Description
stringlengths 1
1.5k
| Patient
stringlengths 1
17.7k
| Doctor
stringlengths 2
11.4k
| text
stringlengths 77
18.8k
|
|---|---|---|---|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. I have a hard lump in my mouth. Do I require biopsy?
|
Hello doctor, I have a hard lump in my mouth since yesterday. There is very little pain, but I am freaking out about this because I used to chew tobacco and smoke for three years but clean since last one year. So, please, can you confirm if I require a biopsy?
|
Hello. I understand your concern since it is a hard lump. If you are worried, you can visit your nearest dentist for a thorough checkup, before going for a biopsy. As of now, a biopsy is not advisable as it looks like an acute case. Revert with more information to a dentist online -->
|
<s>[INST]
Hello doctor, I have a hard lump in my mouth since yesterday. There is very little pain, but I am freaking out about this because I used to chew tobacco and smoke for three years but clean since last one year. So, please, can you confirm if I require a biopsy? [/INST] Hello. I understand your concern since it is a hard lump. If you are worried, you can visit your nearest dentist for a thorough checkup, before going for a biopsy. As of now, a biopsy is not advisable as it looks like an acute case. Revert with more information to a dentist online -->
|
Q. I have palpitations and premature beats since childhood. Should I be worried?
|
Hello doctor, I am a 48 year old male. I have a lean build and do exercises regularly. Since childhood, I had a tendency for heart palpitations and premature beats, mostly when I do not get good sleep or if I am going through some stress. Around 16 years ago, I consulted a cardiologist and had an ECG and echo test done. Both the tests were normal and the doctor said that there is no heart problem and the symptoms were due to anxiety. Since then, palpitations had reduced quite a bit and I only had premature beats sometimes. Four days back, I had not slept well the previous night and in the afternoon, I had a very heavy lunch at work. After that, when I had to walk a little distance, I felt that I was having premature beats. It subsided after four to five minutes. When I returned to my office, I felt the same sensation again. In the evening, I was perfectly fine when I returned home. I even walked up three floors without a problem. On the next day, I did my regular exercise which includes some running, without any problem. A day later, I had to go to work, with only four hours of sleep. In the evening, I had some beer after which I felt the premature beats again. But, they subsided after five minutes. From the last two days, there is no problem at all. There was no other symptom during these episodes. My BP is always normal, which I regularly get checked. I have no other medical illness till date, except for a tendency to worry about my health. Please guide me.
|
Hello. These premature complexes are probably originating from the ventricles. These are usually benign and not life-threatening. Considering your age, the primary concern is a coronary artery disease, which is also less likely as you have been observing these symptoms since childhood and also because you do not have any of the other key symptoms. Lack of sleep, stress, alcohol, smoking, and caffeinated beverages are well known triggering factors for sympathetic overactivity. I suggest the following: So overall, this is not a worrisome matter and getting investigations done is a matter of choice. Hope this helps you and get back if you have any questions. For more information consult a cardiologist online -->
|
<s>[INST]
Hello doctor, I am a 48 year old male. I have a lean build and do exercises regularly. Since childhood, I had a tendency for heart palpitations and premature beats, mostly when I do not get good sleep or if I am going through some stress. Around 16 years ago, I consulted a cardiologist and had an ECG and echo test done. Both the tests were normal and the doctor said that there is no heart problem and the symptoms were due to anxiety. Since then, palpitations had reduced quite a bit and I only had premature beats sometimes. Four days back, I had not slept well the previous night and in the afternoon, I had a very heavy lunch at work. After that, when I had to walk a little distance, I felt that I was having premature beats. It subsided after four to five minutes. When I returned to my office, I felt the same sensation again. In the evening, I was perfectly fine when I returned home. I even walked up three floors without a problem. On the next day, I did my regular exercise which includes some running, without any problem. A day later, I had to go to work, with only four hours of sleep. In the evening, I had some beer after which I felt the premature beats again. But, they subsided after five minutes. From the last two days, there is no problem at all. There was no other symptom during these episodes. My BP is always normal, which I regularly get checked. I have no other medical illness till date, except for a tendency to worry about my health. Please guide me. [/INST] Hello. These premature complexes are probably originating from the ventricles. These are usually benign and not life-threatening. Considering your age, the primary concern is a coronary artery disease, which is also less likely as you have been observing these symptoms since childhood and also because you do not have any of the other key symptoms. Lack of sleep, stress, alcohol, smoking, and caffeinated beverages are well known triggering factors for sympathetic overactivity. I suggest the following: So overall, this is not a worrisome matter and getting investigations done is a matter of choice. Hope this helps you and get back if you have any questions. For more information consult a cardiologist online -->
|
Q. I feel difficult to breathe while sleeping. Why?
|
Hi doctor, I am a 25 year old female with one year old baby. Suddenly from last 10 days when I feel asleep something blocks my breathing. When I wake up and stand for a while, I will get back my breathing slowly. Immediately after that I get some continuous burps. It feels that something has stuck in my throat and my husband says that some sound like water falling also comes in the process. The whole process lasts for two to three minutes and slowly comes to normal again. The problem occurs only when I feel asleep. I have been diagnosed for mucous, asthma, ECG, etc., but all showed normal conditions and the exact cause cannot be identified. I am taking Rablet D and another gas related tablet prescribed by the doctor. Please help.
|
Hi. These symptoms look like purely gastritis. At the time of normal acid production while sleeping we will not have any problems. If acid production in stomach is more, then while lying down acid tends to come to esophagus (upwards from stomach). It can come up to throat. Acid causes irritation of diaphragm (sheet separating lungs from stomach), which can cause increased breathing. The sensation of something stuck in the throat is severe irritation of throat due to increase in acidity in stomach. If gastritis is present, then the acid comes up to the throat called regurgitation and causes this sensation. Burping is due to acid and air coming up due to gastritis. Rablet-D (Rabeprazole) is correct choice of a tablet. But, the potency and quality is very less. Gastritis can due to many reasons like not eating food at proper intervals, drinking too much coffee or tea, eating hot and spicy foods, cola and junk foods, less sleep, increased work pressure, tension and too much of worrying. Follow the points mentioned below for a month. Try tablet Pansec DSR (combination of Domperidone and Pantoprazole) one tablet before food in the morning and night. Also, take syrup Mucaine Gel 10 mL after food thrice a day for one month. Revert back after a month to an internal medicine physician online -->
|
<s>[INST]
Hi doctor, I am a 25 year old female with one year old baby. Suddenly from last 10 days when I feel asleep something blocks my breathing. When I wake up and stand for a while, I will get back my breathing slowly. Immediately after that I get some continuous burps. It feels that something has stuck in my throat and my husband says that some sound like water falling also comes in the process. The whole process lasts for two to three minutes and slowly comes to normal again. The problem occurs only when I feel asleep. I have been diagnosed for mucous, asthma, ECG, etc., but all showed normal conditions and the exact cause cannot be identified. I am taking Rablet D and another gas related tablet prescribed by the doctor. Please help. [/INST] Hi. These symptoms look like purely gastritis. At the time of normal acid production while sleeping we will not have any problems. If acid production in stomach is more, then while lying down acid tends to come to esophagus (upwards from stomach). It can come up to throat. Acid causes irritation of diaphragm (sheet separating lungs from stomach), which can cause increased breathing. The sensation of something stuck in the throat is severe irritation of throat due to increase in acidity in stomach. If gastritis is present, then the acid comes up to the throat called regurgitation and causes this sensation. Burping is due to acid and air coming up due to gastritis. Rablet-D (Rabeprazole) is correct choice of a tablet. But, the potency and quality is very less. Gastritis can due to many reasons like not eating food at proper intervals, drinking too much coffee or tea, eating hot and spicy foods, cola and junk foods, less sleep, increased work pressure, tension and too much of worrying. Follow the points mentioned below for a month. Try tablet Pansec DSR (combination of Domperidone and Pantoprazole) one tablet before food in the morning and night. Also, take syrup Mucaine Gel 10 mL after food thrice a day for one month. Revert back after a month to an internal medicine physician online -->
|
Q. How to get relief from nose block?
|
Hi doctor, I am 32 years old. Since two weeks, I am suffering with cold, especially nose blockage. As per doctor advice, I had Mucolite SR and Mondeslor daily night. He also advised me to take vaporizer and salt water gargling but I did not do that. I used Otrivine nasal drop for immediate relief. When the symptoms reduced last week, I stopped the tablets but again I faced the same problem. I went back to the same doctor and he asked me to continue the tablets. Three days back, I had lower back pain due to improper sleep. Doctor advised me to do proper stretches as muscles are tight and prescribed me Pan 40, Zincovit, Ultracet. Almost the pain got relieved. I had erection and ejaculation problem, for which about two months back doctor advised me to take Absolut 3G once a day. I almost stopped it now. My doubts are, shall I continue Mucolite SR, Mondeslor in night as still I have cold problems (day before yesterday I had nasal congestion did vaporization in mid night which provided some relief but spoiled my sleep, today early morning had one nose blockage) and capsule Absolut 3G in the morning? Is it fine to discontinue lower back pain tablets and take when necessary? Can I take raw garlic apart from Absolut 3G? Which is the good form of garlic to eat and when? Is it necessary to take Absolut 3G also?
|
Hi. I will answer your queries in the same order as you have asked me and explain to you the details wherever required. 1. Serum IgE. 2. Absolute eosinophil count. 3. Nasal secretion swab culture and sensitivity (if routine antibiotic does not work for your condition). 1. Allergic rhinitis. 2. Vasomotor rhinitis. 3. Infective rhinosinusitis. Revert back with the investigation reports to a general practitioner online.--->
|
<s>[INST]
Hi doctor, I am 32 years old. Since two weeks, I am suffering with cold, especially nose blockage. As per doctor advice, I had Mucolite SR and Mondeslor daily night. He also advised me to take vaporizer and salt water gargling but I did not do that. I used Otrivine nasal drop for immediate relief. When the symptoms reduced last week, I stopped the tablets but again I faced the same problem. I went back to the same doctor and he asked me to continue the tablets. Three days back, I had lower back pain due to improper sleep. Doctor advised me to do proper stretches as muscles are tight and prescribed me Pan 40, Zincovit, Ultracet. Almost the pain got relieved. I had erection and ejaculation problem, for which about two months back doctor advised me to take Absolut 3G once a day. I almost stopped it now. My doubts are, shall I continue Mucolite SR, Mondeslor in night as still I have cold problems (day before yesterday I had nasal congestion did vaporization in mid night which provided some relief but spoiled my sleep, today early morning had one nose blockage) and capsule Absolut 3G in the morning? Is it fine to discontinue lower back pain tablets and take when necessary? Can I take raw garlic apart from Absolut 3G? Which is the good form of garlic to eat and when? Is it necessary to take Absolut 3G also? [/INST] Hi. I will answer your queries in the same order as you have asked me and explain to you the details wherever required. 1. Serum IgE. 2. Absolute eosinophil count. 3. Nasal secretion swab culture and sensitivity (if routine antibiotic does not work for your condition). 1. Allergic rhinitis. 2. Vasomotor rhinitis. 3. Infective rhinosinusitis. Revert back with the investigation reports to a general practitioner online.--->
|
Q. Is it serious to have a low serum albumin level in multiple myeloma patient?
|
Hello doctor, My mother is a multiple myeloma patient. First relapse 10 months ago. Now her serum albumin is 27 which is low. Is it alarming? She is physically fit and can work sometimes, but fatigue. Her upper side legs are getting a bit fat. She is having Lenalid now. I would appreciate your suggestion.
|
Hello. Your serum albumin level is low according to the mentioned history. So, it can be considered alarming. If serum albumin is less then 3.5 gm/dl, then it can be a stage 2 category of multiple myeloma according to the international staging system. Prognosis is intermediate in that stage, meaning not an excellent prognosis. You are advisable to investigate with serum calcium estimation, full CBC (complete blood count), serum beta 2 microglobulin report and urine light chain excretion study as well to do a further workup. You can consult your hematologist for examination and get above investigation done after discussion with the hematologist.
|
<s>[INST]
Hello doctor, My mother is a multiple myeloma patient. First relapse 10 months ago. Now her serum albumin is 27 which is low. Is it alarming? She is physically fit and can work sometimes, but fatigue. Her upper side legs are getting a bit fat. She is having Lenalid now. I would appreciate your suggestion. [/INST] Hello. Your serum albumin level is low according to the mentioned history. So, it can be considered alarming. If serum albumin is less then 3.5 gm/dl, then it can be a stage 2 category of multiple myeloma according to the international staging system. Prognosis is intermediate in that stage, meaning not an excellent prognosis. You are advisable to investigate with serum calcium estimation, full CBC (complete blood count), serum beta 2 microglobulin report and urine light chain excretion study as well to do a further workup. You can consult your hematologist for examination and get above investigation done after discussion with the hematologist.
|
Q. My husband's foreskin is stuck after he pulled it back while urinating. What can be done for the pain?
|
Hi Doctor My husband is having pain in penis head. The foreskin got backwards and now it not coming back to original form and not covering head of penis. Yesterday when my husband was urinating, he tried pulling foreskin and it went backwards, after that it not coming to front. Before also, he was not able to pull it backwards, so while having sex and wearing condom, there was no problem. Once when we had unprotected sex, his foreskin went backwards and he was in pain. The foreskin was coming forward. He is in pain, what can be done? Is it normal or not? We had sex a month ago, with precaution.
|
Hello, It looks like your husband is suffering from a condition called phimosis. Phimosis is a condition in which the foreskin is too tight to be pulled back over the head or glans of the penis. Now this can happen due to a number of reasons, and can be diagnosed only after examination. This usually happens when one does not clean under the foreskin, can lead to bacteria, fungus or other germs accumulating there. When this happens for some time, it can lead to balanitis inflammation of the glans, or the head, of the penis). Has this happened before? (Tight, shiny skin on the glans, redness around the glans, itchiness, or irritation of the glans, an unpleasant smell, tight foreskin that cannot be pulled back,etc.). When this happens it can lead to phimosis. After examination only I will be able to diagnose whether it is balanitis or phimosis and whether this is due to bacteria or fungus or some other cause. The treatment varies depending on the findings. Therefore, if the pain is severe, it would be best to take him to a urologist and get it examined. On the other hand, if the penis is red and swollen, you should take him to the emergency room. If you want, I can give you a cream for the pain, but if there is infection, there is a chance it will become worse. I understand there is lockdown, but if the pain is not too severe, you can wait until lockdown is lifted. Let me know what you decide and any other queries you may have.
|
<s>[INST]
Hi Doctor My husband is having pain in penis head. The foreskin got backwards and now it not coming back to original form and not covering head of penis. Yesterday when my husband was urinating, he tried pulling foreskin and it went backwards, after that it not coming to front. Before also, he was not able to pull it backwards, so while having sex and wearing condom, there was no problem. Once when we had unprotected sex, his foreskin went backwards and he was in pain. The foreskin was coming forward. He is in pain, what can be done? Is it normal or not? We had sex a month ago, with precaution. [/INST] Hello, It looks like your husband is suffering from a condition called phimosis. Phimosis is a condition in which the foreskin is too tight to be pulled back over the head or glans of the penis. Now this can happen due to a number of reasons, and can be diagnosed only after examination. This usually happens when one does not clean under the foreskin, can lead to bacteria, fungus or other germs accumulating there. When this happens for some time, it can lead to balanitis inflammation of the glans, or the head, of the penis). Has this happened before? (Tight, shiny skin on the glans, redness around the glans, itchiness, or irritation of the glans, an unpleasant smell, tight foreskin that cannot be pulled back,etc.). When this happens it can lead to phimosis. After examination only I will be able to diagnose whether it is balanitis or phimosis and whether this is due to bacteria or fungus or some other cause. The treatment varies depending on the findings. Therefore, if the pain is severe, it would be best to take him to a urologist and get it examined. On the other hand, if the penis is red and swollen, you should take him to the emergency room. If you want, I can give you a cream for the pain, but if there is infection, there is a chance it will become worse. I understand there is lockdown, but if the pain is not too severe, you can wait until lockdown is lifted. Let me know what you decide and any other queries you may have.
|
Q. What medicines can I take for painful urination?
|
Hi doctor, I am a 24 year old male. From the last 15 days, I have pain at the time of passing urine. So, I went for a urine test of complete urine examination and urine culture. There was nothing wrong with the complete urine examination. But, in the urine culture, at the bottom of the report, they mentioned one comment: 'occasional inflammatory cells seen'. Kindly correlate clinically. I am attaching the files. Please go through the files and suggest medications, please.
|
Hello. I have seen the reports sent by you (attachment removed to protect patient identity). It shows urine infection with E.coli type of organism. Inflammatory cells are seen due to the infection. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Repeat the urine culture tests after eight days to check if the infection is gone. For more information consult a urologist online -->
|
<s>[INST]
Hi doctor, I am a 24 year old male. From the last 15 days, I have pain at the time of passing urine. So, I went for a urine test of complete urine examination and urine culture. There was nothing wrong with the complete urine examination. But, in the urine culture, at the bottom of the report, they mentioned one comment: 'occasional inflammatory cells seen'. Kindly correlate clinically. I am attaching the files. Please go through the files and suggest medications, please. [/INST] Hello. I have seen the reports sent by you (attachment removed to protect patient identity). It shows urine infection with E.coli type of organism. Inflammatory cells are seen due to the infection. I suggest: Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Repeat the urine culture tests after eight days to check if the infection is gone. For more information consult a urologist online -->
|
Q. Suggest me ayurvedic medicine for premature ejaculation problem.
|
Hello Doctor, I am a 27 year old male. I have been masturbating since childhood. My problem is that whenever I indulge in sex, sperm comes out very soon like within a minute. Please suggest me any medicines that can increase the time of ejaculation upto half an hour.
|
Hi. This is not a major problem. It can be easily corrected. You have to follow the following instructions: Consult a sexologist online if the problem persists even after following these instructions -->
|
<s>[INST]
Hello Doctor, I am a 27 year old male. I have been masturbating since childhood. My problem is that whenever I indulge in sex, sperm comes out very soon like within a minute. Please suggest me any medicines that can increase the time of ejaculation upto half an hour. [/INST] Hi. This is not a major problem. It can be easily corrected. You have to follow the following instructions: Consult a sexologist online if the problem persists even after following these instructions -->
|
Q. How to get my acne scars removed?
|
Hi doctor, I am a 24 year old female. My height is 158 cm and my weight is 50 kg. I have severe acne scars on my face, back, lower back and below the neck. I have pimples on my face. I am using Benzoyl peroxide for the same. I have attached my photos here. My problems also include hair fall, thinning of hair in scalp and dandruff. When I oil my hair for dryness I get more pimples. What else can I do for my dry hair? How to get my acne scars removed? I applied lemon juice and even baking soda on my face, but I am in vain. I drink milk twice a day with Amul Pro Whey protein powder. Does dairy product cause acne? At times, I get burning sensation at the back of my neck when my hair touches it. Is that due to severe back acne scar? Can u suggest me a good sunscreen? I am using nasal spray and Allegra tablet for allergy. I used to have breast pain often and also my breast size and color varies slightly. Is it just premenstrual pain or something to be concerned? I used to get severe menstrual pain and I am using Meftal spas for it. Occasionally, I get a lump below the right lower abdomen. My doctor made me cough and tested but the lump was not formed. But, he said with my symptoms it would be hernia. Does my abdomen pain occur as a symptom of pcos or endometriosis or any hormonal imbalance or hernia? Please help.
|
Hi. For further information consult a dermatologist online -->
|
<s>[INST]
Hi doctor, I am a 24 year old female. My height is 158 cm and my weight is 50 kg. I have severe acne scars on my face, back, lower back and below the neck. I have pimples on my face. I am using Benzoyl peroxide for the same. I have attached my photos here. My problems also include hair fall, thinning of hair in scalp and dandruff. When I oil my hair for dryness I get more pimples. What else can I do for my dry hair? How to get my acne scars removed? I applied lemon juice and even baking soda on my face, but I am in vain. I drink milk twice a day with Amul Pro Whey protein powder. Does dairy product cause acne? At times, I get burning sensation at the back of my neck when my hair touches it. Is that due to severe back acne scar? Can u suggest me a good sunscreen? I am using nasal spray and Allegra tablet for allergy. I used to have breast pain often and also my breast size and color varies slightly. Is it just premenstrual pain or something to be concerned? I used to get severe menstrual pain and I am using Meftal spas for it. Occasionally, I get a lump below the right lower abdomen. My doctor made me cough and tested but the lump was not formed. But, he said with my symptoms it would be hernia. Does my abdomen pain occur as a symptom of pcos or endometriosis or any hormonal imbalance or hernia? Please help. [/INST] Hi. For further information consult a dermatologist online -->
|
Q. Is it necessary to repair soft cleft palate with surgery?
|
Hi doctor, My daughter is now 2 years old. She has been detected with a soft cleft palate six months back. As of now, she does not have issue while eating as well as hearing. She used to drink milk with normal milk bottle we are in the process of removing her habit of milk bottle. Our pediatrician asked us to take her to a plastic surgeon and he said to do it in between 3 to 4 years of age, so that she can be little strong. Is it compulsory to go for surgery in case of soft cleft palate? Is it fine if we go in between 3 to 4 years of age? Or what is the proper age for surgery? She is just 2 years old and so we are a bit worried with the surgery part. How long this surgery will take place? Will she be alright after this surgery and will able to speak all words? Is there any dangerous situation involved in this surgery? How anesthesia will be given to her? Will she feel the pain? Please explain me.
|
Hi. I understand your concern for your child. For further information consult a paediatrician online -->
|
<s>[INST]
Hi doctor, My daughter is now 2 years old. She has been detected with a soft cleft palate six months back. As of now, she does not have issue while eating as well as hearing. She used to drink milk with normal milk bottle we are in the process of removing her habit of milk bottle. Our pediatrician asked us to take her to a plastic surgeon and he said to do it in between 3 to 4 years of age, so that she can be little strong. Is it compulsory to go for surgery in case of soft cleft palate? Is it fine if we go in between 3 to 4 years of age? Or what is the proper age for surgery? She is just 2 years old and so we are a bit worried with the surgery part. How long this surgery will take place? Will she be alright after this surgery and will able to speak all words? Is there any dangerous situation involved in this surgery? How anesthesia will be given to her? Will she feel the pain? Please explain me. [/INST] Hi. I understand your concern for your child. For further information consult a paediatrician online -->
|
Q. My 3. 5 months old baby vomits after we feed him formula milk. Why?
|
Hello doctor, Hope you are doing well. I want to ask a question about my 3.5 months old baby. I feed him both breast milk and formula milk. But whenever I feed him formula milk, after 20 to 30 minutes, he starts to cry a lot, becomes fussy, and vomits that milk. After vomiting, he feels relaxed. I have tried giving him Similac and Nan Pro 1. Please help. Thank you in advance.
|
Hi. I can understand your concerns. I hope this will help you. Take care. For more information consult a child health specialist online -->
|
<s>[INST]
Hello doctor, Hope you are doing well. I want to ask a question about my 3.5 months old baby. I feed him both breast milk and formula milk. But whenever I feed him formula milk, after 20 to 30 minutes, he starts to cry a lot, becomes fussy, and vomits that milk. After vomiting, he feels relaxed. I have tried giving him Similac and Nan Pro 1. Please help. Thank you in advance. [/INST] Hi. I can understand your concerns. I hope this will help you. Take care. For more information consult a child health specialist online -->
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<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 -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
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?
|
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 -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. My mom's BP keeps fluctuating, as it becomes very high or very low. What to do?
|
My mums bp level was raised to 160/140 2 days back we took her to the doc but no one got her admitted to the hospital because of the covid situation they just gave her medications her bp is normal now but she has very much weakness she's feeling a lot dizzy she can't even sit or stand she starts feeling dizzy she has lost all her energy what can I do to get back her energy and she doesn't have a stable bp her bp fluctuates some times it's very High sometimes it's very low so she doesn't take any medications for bp bcuz her bp is fluctuating..... I need help what can I do ???
|
Hi, I hope you are doing well. I can understand your concern. I need to know, whether she had past history of hypertension, or she was on any medication prior to this episode. The sudden rise to Blood pressure can be due to simple stress, anxiety some time pain. If she is known hypertensive then skipping medication can cause a sudden rise of Blood pressure. I have noticed that her diastolic BP was high. You need to monitor her BP regularly. also in supine position and standing position. Also during day time and night time. Do three to four readings of BP. It will give us an Idea about her blood pressure fluctuation. The symptoms she is having are probably due to low blood pressure. especially hypertensive elderly people tend to take less salt than required which leads to low salt in their body, resulting in hyponatremia. which can result in such symptoms. I suggest you monitor Blood pressure. If possible do Serum electrolyte and Random blood sugar and creatinine. continue Amlodipine as advised by your doctor. I t can be changed as per BP monitoring. Hope this will help you.
|
<s>[INST]
My mums bp level was raised to 160/140 2 days back we took her to the doc but no one got her admitted to the hospital because of the covid situation they just gave her medications her bp is normal now but she has very much weakness she's feeling a lot dizzy she can't even sit or stand she starts feeling dizzy she has lost all her energy what can I do to get back her energy and she doesn't have a stable bp her bp fluctuates some times it's very High sometimes it's very low so she doesn't take any medications for bp bcuz her bp is fluctuating..... I need help what can I do ??? [/INST] Hi, I hope you are doing well. I can understand your concern. I need to know, whether she had past history of hypertension, or she was on any medication prior to this episode. The sudden rise to Blood pressure can be due to simple stress, anxiety some time pain. If she is known hypertensive then skipping medication can cause a sudden rise of Blood pressure. I have noticed that her diastolic BP was high. You need to monitor her BP regularly. also in supine position and standing position. Also during day time and night time. Do three to four readings of BP. It will give us an Idea about her blood pressure fluctuation. The symptoms she is having are probably due to low blood pressure. especially hypertensive elderly people tend to take less salt than required which leads to low salt in their body, resulting in hyponatremia. which can result in such symptoms. I suggest you monitor Blood pressure. If possible do Serum electrolyte and Random blood sugar and creatinine. continue Amlodipine as advised by your doctor. I t can be changed as per BP monitoring. Hope this will help you.
|
Q. My sugar levels are high. What to do next?
|
Hello doctor, I am a 41 year old female. I had GDM 9 years back with twin pregnancy. Post-delivery for few months my blood sugars were normal. Later l was started on tablet Metformin 500 mg SR bd along with diet control. Last year l was started on tablet Atenolol 5 mg od. l feel fatigue even after slight exertion. So, l checked my sugar levels. There were fasting 190 and PP 227. Kindly advice what shall I do next.
|
Hi. Revert back after the investigations to an endocrinologist online -->
|
<s>[INST]
Hello doctor, I am a 41 year old female. I had GDM 9 years back with twin pregnancy. Post-delivery for few months my blood sugars were normal. Later l was started on tablet Metformin 500 mg SR bd along with diet control. Last year l was started on tablet Atenolol 5 mg od. l feel fatigue even after slight exertion. So, l checked my sugar levels. There were fasting 190 and PP 227. Kindly advice what shall I do next. [/INST] Hi. Revert back after the investigations to an endocrinologist online -->
|
Q. Why is my 19 months old daughter having constipation since we started giving her solid food?
|
Hi doctor, My 19 months old daughter weighs 7 kg and is 2.3 feet tall. She has been suffering from constipation since we started giving her solid food, that is since the seventh month. She cries while passing stool, and her anus becomes red after she passes stool for around two or three times a day. Our doctor suggested to skip milk and milk cereals and to continue mother's milk. Also, she drinks less water. He prescribed Anovate cream and Eva Q syrup, which we were giving her from the past three months, but did not see any improvement. Recently, the doctor changed the medicine to Muout powder, two times a day. How many months are we supposed to continue this? When will my daughter be fine? What should be her diet? Can we give milk with honey? Please help.
|
Hi. For further queries consult a paediatrician online -->
|
<s>[INST]
Hi doctor, My 19 months old daughter weighs 7 kg and is 2.3 feet tall. She has been suffering from constipation since we started giving her solid food, that is since the seventh month. She cries while passing stool, and her anus becomes red after she passes stool for around two or three times a day. Our doctor suggested to skip milk and milk cereals and to continue mother's milk. Also, she drinks less water. He prescribed Anovate cream and Eva Q syrup, which we were giving her from the past three months, but did not see any improvement. Recently, the doctor changed the medicine to Muout powder, two times a day. How many months are we supposed to continue this? When will my daughter be fine? What should be her diet? Can we give milk with honey? Please help. [/INST] Hi. For further queries consult a paediatrician online -->
|
Q. I have vaginal tightening during sex. It is very painful. Please help.
|
Hello doctor, I have vaginal tightening during sex. It is very painful. Please help.
|
Hi. Pain and tightening of the vagina during sex are common during the first few times of coitus (sexual intercourse). Make sure that you have sufficient foreplay to stimulate the vaginal secretions which will act as a natural lubricant. This helps in reducing the vaginal contractions and thereby bringing down the pain. I would suggest you use a good lubricant just before the contact which helps in easy penetration.
|
<s>[INST]
Hello doctor, I have vaginal tightening during sex. It is very painful. Please help. [/INST] Hi. Pain and tightening of the vagina during sex are common during the first few times of coitus (sexual intercourse). Make sure that you have sufficient foreplay to stimulate the vaginal secretions which will act as a natural lubricant. This helps in reducing the vaginal contractions and thereby bringing down the pain. I would suggest you use a good lubricant just before the contact which helps in easy penetration.
|
Q. Is there a natural way to reduce the chance of surgery for thyroid nodules?
|
Hello doctor, I am a 41 year old male. My weight is 89 kg and height is 6 feet. I have nodules in the thyroid gland since last two years. Initially, it started as a feeling of imbalance in the head about two years back. The initial assumption was vertigo and later it was found to be a small nodule in the left lobe. The blood test performed about one and half years ago revealed T3 104 ng/dL, T4 6.60 ug/dL and TSH 0.04 mU/L. The blood test performed about a year ago revealed a TSH of 68 mU/L. The blood test performed 10 months back showed T3 108.8 ng/dL, T4 7.2 ug/dL, TSH 0.73 mU/L, cholesterol 196 mg/dL and blood pressure 90/130 mmHg. The blood test performed about two weeks ago showed T3 128.5 ng/dL, T4 8.8 ug/dL, TSH 0.73 mU/L, blood pressure 100/140 mmHg, cholesterol 96 mg/dL, cholesterol serum 235 mg/dL, triglycerides 193 mg/dL, LDL 143 mg/dL, HDL 53 mg/dL, VLDL 39 mg/dL and FBS plasma 96 mg/dL. The present signs and symptoms include trembling hands, high tension, anxiety, weight gain, blood pressure, kind of numbness in head and a type of balance missing (not giddiness). Currently, I am not taking any medicines. I wanted to know whether my problem is hyper or hypothyroidism. Should I need to do FNAC again? As the nodules are increasing, should I start taking iodine food supplement? I have read both to avoid iodine supplement and to take it (case to case). Whether the iodine supplements will help to reduce nodules? Is there any natural way to reduce the chance of surgery? Are there any diet control suggestions for the condition? Is there any detailed specialist checkup needed? I am also attaching the previous four USG reports, biopsy report and HRCT of temporal bones. Please help me.
|
Hi. For further information consult an endocrinologist online -->
|
<s>[INST]
Hello doctor, I am a 41 year old male. My weight is 89 kg and height is 6 feet. I have nodules in the thyroid gland since last two years. Initially, it started as a feeling of imbalance in the head about two years back. The initial assumption was vertigo and later it was found to be a small nodule in the left lobe. The blood test performed about one and half years ago revealed T3 104 ng/dL, T4 6.60 ug/dL and TSH 0.04 mU/L. The blood test performed about a year ago revealed a TSH of 68 mU/L. The blood test performed 10 months back showed T3 108.8 ng/dL, T4 7.2 ug/dL, TSH 0.73 mU/L, cholesterol 196 mg/dL and blood pressure 90/130 mmHg. The blood test performed about two weeks ago showed T3 128.5 ng/dL, T4 8.8 ug/dL, TSH 0.73 mU/L, blood pressure 100/140 mmHg, cholesterol 96 mg/dL, cholesterol serum 235 mg/dL, triglycerides 193 mg/dL, LDL 143 mg/dL, HDL 53 mg/dL, VLDL 39 mg/dL and FBS plasma 96 mg/dL. The present signs and symptoms include trembling hands, high tension, anxiety, weight gain, blood pressure, kind of numbness in head and a type of balance missing (not giddiness). Currently, I am not taking any medicines. I wanted to know whether my problem is hyper or hypothyroidism. Should I need to do FNAC again? As the nodules are increasing, should I start taking iodine food supplement? I have read both to avoid iodine supplement and to take it (case to case). Whether the iodine supplements will help to reduce nodules? Is there any natural way to reduce the chance of surgery? Are there any diet control suggestions for the condition? Is there any detailed specialist checkup needed? I am also attaching the previous four USG reports, biopsy report and HRCT of temporal bones. Please help me. [/INST] Hi. For further information consult an endocrinologist online -->
|
Q. What is the significance of minimal fluid in POD?
|
Hi doctor, We had unprotected sex and after that she took I-pill within one hour. Is there any chance of pregnancy? She had an ultrasound and there is minimal fluid found in POD. Otherwise, everything is fine. Please suggest what to do now.
|
Hi. Revert back with the answers to the above questions to an obstetrician and gynaecologist online -->
|
<s>[INST]
Hi doctor, We had unprotected sex and after that she took I-pill within one hour. Is there any chance of pregnancy? She had an ultrasound and there is minimal fluid found in POD. Otherwise, everything is fine. Please suggest what to do now. [/INST] Hi. Revert back with the answers to the above questions to an obstetrician and gynaecologist online -->
|
Q. Can we identify dengue fever without lab tests?
|
Hi, My son is a 5 year old boy. He had high fever two days back and the temperature touched 104.9. We have been giving Meftal and Paracetamol for the last two days with water bath to bring the fever down. We have also been giving Zifi 100 twice a day as prescribed by our physician. This has helped to keep the fever down over the last 18 hours. But four hours back, our paediatrician said that this is dengue. But there is nothing to be alarmed about and asked us to continue the same treatment. But this made us jittery. Our question is, How do we know that the treatment is going in a right path as we are not tracking anything apart from temperature? I have read that the platelet count should get checked during dengue. Should we need to do any blood test for that? I am much worried about pricking a small child for blood test and what else should we do for tracking?
|
Hi. Dengue needs a confirmation of laboratory diagnosis. Unless you do a laboratory test you cannot label any disease as dengue. Dengue is a form of viral illness which is frequently associated with thrombocytopenia. If at all it is dengue following danger signs need to be monitored, Use of Meftal P (Mefenamic acid and Paracetamol) is not recommended for fever in pediatric age group. For further information consult a paediatrician online -->
|
<s>[INST]
Hi, My son is a 5 year old boy. He had high fever two days back and the temperature touched 104.9. We have been giving Meftal and Paracetamol for the last two days with water bath to bring the fever down. We have also been giving Zifi 100 twice a day as prescribed by our physician. This has helped to keep the fever down over the last 18 hours. But four hours back, our paediatrician said that this is dengue. But there is nothing to be alarmed about and asked us to continue the same treatment. But this made us jittery. Our question is, How do we know that the treatment is going in a right path as we are not tracking anything apart from temperature? I have read that the platelet count should get checked during dengue. Should we need to do any blood test for that? I am much worried about pricking a small child for blood test and what else should we do for tracking? [/INST] Hi. Dengue needs a confirmation of laboratory diagnosis. Unless you do a laboratory test you cannot label any disease as dengue. Dengue is a form of viral illness which is frequently associated with thrombocytopenia. If at all it is dengue following danger signs need to be monitored, Use of Meftal P (Mefenamic acid and Paracetamol) is not recommended for fever in pediatric age group. For further information consult a paediatrician online -->
|
Q. I think my issues are because of botched circumcision. What are my treatment options?
|
Hello doctor,All my life, I have struggled with several problems that, after stumbling on a post online, I am now fairly certain are the result of a botched circumcision. My scar is very near my glans, with an unsightly blemish near the center. My erections pull my skin and testicles very tight, and also pull up the skin from my pubis, causing a visible shortening and an unsightly mound. I also have excess hair along the shaft of my penis, and my scrotal skin connects just underneath the glans. This has not directly affected sexual function, but it makes condom use exceedingly difficult and is also costing me significant penile length. What treatment options do I have? Surgical vs nonsurgical? Estimated costs? I would prefer to avoid the use of any mechanical stretching devices. I have one, but it is rather intimidating and I am worried about injuring myself.
|
Hello. Relax and do not worry. I have seen the images sent by you (attachment removed to protect patient identity). For more information consult a urologist online -->
|
<s>[INST]
Hello doctor,All my life, I have struggled with several problems that, after stumbling on a post online, I am now fairly certain are the result of a botched circumcision. My scar is very near my glans, with an unsightly blemish near the center. My erections pull my skin and testicles very tight, and also pull up the skin from my pubis, causing a visible shortening and an unsightly mound. I also have excess hair along the shaft of my penis, and my scrotal skin connects just underneath the glans. This has not directly affected sexual function, but it makes condom use exceedingly difficult and is also costing me significant penile length. What treatment options do I have? Surgical vs nonsurgical? Estimated costs? I would prefer to avoid the use of any mechanical stretching devices. I have one, but it is rather intimidating and I am worried about injuring myself. [/INST] Hello. Relax and do not worry. I have seen the images sent by you (attachment removed to protect patient identity). For more information consult a urologist online -->
|
Q. My skin is inflamed and sensitive after excessive sun exposure. What should I do?
|
Hello doctor, I did something very silly 10 days ago. I was outside all day without a sunscreen, so the tops of my breasts were exposed to the sun until 2 PM. I got a sunburn which is typical, as my skin type makes me prone to it. Usually, it subsides within a week, if not less. However, this time the tops of my breasts are still red in splotches, with a seemingly brown vein of skin running through them. They are sensitive, and sometimes bleed if accidentally poked with a brush, which has never happened before. I have been applying Neosporin to them at least three times a day. I will try to upload photos. Can you possibly help or recommend a treatment path?
|
Hello. For further queries consult a dermatologist online -->
|
<s>[INST]
Hello doctor, I did something very silly 10 days ago. I was outside all day without a sunscreen, so the tops of my breasts were exposed to the sun until 2 PM. I got a sunburn which is typical, as my skin type makes me prone to it. Usually, it subsides within a week, if not less. However, this time the tops of my breasts are still red in splotches, with a seemingly brown vein of skin running through them. They are sensitive, and sometimes bleed if accidentally poked with a brush, which has never happened before. I have been applying Neosporin to them at least three times a day. I will try to upload photos. Can you possibly help or recommend a treatment path? [/INST] Hello. For further queries consult a dermatologist online -->
|
Q. I am on ortho treatment and my cheeks have become sunken. What to do?
|
Hi doctor, Four months before, I put tooth braces. My doctor extracted four of my teeth for putting teeth braces. They are two upper premolars and two lower premolars. My cheeks were chubby before tooth extraction and now it looks very sunken and hollow. Will I get the beauty of my cheek once this treatment gets over? The gap is not filled yet and was advised only once in the last four months to get tightening done.
|
Hi. For further information consult an orthodontist online -->
|
<s>[INST]
Hi doctor, Four months before, I put tooth braces. My doctor extracted four of my teeth for putting teeth braces. They are two upper premolars and two lower premolars. My cheeks were chubby before tooth extraction and now it looks very sunken and hollow. Will I get the beauty of my cheek once this treatment gets over? The gap is not filled yet and was advised only once in the last four months to get tightening done. [/INST] Hi. For further information consult an orthodontist online -->
|
Q. I have recovered from jaundice. Can I start working out at the gym?
|
Hello, I have recovered from jaundice just a week ago and all my reports are normal. I had hepatitis B. Can I start working out at the gym?
|
Hi. Please Consult a Gastroenterologist online for further questions -->
|
<s>[INST]
Hello, I have recovered from jaundice just a week ago and all my reports are normal. I had hepatitis B. Can I start working out at the gym? [/INST] Hi. Please Consult a Gastroenterologist online for further questions -->
|
Q. My son has trouble sleeping with gasping for air at times. Please help.
|
Hi doctor, My 2-year-old son is having a lot of trouble sleeping. He snores every night and tosses and turns and has trouble breathing through his nose. His doctor says he has enlarged tonsils and adenoids. I think he has obstructed sleep apnea because I hear him gasping for air sometimes. We did a sleep study and the night of the sleep study he slept well. But every night at home he has a lot of trouble sleeping. He wakes up a lot, talks in his sleep has nightmares and I think he has sleep apnea because I hear him gasping for air sometimes. The doctor said we could try Flonaise to help him. But we read that Flonaise can stunt a child’s growth. The doctor said he could grow into his tonsils. And I also heard that 2 years old is very young for tonsil surgery. My questions are how worried should I be about his troubled seeping? I am not getting any sleep lately because I listen to him all night. Is it dangerous to let him go on trying to sleep and have so much trouble breathing each night with possible sleep apnea? Please help. I am very concerned.
|
Hi. If symptoms are too severe we can go for tonsil and adenoid surgery now also. Flonase is a steroid and it does not affect growth as it will be administered inside the nostril and will have the action only there. There will not be any systemic or bloodstream absorption. How much worried you should be about his tonsil and sleep apnea problem are: 1. Change in facial features producing adenoid facies. 2. Irritability of kid. 3. He cannot hear properly due to adenoids blocking ear tubes. 4. Ear discharge. 5. Reduced development of speech. Do not get worried just because of the snoring and sleep apnea. Give him nasal steroids and antihistaminic syrup (like Zyrtec or Allegra syrup) of appropriate dosage. In some cases, we even give oral steroid syrup. It does not cause any stunting the way you have understood. Once you exhaust the above medical treatment option and find no or not much benefit we can discuss about the surgery. Your doctor is right in giving the medicines Flonase, etc. That is the protocol. We can follow the same here. The decision to operate may vary with different surgeon. Take a pediatrician opinion as well. Do revert back to me if you need more support.
|
<s>[INST]
Hi doctor, My 2-year-old son is having a lot of trouble sleeping. He snores every night and tosses and turns and has trouble breathing through his nose. His doctor says he has enlarged tonsils and adenoids. I think he has obstructed sleep apnea because I hear him gasping for air sometimes. We did a sleep study and the night of the sleep study he slept well. But every night at home he has a lot of trouble sleeping. He wakes up a lot, talks in his sleep has nightmares and I think he has sleep apnea because I hear him gasping for air sometimes. The doctor said we could try Flonaise to help him. But we read that Flonaise can stunt a child’s growth. The doctor said he could grow into his tonsils. And I also heard that 2 years old is very young for tonsil surgery. My questions are how worried should I be about his troubled seeping? I am not getting any sleep lately because I listen to him all night. Is it dangerous to let him go on trying to sleep and have so much trouble breathing each night with possible sleep apnea? Please help. I am very concerned. [/INST] Hi. If symptoms are too severe we can go for tonsil and adenoid surgery now also. Flonase is a steroid and it does not affect growth as it will be administered inside the nostril and will have the action only there. There will not be any systemic or bloodstream absorption. How much worried you should be about his tonsil and sleep apnea problem are: 1. Change in facial features producing adenoid facies. 2. Irritability of kid. 3. He cannot hear properly due to adenoids blocking ear tubes. 4. Ear discharge. 5. Reduced development of speech. Do not get worried just because of the snoring and sleep apnea. Give him nasal steroids and antihistaminic syrup (like Zyrtec or Allegra syrup) of appropriate dosage. In some cases, we even give oral steroid syrup. It does not cause any stunting the way you have understood. Once you exhaust the above medical treatment option and find no or not much benefit we can discuss about the surgery. Your doctor is right in giving the medicines Flonase, etc. That is the protocol. We can follow the same here. The decision to operate may vary with different surgeon. Take a pediatrician opinion as well. Do revert back to me if you need more support.
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<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 -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
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?
|
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 -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. Is stress chest pain related to heart or GERD?
|
Hello doctor, I am 32 years old. I am suffering from stress chest pain for the past one year. 2D echo and ECG are also normal. Is it related to heart or GERD or chest wall? I am taking Cita-S 10 mg and Pantosec.
|
Hello. Your pain at your chest wall may be due to stress or heartburn from acid reflux. I am suggesting that you have developed a stress ulcer which can lead to acid reflux esophagitis. Are you on any form of stress lately? If so please take some time off for adequate rest. You can go ahead to do your echocardiogram to rule out any form of heart disease which can produce chest pain. Meanwhile, you can continue the suggested medication for the pain and combine it with some antacids until you receive the outcome of your diagnostic test. Stress. Echocardiogram. 1. Reflux esophagitis. 2. Hypertensive heart disease. Reflux esophagitis. Adequate rest and antacids. Reduce stress event. Revert back with the echo report to a vascular surgeon online.--->
|
<s>[INST]
Hello doctor, I am 32 years old. I am suffering from stress chest pain for the past one year. 2D echo and ECG are also normal. Is it related to heart or GERD or chest wall? I am taking Cita-S 10 mg and Pantosec. [/INST] Hello. Your pain at your chest wall may be due to stress or heartburn from acid reflux. I am suggesting that you have developed a stress ulcer which can lead to acid reflux esophagitis. Are you on any form of stress lately? If so please take some time off for adequate rest. You can go ahead to do your echocardiogram to rule out any form of heart disease which can produce chest pain. Meanwhile, you can continue the suggested medication for the pain and combine it with some antacids until you receive the outcome of your diagnostic test. Stress. Echocardiogram. 1. Reflux esophagitis. 2. Hypertensive heart disease. Reflux esophagitis. Adequate rest and antacids. Reduce stress event. Revert back with the echo report to a vascular surgeon online.--->
|
Q. What diet should I take to improve my sexual performance?
|
Hi doctor, I have been masturbating for 6 to 7 years. I am 25 years old now. I ejaculate within a few seconds during masturbation. Is it a symptom of premature ejaculation? Can masturbation make me weaker? What diet should I take to improve my sexual performance?
|
Hi. For further information consult a sexologist online -->
|
<s>[INST]
Hi doctor, I have been masturbating for 6 to 7 years. I am 25 years old now. I ejaculate within a few seconds during masturbation. Is it a symptom of premature ejaculation? Can masturbation make me weaker? What diet should I take to improve my sexual performance? [/INST] Hi. For further information consult a sexologist online -->
|
Q. What is the ayurveda treatment for eye pain?
|
Hi doctor, I am getting eye pain when I look into my mobile or computer. Please help.
|
Hi. For further information consult an ayurveda specialist online -->
|
<s>[INST]
Hi doctor, I am getting eye pain when I look into my mobile or computer. Please help. [/INST] Hi. For further information consult an ayurveda specialist online -->
|
Q. How to overcome my obsessive thoughts?
|
Hi doctor, I am suffering with some thought problem since many years and my life has been completely distracted due to that. It has completely ruined my life. My problem is that I am obsessed with a thought and I am not able to overcome it. I researched a lot about that on internet and it seems like I am suffering from white bear syndrome. The more I try to avoid it, the more it distracts me. My problem is whenever I encounter a woman; the first thought that comes to my mind is to look beneath her neck. I am not able to make an eye contact with them. They feel like I am looking at their breast but it is not so. It makes me feel ashamed of that. As I am so conscious, I am not being able to think about other thought whenever I face a woman. Please help me out.
|
Hi. I have read your details and understand your concern. For further information consult a psychiatrist online -->
|
<s>[INST]
Hi doctor, I am suffering with some thought problem since many years and my life has been completely distracted due to that. It has completely ruined my life. My problem is that I am obsessed with a thought and I am not able to overcome it. I researched a lot about that on internet and it seems like I am suffering from white bear syndrome. The more I try to avoid it, the more it distracts me. My problem is whenever I encounter a woman; the first thought that comes to my mind is to look beneath her neck. I am not able to make an eye contact with them. They feel like I am looking at their breast but it is not so. It makes me feel ashamed of that. As I am so conscious, I am not being able to think about other thought whenever I face a woman. Please help me out. [/INST] Hi. I have read your details and understand your concern. For further information consult a psychiatrist online -->
|
Q. I have a pain near the tailbone after a blood patch was performed. Please help.
|
Hello doctor, I had a spinal tap done two weeks ago, and a blood patch three days later. The blood patch worked but, I still get headaches and do not feel well at all. I have a swollen bump on my tailbone that hurts. I saw my doctor who did not seem too sure about it but, said there did not seem to be any fluid. I do not know if this is normal and do not want to go back to the hospital for no reason. I am on Tylenol extra strength.
|
Hello. You most probably experienced a post dural puncture headache (PDPH), for which you were administered an epidural blood patch. For more information consult an anesthesiologist online -->
|
<s>[INST]
Hello doctor, I had a spinal tap done two weeks ago, and a blood patch three days later. The blood patch worked but, I still get headaches and do not feel well at all. I have a swollen bump on my tailbone that hurts. I saw my doctor who did not seem too sure about it but, said there did not seem to be any fluid. I do not know if this is normal and do not want to go back to the hospital for no reason. I am on Tylenol extra strength. [/INST] Hello. You most probably experienced a post dural puncture headache (PDPH), for which you were administered an epidural blood patch. For more information consult an anesthesiologist online -->
|
Q. What does abutment of the nerve root mean?
|
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?
|
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 -->
|
<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 -->
|
Q. Shall I try oil pulling for gum pockets?
|
Hi doctor, I was reading about oil pulling and wondered if I try it to cure my 6 mm gum pockets. If it could possibly clean the top of the gum pockets, then will the bacteria and tartar in the bottom worse the problem in the future? I have gum pockets of around 4 mm to 6 mm and an odd one with 9 mm. The recommended treatment is deep cleaning. Will oil pulling help the situation?
|
Hi. For further information consult a dentist online -->
|
<s>[INST]
Hi doctor, I was reading about oil pulling and wondered if I try it to cure my 6 mm gum pockets. If it could possibly clean the top of the gum pockets, then will the bacteria and tartar in the bottom worse the problem in the future? I have gum pockets of around 4 mm to 6 mm and an odd one with 9 mm. The recommended treatment is deep cleaning. Will oil pulling help the situation? [/INST] Hi. For further information consult a dentist online -->
|
Q. Why am I not able to sustain my erection?
|
Hi doctor, I am getting erection, but it gets disappear in a few seconds during intercourse. I also feel that my erection is not 100% hard. I do not get a full erection without blowjob. I have been having this problem since last two years. I have one kid and I do not have any issue with my sperm count. I used to take Viagra, which help me to get hard and longer erection.
|
Hello. For further doubts consult a sexologist online -->
|
<s>[INST]
Hi doctor, I am getting erection, but it gets disappear in a few seconds during intercourse. I also feel that my erection is not 100% hard. I do not get a full erection without blowjob. I have been having this problem since last two years. I have one kid and I do not have any issue with my sperm count. I used to take Viagra, which help me to get hard and longer erection. [/INST] Hello. For further doubts consult a sexologist online -->
|
Q. What could be the root cause for constipation in a child?
|
Hi doctor, For past 3-4 days my son aged 4 years weighing 18 kg with a height of 105 cm has been suffering from constipation. He goes for potty multiple times (5-6 times) but it seems the stool is hard and it comes out in very little amount. We are giving him fruit juices and water often and have started giving him Looz 1 spoon since yesterday, but not much recovery sign is there. What could be the root cause? He is taking food in the morning as well as evening but he looks very weak, dried up and uneasy especially in the evening. A nearby doctor has prescribed Looz and Digene gel. I would like to know what is your opinion regarding this?
|
Hello. I can understand your concerns. Review back after 2 days to a peadiatrician online -->
|
<s>[INST]
Hi doctor, For past 3-4 days my son aged 4 years weighing 18 kg with a height of 105 cm has been suffering from constipation. He goes for potty multiple times (5-6 times) but it seems the stool is hard and it comes out in very little amount. We are giving him fruit juices and water often and have started giving him Looz 1 spoon since yesterday, but not much recovery sign is there. What could be the root cause? He is taking food in the morning as well as evening but he looks very weak, dried up and uneasy especially in the evening. A nearby doctor has prescribed Looz and Digene gel. I would like to know what is your opinion regarding this? [/INST] Hello. I can understand your concerns. Review back after 2 days to a peadiatrician online -->
|
Q. Noticed a broken blood vessel in my baby's eye. Should I check out immediately?
|
Hello doctor,My son is 10 weeks old. Today I have noticed that he suddenly got a broken blood vessel in his right eye. It never happened before. He did cry and possibly scratched his eye right before it appeared. But, he did these things on multiple other occasions as well and never had a broken vessel before. Before this today, we went out for a ride in a car, and the road was occasionally bumpy. The baby was in his car seat, and he might have been slightly shaken. Is this broken blood vessel something that I should check out immediately or more likely nothing to worry about? The baby seems normal and sleeping now after a good meal. Thank you.
|
Hi. Do not worry. It is something that will heal. Here are a few points that I would like to mention. For further information consult a paediatrician online -->
|
<s>[INST]
Hello doctor,My son is 10 weeks old. Today I have noticed that he suddenly got a broken blood vessel in his right eye. It never happened before. He did cry and possibly scratched his eye right before it appeared. But, he did these things on multiple other occasions as well and never had a broken vessel before. Before this today, we went out for a ride in a car, and the road was occasionally bumpy. The baby was in his car seat, and he might have been slightly shaken. Is this broken blood vessel something that I should check out immediately or more likely nothing to worry about? The baby seems normal and sleeping now after a good meal. Thank you. [/INST] Hi. Do not worry. It is something that will heal. Here are a few points that I would like to mention. For further information consult a paediatrician online -->
|
Q. Why am I getting chest pain while having food?
|
Hi doctor,I am having chest pain or esophagus pain while having food for the last two days. The pain is repeated for every 5 to 10 minutes. Please help.
|
Hi. There are many causes of chest pain. Pain while eating food is related to esophageal disorders like esophagitis, esophageal erosions, gastroesophageal reflux disease, esophageal spasm or peptic ulcer disease. The serious causes of chest pain like heart related problems and myocardial infarction needs to be ruled out. So, I suggest you to get an ECG done (electrocardiogram) and consult a physician as soon as possible to make sure there is no heart problem. You can take some antacid syrup 10 mL thrice daily for five days. You can also take some antacid drug twice daily on an empty stomach for five days. Consult a gastroenterologist in person for a physical evaluation. Avoid tea, coffee, oily and spicy food. 1. Esophagitis. 2. Peptic ulcer disease. 3. Esophageal spasm. 4. Heart related problems. For further information consult an internal medicine physician online.--->
|
<s>[INST]
Hi doctor,I am having chest pain or esophagus pain while having food for the last two days. The pain is repeated for every 5 to 10 minutes. Please help. [/INST] Hi. There are many causes of chest pain. Pain while eating food is related to esophageal disorders like esophagitis, esophageal erosions, gastroesophageal reflux disease, esophageal spasm or peptic ulcer disease. The serious causes of chest pain like heart related problems and myocardial infarction needs to be ruled out. So, I suggest you to get an ECG done (electrocardiogram) and consult a physician as soon as possible to make sure there is no heart problem. You can take some antacid syrup 10 mL thrice daily for five days. You can also take some antacid drug twice daily on an empty stomach for five days. Consult a gastroenterologist in person for a physical evaluation. Avoid tea, coffee, oily and spicy food. 1. Esophagitis. 2. Peptic ulcer disease. 3. Esophageal spasm. 4. Heart related problems. For further information consult an internal medicine physician online.--->
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<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 -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
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?
|
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 -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. Will Nano-Leo give permanent solution for erection problem?
|
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.
|
Hi. For further doubts consult a sexologist online -->
|
<s>[INST]
Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide. [/INST] Hi. For further doubts consult a sexologist online -->
|
Q. Noticed a yellowish sag in the gums of my 13 months old baby. What is it?
|
Hi doctor, My daughter is 13 months old. I just noticed big yellowish sag at the place of her first molar gum. I am much worried. Please help me.
|
Hello. Revert back with the photos to a dentist online -->
|
<s>[INST]
Hi doctor, My daughter is 13 months old. I just noticed big yellowish sag at the place of her first molar gum. I am much worried. Please help me. [/INST] Hello. Revert back with the photos to a dentist online -->
|
Q. Will Nexium help to improve belching?
|
Hi doctor, I have been having shortness of breath, excessive yawning and belching. After about a week the shortness of breath went away. Last night, I drank bicarbonate of soda with lime and water and woke up back with the gasping for air and feeling of shortness of breath. Could the baking soda have caused this? Is this serious or will the shortness of breath go away? I do not have any other symptom of acid reflux. How long does it take for Nexus to work? I feel like I am going crazy. Will I ever return to my normal state before I started taking weight loss pills? This is how everything started in the first place. Please answer both the questions in detail. Thank you very much.
|
Hello. I had gone through all the details posted. For further information consult an internal medicine physician online -->
|
<s>[INST]
Hi doctor, I have been having shortness of breath, excessive yawning and belching. After about a week the shortness of breath went away. Last night, I drank bicarbonate of soda with lime and water and woke up back with the gasping for air and feeling of shortness of breath. Could the baking soda have caused this? Is this serious or will the shortness of breath go away? I do not have any other symptom of acid reflux. How long does it take for Nexus to work? I feel like I am going crazy. Will I ever return to my normal state before I started taking weight loss pills? This is how everything started in the first place. Please answer both the questions in detail. Thank you very much. [/INST] Hello. I had gone through all the details posted. For further information consult an internal medicine physician online -->
|
Q. My brother is on OCD treatment for 15 years without improvement. What is your opinion?
|
Hi doctor, My brother, who is 32 years old, is undergoing treatment for OCD for the last 15 years without much improvement. In fact, his condition has only worsened since the start of the treatment. For the last several days, he has been complaining of erectile dysfunction, urinary hesitancy, drooping of the lip to one side during smiling, occasional numbness in extremities, etc. He has significant loss of memory (only short term) and behavioral problems. He asked me if he should be further investigated to rule out organic disease if any. So, I advised him am MRI (myself an MBBS doctor). MRI showed multiple hyperintense lesions in bilateral frontal lobes, parietal lobes and these changes were attributed to chronic ischemia by the radiologist. Now, I am concerned if his condition is merely a psychiatric disorder or a result of some organic disease. He was never investigated earlier, and all this time he was put on SSRIs and benzodiazepines for OCD. Kindly do help me regarding the same and guide me for the next step in his workup. His current medicines are tablet Fludac twice daily and tablet Clonafit 0.5 mg thrice daily.
|
Hi. First of all what you mentioned over in the MRI report could be coincidental finding, and there is less to do with these changes if OCD (obsessive-compulsive disorder) is considered provided there is no family history of OCD or related psychiatric disorder. Now regarding the changes before searching anything, there is a definite need to see the reason behind the chronic ischemic changes. Although the most common causes are diabetes and high blood pressure, consistent hypotension (low blood pressure) can be another reason for ischemic changes. For further information consult a psychiatrist online -->
|
<s>[INST]
Hi doctor, My brother, who is 32 years old, is undergoing treatment for OCD for the last 15 years without much improvement. In fact, his condition has only worsened since the start of the treatment. For the last several days, he has been complaining of erectile dysfunction, urinary hesitancy, drooping of the lip to one side during smiling, occasional numbness in extremities, etc. He has significant loss of memory (only short term) and behavioral problems. He asked me if he should be further investigated to rule out organic disease if any. So, I advised him am MRI (myself an MBBS doctor). MRI showed multiple hyperintense lesions in bilateral frontal lobes, parietal lobes and these changes were attributed to chronic ischemia by the radiologist. Now, I am concerned if his condition is merely a psychiatric disorder or a result of some organic disease. He was never investigated earlier, and all this time he was put on SSRIs and benzodiazepines for OCD. Kindly do help me regarding the same and guide me for the next step in his workup. His current medicines are tablet Fludac twice daily and tablet Clonafit 0.5 mg thrice daily. [/INST] Hi. First of all what you mentioned over in the MRI report could be coincidental finding, and there is less to do with these changes if OCD (obsessive-compulsive disorder) is considered provided there is no family history of OCD or related psychiatric disorder. Now regarding the changes before searching anything, there is a definite need to see the reason behind the chronic ischemic changes. Although the most common causes are diabetes and high blood pressure, consistent hypotension (low blood pressure) can be another reason for ischemic changes. For further information consult a psychiatrist online -->
|
Q. Is there a cure for ADEM in ayurveda?
|
Hi doctor, My height is 177 cm and my weight is 94 kg. Before four months I was diagnosed with acute demyelinating encephalomyelitis (ADEM), which is an autoimmune disease. My hands and legs did not work at that time. I have consulted a neurologist for the treatment of the same. The MRI scan of brain revealed that there are multiple patches in the white matter region of the brain. First MRI was done four months ago and in the second MRI, the patches still exist and no change is seen in the brain. Both MRI reports are attached here for your reference. Someone told me that ayurveda is beneficial in this type of case. So, I have contacted my friend who is a BAMS doctor. He did not check me physically as I am away and given me some medicines. They are Rasraj ras, Yogendra ras and Mukta Pishti. These are in powder form and he advised me to consume it along with honey for 15 days morning and evening after food. He has also given me Shankhpushpi to take three times daily after food and two oils for massage, which are Prasarini tel and Mahamash tel. They both should be applied on affected area. I have seen improvement after I start taking ayurveda medicines. I want to know whether ADEM can get cured through ayurveda.
|
Hi. I have gone through your MRI report (attachment removed to protect patient identity). Revert back after 15 days to an ayurveda specialist online -->
|
<s>[INST]
Hi doctor, My height is 177 cm and my weight is 94 kg. Before four months I was diagnosed with acute demyelinating encephalomyelitis (ADEM), which is an autoimmune disease. My hands and legs did not work at that time. I have consulted a neurologist for the treatment of the same. The MRI scan of brain revealed that there are multiple patches in the white matter region of the brain. First MRI was done four months ago and in the second MRI, the patches still exist and no change is seen in the brain. Both MRI reports are attached here for your reference. Someone told me that ayurveda is beneficial in this type of case. So, I have contacted my friend who is a BAMS doctor. He did not check me physically as I am away and given me some medicines. They are Rasraj ras, Yogendra ras and Mukta Pishti. These are in powder form and he advised me to consume it along with honey for 15 days morning and evening after food. He has also given me Shankhpushpi to take three times daily after food and two oils for massage, which are Prasarini tel and Mahamash tel. They both should be applied on affected area. I have seen improvement after I start taking ayurveda medicines. I want to know whether ADEM can get cured through ayurveda. [/INST] Hi. I have gone through your MRI report (attachment removed to protect patient identity). Revert back after 15 days to an ayurveda specialist online -->
|
Q. I am having cramps in my lower abdomen after taking I-pill. Why?
|
Hi doctor, I am a 21 year old female. I took an I-pill 12 days back, and since then I have a cramp in my lower abdomen. It feels as if I will get my periods, but still, I did not get it.
|
Hi. I-pill only makes the hormonal environment unsuitable for the embryo to get attached to the uterus lining. It makes the inner uterine lining thicker, which may not shed immediately. If you have never had a normal delivery before, your cervical opening will be very narrow. So, the thicker inner lining of your uterus is trying to come out of the same narrow cervical canal which is causing the severe cramps and lower abdominal discomfort. The effectiveness of I-pill depends on, after how many hours of unprotected sex you had the pill and in which half of the menstrual cycle you were in. It is most effective if taken within 72 hours, but the earlier, the better. For now, I suggest you wait, but if you do not have periods past your due date, consult a gynecologist and get a pregnancy test done. It is always advisable to have sexual intercourse using protective barriers like a condom, oral contraceptive pills, NuvaRing (vaginal ring), implants, etc. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hi doctor, I am a 21 year old female. I took an I-pill 12 days back, and since then I have a cramp in my lower abdomen. It feels as if I will get my periods, but still, I did not get it. [/INST] Hi. I-pill only makes the hormonal environment unsuitable for the embryo to get attached to the uterus lining. It makes the inner uterine lining thicker, which may not shed immediately. If you have never had a normal delivery before, your cervical opening will be very narrow. So, the thicker inner lining of your uterus is trying to come out of the same narrow cervical canal which is causing the severe cramps and lower abdominal discomfort. The effectiveness of I-pill depends on, after how many hours of unprotected sex you had the pill and in which half of the menstrual cycle you were in. It is most effective if taken within 72 hours, but the earlier, the better. For now, I suggest you wait, but if you do not have periods past your due date, consult a gynecologist and get a pregnancy test done. It is always advisable to have sexual intercourse using protective barriers like a condom, oral contraceptive pills, NuvaRing (vaginal ring), implants, etc. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Which soap should I use to clean the glans?
|
Hello doctor, I have small red bumps on the penile head since a week. They occurred possibly after I took antibiotics for tonsil infection. It caused acidity. It started with mild itching on penile head. The itching subsided after a couple of days, but the small red bumps are still present. They are accompanied by a mildly bad odor and sometimes thick white scattered dry discharge. Retracting the foreskin is not painful and there is no burning sensation. I had unprotected intercourse with my long time partner after a substantial gap. The itching started before 15 to 20 days without any discharge. Every day, I clean the genitals with normal soap from outside and even after urinating I clean it from tap water. Kindly advise on the course to be followed. Thank you.
|
Hi. Revert back with the photos to a urologist online -->
|
<s>[INST]
Hello doctor, I have small red bumps on the penile head since a week. They occurred possibly after I took antibiotics for tonsil infection. It caused acidity. It started with mild itching on penile head. The itching subsided after a couple of days, but the small red bumps are still present. They are accompanied by a mildly bad odor and sometimes thick white scattered dry discharge. Retracting the foreskin is not painful and there is no burning sensation. I had unprotected intercourse with my long time partner after a substantial gap. The itching started before 15 to 20 days without any discharge. Every day, I clean the genitals with normal soap from outside and even after urinating I clean it from tap water. Kindly advise on the course to be followed. Thank you. [/INST] Hi. Revert back with the photos to a urologist online -->
|
Q. Is there anything of concern in my husband's blood test?
|
Hello doctor, My husband is 27 years old. He had blood tests before nine months and the report is as follows: WBC 5800, RBC 5400, Hb 16.6, HCT 47, lymphocyte 46.8%, neutrophils 39.2%, monocytes 8.1%, eosinophils 5.3, platelet 186000, basophils 0.6%, ALT 0.8 and LIC 0.2. Again, he had a blood test last week and it showed WBC 5500, RBC 5100, Hb 15.5, HCT 46, lymphocyte 43%, neutrophils 41% and platelet 155000. Sometimes, he complains of itchy throat. Please help.
|
Hello. I had gone through all the details posted. For further information consult an internal medicine physician online -->
|
<s>[INST]
Hello doctor, My husband is 27 years old. He had blood tests before nine months and the report is as follows: WBC 5800, RBC 5400, Hb 16.6, HCT 47, lymphocyte 46.8%, neutrophils 39.2%, monocytes 8.1%, eosinophils 5.3, platelet 186000, basophils 0.6%, ALT 0.8 and LIC 0.2. Again, he had a blood test last week and it showed WBC 5500, RBC 5100, Hb 15.5, HCT 46, lymphocyte 43%, neutrophils 41% and platelet 155000. Sometimes, he complains of itchy throat. Please help. [/INST] Hello. I had gone through all the details posted. For further information consult an internal medicine physician online -->
|
Q. I am ejaculating while sleeping. Kindly suggest a medicine?
|
Hi doctor, I am a 28 year old male. I am frequently ejaculating semen unknowingly while sleeping. It occurs at least twice in a month. I had siddha medicine a year before and it showed some improvement too. But, I discontinued. Now, I am not getting proper sleep. My left hand is trembling some time. Kindly suggest a medicine.
|
Hi. Revert back with the answers for the above questions to a sexologist online -->
|
<s>[INST]
Hi doctor, I am a 28 year old male. I am frequently ejaculating semen unknowingly while sleeping. It occurs at least twice in a month. I had siddha medicine a year before and it showed some improvement too. But, I discontinued. Now, I am not getting proper sleep. My left hand is trembling some time. Kindly suggest a medicine. [/INST] Hi. Revert back with the answers for the above questions to a sexologist online -->
|
Q. Raise in troponin level has high chance of mortality. Is that true?
|
Hi doctor, Six months back, I had an echocardiogram and a CT angiogram. My initial troponin T level was 0.44. After six hours it dropped back down to below 0.10. My test results from the CT angiogram were normal and the calcium level was 0. My echo was also normal. I wore a monitor for seven days and that too normal. I have read that because of my troponin raise I have a high chance of mortality within 1-3 years. My GP could not explain why my troponin was raised. I did have an agoraphobic panic attack. At that time I feel some pain travels from my heart down my arm to my thumb like a lightening bolt. This is the reason why I went to hospital and they kept me in due to the raised 0.44 level. They gave me the reports of CT angiogram and echo. Am I at risk of dying in the next 1-3 years because of elevated troponin? I have had heart attack symptoms such as intermittent central chest pain, bilateral arm pain, shortness of breath, palpitations, back ache, fast heart beat at 110 beats at resting and jaw pain for over six months. I am also suffering from nausea, IBS, gastritis (endoscopy diagnosed), severe fatigue, dizziness, possible costochondritis due to rib pain and intermittent pain when breathing. GTN spray helps by easing the pain but not to get rid off it.
|
Hi. Revert back with the answers for the above questions to a cardiologist online -->
|
<s>[INST]
Hi doctor, Six months back, I had an echocardiogram and a CT angiogram. My initial troponin T level was 0.44. After six hours it dropped back down to below 0.10. My test results from the CT angiogram were normal and the calcium level was 0. My echo was also normal. I wore a monitor for seven days and that too normal. I have read that because of my troponin raise I have a high chance of mortality within 1-3 years. My GP could not explain why my troponin was raised. I did have an agoraphobic panic attack. At that time I feel some pain travels from my heart down my arm to my thumb like a lightening bolt. This is the reason why I went to hospital and they kept me in due to the raised 0.44 level. They gave me the reports of CT angiogram and echo. Am I at risk of dying in the next 1-3 years because of elevated troponin? I have had heart attack symptoms such as intermittent central chest pain, bilateral arm pain, shortness of breath, palpitations, back ache, fast heart beat at 110 beats at resting and jaw pain for over six months. I am also suffering from nausea, IBS, gastritis (endoscopy diagnosed), severe fatigue, dizziness, possible costochondritis due to rib pain and intermittent pain when breathing. GTN spray helps by easing the pain but not to get rid off it. [/INST] Hi. Revert back with the answers for the above questions to a cardiologist online -->
|
Q. What are the reasons for constant back pain?
|
Hi doctor, I am a 28 year old female. I am suffering from mid back pain since two days. I did not take any medicine but applied Moov and Zandu balm. But, there is no relief. The pain remains the same all through the day and night. I neither had an injury nor lifted any heavy objects. I had no surgeries before. The pain persists more while sitting without back support and while working in kitchen. It is a constant pain and not spreading anywhere. I am feeling comfortable in bed. I have no extra symptoms other than the pain. What may be the reason for the pain? Can you please suggest a medicine? How long should I use it?
|
Hi. 1. Muscular strain. 2. Discogenic. 1. Not to bend forwards acutely especially after getting up in morning. 2. Not to lift any heavy weight. Revert back after two weeks for follow up to a spine health specialist online.--->
|
<s>[INST]
Hi doctor, I am a 28 year old female. I am suffering from mid back pain since two days. I did not take any medicine but applied Moov and Zandu balm. But, there is no relief. The pain remains the same all through the day and night. I neither had an injury nor lifted any heavy objects. I had no surgeries before. The pain persists more while sitting without back support and while working in kitchen. It is a constant pain and not spreading anywhere. I am feeling comfortable in bed. I have no extra symptoms other than the pain. What may be the reason for the pain? Can you please suggest a medicine? How long should I use it? [/INST] Hi. 1. Muscular strain. 2. Discogenic. 1. Not to bend forwards acutely especially after getting up in morning. 2. Not to lift any heavy weight. Revert back after two weeks for follow up to a spine health specialist online.--->
|
Q. Every time I eat spicy food, I poop blood. Why?
|
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
|
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
|
<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<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 -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
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?
|
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 -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. Why do I have bad breath even after maintaining proper oral hygiene?
|
Hello doctor, I notice I have bad breath no matter how well I maintain proper teeth hygiene. What can help me in this regard?
|
Hello. Hope this helps. Regards. For more information consult a dentist online -->
|
<s>[INST]
Hello doctor, I notice I have bad breath no matter how well I maintain proper teeth hygiene. What can help me in this regard? [/INST] Hello. Hope this helps. Regards. For more information consult a dentist online -->
|
Q. Does it take 2 to 3 weeks for a bacterial eye infection to heal?
|
Hi doctor, From the last two weeks, my eyes are reddish. So after three days, I consulted an ophthalmologist, and he said that I have got an eye infection, and he suggested to use Vigamox, Floace, and tear eye drops, four times daily. But after two days, my vision started to blur, so I rushed to the doctor again. He again said it is a bacterial infection, and he said it will take 2 to 3 weeks to recover. I am using the prescribed eye drops from a week, but my vision has not recovered even a bit. I am afraid because, before the infection, my vision was 100 %, but now my left eye is totally blurred. Will it take three weeks to recover? Do I have a corneal infection? Please help.
|
Hello. Having said that, it is a provisional diagnosis. Kindly share your case report, so that I may guide you better. Revert with more information to an eye care ophthalmologist online -->
|
<s>[INST]
Hi doctor, From the last two weeks, my eyes are reddish. So after three days, I consulted an ophthalmologist, and he said that I have got an eye infection, and he suggested to use Vigamox, Floace, and tear eye drops, four times daily. But after two days, my vision started to blur, so I rushed to the doctor again. He again said it is a bacterial infection, and he said it will take 2 to 3 weeks to recover. I am using the prescribed eye drops from a week, but my vision has not recovered even a bit. I am afraid because, before the infection, my vision was 100 %, but now my left eye is totally blurred. Will it take three weeks to recover? Do I have a corneal infection? Please help. [/INST] Hello. Having said that, it is a provisional diagnosis. Kindly share your case report, so that I may guide you better. Revert with more information to an eye care ophthalmologist online -->
|
Q. What can be done for atrial fibrillation in a patient with stent?
|
Hello doctor, My grandfather is experiencing atrial fibrillation. He got stents 20 years back.
|
Hello. There is nothing to worry about it. It is common in elders and heart patients. There are two aspects of treatment, one is to control the heart, which is already controlled in ECG report (attachment removed to protect patient identity) and another is to have blood thinners to avoid the risk of stroke. So, he has to be started on blood thinners like Dabigatran or Rivaroxaban to prevent stroke. This is an addition to other blood thinners like Aspirin. Also, his ECG printed report is showing a slow ventricular rate, so his drug should be modified to achieve a heart rate between 60 to 70 per minute. Otherwise, he may get dizziness if the heart rate is very low. So, discuss these issues with your local doctor. Overall, with medicines, this is not worrisome usually.
|
<s>[INST]
Hello doctor, My grandfather is experiencing atrial fibrillation. He got stents 20 years back. [/INST] Hello. There is nothing to worry about it. It is common in elders and heart patients. There are two aspects of treatment, one is to control the heart, which is already controlled in ECG report (attachment removed to protect patient identity) and another is to have blood thinners to avoid the risk of stroke. So, he has to be started on blood thinners like Dabigatran or Rivaroxaban to prevent stroke. This is an addition to other blood thinners like Aspirin. Also, his ECG printed report is showing a slow ventricular rate, so his drug should be modified to achieve a heart rate between 60 to 70 per minute. Otherwise, he may get dizziness if the heart rate is very low. So, discuss these issues with your local doctor. Overall, with medicines, this is not worrisome usually.
|
Q. I am pregnant and suffering from dry cough. How to get treated?
|
Hello doctor, I am 12 weeks pregnant. From the last three days, I am suffering from a dry cough. My doctor prescribed me Ambrolite D syrup 10 mL at bedtime and Vozet tablet once in a day. He said that it is an allergic cough. But, after consuming the medicine for two days, my cough does not improve. I am still coughing. I was advised to take the treatment for five days. Can I wait for more?
|
Hello. Thanks for writing your query to me. A dry cough for more than three days in the absence of breathing difficulties usually suggests viral pharyngitis. You do not need to take antibiotics unless you have a fever. At the same time, you said you are 12 weeks pregnant, so you should try to avoid taking over-the-counter medicines for a cough. It may affect the growing child in your womb. So, I advise you to do gargles with any good mouthwash three times a day and finish three days of Vozet (Levocetirizine) tablets. If you continue coughing for more than a week, then you should take an expert opinion. For me, it looks just like a sore throat. Thank you. For further information consult an allergy specialist online -->
|
<s>[INST]
Hello doctor, I am 12 weeks pregnant. From the last three days, I am suffering from a dry cough. My doctor prescribed me Ambrolite D syrup 10 mL at bedtime and Vozet tablet once in a day. He said that it is an allergic cough. But, after consuming the medicine for two days, my cough does not improve. I am still coughing. I was advised to take the treatment for five days. Can I wait for more? [/INST] Hello. Thanks for writing your query to me. A dry cough for more than three days in the absence of breathing difficulties usually suggests viral pharyngitis. You do not need to take antibiotics unless you have a fever. At the same time, you said you are 12 weeks pregnant, so you should try to avoid taking over-the-counter medicines for a cough. It may affect the growing child in your womb. So, I advise you to do gargles with any good mouthwash three times a day and finish three days of Vozet (Levocetirizine) tablets. If you continue coughing for more than a week, then you should take an expert opinion. For me, it looks just like a sore throat. Thank you. For further information consult an allergy specialist online -->
|
Q. What could be the reason for constant dull pain in head and neck?
|
Hi doctor, I have been getting a sudden radiating pain like a wave from the back of the head up to the forehead. It is worse on right side and radiates to left side. It comes suddenly and is dull, but about 7/10 in pain scale. It goes away almost as fast as it starts. It happens multiple times a day when I am standing or sitting. And, it does not occur when I am lying down. Also, I have a mild constant dull ache in my head and moderate neck pain, which is worse on the right side. I feel that I have multiple trigger points and can sometimes replicate the pain when I hit them, but not always. Do you feel this pain could be from the trigger points? Is this something my chiropractor can help with? I have not seen him for about two months and this pain started about a month ago. I am in a desk job and I do work for around 40 hours a week. I never had headaches like this before. I am currently taking Ibuprofen for pain.
|
Hi. For further information consult a physiotherapist online -->
|
<s>[INST]
Hi doctor, I have been getting a sudden radiating pain like a wave from the back of the head up to the forehead. It is worse on right side and radiates to left side. It comes suddenly and is dull, but about 7/10 in pain scale. It goes away almost as fast as it starts. It happens multiple times a day when I am standing or sitting. And, it does not occur when I am lying down. Also, I have a mild constant dull ache in my head and moderate neck pain, which is worse on the right side. I feel that I have multiple trigger points and can sometimes replicate the pain when I hit them, but not always. Do you feel this pain could be from the trigger points? Is this something my chiropractor can help with? I have not seen him for about two months and this pain started about a month ago. I am in a desk job and I do work for around 40 hours a week. I never had headaches like this before. I am currently taking Ibuprofen for pain. [/INST] Hi. For further information consult a physiotherapist online -->
|
Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?
|
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.
|
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.
|
<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.
|
Q. What can cause extreme body odor?
|
Hi doctor, I am a healthy male. My weight is 114 kg and height is 5'7". I am suffering from extreme body odor. Body odor starts few minutes after I take bath, especially from my underarms. Please help.
|
Hello. I can understand your problem. Let me explain the cause and treatment. For further information consult a dermatologist online -->
|
<s>[INST]
Hi doctor, I am a healthy male. My weight is 114 kg and height is 5'7". I am suffering from extreme body odor. Body odor starts few minutes after I take bath, especially from my underarms. Please help. [/INST] Hello. I can understand your problem. Let me explain the cause and treatment. For further information consult a dermatologist online -->
|
Q. Why do I get bloated stomach by the end of the day?
|
Hello doctor, I have a stomach problem. It started with severe acidity and acid reflux. I get a bloated stomach by the end of the day. I have a runny stool in the morning and have flatulence. I have not seen any presence of blood in the stool. My doctor recently suggested the HP kit for pylori. It is four days and while the acidity has reduced, there is no change in the bloated stomach. Currently, I am taking blood pressure tablets and Clopidogrel.
|
Hello. For the acid reflux problem, you can take Pantoprazole 40 mg once daily for a week. You can restrict excess spicy foods in diet. Cooked oatmeal help in soothing the stomach. Curd can be included more in the diet. Gas forming foods should be restricted like cabbage, cauliflower, onion, turnip, etc. Eat slowly and avoid excess carbonated drink intake. If you still have diarrhea, then stool routine micro examination has to be done. Before starting the H.Pylori kit, confirm H.Pylori infection by urea breath test. You can be prescribed Zexid syrup (Magaldrate and Simethicone) for stomach bloating and follow the above advise. For more information consult a general practitioner online -->
|
<s>[INST]
Hello doctor, I have a stomach problem. It started with severe acidity and acid reflux. I get a bloated stomach by the end of the day. I have a runny stool in the morning and have flatulence. I have not seen any presence of blood in the stool. My doctor recently suggested the HP kit for pylori. It is four days and while the acidity has reduced, there is no change in the bloated stomach. Currently, I am taking blood pressure tablets and Clopidogrel. [/INST] Hello. For the acid reflux problem, you can take Pantoprazole 40 mg once daily for a week. You can restrict excess spicy foods in diet. Cooked oatmeal help in soothing the stomach. Curd can be included more in the diet. Gas forming foods should be restricted like cabbage, cauliflower, onion, turnip, etc. Eat slowly and avoid excess carbonated drink intake. If you still have diarrhea, then stool routine micro examination has to be done. Before starting the H.Pylori kit, confirm H.Pylori infection by urea breath test. You can be prescribed Zexid syrup (Magaldrate and Simethicone) for stomach bloating and follow the above advise. For more information consult a general practitioner online -->
|
Q. Which acne cream is causing dry, flaky skin around eyes and burns on cheek?
|
Hi doctor,Recently I have been prescribed Tretinoin 0.25 cream and Benzaclin gel for my mild acne but ever since I started I have been getting dry and flaky skin around my eyes and mouth and burns on my cheek. Which cream is causing this? And how do I continue using them, if so?
|
Hi. I have gone through your case. Actually, it is a very common side effect of Tretinoin cream and sometimes Bezclin (Clindamycin and Benzoyl peroxide) also cause it. My opinion is to stop both medicines for a week. If you have severe burning use Hydrocortisone cream only on burning areas for seven days only and then stop it. Also, use Vaseline lotion. First, apply on your hand and then tap your face with very little lotion in order to make your skin soft. If you apply more lotion then it will make your skin oily. After one week when your redness settles down then start with Bezclin gel only and apply only on lesions. For more information consult a dermatologist online -->
|
<s>[INST]
Hi doctor,Recently I have been prescribed Tretinoin 0.25 cream and Benzaclin gel for my mild acne but ever since I started I have been getting dry and flaky skin around my eyes and mouth and burns on my cheek. Which cream is causing this? And how do I continue using them, if so? [/INST] Hi. I have gone through your case. Actually, it is a very common side effect of Tretinoin cream and sometimes Bezclin (Clindamycin and Benzoyl peroxide) also cause it. My opinion is to stop both medicines for a week. If you have severe burning use Hydrocortisone cream only on burning areas for seven days only and then stop it. Also, use Vaseline lotion. First, apply on your hand and then tap your face with very little lotion in order to make your skin soft. If you apply more lotion then it will make your skin oily. After one week when your redness settles down then start with Bezclin gel only and apply only on lesions. For more information consult a dermatologist online -->
|
Q. My teeth are yellow. I am not even smiling because of embarrassment. Please help.
|
Hello doctor, I have a large white spot on one of my front teeth. My teeth are yellow and it makes my smile look bad. When I was young, I had used a paste given to me by my dentist. I cannot remember the name of it, but I was supposed to scrub it on my teeth, leave it for five minutes and then spit it out. I no longer have it and it did not make a difference. I do not know how to get rid of the spot and I do not feel comfortable talking or even smiling because of embarrassment. Please help.
|
Hi. There are two ways by which tooth gets discolored: a) External factors b) Internal factors a) External factor: The change in the color of the tooth topically by external agents. 1) Black and brown stains on the tooth surface. Causes: - smoking - consumption of tea and coffee 2)Yellowish stains on the tooth surface. Causes - deposition of plaque (dental plaque is the deposition of a thin layer containing numerous bacteria around the tooth). b)Internal factors: 1) Brownish-yellow discoloration of tooth. Causes - Consumption of tetracycline during the formation of teeth. Deciduous tooth formation takes place when the baby is in the womb. If the pregnant lady consumes tetracycline antibiotic during second half of pregnancy onwards, that causes staining of the tooth. The permanent tooth formation takes place before the age of 8 yrs, if in that duration the child is put on tetracycline medication it will cause staining of the teeth. 2)Greyish-yellow discoloration of tooth. Causes: -Dental caries: breakdown of tooth structure by bacterial action. -Pulp necrosis: it is a condition in which tissue inside the tooth dies. c)White patches on the tooth surface. Causes - Enamel hypoplasia. d)Brownish discoloration of tooth. Causes - Excessive intake of flouride (dental fluorosis). Depending upon the causes of the tooth discoloration, the following treatment can be decided: 1. Oral prophylaxis (dental scaling). 2. Bleaching. 3. Dental laminates. 4. Veneer. 5. Crowns. 6. Root canal treatment. Attach the picture of the affected tooth and follow up with a dentist online.--->
|
<s>[INST]
Hello doctor, I have a large white spot on one of my front teeth. My teeth are yellow and it makes my smile look bad. When I was young, I had used a paste given to me by my dentist. I cannot remember the name of it, but I was supposed to scrub it on my teeth, leave it for five minutes and then spit it out. I no longer have it and it did not make a difference. I do not know how to get rid of the spot and I do not feel comfortable talking or even smiling because of embarrassment. Please help. [/INST] Hi. There are two ways by which tooth gets discolored: a) External factors b) Internal factors a) External factor: The change in the color of the tooth topically by external agents. 1) Black and brown stains on the tooth surface. Causes: - smoking - consumption of tea and coffee 2)Yellowish stains on the tooth surface. Causes - deposition of plaque (dental plaque is the deposition of a thin layer containing numerous bacteria around the tooth). b)Internal factors: 1) Brownish-yellow discoloration of tooth. Causes - Consumption of tetracycline during the formation of teeth. Deciduous tooth formation takes place when the baby is in the womb. If the pregnant lady consumes tetracycline antibiotic during second half of pregnancy onwards, that causes staining of the tooth. The permanent tooth formation takes place before the age of 8 yrs, if in that duration the child is put on tetracycline medication it will cause staining of the teeth. 2)Greyish-yellow discoloration of tooth. Causes: -Dental caries: breakdown of tooth structure by bacterial action. -Pulp necrosis: it is a condition in which tissue inside the tooth dies. c)White patches on the tooth surface. Causes - Enamel hypoplasia. d)Brownish discoloration of tooth. Causes - Excessive intake of flouride (dental fluorosis). Depending upon the causes of the tooth discoloration, the following treatment can be decided: 1. Oral prophylaxis (dental scaling). 2. Bleaching. 3. Dental laminates. 4. Veneer. 5. Crowns. 6. Root canal treatment. Attach the picture of the affected tooth and follow up with a dentist online.--->
|
Q. Is herpes zoster dangerous?
|
Hi doctor, My mother was diagnosed to have herpes zoster. Also, her doctor says that the herpes has caused ulcers. I would like to know in how much time it will heal? Is herpes zoster a dangerous one?
|
Hi. As you know, Herpes zoster is a viral infection. It takes 7 to 10 days for the lesions to heal. But, in patients who are diabetic, old age, secondarily infected and with an incomplete antiviral dose or seropositive it can take up to 15 days to get cured. In elderly age group even after the skin lesions heal the patient might experience intense pain in that particular area. It is called as postherpetic neuralgia. Kapsi gel can be applied (Capsaicin) once the skin is completely healed to relieve pain. Consult your specialist doctor, discuss with him or her and take the medicine with consent. How many days before she was diagnosed? What is her age? Please send images of the area. Revert back with the answers to the above questions to a dermatologist online -->
|
<s>[INST]
Hi doctor, My mother was diagnosed to have herpes zoster. Also, her doctor says that the herpes has caused ulcers. I would like to know in how much time it will heal? Is herpes zoster a dangerous one? [/INST] Hi. As you know, Herpes zoster is a viral infection. It takes 7 to 10 days for the lesions to heal. But, in patients who are diabetic, old age, secondarily infected and with an incomplete antiviral dose or seropositive it can take up to 15 days to get cured. In elderly age group even after the skin lesions heal the patient might experience intense pain in that particular area. It is called as postherpetic neuralgia. Kapsi gel can be applied (Capsaicin) once the skin is completely healed to relieve pain. Consult your specialist doctor, discuss with him or her and take the medicine with consent. How many days before she was diagnosed? What is her age? Please send images of the area. Revert back with the answers to the above questions to a dermatologist online -->
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<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 -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
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?
|
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 -->
|
<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 -->
|
Q. Why do periods get delayed after first time sex?
|
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?
|
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 -->
|
<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 -->
|
Q. Every time I eat spicy food, I poop blood. Why?
|
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached.
|
Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
|
<s>[INST]
Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. [/INST] Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->
|
Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?
|
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.
|
Hi. For further doubts consult a sexologist online -->
|
<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 -->
|
Q. How many days does it take to get periods after Deviry course?
|
Hello doctor, I was on a course of Deviry 10 mg for 5 days as I missed my period last month but I am not pregnant. How many days does it take to get my period now?
|
Hi. It will take a week or so to get back your periods. So relax and do not worry. Do not take any medication without an expert advice. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, I was on a course of Deviry 10 mg for 5 days as I missed my period last month but I am not pregnant. How many days does it take to get my period now? [/INST] Hi. It will take a week or so to get back your periods. So relax and do not worry. Do not take any medication without an expert advice. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online -->
|
Q. Mantoux test is positive. Am I suffering from tuberculosis?
|
Hi doctor, I had pulmonary tuberculosis in my teen age. After a full course of ATT, I was recovered and no findings on sputum and x-ray. Now, I am 30 years old. I have left lower abdomen pain since two to three years. But, it is not severe. The pain is intermittent and often relieved by passing stool. My gynecologist advised me for Mantoux, which came out as positive. I am planning for a baby for three months. My menstrual cycle is fairly regular with an interval of 21 days and I have dysmenorrhea since my menarche. Am I suffering from genital tuberculosis?
|
Hi. Mantoux positive is showing sensitivity to tuberculin antigen. It is a screening test and not a confirmatory test. If it comes positive, then do TB PCR (tuberculosis polymerase chain reaction) for confirmation. If that too comes positive, then it means there is a chance of genital TB and you have to take treatment for it for around four to six months accordingly. If TB PCR is negative, then you do not have to worry. For further information consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hi doctor, I had pulmonary tuberculosis in my teen age. After a full course of ATT, I was recovered and no findings on sputum and x-ray. Now, I am 30 years old. I have left lower abdomen pain since two to three years. But, it is not severe. The pain is intermittent and often relieved by passing stool. My gynecologist advised me for Mantoux, which came out as positive. I am planning for a baby for three months. My menstrual cycle is fairly regular with an interval of 21 days and I have dysmenorrhea since my menarche. Am I suffering from genital tuberculosis? [/INST] Hi. Mantoux positive is showing sensitivity to tuberculin antigen. It is a screening test and not a confirmatory test. If it comes positive, then do TB PCR (tuberculosis polymerase chain reaction) for confirmation. If that too comes positive, then it means there is a chance of genital TB and you have to take treatment for it for around four to six months accordingly. If TB PCR is negative, then you do not have to worry. For further information consult an obstetrician and gynaecologist online -->
|
Q. What are the Ayurveda medicines to remove kidney stones?
|
Hi doctor, I have two tiny kidney stones of size 3 mm in my left kidney. Is there any ayurvedic medicine to treat kidney stones? Can you please suggest some medicines so that the stones pass in my urine easily.
|
Hi. Renal calculus can be removed easily by ayurvedic medicines. As you mentioned 3 mm sized two stones is present in your left kidney, the size of the stone is small and easy to remove. I suggest you try taking the following. The probable causes of renal stones are drinking less than sufficient amount of water, having a sedentary lifestyle, eating fried and spicy junk foods. Try the following preventive measures. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Follow-up after 15 days. Revert after 15 days to an ayurveda specialist online -->
|
<s>[INST]
Hi doctor, I have two tiny kidney stones of size 3 mm in my left kidney. Is there any ayurvedic medicine to treat kidney stones? Can you please suggest some medicines so that the stones pass in my urine easily. [/INST] Hi. Renal calculus can be removed easily by ayurvedic medicines. As you mentioned 3 mm sized two stones is present in your left kidney, the size of the stone is small and easy to remove. I suggest you try taking the following. The probable causes of renal stones are drinking less than sufficient amount of water, having a sedentary lifestyle, eating fried and spicy junk foods. Try the following preventive measures. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. Follow-up after 15 days. Revert after 15 days to an ayurveda specialist online -->
|
Q. What is the reason for my disturbed sleep and morning drowsiness?
|
Hi doctor, I am 56 years old and self-employed. I do not have much work for the last few months as I have reduced my business for a gradual retirement. I go to bed at about 10 PM. I get up once in between for urination. Most of the day, in the last few months, my sleep gets disturbed at about 4 AM and after that till 6 AM I am unable to sleep and remain in bed tossing around. I feel tired and drowsy, sometime uncomfortable in between 8 AM to 12 PM. I allow myself to sleep in a bent down position, sitting on the chair for about 30 to 45 minutes in the mornings on most of the day when I drowsy. Irrespective of the morning rest, I take regular rest in the afternoon. Nowadays, I do not get sleep during this time also and keep tossing around. I feel fresh in the evenings. What is the reason for this disturbed sleep, tiredness and morning drowsiness? Can you suggest any medicine for this? I am anemic and my hemoglobin is 10.6. I also have high bilirubin, total 3 and non-alcoholic fatty liver. I neither have jaundice nor any other liver problem. I am currently taking LIV APT, Xaria plus and Pan-D. I am getting nose blockage, for the last few months, when I use AC or fan in the lying down position. During yawning too, I get nose block for a few minutes. Allergy doctor had given Xaria plus for this problem. Please let me know whether anything else is required for this. How long should I take Xaria Plus?
|
Hi. I have gone through your query. Stress related sleep disorder. Sleep study after one month. Obstructive sleep apnea (OSA). Insomnia. Conservative management like sleep hygiene, avoid coffee and tea and do regular exercises. Revert back after a month to a sleep medicine physician online.--->
|
<s>[INST]
Hi doctor, I am 56 years old and self-employed. I do not have much work for the last few months as I have reduced my business for a gradual retirement. I go to bed at about 10 PM. I get up once in between for urination. Most of the day, in the last few months, my sleep gets disturbed at about 4 AM and after that till 6 AM I am unable to sleep and remain in bed tossing around. I feel tired and drowsy, sometime uncomfortable in between 8 AM to 12 PM. I allow myself to sleep in a bent down position, sitting on the chair for about 30 to 45 minutes in the mornings on most of the day when I drowsy. Irrespective of the morning rest, I take regular rest in the afternoon. Nowadays, I do not get sleep during this time also and keep tossing around. I feel fresh in the evenings. What is the reason for this disturbed sleep, tiredness and morning drowsiness? Can you suggest any medicine for this? I am anemic and my hemoglobin is 10.6. I also have high bilirubin, total 3 and non-alcoholic fatty liver. I neither have jaundice nor any other liver problem. I am currently taking LIV APT, Xaria plus and Pan-D. I am getting nose blockage, for the last few months, when I use AC or fan in the lying down position. During yawning too, I get nose block for a few minutes. Allergy doctor had given Xaria plus for this problem. Please let me know whether anything else is required for this. How long should I take Xaria Plus? [/INST] Hi. I have gone through your query. Stress related sleep disorder. Sleep study after one month. Obstructive sleep apnea (OSA). Insomnia. Conservative management like sleep hygiene, avoid coffee and tea and do regular exercises. Revert back after a month to a sleep medicine physician online.--->
|
Q. I am mentally stressed. How do I come out of it?
|
Hi doctor, I am 22 years old doing my master's degree. I have good academic records and got placed in a good company for internship but I am mentally stressed. Please help.
|
Hello. As per your description, I understand that you mean to say you are facing severe stress despite being well placed academically and career wise. There could be more than one way of being stressed. If your stress is actually excessive and uncontrollable which affects your work, sleep, appetite and other aspects of life, then, you are probably suffering from generalized anxiety disorder. If you feel sad or have lost interest in work, feel guilty, unable to concentrate or take decisions and also feel pessimistic about your future, then it could be a sign of depression. If your stress is in the form of one or few recurrent and distressing thought, it could be a sign of obsessive-compulsive disorder. As you can see, there are different ways of being stressed, each being a sign of a different mental illness. Treatment changes depending on the underlying condition. So, you will have to describe your complaint in sufficient detail along with informations such as duration of illness, family history of mental illness, any comorbid medical condition and current ability to function. So that I can help you better. Work stressors. Major depressive disorder or obsessive compulsive disorder. Generalized anxiety disorder. Detailed evaluation to confirm diagnosis and then decide regarding the treatment. Follow up with details to a psychiatrist online.--->
|
<s>[INST]
Hi doctor, I am 22 years old doing my master's degree. I have good academic records and got placed in a good company for internship but I am mentally stressed. Please help. [/INST] Hello. As per your description, I understand that you mean to say you are facing severe stress despite being well placed academically and career wise. There could be more than one way of being stressed. If your stress is actually excessive and uncontrollable which affects your work, sleep, appetite and other aspects of life, then, you are probably suffering from generalized anxiety disorder. If you feel sad or have lost interest in work, feel guilty, unable to concentrate or take decisions and also feel pessimistic about your future, then it could be a sign of depression. If your stress is in the form of one or few recurrent and distressing thought, it could be a sign of obsessive-compulsive disorder. As you can see, there are different ways of being stressed, each being a sign of a different mental illness. Treatment changes depending on the underlying condition. So, you will have to describe your complaint in sufficient detail along with informations such as duration of illness, family history of mental illness, any comorbid medical condition and current ability to function. So that I can help you better. Work stressors. Major depressive disorder or obsessive compulsive disorder. Generalized anxiety disorder. Detailed evaluation to confirm diagnosis and then decide regarding the treatment. Follow up with details to a psychiatrist online.--->
|
Q. There is a black mole-like growth on the sole of my foot. Is it a wart?
|
Hello doctor, I have one black mole on the sole of my feet, below the big toe since a few months. I pulled it out and it has now spread. There are similar black moles under my sole. The top layer of the skin is not broken, but there are a number of black moles or dots (few are raised). However, when I applied Salicylic acid, I saw that there are bigger black dots within one mole. Even after clearing, the black dot grows on the same position. I have a history of psoriasis and plantar warts. What is it? A melanoma, wart or something else?
|
Hello. Revert with more information to a dermatologist online -->
|
<s>[INST]
Hello doctor, I have one black mole on the sole of my feet, below the big toe since a few months. I pulled it out and it has now spread. There are similar black moles under my sole. The top layer of the skin is not broken, but there are a number of black moles or dots (few are raised). However, when I applied Salicylic acid, I saw that there are bigger black dots within one mole. Even after clearing, the black dot grows on the same position. I have a history of psoriasis and plantar warts. What is it? A melanoma, wart or something else? [/INST] Hello. Revert with more information to a dermatologist online -->
|
Q. Can Gorochanadi Gulika be taken by a diabetic patient with allopathic medicines?
|
Hello doctor, I am 70 years old and diabetic. The doctor advised me to take Gorochanadi Gulika one tablet each in the morning and evening. I started taking the same. In between for one and half months I stopped taking it. Now I want to start taking it. Before that, I wish to have your advice. I take insulin and other tablets as prescribed by my allopathic doctor.
|
Hi. I can understand your concern. You can continue Gorochanadi Gutika as they advised. You can also take some home remedies along with your previous medications. Take five Bilva leave and five Hibiscus flowers, five Tulasi leaves and make its juice and drink empty stomach morning and evening half an hour before food. After 4 to 5 days, monitor your blood sugar levels. It will be in normal range. Do these things and provide your valuable feedback. 1.Avoid spicy and fried junk foods. 2.Avoid smoking and drinking if you have these habits. 3.Avoid cold drinks, soft drinks, ice-cream, etc. 4.Do regular kapalbhati mandukasana and ardhamatsyendrasana and pranayama like anuloma vilom nadi sodhan, and bhramari.
|
<s>[INST]
Hello doctor, I am 70 years old and diabetic. The doctor advised me to take Gorochanadi Gulika one tablet each in the morning and evening. I started taking the same. In between for one and half months I stopped taking it. Now I want to start taking it. Before that, I wish to have your advice. I take insulin and other tablets as prescribed by my allopathic doctor. [/INST] Hi. I can understand your concern. You can continue Gorochanadi Gutika as they advised. You can also take some home remedies along with your previous medications. Take five Bilva leave and five Hibiscus flowers, five Tulasi leaves and make its juice and drink empty stomach morning and evening half an hour before food. After 4 to 5 days, monitor your blood sugar levels. It will be in normal range. Do these things and provide your valuable feedback. 1.Avoid spicy and fried junk foods. 2.Avoid smoking and drinking if you have these habits. 3.Avoid cold drinks, soft drinks, ice-cream, etc. 4.Do regular kapalbhati mandukasana and ardhamatsyendrasana and pranayama like anuloma vilom nadi sodhan, and bhramari.
|
Q. Is brisk reflex a sign of PPMS?
|
Hi doctor, I am getting brisk reflexes. I am scared of primary progressive multiple sclerosis. Please help.
|
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 -->
|
<s>[INST]
Hi doctor, I am getting brisk reflexes. I am scared of primary progressive multiple sclerosis. Please help. [/INST] Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->
|
Q. The girl used her spit for lubrication. Can I be HIV positive?
|
Hello doctor, My question is regarding a possible HIV exposure six weeks ago. The condom protected vaginal and oral although she did masturbate me without a condom and used spit for lubrication. I took the fourth generation ELISA at four weeks and five weeks and both were negative. I was on a testosterone cycle and stopped two weeks prior to the meeting. I would like to know if my tests are conclusive. Would spit cause concern? Would my previous testosterone cycle have affected my tests? I would like to hear from you soon.
|
Hello. I am pleased to help you with your concern. For more information consult an internal medicine physician online -->
|
<s>[INST]
Hello doctor, My question is regarding a possible HIV exposure six weeks ago. The condom protected vaginal and oral although she did masturbate me without a condom and used spit for lubrication. I took the fourth generation ELISA at four weeks and five weeks and both were negative. I was on a testosterone cycle and stopped two weeks prior to the meeting. I would like to know if my tests are conclusive. Would spit cause concern? Would my previous testosterone cycle have affected my tests? I would like to hear from you soon. [/INST] Hello. I am pleased to help you with your concern. For more information consult an internal medicine physician online -->
|
Q. My mom was treated for trigeminal neuralgia, with no relief. What to do?
|
Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sodium valproate were tried in combination with Baclofen, but the pain persisted. Last year we started her on Gabapentin 400 mg per day and then changed to 300 mg twice a day, and she was pain-free for a long time. Then last year, the pain resurfaced. We increased the dose to 800 mg per day but still, there was pain. So, she underwent a radiofrequency ablation of Gasserian ganglion early this year. She was fine for two days, and then suddenly from the third day the pain resurfaced. The pain is unbearable. The doctor stopped Gabapentin and gave Lyrica 75 along with Baclofen twice a day. A week after the procedure, he increased Lyrica 75 to twice a day, but there was no relief. Three days ago, I stopped Lyrica and started Gabapentin 200 mg twice daily and today increased it 200 mg in the morning and 400 mg in the evening. During the day, I give her a combination of Tramadol and Paracetamol two to three times a day. Please advice on how she can get some relief.
|
Hello. I hope it helps you. If you have any further queries, please ask me. For further queries consult a neurologist online -->
|
<s>[INST]
Hello doctor, My 58 year old mother has a history of trigeminal neuralgia from the past four years. She was initially treated with Carbamazepine, but she had a severe allergic reaction, due to which it was stopped. Oxcarbazepine was tried, and it caused allergy too. Pregabalin, phenytoin, and sodium valproate were tried in combination with Baclofen, but the pain persisted. Last year we started her on Gabapentin 400 mg per day and then changed to 300 mg twice a day, and she was pain-free for a long time. Then last year, the pain resurfaced. We increased the dose to 800 mg per day but still, there was pain. So, she underwent a radiofrequency ablation of Gasserian ganglion early this year. She was fine for two days, and then suddenly from the third day the pain resurfaced. The pain is unbearable. The doctor stopped Gabapentin and gave Lyrica 75 along with Baclofen twice a day. A week after the procedure, he increased Lyrica 75 to twice a day, but there was no relief. Three days ago, I stopped Lyrica and started Gabapentin 200 mg twice daily and today increased it 200 mg in the morning and 400 mg in the evening. During the day, I give her a combination of Tramadol and Paracetamol two to three times a day. Please advice on how she can get some relief. [/INST] Hello. I hope it helps you. If you have any further queries, please ask me. For further queries consult a neurologist online -->
|
Q. Will urinary output increase with BP medicine?
|
Hi doctor, Before two months, I had one stent put in the complete blocked artery. Scans showed heart muscle damage from an old heart attack this was caused by me not taking my BP drugs. So for the first time in my life I have stuck to taking all my prescribed drugs, these were Aspirin 75 mg, Amlodipine 10 mg, Atorvastatin 80 mg, Bisoprolol 1.25 mg, Ticagrelor 90 mg. It has been eight weeks I felt a great minus few chest niggles presumed this was stent settling and I am still smoking 20 a day. Now for the last one week I have a severe dry mouth all the time despite drinking and my urine output is 5 liters to my input of 1 liter. At night I am going after every two to three minutes. My doctor is thinking I have a UTI despite being negative for it. Now they are testing me for gonorrhea and chlamydia. My suspicions are that the drugs I am taking causing this? I feel like stopping them all together or halving the dosage I cannot see my cardiologist until next year. Is there a link between my drugs and these symptoms? And am I safe to temporarily stop a few of them to rule them out? If so which ones are crucial and which are not? I am eternally grateful for your help.
|
Hello. All the medicines you are taking are essential medicines and should not be stopped except in case of severe allergy. None of these medicines cause increased urination. Amlodipine is a blood pressure lowering medicine, it can be changed to some other medicine. This medicine may cause fluid retention and swelling of feet in some patients. Regarding increased urination possibilities include maybe you are taking medicines called water pills or diuretics which are sometimes given in heart patients, these increase urine output. Please review your medicines. UTI (urinary tract infection) may cause increased urination. Raised BP itself may cause increased urination. Keep BP (blood pressure) in control. Please reduce weight. Take Mediterranean diet, do regular exercise, and have a proper sleep. Never stop or switch to any medicine without consulting a cardiologist.
|
<s>[INST]
Hi doctor, Before two months, I had one stent put in the complete blocked artery. Scans showed heart muscle damage from an old heart attack this was caused by me not taking my BP drugs. So for the first time in my life I have stuck to taking all my prescribed drugs, these were Aspirin 75 mg, Amlodipine 10 mg, Atorvastatin 80 mg, Bisoprolol 1.25 mg, Ticagrelor 90 mg. It has been eight weeks I felt a great minus few chest niggles presumed this was stent settling and I am still smoking 20 a day. Now for the last one week I have a severe dry mouth all the time despite drinking and my urine output is 5 liters to my input of 1 liter. At night I am going after every two to three minutes. My doctor is thinking I have a UTI despite being negative for it. Now they are testing me for gonorrhea and chlamydia. My suspicions are that the drugs I am taking causing this? I feel like stopping them all together or halving the dosage I cannot see my cardiologist until next year. Is there a link between my drugs and these symptoms? And am I safe to temporarily stop a few of them to rule them out? If so which ones are crucial and which are not? I am eternally grateful for your help. [/INST] Hello. All the medicines you are taking are essential medicines and should not be stopped except in case of severe allergy. None of these medicines cause increased urination. Amlodipine is a blood pressure lowering medicine, it can be changed to some other medicine. This medicine may cause fluid retention and swelling of feet in some patients. Regarding increased urination possibilities include maybe you are taking medicines called water pills or diuretics which are sometimes given in heart patients, these increase urine output. Please review your medicines. UTI (urinary tract infection) may cause increased urination. Raised BP itself may cause increased urination. Keep BP (blood pressure) in control. Please reduce weight. Take Mediterranean diet, do regular exercise, and have a proper sleep. Never stop or switch to any medicine without consulting a cardiologist.
|
Q. How long should my husband and I wait to try for a baby if we did cocaine?
|
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.
|
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 -->
|
<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 -->
|
Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?
|
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?
|
Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
<s>[INST]
Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->
|
Q. Please explain the poisonous effect of phenol ingestion.
|
Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect.
|
Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.--->
|
<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.--->
|
Q. For how long should I take Kalachikai powder to overcome PCOD problem?
|
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?
|
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 -->
|
<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 -->
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.