I stopped the supplement but continued some strenuous exercises without taking a proper diet. Could it be the cause of it? Please guide me. How to get rid of this unwanted health anxiety which I have got into?
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Hello. Looking at the overall picture, the problem appears to be a minor one and not worrisome. All the best. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor,Four months ago, I consulted you on this platform for premature complexes which I was having without any other symptoms. Below is my query and your answer - I am a male of 48 years of age. I have a lean build and do regular exercise. Since childhood, I had a tendency for heart palpitations and premature beats. After a few tests, anxiety was found to be the main cause. You had said that most probably these premature complexes are originating from ventricles which are leading to the symptoms. These are usually benign and not life threatening. The only concern remains is that of coronary artery disease, which is also less likely as these are occurring from a long time and you are not having any other symptoms. Lack of sleep, stress, alcohol, smoking, caffeinated beverages are known triggering factors for these due to sympathetic overactivity. You should also get thyroid test done. I think, just be on a safer side, you should get one treadmill test done to rule out coronary artery disease and echo should be repeated. Afterwards, I met a cardiologist and got an ECG and echo tests done. The tests were normal. The cardiologist said that there is no need for TMT test since I do running and other exercises daily and there is no known risk factor for CAD. But the VPCs continued for a month.Then, I realized that I was taking a weight gainer supplement from the last one year which contained creatinine. Two months back, I was not doing any exercise due to a small fracture in my elbow but continued to take this supplement. The doctor advised me to stop the supplement immediately since this could be the cause of missed beats. Then I read in the internet and found out that there have been cases of irregular heart beats due to creatinine supplementation. I stopped taking the supplement although it was from a reputed firm and did not contain any steroids. The missed beats reduced after stopping the supplement and from the last two months, it has come to a normal level of one or two in a day. But somehow my mind started getting preoccupied with the thoughts of heart disease and I started reading about it from the internet and even textbooks.I have been thin and slim since my childhood, have been quite active physically, no family history of heart disease, no diabetes, no hypertension, non-smoker, rarely eat fried foods. My lipid profile is normal with HDL being about 55 whenever tested, CRP is around 0.5. But in spite of this, I was not able to free my mind from worries of CAD. A month back, I did quite a lot of pushups after a gap of four to five months. After three to four days, I started having pain in my chest here and there mostly at rest. After a week I got an ECG done which was normal. The pain subsided slowly but whenever I did some exercise which put a strain on the chest muscle I started having pain and with pain, more worries.Then I met a psychiatrist. He said that I have got into an obsessive loop, which is part of health anxiety disorder which is causing these psychosomatic symptoms of chest pain. He advised me to take some antidepressants for three months, do Yoga and meditation and take some sessions of cognitive behavior therapy. I am reluctant to take antidepressants but have already started doing some meditation and Yoga. He also prescribed Alprazolam .25 mg on SOS basis. Now the pain is subsiding slowly and obsessive thoughts are also reducing. I have stopped doing any exercise that would put a strain on the chest. I do not know how long it will take to resume it. In a recent blood test, two months back my vitamin D3 was at 28. Could it be the cause of the chest pain? Secondly, I stopped the supplement but continued some strenuous exercises without taking a proper diet. Could it be the cause of it? Please guide me. How to get rid of this unwanted health anxiety which I have got into? [/INST] Hello. Looking at the overall picture, the problem appears to be a minor one and not worrisome. All the best. For more information consult a cardiologist online -->
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Q. Is my pap smear report worrisome?
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Hi doctor, My pap smear report showed intermediate and fewer superficial squamous cells with dense neutrophilic infiltrate, lacto and coccobacilli. It also reported cellular changes associated with inflammation. What does it mean?
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Hi. Based on your query, my opinion is as follows: For further information consult a pathologist online -->
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<s>[INST]
Hi doctor, My pap smear report showed intermediate and fewer superficial squamous cells with dense neutrophilic infiltrate, lacto and coccobacilli. It also reported cellular changes associated with inflammation. What does it mean? [/INST] Hi. Based on your query, my opinion is as follows: For further information consult a pathologist online -->
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Q. What are the precautions to take in case of placenta previa?
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Hello doctor, My wife is 15 weeks and five days pregnant. Recently, she had an episode of a moderate amount of bleeding per vaginam. We immediately shifted her to the hospital where she was given some conservative treatment, and a USG was done. It was found that the inferior margin of the placenta was covering the internal os. The baby was healthy as per the reports. I am anxious. Kindly advise.
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Hello. However, if you have a doubt, then get back to me with the reports so that I can guide you further. Take care. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My wife is 15 weeks and five days pregnant. Recently, she had an episode of a moderate amount of bleeding per vaginam. We immediately shifted her to the hospital where she was given some conservative treatment, and a USG was done. It was found that the inferior margin of the placenta was covering the internal os. The baby was healthy as per the reports. I am anxious. Kindly advise. [/INST] Hello. However, if you have a doubt, then get back to me with the reports so that I can guide you further. Take care. For more information consult an obstetrician and gynaecologist online -->
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Q. Which specialist should I consult for one side headache?
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Hi doctor, I have been suffering from one side headache since last 10 years. I was diagnosed with paranasal sinuses. I am taking medicines for sinus problem and a few periods for migraine. But no results found. Please guide me. Which department should I consult and get treated?
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Hi. Your description fits into migraine headache. Migraine headaches occur usually on one side of head and have severe throbbing sensation associated. They can be accompanied with vomiting, photophobia (severe sensitivity to light) and phonophobia (fear of noise). You can see a physician who deals with migraine cases and even you can see a neurologist for the purpose. A neurological examination and fundus examination are must to rule out any other neurological problem. If required your doctor will also post you for CT scan and MRI brain. Treatment for migraine headache would be with the drugs like Flunarizine, Propranolol and Amitriptyline. In case of acute pain drugs like Sumatriptan and Ibuprofen helps to terminate the attack. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I have been suffering from one side headache since last 10 years. I was diagnosed with paranasal sinuses. I am taking medicines for sinus problem and a few periods for migraine. But no results found. Please guide me. Which department should I consult and get treated? [/INST] Hi. Your description fits into migraine headache. Migraine headaches occur usually on one side of head and have severe throbbing sensation associated. They can be accompanied with vomiting, photophobia (severe sensitivity to light) and phonophobia (fear of noise). You can see a physician who deals with migraine cases and even you can see a neurologist for the purpose. A neurological examination and fundus examination are must to rule out any other neurological problem. If required your doctor will also post you for CT scan and MRI brain. Treatment for migraine headache would be with the drugs like Flunarizine, Propranolol and Amitriptyline. In case of acute pain drugs like Sumatriptan and Ibuprofen helps to terminate the attack. For further information consult an internal medicine physician online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I am experiencing occasional tingling in my fingers and legs. What could be the cause of this?
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Hello doctor, I am a 39-year-old female office worker. Currently, I am on work from home status. I am experiencing occasional tingling in my fingers and legs. What could be the cause of this? I have taken Statin medicine last January for around 3 months due to an elevated level of cholesterol. But, discontinued as advised by our office or company physician as my cholesterol levels are within the normal range. However, my last lab test showed the following results: FBS 5.10; Cholesterol 5.46; Triglyceride 1.02; HDL 1.62 and LDL 3.1. With this, should I resume taking Statin? If so, how frequently? My previous prescription is daily at 10 mcg. Also, is it safe for me to take vitamin B complex supplements? Thank you very much.
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Hello. Tingling sensation suggests neuropathy. We need to find its cause and treat it. For now, vitamin B12 will be more preferred over the vitamin B complex. Your cholesterol is slightly elevated. You can try dietary restriction and exercise. If cholesterol still remains high, you can start Atorvastatin 10 mg before sleep daily. 1. Neuropathy evaluation. 2. Dyslipidemia. TSH (thyroid-stimulating hormone), vitamin B12, and folate level (neuropathy evaluation workup). 1. Tablet Meganeuron (Alpha lipoic acid and Folic acid) once a day. 2. Tablet Atorvastatin 10 mg at night if cholesterol still high. Avoid oily food. Daily 30 minutes brisk walking. Review with reports.
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<s>[INST]
Hello doctor, I am a 39-year-old female office worker. Currently, I am on work from home status. I am experiencing occasional tingling in my fingers and legs. What could be the cause of this? I have taken Statin medicine last January for around 3 months due to an elevated level of cholesterol. But, discontinued as advised by our office or company physician as my cholesterol levels are within the normal range. However, my last lab test showed the following results: FBS 5.10; Cholesterol 5.46; Triglyceride 1.02; HDL 1.62 and LDL 3.1. With this, should I resume taking Statin? If so, how frequently? My previous prescription is daily at 10 mcg. Also, is it safe for me to take vitamin B complex supplements? Thank you very much. [/INST] Hello. Tingling sensation suggests neuropathy. We need to find its cause and treat it. For now, vitamin B12 will be more preferred over the vitamin B complex. Your cholesterol is slightly elevated. You can try dietary restriction and exercise. If cholesterol still remains high, you can start Atorvastatin 10 mg before sleep daily. 1. Neuropathy evaluation. 2. Dyslipidemia. TSH (thyroid-stimulating hormone), vitamin B12, and folate level (neuropathy evaluation workup). 1. Tablet Meganeuron (Alpha lipoic acid and Folic acid) once a day. 2. Tablet Atorvastatin 10 mg at night if cholesterol still high. Avoid oily food. Daily 30 minutes brisk walking. Review with reports.
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Q. Why do my blood sugar level keeps dropping?
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Hello doctor, Blood sugar keeps dropping even though I eat small meals every couple of hours. I am not diabetic. My HbA1c is 5.7 mmol. I am 28 years and weigh 145 pounds. Why does it keep dropping? I know it is because when I eat I feel normal again. It only lasts for a couple of hours before I start feeling tired and lightheaded again. How can I stop this? I eat brown bread every day, plenty of protein. I have never checked my blood sugars when this happens because I am not diabetic.
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Hello. Do you think you drink enough water? Dehydration can cause symptoms similar to a low blood glucose level. Please try to drink at least two liters of water a day, that is around eight glasses of water. Sometimes thirst can mimic hunger. So the next time you feel tired, try drinking plain water and see if that makes you feel better. If water is not helping you, it might be a good idea to use a glucometer to check your blood sugar level at home whenever you feel light-headed or tired. If the values are low, you can talk to your GP to get the necessary blood tests done.
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<s>[INST]
Hello doctor, Blood sugar keeps dropping even though I eat small meals every couple of hours. I am not diabetic. My HbA1c is 5.7 mmol. I am 28 years and weigh 145 pounds. Why does it keep dropping? I know it is because when I eat I feel normal again. It only lasts for a couple of hours before I start feeling tired and lightheaded again. How can I stop this? I eat brown bread every day, plenty of protein. I have never checked my blood sugars when this happens because I am not diabetic. [/INST] Hello. Do you think you drink enough water? Dehydration can cause symptoms similar to a low blood glucose level. Please try to drink at least two liters of water a day, that is around eight glasses of water. Sometimes thirst can mimic hunger. So the next time you feel tired, try drinking plain water and see if that makes you feel better. If water is not helping you, it might be a good idea to use a glucometer to check your blood sugar level at home whenever you feel light-headed or tired. If the values are low, you can talk to your GP to get the necessary blood tests done.
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Q. Why do I have a white spot on my penis?
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Hello doctor, I am 22 years old. My penis head had a dry white spot. When I clean it, it is peeling. Please tell me what the problem is. I am worried. I have been having loose motions since the last four days and taking antibiotics for it.
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Hello. Regards. For more information consult a sexologist online -->
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<s>[INST]
Hello doctor, I am 22 years old. My penis head had a dry white spot. When I clean it, it is peeling. Please tell me what the problem is. I am worried. I have been having loose motions since the last four days and taking antibiotics for it. [/INST] Hello. Regards. For more information consult a sexologist online -->
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Q. Can the polyps in the esophagus be cancer?
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Hi doctor, My wife had an endoscopy, and they found polyps in her esophagus. I am so worried that it could be cancer. Can it be cancer?
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Hi. Revert with the asked details for better help. Revert with more information to an internal medicine physician online -->
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<s>[INST]
Hi doctor, My wife had an endoscopy, and they found polyps in her esophagus. I am so worried that it could be cancer. Can it be cancer? [/INST] Hi. Revert with the asked details for better help. Revert with more information to an internal medicine physician online -->
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Q. Are corneal thickness and stromal thickness the same?
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Hi doctor, What is corneal stromal thickness? I got LASIK done. I got pentacam and my cornea thickness is 465 microns. Is it same as corneal stromal thickness? Please explain me.
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Hi. For further information consult an eye care ophthalmologist online -->
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<s>[INST]
Hi doctor, What is corneal stromal thickness? I got LASIK done. I got pentacam and my cornea thickness is 465 microns. Is it same as corneal stromal thickness? Please explain me. [/INST] Hi. For further information consult an eye care ophthalmologist online -->
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Q. Is there any risk of radiation if HSG test is done twice?
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Hi doctor, Three years back, I conceived for the first time without any medicine but unfortunately the pregnancy ended up in miscarriage. Since 8 months I am trying to conceive now. The following year I got a HSG test and was informed that both my fallopian tubes were blocked. Doctor said laparoscopy is needed. We planned to HSG test done again now. Is there any risk, if I do HSG test for the second time? Or any risk of radiation exposure? Please suggest. Thank you.
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Hi. I can understand your problem. Hope this information answers your questions. All the best. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, Three years back, I conceived for the first time without any medicine but unfortunately the pregnancy ended up in miscarriage. Since 8 months I am trying to conceive now. The following year I got a HSG test and was informed that both my fallopian tubes were blocked. Doctor said laparoscopy is needed. We planned to HSG test done again now. Is there any risk, if I do HSG test for the second time? Or any risk of radiation exposure? Please suggest. Thank you. [/INST] Hi. I can understand your problem. Hope this information answers your questions. All the best. For further information consult an obstetrician and gynaecologist online -->
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Q. Why are the rashes around my penis and under leg not getting cured?
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Hi doctor, For the past one month, I am getting rashes around my penis, under legs and also on back. I have used many medicines like Quadriderm, Neo Clobenate GM, Ring Guard, etc. But, they did not work. Please prescribe me some good medicine. Thank you.
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Hi. For further information consult a dermatologist online -->
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<s>[INST]
Hi doctor, For the past one month, I am getting rashes around my penis, under legs and also on back. I have used many medicines like Quadriderm, Neo Clobenate GM, Ring Guard, etc. But, they did not work. Please prescribe me some good medicine. Thank you. [/INST] Hi. For further information consult a dermatologist online -->
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Q. What are the pimple-like rashes on the penis head?
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Hi doctor, My skin around the scrotum is flaking and senseless on touch. Also, the same on penis head. There are a lot of rashes like pimples on the bottom of the penis head. It gives a bad odor. I am 23 years old and I have been in this condition for more than seven years now. My past medication was Candid B cream for a week and I stopped it as there was no improvement. Thank you.
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Hi. Revert back with the photographs to an internal medicine physician online -->
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<s>[INST]
Hi doctor, My skin around the scrotum is flaking and senseless on touch. Also, the same on penis head. There are a lot of rashes like pimples on the bottom of the penis head. It gives a bad odor. I am 23 years old and I have been in this condition for more than seven years now. My past medication was Candid B cream for a week and I stopped it as there was no improvement. Thank you. [/INST] Hi. Revert back with the photographs to an internal medicine physician online -->
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Q. Is flattened T wave something to be worried about?
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Hello doctor, Recently, I have done some cardiac tests like ECG, 2D echo, TMT and serum electrolytes at my regular consultant. Four months ago, I got blood pressure 140/100. So, my regular consultant suggested I use Telvas CT 40 tablet (only half tablet at morning) daily. Recently, I got gastric problem. So, I went to my regular consultant and he suggested I use Pantop IT 40 mg and I went after 10 days for review and I have done the cardiac tests as mentioned earlier. My actual problem is when the ECG was done, the diagnosis report mentioned flattened T wave (I, V4, V6). Previously, I have done ECG last year but the diagnosis shows normal ECG. Now, it changed. Because of this, my doctor suggested me to do other tests like 2D echo, serum electrolytes, and TMT. Finally, he told me that all the reports are normal. There is nothing to worry but still, I am worried about my reports. Can you please check the reports and suggest me? I smoke one cigarette every day and drink 180 ml of brandy every week.
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Hello. Yes, there are changes in the ECG (attachment removed to protect patient identity). But, your evaluation is normal including echo and treadmill test. Now, the changes in the ECG are likely due to high BP and not any blockages. I guess you do not have any symptoms like chest pain or chest heaviness on exertion or during the treadmill test. So I do not think there is anything to worry about now. Is your blood pressure well controlled? You have to check your BP frequently, thrice a day at least for a week so as to know the pattern of BP. Have a low salt diet. It is important that gradually you quit smoking because smoking is much harmful than alcohol and alcohol occasionally is acceptable but not smoking. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
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<s>[INST]
Hello doctor, Recently, I have done some cardiac tests like ECG, 2D echo, TMT and serum electrolytes at my regular consultant. Four months ago, I got blood pressure 140/100. So, my regular consultant suggested I use Telvas CT 40 tablet (only half tablet at morning) daily. Recently, I got gastric problem. So, I went to my regular consultant and he suggested I use Pantop IT 40 mg and I went after 10 days for review and I have done the cardiac tests as mentioned earlier. My actual problem is when the ECG was done, the diagnosis report mentioned flattened T wave (I, V4, V6). Previously, I have done ECG last year but the diagnosis shows normal ECG. Now, it changed. Because of this, my doctor suggested me to do other tests like 2D echo, serum electrolytes, and TMT. Finally, he told me that all the reports are normal. There is nothing to worry but still, I am worried about my reports. Can you please check the reports and suggest me? I smoke one cigarette every day and drink 180 ml of brandy every week. [/INST] Hello. Yes, there are changes in the ECG (attachment removed to protect patient identity). But, your evaluation is normal including echo and treadmill test. Now, the changes in the ECG are likely due to high BP and not any blockages. I guess you do not have any symptoms like chest pain or chest heaviness on exertion or during the treadmill test. So I do not think there is anything to worry about now. Is your blood pressure well controlled? You have to check your BP frequently, thrice a day at least for a week so as to know the pattern of BP. Have a low salt diet. It is important that gradually you quit smoking because smoking is much harmful than alcohol and alcohol occasionally is acceptable but not smoking. Hope this helps you and get back if you have any doubts. For more information consult a cardiologist online -->
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Q. I suddenly developed loss of speech during chemotherapy. Please help.
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Hello doctor, I am a breast cancer patient. During post-surgery chemotherapy, I suddenly developed loss of speech. I have already consulted a neurologist, please find the attached reports. I want a second opinion. Please help me.
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Hi. I have gone through your query and reports (attachment removed to protect patient identity) with diligence, and I would like you to know that I am here to help you. Best wishes for a speedy recovery. Let me know if I can assist you further. Take care. Hope you found the answer helpful. If you need any clarification, have doubts, have additional questions or have follow-up questions, then please do not hesitate to ask again. For further queries consult a neuro surgeon online -->
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<s>[INST]
Hello doctor, I am a breast cancer patient. During post-surgery chemotherapy, I suddenly developed loss of speech. I have already consulted a neurologist, please find the attached reports. I want a second opinion. Please help me. [/INST] Hi. I have gone through your query and reports (attachment removed to protect patient identity) with diligence, and I would like you to know that I am here to help you. Best wishes for a speedy recovery. Let me know if I can assist you further. Take care. Hope you found the answer helpful. If you need any clarification, have doubts, have additional questions or have follow-up questions, then please do not hesitate to ask again. For further queries consult a neuro surgeon online -->
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Q. I have itchy scalp. Is it folliculitis?
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Hello doctor, I hope you will read it thoroughly and answer every query. I am a 30 years old male. It all started with itchy scalp ten months back this summer. But, I was not concerned much, since it was just itchy and some bumps like mosquito bites (not more than two to three) and some swelling as well. Since it was summer, I was sweating. Sometimes, the whole scalp would itch and sometimes only the bumps. It continued for some months. Later, itching of the scalp subsided and bumps size has decreased. But since three to four months, I can feel pimple like things on my scalp and they ache sometimes. When they started, they would disappear on their own in less than a week. But now, even after so many months, I can feel some more (not more than two at a time) pimples. I doubt whether it could be folliculitis. I have not had a haircut since ten months, just because I thought the itching could be contagious. So, I better not go for a haircut and spread it to others. There are two to three bumps on my face as well. One was hurting earlier, but it is all itchy and the other two are only itchy. I would like to state it again that they do not itch all the time and one that aches do not hurt at all the time. Also, I felt a pimple like thing on my butt. It disappeared in a week. It was not very painful. I have had folliculitis till I was 25. So, I know how much it pains and itches. I thought it could be folliculitis. My father had a boil and got better in two weeks and everything was fine. So, I thought maybe the spread of same bacteria. Getting pimples on my butt have become regular. They come and go and they appeared on my face only after that. We are a family of four. I have OCD as well and cannot tolerate these skin diseases. I wash my hands and taps touched by him every time he touches them. The only thing that I share is the bathroom tap and latrine tap and also latrine bucket. Apart from them, I do not touch anything from him. When I try to touch the pimple like things on my butt, I cannot feel them. They do not appear to be there. Also, before the pimple like things started to appear, I had some scratchy and cracked elbows (pictures included) and it was painful. I was scared and thought it is somehow related to that boil. It healed in two weeks. This happened four months back. From then on only all pimple like things started appearing in the same month. Unfortunately, I do not have the picture. And the ones on the face and scalp are covered with hair, so there is no way I can click it. Now, my question is whether I can go for a haircut and beard trimming? I have not trimmed my hair since five months, all because of these reasons to not spread it to others and myself. I will use electric shaver to trim my beard. How can I have my haircut without spreading it to others? My hairs are now getting twisted and unmanageable, since I have not covered them either. My social life has suffered a lot because of it. And, what is it (disease) that has taken away my freedom, social life and confidence? Also, what can I use to disinfect my electric shaver, the blades, nail cutter and other such things? What I do is soak in boiling water for 30 minutes and then wash it with dish gel and dettol. I am waiting for your answers. Thank you.
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Hi. I have checked your photos (attachments removed to protect patient identity). It is better you go for haircut and shave or trim beard. It may be due to folliculitis or fungal infection by the description. You can get it examined by a doctor or dermatologist for physical evaluation and diagnosis. You need not worry about spreading infection to others. You can use separate trimmer for yourself or get it done by a barber with separate trimmer. The disinfection method you are following should be fine. You can use topical antibiotic cream like Mupirocin (T-bact) if pus filled lesions are present. Do not worry about transmission of diseases. You can wash your hands with soap and water after using washroom. The lesion on elbow appears to be due to dryness. You can use moisturizing soap or Cetaphil cleanser. Apply moisturizing cream like Ponds or Cetraben cream. Main ingredients of this cream are (White soft paraffin and Light Liquid paraffin). For further information consult a dermatologist online -->
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<s>[INST]
Hello doctor, I hope you will read it thoroughly and answer every query. I am a 30 years old male. It all started with itchy scalp ten months back this summer. But, I was not concerned much, since it was just itchy and some bumps like mosquito bites (not more than two to three) and some swelling as well. Since it was summer, I was sweating. Sometimes, the whole scalp would itch and sometimes only the bumps. It continued for some months. Later, itching of the scalp subsided and bumps size has decreased. But since three to four months, I can feel pimple like things on my scalp and they ache sometimes. When they started, they would disappear on their own in less than a week. But now, even after so many months, I can feel some more (not more than two at a time) pimples. I doubt whether it could be folliculitis. I have not had a haircut since ten months, just because I thought the itching could be contagious. So, I better not go for a haircut and spread it to others. There are two to three bumps on my face as well. One was hurting earlier, but it is all itchy and the other two are only itchy. I would like to state it again that they do not itch all the time and one that aches do not hurt at all the time. Also, I felt a pimple like thing on my butt. It disappeared in a week. It was not very painful. I have had folliculitis till I was 25. So, I know how much it pains and itches. I thought it could be folliculitis. My father had a boil and got better in two weeks and everything was fine. So, I thought maybe the spread of same bacteria. Getting pimples on my butt have become regular. They come and go and they appeared on my face only after that. We are a family of four. I have OCD as well and cannot tolerate these skin diseases. I wash my hands and taps touched by him every time he touches them. The only thing that I share is the bathroom tap and latrine tap and also latrine bucket. Apart from them, I do not touch anything from him. When I try to touch the pimple like things on my butt, I cannot feel them. They do not appear to be there. Also, before the pimple like things started to appear, I had some scratchy and cracked elbows (pictures included) and it was painful. I was scared and thought it is somehow related to that boil. It healed in two weeks. This happened four months back. From then on only all pimple like things started appearing in the same month. Unfortunately, I do not have the picture. And the ones on the face and scalp are covered with hair, so there is no way I can click it. Now, my question is whether I can go for a haircut and beard trimming? I have not trimmed my hair since five months, all because of these reasons to not spread it to others and myself. I will use electric shaver to trim my beard. How can I have my haircut without spreading it to others? My hairs are now getting twisted and unmanageable, since I have not covered them either. My social life has suffered a lot because of it. And, what is it (disease) that has taken away my freedom, social life and confidence? Also, what can I use to disinfect my electric shaver, the blades, nail cutter and other such things? What I do is soak in boiling water for 30 minutes and then wash it with dish gel and dettol. I am waiting for your answers. Thank you. [/INST] Hi. I have checked your photos (attachments removed to protect patient identity). It is better you go for haircut and shave or trim beard. It may be due to folliculitis or fungal infection by the description. You can get it examined by a doctor or dermatologist for physical evaluation and diagnosis. You need not worry about spreading infection to others. You can use separate trimmer for yourself or get it done by a barber with separate trimmer. The disinfection method you are following should be fine. You can use topical antibiotic cream like Mupirocin (T-bact) if pus filled lesions are present. Do not worry about transmission of diseases. You can wash your hands with soap and water after using washroom. The lesion on elbow appears to be due to dryness. You can use moisturizing soap or Cetaphil cleanser. Apply moisturizing cream like Ponds or Cetraben cream. Main ingredients of this cream are (White soft paraffin and Light Liquid paraffin). For further information consult a dermatologist online -->
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Q. I am suffering from ear pain, and feel like the whole head is blocked. Why?
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Hello doctor, I am suffering from ear pain, and a kind of the whole head is blocked like sensation. The left and right ears are blocked with some air or water like state. I have this ear pain for four days gradually on the same pain note. I have taken Aceclofenac with Paracetamol and Amoxicillin. I have also tried Otorex ear drops but the pain neither reduced or increased. The right ear is a kind of inflamed and not even let the drops go through. I am already on Deplatt A, Concor, and Imdur in the morning and Amlong and Rosuvastatin in the night for my angina complaint. I am also on Thyronorm 75 mcg in the morning. I am scared to go out to a hospital due to the pandemic effects, so please advise.
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Hi. It looks like you have developed what we call as eustachian tube catarrh. This tube ventilates both the nose and the ear and can get blocked due to allergy or sinusitis or in any upper respiratory infection such as common flu. If you have allergic issues, it has to be adequately treated. Tablet Sinarest (a combination of Acetaminophen, Chlorpheniramine, and Pseudoephedrine) one tablet two times a day, i.e., 12 hours apart for one week can be considered. Otrivin nasal drops three drops three times a day for 10 days should also help. Valsalva exercise 15 to 20 times a day. Steam inhalations also do give a little relief. Antibiotics and painkillers will not help as it does not treat the problem. However, complete the course of your antibiotics and do not stop them halfway. I hope this helps.
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<s>[INST]
Hello doctor, I am suffering from ear pain, and a kind of the whole head is blocked like sensation. The left and right ears are blocked with some air or water like state. I have this ear pain for four days gradually on the same pain note. I have taken Aceclofenac with Paracetamol and Amoxicillin. I have also tried Otorex ear drops but the pain neither reduced or increased. The right ear is a kind of inflamed and not even let the drops go through. I am already on Deplatt A, Concor, and Imdur in the morning and Amlong and Rosuvastatin in the night for my angina complaint. I am also on Thyronorm 75 mcg in the morning. I am scared to go out to a hospital due to the pandemic effects, so please advise. [/INST] Hi. It looks like you have developed what we call as eustachian tube catarrh. This tube ventilates both the nose and the ear and can get blocked due to allergy or sinusitis or in any upper respiratory infection such as common flu. If you have allergic issues, it has to be adequately treated. Tablet Sinarest (a combination of Acetaminophen, Chlorpheniramine, and Pseudoephedrine) one tablet two times a day, i.e., 12 hours apart for one week can be considered. Otrivin nasal drops three drops three times a day for 10 days should also help. Valsalva exercise 15 to 20 times a day. Steam inhalations also do give a little relief. Antibiotics and painkillers will not help as it does not treat the problem. However, complete the course of your antibiotics and do not stop them halfway. 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. I am suffering from low back pain. Is it a big problem or should I not worry?
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Hello doctor, I am suffering from pain in the backbone. The affected area is a very small portion at the end of the backbone. Pain occurs when I press that portion with fingertip, but the pain is so light that I can endure it without any problem. I am a 32 year old male, unmarried, and I am suffering from low back pain for the last two weeks. Is it a big problem or should I not worry?
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Hello,Welcome to icliniq.com. There are many causes for low back pain. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony instability besides many other. So, accurate diagnosis is the key to proper management of the condition. 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 the following recommendations for an initial period of 2-3 weeks. We will observe you for the next 2-3 weeks regarding how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like dynamic x-rays of lower back and few blood tests for evaluation. Consult an orthopaedician and traumatologist online for further follow up -->
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<s>[INST]
Hello doctor, I am suffering from pain in the backbone. The affected area is a very small portion at the end of the backbone. Pain occurs when I press that portion with fingertip, but the pain is so light that I can endure it without any problem. I am a 32 year old male, unmarried, and I am suffering from low back pain for the last two weeks. Is it a big problem or should I not worry? [/INST] Hello,Welcome to icliniq.com. There are many causes for low back pain. It can be due to faulty posture, related to weak muscles, issues with intervertebral disc, narrowing of spinal canal, any bony instability besides many other. So, accurate diagnosis is the key to proper management of the condition. 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 the following recommendations for an initial period of 2-3 weeks. We will observe you for the next 2-3 weeks regarding how you respond to this conservative management protocol. If you are not feeling better, then we will have to get some investigations like dynamic x-rays of lower back and few blood tests for evaluation. Consult an orthopaedician and traumatologist online for further follow up -->
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Q. Is it safe to take Betnesol after 30 weeks of pregnancy?
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Hello doctor, I am a 34-year-old female and 33 weeks pregnant. I have been told by my gynecologist to take Betnesol cover about which I am not sure whether it is required or not. She says she will plan my delivery after completion of 37 weeks. Will the baby be fully developed by that time? Will the baby do fine after birth? I had a C-section last year. Please guide.
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Hello. Betnesol (Betamethasone) is usually given if delivery is expected between 34 to 36 weeks. At 37th week completion, the baby is mature. It depends on the ultrasound if there is any growth retardation or any low fetal weight even at 37 weeks when Betnesol (Betamethasone) is sometimes given. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am a 34-year-old female and 33 weeks pregnant. I have been told by my gynecologist to take Betnesol cover about which I am not sure whether it is required or not. She says she will plan my delivery after completion of 37 weeks. Will the baby be fully developed by that time? Will the baby do fine after birth? I had a C-section last year. Please guide. [/INST] Hello. Betnesol (Betamethasone) is usually given if delivery is expected between 34 to 36 weeks. At 37th week completion, the baby is mature. It depends on the ultrasound if there is any growth retardation or any low fetal weight even at 37 weeks when Betnesol (Betamethasone) is sometimes given. For more information consult an obstetrician and gynaecologist online -->
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Q. ECG report shows some abnormality. What is the problem?
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Hello doctor,The ECG report of my father shows some abnormality. Please tell me what is the actual problem. BP 160/100. Age 65.
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Hello. You have not attached the ECG here. So, please attach it so that I can interpret it. Otherwise, for hypertension, he should be on medicine so as to keep his BP less than 140/90 mmHg. So, also let me know if he is receiving the antihypertensive medicine. Revert with more information to a cardiologist online -->
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<s>[INST]
Hello doctor,The ECG report of my father shows some abnormality. Please tell me what is the actual problem. BP 160/100. Age 65. [/INST] Hello. You have not attached the ECG here. So, please attach it so that I can interpret it. Otherwise, for hypertension, he should be on medicine so as to keep his BP less than 140/90 mmHg. So, also let me know if he is receiving the antihypertensive medicine. Revert with more information to a cardiologist online -->
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Q. From the photos, kindly tell me if the fibroma on my soft palate is cancerous.
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Hi doctor, I am a 49 year old female weighing 135 lb. I am a smoker, I have had a sore in the soft palate area from two months. Initially, my dentist gave treatment for an ulcer. But now it has recurred, and my dentist believes it to be a fibroma. I read fibromas do not usually appear on soft palate area. I have been referred to an oral surgeon for evaluation. My lesion is approximately 2 mm round and slightly raised, with minimal discomfort. I have attached a picture of my sore. Does it look like a fibroma? I am worried that it is cancer as I recently lost my husband to cancer. I am currently under tablet Crestor 10 mg twice a week, Baclofen, Propanol, and Imitrex for migraine.
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Hi. For further queries consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am a 49 year old female weighing 135 lb. I am a smoker, I have had a sore in the soft palate area from two months. Initially, my dentist gave treatment for an ulcer. But now it has recurred, and my dentist believes it to be a fibroma. I read fibromas do not usually appear on soft palate area. I have been referred to an oral surgeon for evaluation. My lesion is approximately 2 mm round and slightly raised, with minimal discomfort. I have attached a picture of my sore. Does it look like a fibroma? I am worried that it is cancer as I recently lost my husband to cancer. I am currently under tablet Crestor 10 mg twice a week, Baclofen, Propanol, and Imitrex for migraine. [/INST] Hi. For further queries consult an internal medicine physician online -->
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Q. How can I rule out ALS?
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Hi doctor, About five weeks ago, I started feeling some weakness in my left leg. I have consulted my family doctor and a neurologist. All physical tests showed no actual weakness. There were no other clinical signs and the reflexes were also normal. There is no activity or movement that I cannot do. When I run, I feel normal. The sensation has persisted and is difficult to describe. Sometimes it feels like weakness, but sometimes like an ache down my leg, particularly when I sit down for a longer period of time and then I feel sore on my lower left back, just above by buttocks. Overall, if I had to describe the sensation in my left leg, I will describe it as a sense of weakness. Apart from the persisting feeling of weakness, I have also noticed muscle twitches all over my body, including my left foot and primarily in both my legs. I know I have been aware of these for years, but I have been more aware of them lately. Every morning for the past three to four weeks, my left foot feels tight, a slight pain when I am walking. But, it does not persist all day and if I do not think about it, then it feels normal. If I do think about it, then it feels as if I am going to have foot drop, although it does not actually happen. On top of this, I frequently feel a sense of vibration at the bottom of my left foot particularly when lying or sitting down. It is hard to tell whether this is a spasm or numbness or tingling. In the past two weeks, I have had two periods of probably two to three days where I have felt cramped and tightness in my left leg particularly at the top of my left calf. I have had a brain MRI, which came back as normal. I have had a left knee ultrasound performed which shows a varicose small saphenous vein and my family doctor does not believe this explains my symptoms. Furthermore, I have had a lumbar CT which returned the following results. At L5-S1 moderate broad left paracentral disc protrusion mildly distorting the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. Minor disc extension into the foramen at this level without exiting L5 nerve root impingement. Minor changes in the other levels also as described. However, again, my family doctor does not believe this is the cause of my symptoms. He maintains it is most likely from anxiety. I am a 21 year old medical student and to be completely honest, I made the mistake of initially looking up my symptoms online. I have been very anxious since I started experiencing the sense of weakness, as I am worried about the possibility of having ALS. I have constantly been stretching my legs and trying to test my left leg as a result. What is your recommendation? Also, could you please include what you think of the possibility of ALS, as this is my biggest concern at the moment. Thank you so much for your time.
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Hi. The various symptoms you have described are due to L5-S1 moderate broad left paracentral disc protrusion mildly distorted the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. When a disc prolapses and compresses the spinal cord in cervical and thoracic levels, we get myelopathy. When it compresses the root, we get radiculopathy. But, please note that even when a prolapsed disc does not directly compress the spinal cord or nerve root, it can still produce symptoms if it compresses the blood vessels and interferes with blood flow. As a rule, veins are more easily compressed than arteries and the epidural plexus of veins are compressed by the prolapsed disc. This leads to venous stasis and the metabolites are not washed away from the nerve roots. However, this compression is dependant on the posture. When you move a bit, the pressure gets released and the blood flow resumes and the metabolites are washed and the nerve becomes functionally normal. So, even though you may be having symptoms at one time or another, the moment you walk to your doctor's room and climb the examination couch, all metabolites are washed away and your examination does not find any abnormality. However, the good news is that this condition can be treated by very simple postural adjustments as follows. For further information consult a neurologist online -->
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<s>[INST]
Hi doctor, About five weeks ago, I started feeling some weakness in my left leg. I have consulted my family doctor and a neurologist. All physical tests showed no actual weakness. There were no other clinical signs and the reflexes were also normal. There is no activity or movement that I cannot do. When I run, I feel normal. The sensation has persisted and is difficult to describe. Sometimes it feels like weakness, but sometimes like an ache down my leg, particularly when I sit down for a longer period of time and then I feel sore on my lower left back, just above by buttocks. Overall, if I had to describe the sensation in my left leg, I will describe it as a sense of weakness. Apart from the persisting feeling of weakness, I have also noticed muscle twitches all over my body, including my left foot and primarily in both my legs. I know I have been aware of these for years, but I have been more aware of them lately. Every morning for the past three to four weeks, my left foot feels tight, a slight pain when I am walking. But, it does not persist all day and if I do not think about it, then it feels normal. If I do think about it, then it feels as if I am going to have foot drop, although it does not actually happen. On top of this, I frequently feel a sense of vibration at the bottom of my left foot particularly when lying or sitting down. It is hard to tell whether this is a spasm or numbness or tingling. In the past two weeks, I have had two periods of probably two to three days where I have felt cramped and tightness in my left leg particularly at the top of my left calf. I have had a brain MRI, which came back as normal. I have had a left knee ultrasound performed which shows a varicose small saphenous vein and my family doctor does not believe this explains my symptoms. Furthermore, I have had a lumbar CT which returned the following results. At L5-S1 moderate broad left paracentral disc protrusion mildly distorting the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. Minor disc extension into the foramen at this level without exiting L5 nerve root impingement. Minor changes in the other levels also as described. However, again, my family doctor does not believe this is the cause of my symptoms. He maintains it is most likely from anxiety. I am a 21 year old medical student and to be completely honest, I made the mistake of initially looking up my symptoms online. I have been very anxious since I started experiencing the sense of weakness, as I am worried about the possibility of having ALS. I have constantly been stretching my legs and trying to test my left leg as a result. What is your recommendation? Also, could you please include what you think of the possibility of ALS, as this is my biggest concern at the moment. Thank you so much for your time. [/INST] Hi. The various symptoms you have described are due to L5-S1 moderate broad left paracentral disc protrusion mildly distorted the anterior aspect of the thecal sac and abutting without displacing the traversing nerve roots. When a disc prolapses and compresses the spinal cord in cervical and thoracic levels, we get myelopathy. When it compresses the root, we get radiculopathy. But, please note that even when a prolapsed disc does not directly compress the spinal cord or nerve root, it can still produce symptoms if it compresses the blood vessels and interferes with blood flow. As a rule, veins are more easily compressed than arteries and the epidural plexus of veins are compressed by the prolapsed disc. This leads to venous stasis and the metabolites are not washed away from the nerve roots. However, this compression is dependant on the posture. When you move a bit, the pressure gets released and the blood flow resumes and the metabolites are washed and the nerve becomes functionally normal. So, even though you may be having symptoms at one time or another, the moment you walk to your doctor's room and climb the examination couch, all metabolites are washed away and your examination does not find any abnormality. However, the good news is that this condition can be treated by very simple postural adjustments as follows. For further information consult a neurologist 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. Since I started taking Amlodipine, I have tinnitus. Can I change it with another medicine?
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Hi doctor, I have high blood pressure for the last four years. According to my doctor, it happens from genetic since both parents suffering from it. Usually, I have a problem with diastolic blood pressure. It has reached 95, and even more since the systolic stays with 130 or max 140, since that time, I am using Amlodipine 5 mg and Concor 2.5 mg in the morning daily. My pressure is very good with the two pills, and, it is always 110/75. My question is about Amlodipine. Can I change it with another medicine? I am asking this because since I start with it, I started feeling tinnitus in both ears. Is it possible to be the reason? I saw in one report that Amlodipine cause tinnitus some time.
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Hello. It is rare, but yes Amlodipine can cause tinnitus, and it is worthwhile to change it to other medications. The best alternative option is of ARBs (Angiotension II receptor blockers) like Telmisartan. The equivalent dose would be 40 mg once daily, and it would take a week for full effect. And, if blood pressure remains elevated after a week, which is unlikely, then you may need 80 mg. If Telmisartan is not available, then Olmesartan 20 mg is equivalent to Telmisartan 40 mg. It may take a few weeks for it to disappear after stopping it. If it persists after few weeks, then it needs to get examined by ENT specialist for other causes. I hope this helps you and get back if you have any doubts.
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<s>[INST]
Hi doctor, I have high blood pressure for the last four years. According to my doctor, it happens from genetic since both parents suffering from it. Usually, I have a problem with diastolic blood pressure. It has reached 95, and even more since the systolic stays with 130 or max 140, since that time, I am using Amlodipine 5 mg and Concor 2.5 mg in the morning daily. My pressure is very good with the two pills, and, it is always 110/75. My question is about Amlodipine. Can I change it with another medicine? I am asking this because since I start with it, I started feeling tinnitus in both ears. Is it possible to be the reason? I saw in one report that Amlodipine cause tinnitus some time. [/INST] Hello. It is rare, but yes Amlodipine can cause tinnitus, and it is worthwhile to change it to other medications. The best alternative option is of ARBs (Angiotension II receptor blockers) like Telmisartan. The equivalent dose would be 40 mg once daily, and it would take a week for full effect. And, if blood pressure remains elevated after a week, which is unlikely, then you may need 80 mg. If Telmisartan is not available, then Olmesartan 20 mg is equivalent to Telmisartan 40 mg. It may take a few weeks for it to disappear after stopping it. If it persists after few weeks, then it needs to get examined by ENT specialist for other causes. I hope this helps you and get back if you have any doubts.
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Q. I have hypothyroidism. I want to reduce weight. Please advise me the diet and exercises.
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Dear Doctor, I have hypothyroidism and I am on medicines for it. Also hysterectomy was done 3 years back. I want to reduce my weight now. Please advise appropriate diet and exercise for me. Age - 52 years/ female.Weight - 75kgs, height - 5'4".
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Hi. Your weight gain may be partially due to hypothyroidism.You may start with brisk walking for 20 minutes daily and gradually increase it to 45 minutes daily. Please do not lift heavy weights at this age. This may cause more harm than benefit. Please tell me how much thyroxine are you taking and your TSH level and medicine details so that I can see whether thyroid is not the cause of your problem. Please note: Definitely you will lose weight if you follow this. Revert back to an endocrinologist online for further help -->
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<s>[INST]
Dear Doctor, I have hypothyroidism and I am on medicines for it. Also hysterectomy was done 3 years back. I want to reduce my weight now. Please advise appropriate diet and exercise for me. Age - 52 years/ female.Weight - 75kgs, height - 5'4". [/INST] Hi. Your weight gain may be partially due to hypothyroidism.You may start with brisk walking for 20 minutes daily and gradually increase it to 45 minutes daily. Please do not lift heavy weights at this age. This may cause more harm than benefit. Please tell me how much thyroxine are you taking and your TSH level and medicine details so that I can see whether thyroid is not the cause of your problem. Please note: Definitely you will lose weight if you follow this. Revert back to an endocrinologist online for further help -->
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Q. I am not getting married because of my facial hair. Please help.
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Hello doctor, I am a 32 year old female. I have PCOD. My doctor prescribed me Fertiplus tablets containing Myo-inositol and D-chiro inositol. But, I cannot afford it. Please suggest me a low-cost treatment.
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Hello. The easiest and cheapest way for you to get healthy is by lifestyle modification such as diet and exercise. Try losing weight. You need to lose 20 kg. Weight loss itself will improve the symptoms of PCOD (polycystic ovarian disease). For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, I am a 32 year old female. I have PCOD. My doctor prescribed me Fertiplus tablets containing Myo-inositol and D-chiro inositol. But, I cannot afford it. Please suggest me a low-cost treatment. [/INST] Hello. The easiest and cheapest way for you to get healthy is by lifestyle modification such as diet and exercise. Try losing weight. You need to lose 20 kg. Weight loss itself will improve the symptoms of PCOD (polycystic ovarian disease). For more information consult an obstetrician and gynaecologist online -->
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Q. My cut wound looks the same even after a month. What to do?
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Hi doctor, I am an 18 years old female. I cut myself when I recently shaved around my anus and buttocks. A few days later, it was pink or red before a scab comes. Now, even a month later, it still looks the same. It does not itch, but bothering me. What should I do?
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Hello. For further information consult an internal medicine physician online -->
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<s>[INST]
Hi doctor, I am an 18 years old female. I cut myself when I recently shaved around my anus and buttocks. A few days later, it was pink or red before a scab comes. Now, even a month later, it still looks the same. It does not itch, but bothering me. What should I do? [/INST] Hello. For further information consult an internal medicine physician online -->
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Q. What is the treatment for pus filled acne?
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Hello doctor, I am having acne on my cheeks for the past one month. I have red and pus filled acne. Redness is more in the cheeks area. I used Clindamycin gel and the pimple size reduced. But, pimples did not go away and also spreading nearby. I have used Benzoyl peroxide too, but no improvement. I am using Salicylic acid face wash twice daily. My face is oily. Kindly suggest me some way for removing acne without leaving redness. I have attached pictures for your reference. Thank you.
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Hi. I have read your query in detail and viewed the attached pictures (attachments removed to protect patient identity) and do understand your concern. Moderate acne vulgaris. 1. Continue to use Clindamycin gel in the daytime. 2. Continue Salicylic acid face wash twice daily. 3. Apply Adapalene and Benzoyl peroxide gel (Minoz-BPO gel) at night-time only. Initially, you may experience a little bit of tingling due to this cream. If so, then apply this cream on alternate nights. 5. During the day, use a non-comedogenic gel based sunscreen for every three to four hours. 6. In addition, you will require oral antibiotics. Start with one tablet Doxycycline 100 mg daily for three weeks. After three weeks we will review your improvement and decide on the further treatment. 1. Avoid hair oil application. 2. Drink plenty of water. Revert back after three weeks to a dermatologist online.--->
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<s>[INST]
Hello doctor, I am having acne on my cheeks for the past one month. I have red and pus filled acne. Redness is more in the cheeks area. I used Clindamycin gel and the pimple size reduced. But, pimples did not go away and also spreading nearby. I have used Benzoyl peroxide too, but no improvement. I am using Salicylic acid face wash twice daily. My face is oily. Kindly suggest me some way for removing acne without leaving redness. I have attached pictures for your reference. Thank you. [/INST] Hi. I have read your query in detail and viewed the attached pictures (attachments removed to protect patient identity) and do understand your concern. Moderate acne vulgaris. 1. Continue to use Clindamycin gel in the daytime. 2. Continue Salicylic acid face wash twice daily. 3. Apply Adapalene and Benzoyl peroxide gel (Minoz-BPO gel) at night-time only. Initially, you may experience a little bit of tingling due to this cream. If so, then apply this cream on alternate nights. 5. During the day, use a non-comedogenic gel based sunscreen for every three to four hours. 6. In addition, you will require oral antibiotics. Start with one tablet Doxycycline 100 mg daily for three weeks. After three weeks we will review your improvement and decide on the further treatment. 1. Avoid hair oil application. 2. Drink plenty of water. Revert back after three weeks to a dermatologist online.--->
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Q. Is Plaquenil beneficial in C. difficile colitis?
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Hello doctor, My mother was diagnosed with systemic sclerosis (CREST). Her main symptoms have been Raynaud's and esophageal issues. She also has Alzheimer's and a history of recurrent C.diff colitis. She took Plaquenil for several years and her CREST symptoms appeared stable. So, when her rheumatologist retired, we did not locate a new one. Her general doctor kept her on Plaquenil and she continued her routine testing with her eye doctor. She was hospitalized recently with C.diff and also developed pneumonia and a GI bleed, which was treated as an ulcer and got better. She did have an upper GI series, which showed no stricture, but esophageal dismotility with no peristalsis. She used to have her esophagus dilated often in the past years, but had a rupture before six years after a procedure. It healed on its own and since then. We have avoided having her scoped. The hospital doctor suggested discontinuing her Plaquenil and he said that it could make her more susceptible to infections. Prior to the hospitalization, she had declined in her physical health and lost 10 pounds in six months and the Alzheimer's is advancing. She has been discharged from the hospital and is in a long-term care facility. My question is, in general, does Plaquenil provide a benefit to the esophagus? Would it really be that much of an immunosuppressant for someone in her condition? In general terms, what are the benefits versus risks? We would like to start her back on it if there is a chance it would help. She is not physically able to be transported for a consultation with a new rheumatologist at this time. I am not asking for any information that would lead to me finding fault in her hospital doctor's recommendation. I believe her current doctor would put her back on it if we asked him to. I am just seeking information. Thank you.
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Hi. I have gone through your mother's history and she has had a tough path. For further information consult a rheumatologist online -->
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<s>[INST]
Hello doctor, My mother was diagnosed with systemic sclerosis (CREST). Her main symptoms have been Raynaud's and esophageal issues. She also has Alzheimer's and a history of recurrent C.diff colitis. She took Plaquenil for several years and her CREST symptoms appeared stable. So, when her rheumatologist retired, we did not locate a new one. Her general doctor kept her on Plaquenil and she continued her routine testing with her eye doctor. She was hospitalized recently with C.diff and also developed pneumonia and a GI bleed, which was treated as an ulcer and got better. She did have an upper GI series, which showed no stricture, but esophageal dismotility with no peristalsis. She used to have her esophagus dilated often in the past years, but had a rupture before six years after a procedure. It healed on its own and since then. We have avoided having her scoped. The hospital doctor suggested discontinuing her Plaquenil and he said that it could make her more susceptible to infections. Prior to the hospitalization, she had declined in her physical health and lost 10 pounds in six months and the Alzheimer's is advancing. She has been discharged from the hospital and is in a long-term care facility. My question is, in general, does Plaquenil provide a benefit to the esophagus? Would it really be that much of an immunosuppressant for someone in her condition? In general terms, what are the benefits versus risks? We would like to start her back on it if there is a chance it would help. She is not physically able to be transported for a consultation with a new rheumatologist at this time. I am not asking for any information that would lead to me finding fault in her hospital doctor's recommendation. I believe her current doctor would put her back on it if we asked him to. I am just seeking information. Thank you. [/INST] Hi. I have gone through your mother's history and she has had a tough path. For further information consult a rheumatologist online -->
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Q. How long should my husband and I wait to try for a baby if we did cocaine?
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Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.
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Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance. [/INST] Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->
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Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
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Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
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Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
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Q. Please explain the poisonous effect of phenol ingestion.
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Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
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Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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<s>[INST]
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. [/INST] Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
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Q. For how long should I take Kalachikai powder to overcome PCOD problem?
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Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?
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Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? [/INST] Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->
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Q. Why do periods get delayed after first time sex?
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Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?
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Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods? [/INST] Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->
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Q. I am having hearing issue and sloughing causing more pain. Why?
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Hello doctor, I am having issues with hearing, pain, pressure, and sensitivity to noise. Can slough in ear be painful? I am currently using Topamax, Allegra D, Baby Aspirin, Tylenol, Aleve, and Ibuprofen.
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Hello. Sorry, I need more details but I will comment on the pictures as clear as possible. (attachment removed to protect patient identity). The first picture shows a lot of shaded superficial layers of the skin. This can be painful. This may be a dermatological disease like eczema. I still do not know which ear is it, right or left? The last picture seems to be of the left ear. The drum is intact, no perforation, the white patches in the drum are called tympanosclerosis which is deposition of calcium granules within the drum tissue. This can happen spontaneously or after healed drum perforation and drum surgeries.
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<s>[INST]
Hello doctor, I am having issues with hearing, pain, pressure, and sensitivity to noise. Can slough in ear be painful? I am currently using Topamax, Allegra D, Baby Aspirin, Tylenol, Aleve, and Ibuprofen. [/INST] Hello. Sorry, I need more details but I will comment on the pictures as clear as possible. (attachment removed to protect patient identity). The first picture shows a lot of shaded superficial layers of the skin. This can be painful. This may be a dermatological disease like eczema. I still do not know which ear is it, right or left? The last picture seems to be of the left ear. The drum is intact, no perforation, the white patches in the drum are called tympanosclerosis which is deposition of calcium granules within the drum tissue. This can happen spontaneously or after healed drum perforation and drum surgeries.
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Q. I got urethritis and conjunctivitis after unprotected oral sex. Please help.
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Hello doctor, I got urethritis and conjunctivitis, at the same time a few months back. I had thick transparent penile discharge with burning and itching sensation. I got this after a week of having unprotected oral sex. I have had urethral swab and urine test done, and the reports showed ureaplasma urealyticum. I have been treated with Ceftriaxone and Azithromycin for urethritis. And with Azithromycin, Tobrex, and Aureomycin for conjunctivitis. Most of the symptoms disappeared after a week, but since then, I still have the penile discharge throughout the day, the discharge leaves black stains in my underwear. I have a strange sensation of pressure in my prostate, and it burns when I pee. Sometimes, it burns slightly after ejaculation also. In the eye, I still have inflammation of both my eyelids and discomfort in one eye. In the past month, I saw a urologist again, and I have been treated with Azithromycin and Ciflox for two weeks, Doxycycline for eight weeks, and Flagyl for two weeks, but with no improvement. I also had several swabs, urine tests, and a sperm culture, which all came back negative. I got an MRI of the prostate that showed an inflamed prostate. For the eyes, I have been prescribed Ciclosporin and Ketotifen for six months. I have never had urethral swab after a prostate massage because my urologist said it is useless. Now, my urologist thinks of putting me on Cortisone for two months. Do you think it is a good idea? Do you have any explanation for the remaining symptoms? Do you think there is a link between eyes and genital symptoms? Thank you for your help.
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Hi. For further queries consult a venereologist online -->
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<s>[INST]
Hello doctor, I got urethritis and conjunctivitis, at the same time a few months back. I had thick transparent penile discharge with burning and itching sensation. I got this after a week of having unprotected oral sex. I have had urethral swab and urine test done, and the reports showed ureaplasma urealyticum. I have been treated with Ceftriaxone and Azithromycin for urethritis. And with Azithromycin, Tobrex, and Aureomycin for conjunctivitis. Most of the symptoms disappeared after a week, but since then, I still have the penile discharge throughout the day, the discharge leaves black stains in my underwear. I have a strange sensation of pressure in my prostate, and it burns when I pee. Sometimes, it burns slightly after ejaculation also. In the eye, I still have inflammation of both my eyelids and discomfort in one eye. In the past month, I saw a urologist again, and I have been treated with Azithromycin and Ciflox for two weeks, Doxycycline for eight weeks, and Flagyl for two weeks, but with no improvement. I also had several swabs, urine tests, and a sperm culture, which all came back negative. I got an MRI of the prostate that showed an inflamed prostate. For the eyes, I have been prescribed Ciclosporin and Ketotifen for six months. I have never had urethral swab after a prostate massage because my urologist said it is useless. Now, my urologist thinks of putting me on Cortisone for two months. Do you think it is a good idea? Do you have any explanation for the remaining symptoms? Do you think there is a link between eyes and genital symptoms? Thank you for your help. [/INST] Hi. For further queries consult a venereologist online -->
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Q. Even after taking inhalers, why do I continue to wheeze?
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Hi doctor, I have taken Albuterol and Advair twice a day for about a month now without any relief of my wheezing. Even right after I take my inhalers, it is like I took nothing. Allergy pills do not seem to help much either, like Claritin or Zyrtec. They even did an x-ray of my chest and said everything looked fine. So my question is, why do I always feel short of breath? Why do I continue to wheeze so much? I have always had asthma, but never this severe.
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Hello. For further information consult an allergy specialist online -->
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<s>[INST]
Hi doctor, I have taken Albuterol and Advair twice a day for about a month now without any relief of my wheezing. Even right after I take my inhalers, it is like I took nothing. Allergy pills do not seem to help much either, like Claritin or Zyrtec. They even did an x-ray of my chest and said everything looked fine. So my question is, why do I always feel short of breath? Why do I continue to wheeze so much? I have always had asthma, but never this severe. [/INST] Hello. For further information consult an allergy specialist online -->
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Q. What are the specific measures I should follow before surgery?
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Hello doctor, I am having surgery next week for reflux, Nissen fundoplication and hiatal hernia repair. A week before surgery, what can I do to improve my chance of success and limit the chance of complication? Can I take my Nexium (PPI) on the day of surgery or should I stop now?
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Hello. For further information consult a general surgeon online -->
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<s>[INST]
Hello doctor, I am having surgery next week for reflux, Nissen fundoplication and hiatal hernia repair. A week before surgery, what can I do to improve my chance of success and limit the chance of complication? Can I take my Nexium (PPI) on the day of surgery or should I stop now? [/INST] Hello. For further information consult a general surgeon online -->
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Q. Are my lymph nodes swollen due to an allergy to fried foods?
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Hi doctor, I am a 35 year old male. I had a fever of 37.8oC on the eighth of last month, which only lasted for a day. But the fever was followed by few symptoms. After the fever, my lymph nodes at the back of my ear were swollen. I also had a sore throat and mouth ulcers. My body felt itchy, and I got a rash for two days. All these symptoms got cured after two weeks, except the lymph node swelling. Is it because of fried food allergy? I have an allergy to fried foods, it makes me have ulcers and get a sore throat immediately. Recently, I had some fried chips.
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Hello. Revert with more information to an allergy specialist online -->
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<s>[INST]
Hi doctor, I am a 35 year old male. I had a fever of 37.8oC on the eighth of last month, which only lasted for a day. But the fever was followed by few symptoms. After the fever, my lymph nodes at the back of my ear were swollen. I also had a sore throat and mouth ulcers. My body felt itchy, and I got a rash for two days. All these symptoms got cured after two weeks, except the lymph node swelling. Is it because of fried food allergy? I have an allergy to fried foods, it makes me have ulcers and get a sore throat immediately. Recently, I had some fried chips. [/INST] Hello. Revert with more information to an allergy specialist online -->
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Q. Can Pentavalent vaccine cause loose motion?
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Hi doctor, After taking Pentavalent vaccine my 2 month old baby is having loose motion for the last five days with tummy problems. Doctor suggests Ornidazole-Ofloxacin and Racecadotril suspension. Is it safe?
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Hi. I see similar cases in my clinic every day. For further queries consult a paediatrician online -->
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<s>[INST]
Hi doctor, After taking Pentavalent vaccine my 2 month old baby is having loose motion for the last five days with tummy problems. Doctor suggests Ornidazole-Ofloxacin and Racecadotril suspension. Is it safe? [/INST] Hi. I see similar cases in my clinic every day. For further queries consult a paediatrician online -->
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Q. Can Diane 35 be taken for a longer period?
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Hi doctor, I have been having shooting pain in my legs after two hours of Diane-35. I have also read about the risk of blood clots on this pill. I was prescribed this pill because the previous birth control pill was causing hair fall. Can Diane 35 be taken for a longer duration like three years?
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Hello. For further information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hi doctor, I have been having shooting pain in my legs after two hours of Diane-35. I have also read about the risk of blood clots on this pill. I was prescribed this pill because the previous birth control pill was causing hair fall. Can Diane 35 be taken for a longer duration like three years? [/INST] Hello. For further information consult an obstetrician and gynaecologist online -->
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Q. Is it harmful to take constipation medicines for a long time?
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Hello doctor, I am taking Anuloma DS from the last six months with tablet Pylapy. I take it every day. Even if I miss it once, I do not get motion. Is it harmful to take it for a long time? Another problem I am facing is an irregular time of motions. It may be any time before noon. So, I cannot go out when I take Anuloma. In some occasions, I could not reach a toilet on time.
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Hello. I read your query. I hope you find my answer helpful. For more queries, you can follow up with me. For more information consult an ayurveda specialist online -->
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<s>[INST]
Hello doctor, I am taking Anuloma DS from the last six months with tablet Pylapy. I take it every day. Even if I miss it once, I do not get motion. Is it harmful to take it for a long time? Another problem I am facing is an irregular time of motions. It may be any time before noon. So, I cannot go out when I take Anuloma. In some occasions, I could not reach a toilet on time. [/INST] Hello. I read your query. I hope you find my answer helpful. For more queries, you can follow up with me. For more information consult an ayurveda specialist online -->
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Q. Partner did not bleed after Unwanted 72 and periods is due. Please help.
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Hello doctor,My partner's periods date is 23. Last periods was on the 23rd two months ago. My partner and I were intimate on 10th last month. It was unprotected. So, she took an I-pill on the 12th. She bled on 22nd. Again we had sex on 9th this month. It was protected but the condom slipped. So, for protection, I gave her Unwanted-72 on the 10th. Till now, she did not bleed and her period date is also due. Please help.
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Hello. Although you have rightly taken the emergency contraceptive pill both the time well within 72 hours after intimacy, so considering that she had her first bleed on time, it is likely that her next menses would anyhow be delayed by few days as a side effect known with I-pill. Now that you have taken an I-pill again, the bleeding should be expected by seven to 10 days ideally, but you can wait another week for withdrawal bleed to start naturally. If no bleed in next seven days then get a urine pregnancy test done to rule out pregnancy, possibly due to I-pill failure and if the test is negative then you can opt for a progesterone-induced withdrawal. Please follow up with further clarifications and discussion.Regards. For more information consult an obstetrician and gynaecologist online -->
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<s>[INST]
Hello doctor,My partner's periods date is 23. Last periods was on the 23rd two months ago. My partner and I were intimate on 10th last month. It was unprotected. So, she took an I-pill on the 12th. She bled on 22nd. Again we had sex on 9th this month. It was protected but the condom slipped. So, for protection, I gave her Unwanted-72 on the 10th. Till now, she did not bleed and her period date is also due. Please help. [/INST] Hello. Although you have rightly taken the emergency contraceptive pill both the time well within 72 hours after intimacy, so considering that she had her first bleed on time, it is likely that her next menses would anyhow be delayed by few days as a side effect known with I-pill. Now that you have taken an I-pill again, the bleeding should be expected by seven to 10 days ideally, but you can wait another week for withdrawal bleed to start naturally. If no bleed in next seven days then get a urine pregnancy test done to rule out pregnancy, possibly due to I-pill failure and if the test is negative then you can opt for a progesterone-induced withdrawal. Please follow up with further clarifications and discussion.Regards. For more information consult an obstetrician and gynaecologist online -->
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Q. Does a fall cause brain and IQ damage in a baby?
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Hi doctor, My daughter of 6 months old had a fall yesterday from 20 inches height. She had a hit on the backside of her head. She cried loudly and I immediately applied lot of water on the backside of her head. She became fine within a minute and she is totally fine now. Will it affect her intelligence or IQ level? My mother says that if head of the baby gets hit at early stage it can cause brain damage or may affect intelligence level. Please explain. Should I check her IQ once she is little grown up like 5 or 6 years of age?
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Hi. For further information consult a family physician online -->
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<s>[INST]
Hi doctor, My daughter of 6 months old had a fall yesterday from 20 inches height. She had a hit on the backside of her head. She cried loudly and I immediately applied lot of water on the backside of her head. She became fine within a minute and she is totally fine now. Will it affect her intelligence or IQ level? My mother says that if head of the baby gets hit at early stage it can cause brain damage or may affect intelligence level. Please explain. Should I check her IQ once she is little grown up like 5 or 6 years of age? [/INST] Hi. For further information consult a family physician online -->
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Q. Is movement of penis skin below and above ring after circumcision normal?
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Hi doctor, I am a male, 25 years old, not married. Recently, I had a circumcision (seven weeks back) surgery because of phimosis. The foreskin was removed till above the ring of my penis head. During sleep or when it is erected, skin is automatically moving below the ring and automatically coming back to normal position. Here are my questions. Even after circumcision, does moving or retraction of the skin below and above the ring matter? I am having a little bit difficulty to move the skin to below the ring with my hand, during masturbation. Even sometimes it is moving on its own when erected. Is it okay? Will this affect my sex life in future? I am doubtful that I might be having less natural lubricant under the skin of my penis. Because of that, I see some pain if I hardly rub my penis during masturbation. Can we hardly rub the penis during masturbation? If yes, is this pain common? Do I have natural lubricant issue under the skin of penis? Please clarify my questions in detail, as I am shy to ask these questions to a doctor directly.
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Hello. Relax and do not worry. After circumcision, you will not have any skin on your penis head. If you pull also, it will go back to the ring of the penis head. So, that is normal. Also, as penis head is a sensitive structure, you will have a feeling of dryness for some weeks. So, nothing to worry. If you are feeling too much dry, then you can just apply two to three drops of coconut oil. For more information consult a urologist online -->
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<s>[INST]
Hi doctor, I am a male, 25 years old, not married. Recently, I had a circumcision (seven weeks back) surgery because of phimosis. The foreskin was removed till above the ring of my penis head. During sleep or when it is erected, skin is automatically moving below the ring and automatically coming back to normal position. Here are my questions. Even after circumcision, does moving or retraction of the skin below and above the ring matter? I am having a little bit difficulty to move the skin to below the ring with my hand, during masturbation. Even sometimes it is moving on its own when erected. Is it okay? Will this affect my sex life in future? I am doubtful that I might be having less natural lubricant under the skin of my penis. Because of that, I see some pain if I hardly rub my penis during masturbation. Can we hardly rub the penis during masturbation? If yes, is this pain common? Do I have natural lubricant issue under the skin of penis? Please clarify my questions in detail, as I am shy to ask these questions to a doctor directly. [/INST] Hello. Relax and do not worry. After circumcision, you will not have any skin on your penis head. If you pull also, it will go back to the ring of the penis head. So, that is normal. Also, as penis head is a sensitive structure, you will have a feeling of dryness for some weeks. So, nothing to worry. If you are feeling too much dry, then you can just apply two to three drops of coconut oil. For more information consult a urologist online -->
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Q. For more than four weeks now, my nose, throat, and stomach feels like they are on fire. Why?
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Not been feeling to good for more than 4 weeks now, no appetite so have lost weight, night sweats. Whole body feels weak and uncomfortable all day this has gotten worse during the past week and a half. Nose and throat feel like they are on fire, coughing more after eating. Stomach also feels like it's on fire, gets worse after eating. Stomach acid reflux after eating and burping. Burping a lot after eating sometimes burping up acid reflux. Calves have difficulty moving, very tired. No appetite More severe night sweats, wake up every half an hour just about each night. Very tired.
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Hello, I am sorry to hear that you are not feeling so well. Reading about your symptoms the most common differential diagnosis would be GERD or Gastro esophageal reflux disease. It is basically reflux of the acidic content of the stomach into your food pipe or oesophagus that causes all these problems . And to confirm the diagnosis I suggest you to meet a gi specialist after the covid situation settles down who will then do an endoscopy to confirm the diagnosis. Till then try avoiding alcohol, citrus juice, tomato based products and coffee. After meals take a walk inside your premises and wait for 2-3 hours and then lie down. Keep an extra pillow to elevate your head while sleeping . Also stop taking omeprazole and start talking tablet esomeprazole/nexpro rd/nexpro. Have 1tsp of syrup sucralfate 30 minutes before taking esomeprazole. Endoscopy Urea breath test Tab esomeprazole -domperidone Syrup sucralfate
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<s>[INST]
Not been feeling to good for more than 4 weeks now, no appetite so have lost weight, night sweats. Whole body feels weak and uncomfortable all day this has gotten worse during the past week and a half. Nose and throat feel like they are on fire, coughing more after eating. Stomach also feels like it's on fire, gets worse after eating. Stomach acid reflux after eating and burping. Burping a lot after eating sometimes burping up acid reflux. Calves have difficulty moving, very tired. No appetite More severe night sweats, wake up every half an hour just about each night. Very tired. [/INST] Hello, I am sorry to hear that you are not feeling so well. Reading about your symptoms the most common differential diagnosis would be GERD or Gastro esophageal reflux disease. It is basically reflux of the acidic content of the stomach into your food pipe or oesophagus that causes all these problems . And to confirm the diagnosis I suggest you to meet a gi specialist after the covid situation settles down who will then do an endoscopy to confirm the diagnosis. Till then try avoiding alcohol, citrus juice, tomato based products and coffee. After meals take a walk inside your premises and wait for 2-3 hours and then lie down. Keep an extra pillow to elevate your head while sleeping . Also stop taking omeprazole and start talking tablet esomeprazole/nexpro rd/nexpro. Have 1tsp of syrup sucralfate 30 minutes before taking esomeprazole. Endoscopy Urea breath test Tab esomeprazole -domperidone Syrup sucralfate
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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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